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

HERPES ZOSTER 281and Yi Mu Cao together cool and quicken the blood. Tu FuLing, Zi Cao, Ban Lan Gen, and Huang Bai clear heat andresolve toxins.Dan Pi (Cortex Moutan)uncooked Pu Huang (Pollen Typhae)Shui Zhi (Hirudo)9g9g3gADDITIONS & SUBTRACTIONS: If there is marked spleenvacuity with fatigue, add 15 grams of Huang Qi (RadixAstragali) and nine grams of Dang Shen (RadixCodonopsitis). For poor appetite, add nine grams each ofShen Qu (Massa Medica Fermentata) and Mai Ya (FructusGerminatus Hordei). For abdominal distention and diarrhea,add nine grams each of Da Fu Pi (Pericarpium Arecae),Zhi Ke (Fructus Aurantii), and Mu Xiang (RadixAuklandiae). For marked accumulation of dampness, addnine grams each of Huo Xiang (Herba Pogostemonis), Da FuPi (Pericarpium Arecae), and Che Qian Zi (SemenPlantaginis). For marked heat, add 15 grams of Jin Yin Hua(Flos Lonicerae) and nine grams of Zhi Zi (FructusGardeniae).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), Yin LingQuan (Sp 9), San Yin Jiao (Sp 6), He Gu (LI 4), Qu Chi (LI 11)ANALYSIS OF FORMULA: Draining Zu San Li and Yin LingQuan disinhibits dampness, while draining He Gu and QuChi clears heat from the spleen and stomach. Draining SanYin Jiao cools and quickens the blood.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.3. QI STAGNATION & BLOOD STASIS PATTERNMAIN SYMPTOMS: The base of the skin vesicles are dark andpurple. The fluid contains bloody water. Aching and pain issevere and difficult to bear. The tongue is purple and dark or hasstatic macules or spots. The pulse is bowstring and/or choppy.NOTE: When this pattern describes postherpetic neuralgia,there may not be any remaining skin lesions or there mayonly be dark, purplish scars but no vesicles. In this case, thesevere, fixed, lancinating pain may be the main or even thesole symptoms of blood stasis.TREATMENT PRINCIPLES: Quicken the blood and transformtoxins, move the qi and stop painRX: She Chuan Fang (Snake String Formula)INGREDIENTS:Tu Fu Ling (Rhizoma Smilacis Glabrae)Yi Yi Ren (Semen Coicis)Ma Chi Xian (Herba Portulacae)Sheng Di (uncooked Radix Rehmanniae)Dan Shen (Radix Salviae Miltiorrhizae)Di Long (Pheretima)Chi Shao (Radix Paeoniae Rubrae)30g30g30g15g15g9g9gANALYSIS OF FORMULA: Dan Shen, Chi Shao, Dan Pi, PuHuang, and Shui Zhi quicken the blood, transform stasis,and stop pain. In addition, Sheng Di, Dan Shen, Chi Shao,and Dan Pi cool the blood. Tu Fu Ling, Yi Yi Ren, and MaChi Xian clear and disinhibit any lingering damp heat. Tu FuLing and Ma Chi Xian also clear heat and resolve toxins. DiLong clears heat, frees the flow of the network vessels, andstops pain.ADDITIONS & SUBTRACTIONS: If there are no signs ofremaining dampness and heat, delete Tu Fu Ling, Yi Yi Ren,and Ma Chi Xian and add 15 grams of Yan Hu Suo (RhizomaCorydalis) and nine grams each of Chuan Lian Zi (FructusToosendan), Chai Hu (Radix Bupleuri), and Yu Jin (TuberCurcumae). If postherpetic neuralgia is severe, add 30 gramseach of Zhen Zhu Mu (Concha Margaritiferae), Mu Li(Concha Ostreae), Long Chi (Dens Draconis), and Ci Shi(Magnetitum). If there is concomitant qi and blood vacuity,add 15 grams of Huang Qi (Radix Astragali) and nine gramseach of Dang Shen (Radix Codonopsitis) and Dang Gui(Radix Angelicae Sinensis).ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), HeGu (LI 4), Zhi Gou (TB 6), Jian Shi (Per 5), and one of thelocal treatments described under remark #5 below.ANALYSIS OF FORMULA: San Yin Jiao and He Gu are a traditionalcombination to move the qi, quicken the blood, andstop pain. Zhi Gou and Jian Shi are also a traditional combinationto move the qi and quicken the blood in the wholebody in order to stop pain. Both sets of points are needledwith draining method. Locally, use one of the methodsdescribed in remark #5 to quicken the blood, transform stasis,and stop pain.ADDITIONS & SUBTRACTIONS: Please see pattern #1 above.REMARKS1. Most cases of herpes zoster in Western patients includespleen vacuity with damp heat and liver depression if notliver-gallbladder fire. In addition, most cases of herpes zosteralso involve blood stasis. In elderly or seriously ill patients,there may also be qi and blood or yin and/or yang vacuity aswell. If there is concomitant yin vacuity, add the Chineseready-made medicines Liu Wei Di Huang Wan (Six FlavorsRehmannia Pills) or Zhi Bai Di Huang Wan (Anemarrhena& Phellodendron Rehmannia Pills). If there is yin and yangvacuity, add Er Xian Wan (Two Immortals Pills).Da Yan Tang (Great Decoction) is a modern Chinese formu-