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

HEMORRHOIDS 269Ze Xie (Rhizoma Alismatis)Da Huang (Radix Et Rhizoma Rhei)Qin Jiao (Radix Gentianae Macrophyllae)Tao Ren (Semen Persicae)6g6g6g6gdifficult defecation, dark, swollen, mixed hemorrhoidswhich are comparatively large with severe pain, abdominaldistention and fullness, a dark, purple tongue, and a bowstringpulseANALYSIS OF FORMULA: Qin Jiao, Cang Zhu, Huang Bai,and Ze Xie clear and eliminate damp heat in the lower burner.Huai Hua Mi and Di Yu cool the blood and, combinedwith Fang Feng, stop bleeding due to hemorrhoids. In addition,Huai Hua Mi, with Da Huang, Tao Ren, and Dang Gui,moistens the intestines and frees the flow of the stools.Further, Tao Ren and Dang Gui quicken the blood and stoppain. Bing Lang moves the qi to stop pain in the anus.ADDITIONS & SUBTRACTIONS: For a severe hot, burning,sagging, and distended feeling in the anus and an ulceratedanus, add six grams each of Huang Lian (Rhizoma Coptidis)and Huang Qin (Radix Scutellariae). For uneasy defecation,add nine grams of Zhi Shi (Fructus Immaturus Aurantii). Forsevere hemorrhoids, add six grams of Jing Jie (HerbaSchizonepetae). For severe bleeding, add nine grams each ofDa Ji (Herba Cirsii) and Bai Mao Gen (Rhizoma Imperatae).For severe pain, add nine grams of Bing Lang (Semen Arecae) and 12 grams of Yan Hu Suo (Rhizoma Corydalis). If thereis no constipation, dry stools, or uneasy defecation, subtractDa Huang.EXTERNAL TREATMENT: Apply the ready-made Chinese ointmentShe Xiang Zhi Chuang Gao (Musk Treat HemorrhoidsOintment), or, for a painful, burning, ulcerated anus, wash theaffected part with a cool decoction made from nine grams eachof Huang Lian (Rhizoma Coptidis), Hu Huang Lian (RhizomaPicrorrhizae), and Ku Shen (Radix Sophorae Flavescentis). Dothis three times per day.ACUPUNCTURE & MOXIBUSTION: Chang Qiang (GV 1),Cheng Shan (Bl 57), Er Bai (M-UE-29), Yin Ling Quan (Sp9), Shang Ju Xu (St 37)ANALYSIS OF FORMULA: As mentioned above, drainingChang Qiang, Cheng Shan, and Er Bai rectifies the qi andquickens the blood in the anal area, disperses swelling andstops both pain and bleeding. Draining Yin Ling Quan clearsheat and disinhibits dampness in the lower burner. DrainingShang Ju Xu clears heat from the yang ming and, with YinLing Quan, eliminates damp heat in the large intestine.ADDITIONS & SUBTRACTIONS: For severe heat, add NeiTing (St 44) and Qu Chi (LI 11).3. QI STAGNATION & BLOOD STASIS PATTERNMAIN SYMPTOMS: Protruding hemorrhoids when defecating,discharge of blood, sagging, distended, and painful anus,TREATMENT PRINCIPLES: Rectify the qi and quicken theblood, disperse swelling and transform stasisRX: Tao He Cheng Qi Tang Jia Wei (Persica Order the QiDecoction with Added Flavors)INGREDIENTS:Tao Ren (Semen Persicae)Da Huang (Radix Et Rhizoma Rhei)Huai Hua Mi (Fructus Immaturus Sophorae)Zhi Ke (Fructus Aurantii )Gui Zhi (Ramulus Cinnamomi)Mang Xiao (Natrii Sulfas)mix-fried Gan Cao (Radix Glycyrrhizae)9g9g9g6g6g3g3gANALYSIS OF FORMULA: Tao Ren and Da Huang quickenthe blood, transform and stop stasis. Zhi Ke moves the qi andstops pain. Gui Zhi frees the flow of yang to move qi andquicken the blood. Huai Hua Mi cools the blood and stopsbleeding due to hemorrhoids. Tao Ren, Da Huang, and MangXiao moisten dryness and free the flow of the stools. Gan Caoharmonizes the other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is no constipation, subtractMang Xiao. For stabbing pain in the anus, add nine gramseach of Wu Ling Zhi (Feces Trogopterori) and Pu Huang (PollenTyphae). For severe hemorrhoid bleeding, add three grams ofSan Qi (Radix Notoginseng) and nine grams each of Pu Huang(Pollen Typhae) and Di Yu (Radix Sanguisorbae). For anal distentionand pain, tenesmus, or abdominal fullness, add ninegrams each of Mu Xiang (Radix Auklandiae) and Bing Lang(Semen Arecae). For severe protruding hemorrhoids, add 30grams of Huang Qi (Radix Astragali) and nine grams of ShengMa (Rhizoma Cimicifugae).EXTERNAL TREATMENT: Apply the ready-made Chineseointment She Xiang Zhi Chuang Gao (Musk Treat HemorrhoidsOintment) or some such similar external remedy.ACUPUNCTURE & MOXIBUSTION: Chang Qiang (GV 1),Cheng Shan (Bl 57), Er Bai (M-UE-29), San Yin Jiao (Sp 6),Zhi Gou (TB 6)ANALYSIS OF FORMULA: Draining Chang Qiang, ChengShan, and Er Bai rectifies the qi and quickens the blood in theanal area, disperses swelling and stops both pain and bleeding.Draining San Yin Jiao cools and quickens the blood, transformsstasis and stops bleeding. Draining Zhi Gou moves theqi in the three burners and treats constipation.