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

258 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEShan Yao (Radix Dioscoreae)Fu Ling (Poria)Dan Pi (Cortex Moutan)Niu Xi (Radix Achyranthis Bidentatae)Bu Gu Zhi (Fructus Psoraleae)Du Zhong (Cortex Eucommiae)9g9g9g9g9g9gANALYSIS OF FORMULA: Shu Di, Shan Zhu Yu, and Niu Xisupplement liver and kidney yin and essence. Ze Xie drainsvacuity heat from the kidneys, and Dan Pi drains vacuityheat from the liver. Shan Yao and Fu Ling fortify the spleenwhich transforms the latter heaven essence to help nourishliver-kidney yin and blood. Bu Gu Zhi, Du Zhong, and NiuXi supplement the liver and kidneys, strengthen and reinforcethe sinews and bones.Wei Ling Xian frees the flow ofthe network vessels and stops pain.ADDITIONS & SUBTRACTIONS: For joint swelling and distention,add nine grams of Cang Zhu (Rhizoma Atractylodis)and 15 grams of Yi Yi Ren (Semen Coicis). For pain in theupper limbs, add nine grams each of Jiang Huang (RhizomaCurcumae Longae) and Gui Zhi (Ramulus Cinnamomi). Forpain in the lower limbs, add nine grams each of Du Huo(Radix Angelicae Pubescentis) and Mu Gua (FructusChaenomelis). For restricted mobility, add 30 grams of Ji XueTeng (Cauli Spatholobi) and nine grams of Luo Shi Teng(Caulis Trachelospermi). For heat due to yin vacuity, add 15grams each of Sheng Di (uncooked Radix Rehmanniae) andHuang Bai (Cortex Phellodendri). For dysuria, add 15 gramsof Che Qian Zi (Semen Plantaginis). For severe or recalcitrantpain, add five grams each of Ru Xiang (Olibanum) and MoYao (Myrrha) and three grams each of Quan Xie (Scorpio) andWu Gong (Scolopendra), powdered and taken with thestrained decoction. If the patient also tends to have stones inthe urinary tract, add 15 grams each of Hai Jin Sha (SporaLygodii) and Shi Wei (Folium Pyrrosiae).ACUPUNCTURE & MOXIBUSTION: Tai Xi (Ki 3), Fu Liu(Ki 7), distant channel and local points depending on thelocation of pain. Acupuncture can be helpful for the relief ofpain, but internally administered Chinese medicinals are betterfor the elimination of uric acid crystals.ANALYSIS OF FORMULA: Supplementing Tai Xi and Fu Liusupplements the kidneys and enriches yin. Draining the distantchannel and local points moves the channel qi and freesthe flow of the network vessels to stop pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.REMARKS1. The above patterns primarily describe the pattern discriminationof the symptoms experienced during an attackof gout. These patterns and treatments must be modifiedbased on the patient’s personal habitual bodily pattern. Inother words, if there is obesity, phlegm and dampness mustbe taken into account, including the underlying causes ofthat phlegm and dampness. If there is liver-kidney yin vacuity,then one must nourish the liver and enrich the kidneyson top of treating the impediment. Likewise, there may beliver depression qi stagnation and/or yang vacuity, or theremay be other, more complicated patterns due to other associateddisease mechanisms. Therefore, the above treatmentprotocols are mainly for use during acute exacerbations ormust be modified to more precisely fit all the concomitantpatterns the patient presents.2. Because this condition is an enduring one associated withparoxysms of severe, fixed pain, the treatment principles offreeing the flow of the network vessels and stopping painshould generally be considered. These principles suggest theuse of medicinals which enter the network vessels and therequicken the blood and transform or dispel stasis. Therefore,the tree saps Ru Xiang (Olibanum) and Mo Yao (Myrrha) andinsect medicinals, such as Di Long (Pheretima), Quan Xie(Scorpio), and Wu Gong (Scolopendra), are often added toformulas. In addition, because gout so commonly affects thelarge toe, medicinals which guide other medicinals downwardto the lower extremities, such as Niu Xi (RadixAchyranthis Bidentatae) and Mu Gua (Fructus Chaenomelis)are often found in or added to prescriptions for gout.3. Because Ma Qian Zi (Semen Strychnotis) is so powerful fordisinhibiting the channels and stopping pain, it is often foundin Chinese formulas for gout at dosages from 5-20g per day indecoction. However, this medicinal is very toxic and should beused with great care, especially in those with bodily weakness.Overdoses in humans have been reported from as little as50mg of this medicinal. The symptoms of toxicity due to overdosewith this medicinal include a crawling sensation in thecervical area, difficulty swallowing, and irritability. This mayprogress to convulsions and spasms of great force.4. Because uric acid crystals may also play a part in the formationof urinary calculi, during the remission stage of gout,one should also consider adding the treatment principles ofdisinhibiting urination, freeing the flow of strangury, and dispersingstones. Frequently used medicinals for these purposesinclude Jin Qiao Cao (Herba Lysimachiae/Desmodii), Hai JinSha (Spora Lygodii), Ji Nei Jin (Endothelium CorneumGigeriae Galli), Hua Shi (Talcum), Bian Xu (Herba PolygoniAvicularis), Che Qian Zi (Semen Plantaginis), Mu Tong(Caulis Akebiae), and Da Huang (Radix Et Rhizoma Rhei).For further information on the treatment of urinary calculisee the chapter on urolithiasis. Regular consumption of greentea may also benefit gout patients during periods of remissiondue to increasing uric acid output.