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

GOUT 257inals are better for the elimination of uric acid crystals.ANALYSIS OF FORMULA: Supplementing Zu San Li supplementsthe spleen, and the spleen governs the movement andtransformation of water fluids in the body. Draining YinLing Quan seeps dampness. Draining the distant channeland local points moves the channel qi and frees the flow ofthe network vessels in the affected area to stop pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.5. PHLEGM & STASIS OBSTRUCTINGNETWORK VESSELS PATTERNMAIN SYMPTOMS: Enduring joint pain which sometimes ismild and sometimes is stronger but does not heal, recurrentattacks, swelling of the joint, restriction of movement, possibledark purple skin in the affected area, stiffness, hardening,and deformation of the joint, tophi under the skin (mainlyon the face, ears, and joints) which are painless, a dark orpurple tongue or possible static macules or spots, and a deep,fine, choppy, and/or bowstring pulseTREATMENT PRINCIPLES: Transform phlegm and dispelstasis, free the flow of the network vessels and stop painRX: Tao Hong Yin (Persica & Carthamus Drink) plus ErChen Tang (Two Aged [Ingredients] Decoction) with additionsand subtractionsINGREDIENTS:Wei Ling Xian (Radix Clematidis)Tao Ren (Semen Persicae)Hong Hua (Flos Carthami)Chuan Xiong (Rhizoma Chuanxiong)Chi Shao (Radix Paeoniae Rubrae)Dang Gui (Radix Angelicae Sinensis)Chen Pi (Pericarpium Citri Reticulatae)Ban Xia (Rhizoma Pinelliae)Bai Jie Zi (Semen Sinapis)Jiang Can (Bombyx Batryticatus)Di Long (Pheretima)mix-fried Gan Cao (Radix Glycyrrhizae)15g9g9g9g9g9g9g9g9g9g9g5gANALYSIS OF FORMULA: Hong Hua, Tao Ren, Dang Gui, ChiShao, and Chuan Xiong all quicken the blood, transform stasis,and stop pain. Wei Ling Xian and Di Long free the flow of thenetwork vessels and stop pain. Ban Xia, Bai Jie Zi, Chen Pi,and Jiang Can together transform phlegm and soften hardness.of Jiang Huang (Rhizoma Curcumae Longae) and Gui Zhi(Ramulus Cinnamomi). For pain in the lower limbs, add ninegrams of Du Huo (Radix Angelicae Pubescentis) and Mu Gua(Fructus Chaenomelis). For severe joint swelling, add ninegrams each of Shan Ci Gu (Bulbus Shancigu) and Bi Xie(Rhizoma Dioscoreae Hypoglaucae). For restricted mobility,add 30 grams of Ji Xue Teng (Caulis Spatholobi) and ninegrams of Luo Shi Teng (Caulis Trachelospermi).If this pattern manifests mainly as tophi and hyperuricemiawithout swelling, pain, or joint deformation, replace TaoHong Yin plus Er Chen Tang with Xiao Tan Tang (DispersePhlegm Decoction) with additions and subtractions: Bai JieZi (Semen Sinapis), Zhe Bei Mu (Bulbus FritillariaeThunbergii), Fu Ling (Poria), Xuan Shen (RadixScrophulariae), Shan Ci Gu (Bubus Shancigu), Dang Gui(Radix Angelicae Sinensis), and Dan Shen (Radix SalviaeMiltiorrhizae), 12g each, Kun Bu (Thallus Algae), Hai Zao(Sargassum), Ban Xia (Rhizoma Pinelliae), and Dang Shen(Radix Codonopsitis), 9g each, and Tian Nan Xing(Rhizoma Arsiaematis), 6g. If the patient also tends to havestones in their urinary tract, add 15 grams each of Hai JinSha (Spora Lygodii) and Shi Wei (Folium Pyrrosiae).ACUPUNCTURE & MOXIBUSTION: Feng Long (St 40), ZuSan Li (St 36), Zhong Wan (CV 12), distant channel andlocal points depending on the location of pain.ANALYSIS OF FORMULA: Draining Feng Long transformsphlegm and eliminates dampness. Supplementing Zu San Liand Zhong Wan fortifies the spleen and boosts the qi based onthe saying, “the spleen is the root of phlegm engenderment.”Draining the distant channel and local points moves the channelqi and frees the flow of the network vessels to stop pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.6. LIVER-KIDNEY YIN VACUITY PATTERNMAIN SYMPTOMS: Enduring joint pain, low back and kneesoreness and limpness, worsening of symptoms after taxation,lack of joint flexibility, night sweats, a dry mouth and throat,tinnitus, a red tongue with scanty fur, and a thin, rapid pulseTREATMENT PRINCIPLES: Supplement and enrich the liverand kidneys, strengthen and reinforce the sinews and bonesRX: Liu Wei Di Huang Wan Jia Wei (Six Flavors RehmanniaPills with Added Flavors)ADDITIONS & SUBTRACTIONS: For severe or recalcitrant pain,add five grams each of Ru Xiang (Olibanum) and Mo Yao(Myrrha) and three grams each of Quan Xie (Scorpio) and WuGong (Scolopendra), powdered and taken with the straineddecoction. For pain in the upper limbs, add nine grams eachINGREDIENTS:Wei Ling Xian (Radix Clematidis)Ze Xie (Rhizoma Alismatis)Shu Di (cooked Radix Rehmanniae)Shan Zhu Yu (Fructus Corni)15g15g9g9g