The Treatment of Modern Western - Biblio.nhat-nam.ru

GOUT 255ACUPUNCTURE & MOXIBUSTION: He Gu (LI 4), San YinJiao (Sp 6), distant channel and local points depending onthe location of pain. Acupuncture can be helpful for relief ofpain in the treatment of gout, but internally administeredChinese medicinals are better for the elimination of uric acidcrystals.ANALYSIS OF FORMULA: Draining He Gu and San Yin Jiaoquickens the blood and frees the flow of the network vesselsof the entire body. Draining distant channel and local pointsfrees the flow of the network vessels and stops pain.ADDITIONS & SUBTRACTIONS: For elbow impediment, addQu Chi (LI 11), Xiao Hai (SI 8), Zhou Liao (LI 12), andShou San Li (LI 10). For wrist impediment, add Wai Guan(TB 5), Yang Chi (TB 4), and Wan Gu (SI 4). For upperextremity phalangeal and metacarpal impediment, add BaiXie (M-UE-22), He Gu (LI 4), and Hou Xi (SI 3). For kneeimpediment, add Du Bi (St 35), Xi Yan (M-LE-16a), QuQuan (Liv 8), and Wei Zhong (Bl 40). For ankle impediment,choose between Jie Xi (St 41), Shang Qiu (Sp 5), QiuXu (GB 40), Kun Lun (Bl 60), Tai Xi (Ki 3), Shen Mai (Bl62), and Zhao Hai (Ki 6). For metatarsal and lower extremityphalangeal impediment, add Jie Xi (St 41), Gong Sun(Sp 4), Tai Chong (Liv 3), Zu Lin Qi (GB 41), and Ba Feng(M-LE-8).2. WIND DAMP HEAT IMPEDIMENT & BLOODSTASIS PATTERNMAIN SYMPTOMS: Severe, acute joint aching and painwhich is fixed in location and is accompanied by redness,swelling, and heat, possible fever, thirst, constipation, reddishyellow urine, a red tongue with yellow slimy fur, and aslippery, rapid, bowstring or soggy, rapid, bowstring pulseTREATMENT PRINCIPLES: Clear heat and eliminate dampness,free the flow of the network vessels and stop painRX: Ren Dong Pu Gong Er Miao San (Caulis Lonicerae &Taraxacum Two Wonders Powder)INGREDIENTS:Ren Dong Teng (Caulis Lonicerae)Pu Gong Ying (Herba Taraxaci)Yi Yi Ren (Semen Coicis)Dang Gui (Radix Angelicae Sinensis)Can Sha (Excrementum Bombycis Mori)Liu Yi San (Six to One Powder, i.e., Hua Shi, Talcumand Gan Cao, Radix Glycyrrhizae)Che Qian Zi (Semen Plantaginis)Cang Zhu (Rhizoma Atractylodis)Huang Bai (Cortex Phellodendri)Luo Shi Teng (Caulis Trachelospermi)Mo Yao (Myrrha)30g30g30g15g15g9g9g9g9g9g9gANALYSIS OF FORMULA: Ren Dong Teng, Pu Gong Ying, andHuang Bai clear heat and resolve toxins. Ren Dong Teng andLuo Shi Teng clear heat, free the flow of the network vessels,and stop pain. Yi Yi Ren, Hua Shi, Che Qian Zi, Can Sha,and Cang Zhu eliminate dampness and, combined withHuang Bai, clear and disinhibit dampness and heat. In addition,Cang Zhu and Can Sha specifically treat damp impediment.Dang Gui and Mo Yao quicken the blood, transformstasis, and stop pain, and Gan Cao harmonizes the othermedicinals in this formula.ADDITIONS & SUBTRACTIONS: For pain in the upper limbs,add nine grams each of Jiang Huang (Rhizoma CurcumaeLongae) and Sang Zhi (Ramulus Mori). For pain in the lowerlimbs, add nine grams of Chuan Niu Xi (Radix Cyathulae)and Mu Gua (Fructus Chaenomelis). For severe pain, add 15grams of Yan Hu Suo (Rhizoma Corydalis), six grams of RuXiang (Olibanum), and three grams of Quan Xie (Scorpio),powdered and taken with the strained decoction. For fever,add 30 grams of Shi Gao (Gypsum Fibrosum) and nine gramseach of Jin Yin Hua (Flos Lonicerae) and Lian Qiao (FructusForsythiae). For severe joint swelling, add nine grams each ofShan Ci Gu (Bulbus Shancigu), Han Fang Ji (RadixStephaniae), and Bi Xie (Rhizoma Dioscoreae Hypoglaucae).For constipation, add nine grams of Da Huang (Radix EtRhizoma Rhei). For heat damaging yin with low-grade fever,night sweats, and dryness of the mouth, add 15 grams each ofQing Hao (Herba Artemisiae Annuae), Qin Jiao (RadixGentianae Macrophyllae), and Zhi Mu (RhizomaAnemarrhenae). For restricted mobility, add 12 grams each ofXi Xian Cao (Herba Siegesbeckiae), Hai Tong Pi (CortexErythiniae), and Hong Teng (Caulis Sargentodoxae).ACUPUNCTURE & MOXIBUSTION: Da Zhui (GV 14), QuChi (LI 11), He Gu (LI 4), distant channel and local pointsdepending on the location of pain. Acupuncture can be helpfulfor pain in the treatment of gout, but internally administeredChinese medicinals are better for the elimination ofuric acid crystals.ANALYSIS OF FORMULA: Bleeding Da Zhui clears heat anddispels wind. Draining Qu Chi and He Gu clears heatbecause the yang ming channel has lots of qi and lots ofblood. Draining the distant channel and local points movesthe channel qi and frees the flow of the network vessels in theaffected area to stop pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.3. QI STAGNATION & BLOOD STASIS PATTERNMAIN SYMPTOMS: Severe, acute, fixed, lancinating pain asif being cut by a knife, a possibly dark or purple tongue orpossible static macules or spots, and a bowstring and/orchoppy pulse