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

270 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEADDITIONS & SUBTRACTIONS: For severe pain, add He Gu (LI4). For heat, add Nei Ting (St 44) and Qu Chi (LI 11).4. CENTRAL QI FALLING DOWNWARD PATTERNMAIN SYMPTOMS: Protruding hemorrhoids when defecatingor when walking, coughing, sneezing, or standing for along time, non-returning piles unless helped by the hands orlying flat, discharge of a large or small amount of pale-coloredblood, forceless defecation, possible enduring diarrhea or frequentdefecation, fatigue, lassitude of the spirit, a lusterlessfacial complexion, a pale tongue, and a fine, weak pulseTREATMENT PRINCIPLES: Fortify the spleen and boost theqi, upbear yang and lift the fallenRX: Bu Zhong Yi Qi Tang Jia Jian (Supplement the Center &Boost the Qi Decoction with Additions & Subtractions)INGREDIENTS:Huang Qi (Radix Astragali)Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Sheng Ma (Rhizoma Cimicifugae)Huai Hua Mi (Flos Immaturus Sophorae)Di Yu (Radix Sanguisorbae)Chen Pi (Pericarpium Citri Reticulatae)Fu Ling (Poria)mix-fried Gan Cao (Radix Glycyrrhizae)Chai Hu (Radix Bupleuri)18g12g9g9g9g9g6g6g6g3gANALYSIS OF FORMULA: Huang Qi, Dang Shen, Bai Zhu,Fu Ling, and mix-fried Gan Cao supplement the center andboost the qi. Fu Ling, Bai Zhu, and Chen Pi seep, dry, andmove dampness to promote spleen transformation. HuangQi, Sheng Ma, and Chai Hu upbear yang and lift the fallen.Huai Hua Mi and Di Yu cool the blood and stop bleedingdue to hemorrhoids.ADDITIONS & SUBTRACTIONS: For predominant distentionand pain in the anus, subtract Chen Pi and add sixgrams each of Bing Lang (Semen Arecae), Zhi Ke (FructusAurantii), and Mu Xiang (Radix Auklandiae).For profuse bleeding without protrusion, pain, or distention,replace Bu Zhong Yi Qi Tang with Gui Pi Tang Jia Jian(Return the Spleen Decoction with Additions &Subtractions): Huang Qi (Radix Astragali), 15g, Dang Shen(Radix Codonopsitis), Bai Zhu (Rhizoma AtractylodisMacrocephalae), Dang Gui (Radix Angelicae Sinensis), LongYan Rou (Arillus Longanae), E Jiao (Gelatinum Corii Asini),and Huai Hua Mi (Flos Immaturus Sophorae), 9g each, PaoJiang (blast-fried Rhizoma Zingiberis), 6g, and mix-friedGan Cao (Radix Glycyrrhizae), 3g.For hemorrhoids combined with enduring diarrhea, replaceBu Zhong Yi Qi Tang with Huang Tu Tang (Yellow EarthDecoction): Terra Flava Usta (Fu Long Gan), 24g, Huang Qi(Radix Astragali), 18g, Bai Zhu (Rhizoma AtractylodisMacrocephalae), Zhi Fu Zi (Radix Lateralis PraeparatusAconiti Carmichaeli), Sheng Ma (Rhizoma Cimicifugae),Huai Mi (Flos Immaturus Sophorae), and Di Yu (RadixSanguisorbae), 9g each, and Pao Jiang (blast-fried RhizomaZingiberis), 6g.For qi and blood dual vacuity, replace Bu Zhong Yi Qi Tangwith Ti Gang Tang (Lift the Anus Decoction): Huang Qi(Radix Astragali), 18g, Sheng Ma (Rhizoma Cimicifugae),15g, Dang Shen (Radix Codonopsitis), 12g, Bai Zhu(Rhizoma Atractylodis Macrocephalae), Dang Gui (RadixAngelicae Sinensis), Bai Shao (Radix Paeoniae Albae), HuaiHua Mi (Flos Immaturus Sophorae), and Di Yu (RadixSanguisorbae), 9g each, and Chuan Xiong (RhizomaChuanxiong), 3g. For profuse white vaginal discharge, addnine grams each of Lian Zi (Semen Nelumbinis) and QianShi (Semen Euryalis). For concomitant spleen yang vacuity,add nine grams of Gan Jiang (dry Rhizoma Zingiberis) andthree grams of blasted Zhi Fu Zi (Radix Lateralis PraeparatusAconiti Carmichaeli).EXTERNAL TREATMENT: Apply a cool decoction of sixgrams of Wu Bei Zi (Galla Rhois) and nine grams each of JinYing Zi (Fructus Rosae Laevigatae), He Zi (FructusTerminaliae), and Ming Fan (Alumen) three times per day asa compress.ACUPUNCTURE & MOXIBUSTION: Chang Qiang (GV 1),Cheng Shan (Bl 57), Er Bai (M-UE-29), Zu San Li (St 36),Bai Hui (GV 20), Qi Hai (CV 6).ANALYSIS OF FORMULA: Draining Chang Qiang, ChengShan, and Er Bai rectifies the qi and quickens the blood inthe anal area, disperses swelling and stops both pain andbleeding. With heavy moxibustion, Zu San Li, Bai Hui, andQi Hai fortify the spleen and boost the qi, upbear yang andlift the fallen.ADDITIONS & SUBTRACTIONS: For severe bleeding, addSan Yin Jiao (Sp 6). For heart palpitations, add Xin Shu (Bl15). For dizziness, add Xin Shu (Bl 15) and Pi Shu (Bl 20).For poor appetite, add Xuan Ji (CV 21). For uterine leakingand spotting, add San Yin Jiao (Sp 6).REMARKS1. Central qi falling downward is characterized by worsehemorrhoidal pain and discomfort when fatigued or afterstanding for a long time. This is easy to question. It is alsopossible for hemorrhoids to be due to a combination of liver