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

HASHIMOTO’S THYROIDITIS 263Rou Gui (Cortex Cinnamomi)Dan Pi (Cortex Moutan)Ze Xie (Rhizoma Alismatis)9g6g6gANALYSIS OF FORMULA: Huang Qi, Dang Shen, Shan Yao,and Fu Ling fortify the spleen and boost the qi. Shu Di, ShanZhu Yu, Dan Pi, Ze Xie, Fu Zi, and Rou Gui together supplementkidney yin and yang. In addition, Fu Ling and ZeXie disinhibit dampness.ADDITIONS & SUBTRACTIONS: For marked kidney yang vacuity,add nine grams each of Yin Yang Huo (Herba Epimedii) andXian Mao (Rhizoma Curculiginis). For constipation, add ninegrams each of Suo Yang (Herba Cynomorii) and Rou Cong Rong(Herba Cistanchis). For loose stools, add nine grams each of BuGu Zhi (Fructus Psoraleae) and Tu Si Zi (Semen Cuscutae). Foredema, increase the dosage of Ze Xie and Fu Ling up to 15 gramsand add 12 grams each of Wu Jia Pi (Cortex Acanthopanacis)and Bai Zhu (Rhizoma Atractylodis Macrocephalae). Formarked low back and knee pain, add 12 grams each of Sang JiSheng (Herba Taxilli), Niu Xi (Radix Achyranthis Bidentatae),and Xu Duan (Radix Dipsaci). For spine and low back painaccompanied by a cold sensation, add 12 grams each of Gou Ji(Rhizoma Cibotii), Xu Duan (Radix Dipsaci), and Du Zhong(Cortex Eucommiae). For heart palpitations, replace Rou Guiwith Gui Zhi (Ramulus Cinnamomi) and add 12 grams each ofDan Shen (Radix Salviae Miltiorrhizae) and Chuan Xiong(Rhizoma Chuanxiong). For abdominal distention, add ninegrams of Ban Xia (Rhizoma Pinelliae) and six grams of Chen Pi(Pericarpium Citri Reticulatae). For poor appetite, add ninegrams each of Shen Qu (Massa Medica Fermentata), Shan Zha(Fructus Crataegi), and Mai Ya (Fructus Germinatus Hordei)and six grams of Sha Ren (Fructus Amomi). If there is phlegmnodulation (i.e., goiter), add 15 grams each of Xiao Ku Cao(Spica Prunellae), Xuan Shen (Radix Scrophulariae), and Mu Li(Concha Ostreae), 12 grams of Zhe Bei Mu (Bulbus FritillariaeThunbergii), and nine grams each of Hai Zao (Sargassum), andKun Bu (Thallus Algae). If there is simultaneous blood stasis,add 15 grams of Dan Shen (Radix Salviae Miltiorrhizae). If thereis wind damp cold impediment, add 15 grams each of Wu JiaPi (Cortex Acanthopanacis) and Ji Xue Teng (Caulis Spatholobi).If there is depressive heat, add 9-12 grams of Huang Qin (RadixScutellariae). If there is concomitant yin vacuity with easy fright,insomnia, night sweats, dizziness, hot flashes in the face, dryskin with possible desquamation, dry, lusterless hair, and constipation,add 12 grams each of Nu Zhen Zi (Fructus LigustriLucidi), Wu Wei Zi (Fructus Schisandrae), and Han Lian Cao(Herba Ecliptae) and increase the dosage of Shu Di up to 15-20g.If there is a marked heart yang vacuity coupled with kidneyyang vacuity, a combination often seen in hypothyroidism,accompanied by cardiac effusion, heart palpitations, an emptysensation in the heart, shortness of breath, possible chestoppression or pain, aversion to cold, cold limbs, a pale andpuffy face, apathy and mental slowness, fatigue, dizziness, tinnitus,weak limbs, hypersomnia, a pale tongue with thin, whitefur, and a deep, slow, weak, possibly bound or regularly interruptedpulse, replace Jia Wei Shen Qi Wan with Zhi Gan CaoTang Jia Jian (Mix-fried Licorice Decoction with Additions &Subtractions): Huang Qi (Radix Astragali), 30g, Sheng Di(uncooked Radix Rehmanniae), 20g, mix-fried Gan Cao(Radix Glycyrrhizae), 15g, and Zhi Fu Zi (Radix LateralisPraeparatus Aconiti Carmichaeli), Dang Shen (RadixCodonopsitis Pilosulae), Dang Gui (Radix Angelicae Sinensis),Chuan Xiong (Rhizoma Chuanxiong), Gui Zhi (RamulusCinnamomi Cassiae), Bai Shao (Radix Paeoniae Albae), MaiMen Dong (Tuber Ophiopogonis), and Wu Wei Zi (FructusSchisandrae), 9g each. If the pulse is weak, slow, and deep, addsix grams of Ma Huang (Herba Ephedrae) and three grams ofXi Xin (Herba Asari). If the pulse is faint, bound, or regularlyinterrupted, add six grams of Zhi Shi (Fructus ImmaturusAurantii) and replace Dang Shen with six grams of Ren Shen(Radix Ginseng). If there is chest oppression and pain, add 24grams of Gua Lou Pi (Pericarpium Trichosanthis) and ninegrams each of Xie Bai (Bulbus Allii Macrostemi), Yan Hu Suo(Rhizoma Corydalis), and Dan Shen (Radix SalviaeMiltiorrhizae).ACUPUNCTURE & MOXIBUSTION: Pi Shu (Bl 20), ShenShu (Bl 23), Ming Men (GV 4), Guan Yuan (CV 4)ANALYSIS OF FORMULA: With moxibustion and supplementingmethod, Pi Shu and Guan Yuan supplement the latterheaven, while Shen Shu and Ming Men supplement theformer heaven. Together, they fortify the spleen and boostthe qi, supplement the kidneys and invigorate yang.NOTE: This seemingly simple treatment achieves goodresult, but needs a long course (e.g., 3-6 months).Moxibustion should use nonscarring direct thread moxa.Warming these points with a moxa roll is not adequate.ADDITIONS & SUBTRACTIONS: If there is facial edema,add Yin Ling Quan (Sp 9) and Shui Gou (GV 26). If there isgeneralized edema, add Yin Ling Quan (Sp 9), Shui Fen (CV9), and San Yin Jiao (Sp 6). If there is constipation, add TianShu (St 25). If there are loose stools, add Zu San Li (St 36).For spine and low back pain with a cold sensation, add DaZhui (GV 14), Ji Zhong (GV 6), and Chang Qiang (GV 1).For heart palpitations, add Nei Guan (Per 6). For abdominaldistention, add Zhong Wan (CV 12) and Tian Shu (St 25).For poor appetite, add Zu San Li (St 36). If there is markedfatigue and weakness, add Zu San Li (St 36). If there is concomitantyin vacuity, add Fu Liu (Ki 7). If there is simultaneousliver depression, add Tai Chong (Liv 3) needled towardYong Quan (Ki 1). If there is phlegm nodulation (i.e., goiter),add Que Pen (St 12) and Ren Ying (St 9) or Tian Chuang (SI