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

264 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINE16). If there is wind damp cold impediment, add Qu Chi (LI11), Yin Ling Quan (Sp 9) and a shi points selected accordingto the location of pain. If there is depressive heat, add NeiTing (St 44) or Yang Ling Quan (GB 34). If there are markedcold hands and feet, add Wai Guan (TB 5) and Cheng Shan(Bl 57).3. LIVER DEPRESSION PHLEGMNODULATION PATTERNMAIN SYMPTOMS: Swollen lumps in the front of the throatwhich are soft in consistency and not painful, a swollen feelingin the front of the throat or a plum pit sensation in theback of the throat, a tendency towards anger, chest oppressionand a tendency to sighing, possible chest or rib-sidepain, slimy, white tongue fur, and a bowstring pulseNOTE: Although this pattern is almost always included inChinese textbook discussions of hypothyroidism, it is neverreally seen in its pure form. Rather, liver depression and phlegmnodulation complicate other patterns contained herein.TREATMENT PRINCIPLES: Rectify the qi and soothe depression,transform phlegm and scatter nodulationRx: Si Hai Shu Yu Wan Jia Jian (Four Seas Soothe DepressionPills with Additions & Subtractions)INGREDIENTS:Hai Zao (Sargassum)Chen Pi (Pericarpium Citri Reticulatae)Yu Jin (Tuber Curcumae)Hai Ge Ke (Concha Meretricis/Cyclinae)Ban Xia (Rhizoma Pinelliae)Chai Hu (Radix Bupleuri)Kun Bu (Thallus Algae)Hai Piao Xiao (Endoconcha Sepiae )Mu Xiang (Radix Auklandiae)15g12g12g12g9g9g9g9g6gANALYSIS OF FORMULA: Ban Xia, Chen Pi, Hai Zao, KunBu, and Hai Ge Ke all transform phlegm. In addition, BanXia, Hai Zao, Kun Bu, Hai Piao Xiao, and Hai Ge Ke softenthe hard and scatter nodulation. The last three medicinals areempirically known to treat goiter due to hypothyroidism.Chen Pi, Yu Jin, Mu Xiang, and Chai Hu rectify the qi andresolve depression.ADDITIONS & SUBTRACTIONS: If there is neck discomfort,add 12 grams each of Jie Geng (Radix Platycodi) and SheGan (Rhizoma Belamcandae) and nine grams of Qian Niu Zi(Semen Pharbiditis). If there is depressive heat, add 15 gramseach of Xiao Ku Cao (Spica Prunellae) and Xuan Shen (RadixScrophulariae). For concomitant spleen qi vacuity, add 30-60 grams of Huang Qi (Radix Astragali) and 12 grams of BaiZhu (Rhizoma Atractylodis Macrocephalae) and Fu Ling(Poria). For concomitant kidney yang vacuity, add 12 gramseach of Shu Di (cooked Radix Rehmanniae) and Yin YangHuo (Herba Epimedii) and nine grams of Gui Zhi (RamulusCinnamomi).ACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3), FengLong (St 40), Que Pen (St 12), Nao Hui (TB 13), TianChuang (SI 16)ANALYSIS OF FORMULA: Draining Tai Chong rectifies the qiand resolves depression. Draining Feng Long transformsphlegm. Draining Que Pen and Tian Chuang softens thehard and scatters nodulation. Draining Nao Hui courses andfrees the flow of the three burners and disperses goiter qi.ADDITIONS & SUBTRACTIONS: If there is neck discomfort,add Lie Que (Lu 7) and Zhao Hai (Ki 6). If there isdepressive heat, add Yang Ling Quan (GB 34) and replace TaiChong with Xing Jian (Liv 2). For concomitant spleen qivacuity, add Zu San Li (St 36). For concomitant kidney yangvacuity, add Tai Xi (Ki 3).4. PHLEGM CONGELATION & BLOODSTASIS PATTERNMAIN SYMPTOMS: Hard goiter like stone which is immovableor sometimes moves slightly when one swallows, heavydisease nature, larger sized lumps, irregular surface to thelumps, possible accompanying aching and pain, hoarsevoice, thin, white tongue fur, and a bowstring, possiblychoppy pulseNOTE: As with pattern #3 above, this pattern really onlycomplicates other patterns and is not typically seen by itselfin patients with hypothyroidism.TREATMENT PRINCIPLES: Quicken the blood and transformstasis, soften the hard and scatter nodulationRX: Hai Zao Yu Hu Tang Jia Jian (Sargassum Jade FlaskDecoction with Additions & Subtractions)INGREDIENTS:Dang Gui (Radix Angelicae Sinensis)Dan Shen (Radix Salviae Miltiorrhizae)Fu Ling (Poria)Chuan Xiong (Rhizoma Chuanxiong)Hai Zao (Sargassum)Lai Fu Zi (Semen Raphani)Zhe Bei Mu (Bulbus Fritillariae Thunbergii)Qing Pi (Pericarpium Citri Reticulatae Viride)Yu Jin (Tuber Curcumae)Kun Bu (Thallus Algae)San Leng (Rhizoma Sparganii)E Zhu (Rhizoma Curcumae)30g20g20g18g15g15g15g12g12g9g9g9g