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

268 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEnormal place. Instead, it may sag downward. Such downwardsagging hinders and obstructs the free flow of qi and bloodthrough the local channels and network vessels. Hence, bloodvessel static binding may give rise to hemorrhoids.TREATMENT BASED ON PATTERNDISCRIMINATION:1. DRY HEAT PATTERNMAIN SYMPTOMS: Piles which possibly protrude beyondthe anus, difficult defecation of dry stools, possible explosivedischarge of fresh red blood from the anus, constipation, drystools, abdominal distention or fullness, a dry mouth, oralthirst, dark-colored urination, a red tongue with scanty fluidsand dry, yellow fur, and a rapid pulseTREATMENT PRINCIPLES: Clear heat and moisten dryness,cool the blood and stop bleedingRX: Liang Xue Di Huang Tang Jia Jian (Cool the BloodRehmannia Decoction with Additions & Subtractions)INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae)Dang Gui (Radix Angelicae Sinensis)Huang Qin (Radix Scutellariae)Huai Hua Mi (Fructus Immaturus Sophorae)Di Yu (Radix Sanguisorbae)Jing Jie (Herba Schizonepetae)Chi Shao (Radix Paeoniae Rubrae)Tian Hua Fen (Radix Trichosanthis)Zhi Ke (Fructus Aurantii)Sheng Ma (Rhizoma Cimicifugae)uncooked Da Huang (Radix Et Rhizoma Rhei)Huang Lian (Rhizoma Coptidis)12g9g9g9g9g9g9g9g6g6g6g6gANALYSIS OF FORMULA: Sheng Di, Tian Hua Fen, andDang Gui nourish yin and engender fluids, moisten drynessand stop bleeding. Huang Qin and Huang Lian clear the heatwhich has or is damaging fluids. Huai Hua Mi, Di Yu, JingJie Sui, and Chi Shao together cool blood and stop bleeding.Da Huang clears heat and frees the flow of the stools. Zhi Keand Sheng Ma regulate the upbearing and downbearingmovement of the qi and stop pain.ADDITIONS & SUBTRACTIONS: For severe hemorrhoids, addnine grams of Ma Dou Ling (Fructus Aristolichiae) and sixgrams of Fang Feng (Radix Saposhnikoviae). For severe bleeding,add nine grams each of Da Ji (Herba Cirsii) and Bai MaoGen (Rhizoma Imperatae). For severe pain, add nine grams ofBing Lang (Semen Arecae) and 12 grams of Yan Hu Suo(Rhizoma Corydalis).For severe constipation with dry stools, temporarily replaceLiang Xue Di Huang Tang with Zeng Ye Cheng Qi Tang(Increase Fluids & Order the Qi Decoction): Sheng Di(Radix Rehmanniae), 15g, Xuan Shen (Radix Scrophulariae)and Mai Men Dong (Tuber Ophiopogonis), 12g each, DaHuang (Radix Et Rhizoma Rhei), 6-9g, and Mang Xiao(Natrii Sulfas), 3-6g.EXTERNAL TREATMENT: Apply the ready-made Chineseointment, She Xiang Zhi Chuang Gao (Musk TreatHemorrhoids Ointment) or some similar external ointment.ACUPUNCTURE & MOXIBUSTION: Chang Qiang (GV 1),Cheng Shan (Bl 57), Er Bai (M-UE-29), Zhao Hai (Ki 6),Zhi Gou (TB 6)ANALYSIS OF FORMULA: Chang Qiang, Cheng Shan, and ErBai is probably the strongest combination of acupuncturepoints for the treatment of hemorrhoids. When drained,these points rectify the qi and quicken the blood in the analarea, disperse swelling, and stop both pain and bleeding. Inaddition, supplementing Zhao Hai moistens dryness, whiledraining Zhi Gou clears heat. Together, these points treatconstipation due to intestinal dryness.ADDITIONS & SUBTRACTIONS: Chang Qiang (GV 1) canalso be alternated with Yao Shu (GV 2) with moxibustionplus Ba Liao (Bl 31-32-33-34) with either electroacupunctureor five stars needle. For severe dryness, add San Yin Jiao(Sp 6). For severe heat, add Nei Ting (St 44) and Qu Chi (LI11).2. DAMP HEAT PATTERNMAIN SYMPTOMS: Swollen, severely painful hemorrhoids,possible protrusion which looks dull red in color and ulcerated,anal discharge of turbid-colored blood, difficult defecation,a hot, burning, sagging, distended feeling in the anus,especially during defecation, itchy anus, tenesmus, abdominaldistention, torpid intake, heavy body, fatigue, slimy, yellowtongue fur, and a slippery, rapid pulseTREATMENT PRINCIPLES: Clear heat and disinhibit dampness,dispel stasis and scatter nodulationRX: Zhi Tong Ru Shen Tang Jia Wei (Divinely Inspired PainStopping Decoction with Added Flavors)INGREDIENTS:Di Yu (Radix Sanguisorbae)Huai Huai Mi (Fructus Immaturus Sophorae)Cang Zhu (Rhizoma Atractylodis)Huang Bai (Cortex Phellodendri)Dang Gui (Radix Angelicae Sinensis)Bing Lang (Semen Arecae)Fang Feng (Radix Saposhnikoviae)9g9g9g9g9g9g6g