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

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

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256 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINENOTE: This pattern describes the acute, paroxysmal stage <strong>of</strong>gout. In addition, it does not typically present in this simple,discrete way but complicates other patterns.TREATMENT PRINCIPLES: Quicken the blood and transformstasis, free the flow <strong>of</strong> the network vessels and stop painRX: Wu Ling Di Long Tang (Trogoptero<strong>ru</strong>s & LumbricusDecoction)INGREDIENTS:Di Long (Pheretima)Wu Ling Zhi (Feces Trogopterori)Niu Xi (Radix Achyranthis Bidentatae)Qiang Huo (Radix Et Rhizoma Notopterygii)Tao Ren (Semen Persicae)Dang Gui (Radix Angelicae Sinensis)Xiang Fu (Rhizoma Cyperi)Ru Xiang (Olibanum)uncooked Gan Cao (Radix Glycyrrhizae)12g9g9g9g9g9g9g6g6gANALYSIS OF FORMULA: Within this formula, Tao Ren, DangGui, Wu Ling Zhi, and Niu Xi all quicken the blood and transformstasis. In addition, Dang Gui nourishes the blood to preventdamage to the blood by the other attacking medicinals,while Niu Xi leads the other medicinals downward. Qiang Huoand Xiang Fu rectify the qi. Qiang Huo also treats wind dampimpediment pain. Ru Xiang and Di Long free the flow <strong>of</strong> thenetwork vessels and stop pain. Gan Cao harmonizes the rest <strong>of</strong>the medicinals in this formula.ADDITIONS & SUBTRACTIONS: For pain in the upper limbs,add nine grams each <strong>of</strong> Jiang Huang (Rhizoma CurcumaeLongae) and Gui Zhi (Ramulus Cin<strong>nam</strong>omi). For pain in thelower limbs, add nine grams <strong>of</strong> Du Huo (Radix AngelicaePubescentis) and Mu Gua (F<strong>ru</strong>ctus Chaenomelis). For severepain, add 15 grams <strong>of</strong> Yan Hu Suo (Rhizoma Corydalis) andthree grams each <strong>of</strong> Quan Xie (Scorpio) and Wu Gong(Scolopendra), powdered and taken with the strained decoction.For severe joint swelling, add nine grams each <strong>of</strong> Shan CiGu (Bulbus Shancigu), Han Fang Ji (Radix Stephaniae), and BiXie (Rhizoma Dioscoreae Hypoglaucae). For restricted mobility,add 30 grams each <strong>of</strong> Ji Xue Teng (Caulis Spatholobi) andnine grams <strong>of</strong> Di Long (Pheretima).ACUPUNCTURE & MOXIBUSTION: He Gu (LI 4), San YinJiao (Sp 6), distant channel and local points depending onthe site <strong>of</strong> pain. Acupuncture can be helpful for the relief <strong>of</strong>pain, but internally administered Chinese medicinals are betterfor the elimination <strong>of</strong> uric acid crystals.ANALYSIS OF FORMULA: Please see pattern #1 above.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.4. TURBID DAMPNESS POURING DOWNWARD& BLOOD STASIS PATTERNMAIN SYMPTOMS: Severe, acute joint aching and painwhich is fixed in location and marked by pronouncedswelling and distention <strong>of</strong> the affected jointsTREATMENT PRINCIPLES: Eliminate dampness and dischargeturbidity, quicken the blood and transform stasisRX: Er Ze Tang (Two Ponds Decoction)INGREDIENTS:Tu Fu Ling (Rhizoma Smilacis Glabrae)Yi Yi Ren (Semen Coicis)Wei Ling Xian (Radix Clematidis)Bi Xie (Rhizoma Dioscoreae Hypoglaucae)Che Qian Zi (Semen Plantaginis)Ze Xie (Rhizoma Alismatis)Ze Lan (Herba Lycopi)Tao Ren (Semen Persicae)Dang Gui (Radix Angelicae Sinensis)30g30g30g20g12g9g9g9g9gANALYSIS OF FORMULA: Within this formula, Tu Fu Lingeliminates dampness and turbidity and treats joint pain dueto predominant dampness. Wei Ling Xian likewise treatswind damp joint pain, Bi Xie promotes the division <strong>of</strong> theclear from the turbid and dispels wind dampness. It alsorelaxes the sinews and frees the flow <strong>of</strong> the network vessels incases <strong>of</strong> wind damp impediment. Yi Yi Ren, Ze Xie, and CheQian Zi all seep dampness, while Ze Lan, Tao Ren, and DangGui quicken the blood and transform stasis. Thus when allthese medicinals are combined together, they dispel winddampness and discharge turbid dampness as well as quickenthe blood and transform stasis.ADDITIONS & SUBTRACTIONS: If dampness pouring downis due to spleen vacuity which is relatively marked, replace ErZe Tang with Shen Ling Bai Zhu San Jia Jian (Ginseng, Poria& Atractylodes Powder with Additions & Subtractions):Huang Qi (Radix Astragali), Fu Ling (Poria), Yi Yi Ren (SemenCoicis), and Han Fan Ji (Radix Stephaniae), 15g each, Bi Xie(Rhizoma Dioscoreae Hypoglaucae) and Hua Shi (Talcum),12g each, Dang Shen (Radix Codonopsitis), Mu Gua (F<strong>ru</strong>ctusChaenomelis), Shan Yao (Radix Dioscoreae), Bai Zhu(Rhizoma Atractylodis Macrocephalae), Dang Gui (RadixAngelicae Sinensis), Qin Jiao (Radix GentianaeMacrophyllae), Huo Xiang (Herba Pogostemonis), and Pei Lan(Herba Eupatorii), 9g each, and Bai Dou Kou (F<strong>ru</strong>ctusCardamomi), 6g.ACUPUNCTURE & MOXIBUSTION: Yin Ling Quan (Sp 9),Zu San Li (St 36), distant channel and local points dependingon the location <strong>of</strong> pain. Acupuncture can be helpful forthe relief <strong>of</strong> pain, but internally administered Chinese medic-

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