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

284 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEsince it is the qi which is responsible for moving and transformingboth of these. In addition, liver repletion usuallyresults in spleen vacuity since wood typically counterflowshorizontally to invade the spleen when it becomes depressed.Unfortunately, the sweet flavor relaxes the liver. Therefore,people who are under emotional stress try to alleviate theirliver depression by eating sweets. Sweet is the flavor whichenters the spleen. In small amounts, it supplements thespleen, but in large amounts, it damages the spleen.Therefore, a liver-spleen disharmony is often the underlyingimbalance predisposing one to this condition.In addition, aging plays a role in the disease mechanisms ofthis disorder. Yin is half consumed by 40 and yang qi tendsto become debilitated not very long after. Yin vacuity mayfail to nourish and moisten the liver. Thus it tends to becomeeven more depressed. Yang vacuity may fail to warm andsteam the liver, thus also leading to liver depression. Spleenkidneyyang vacuity may also fail to warm and steam (i.e.,evaporate) body fluids. Hence yang vacuity commonly acceleratesor aggravates a tendency towards phlegm damp accumulation.This is why many people become obese with age.TREATMENT BASED ON PATTERNDISCRIMINATION:1. LIVER DEPRESSION-SPLEEN VACUITY PATTERNMAIN SYMPTOMS: Episodic bilateral rib-side pain which isnot fixed in location, headache, dizziness, lassitude of thespirit, scanty food intake, emotional lability, a tendency togreat sighing, loose stools, menstrual irregularities in females,breast distention and pain, a fat tongue with thin, white,slimy tongue fur, and a fine, bowstring pulseTREATMENT PRINCIPLES: Course the liver and resolvedepression, fortify the spleen and nourish the blood, lower fatRX: Xiao Yao San Jia Wei (Rambling Powder with AddedFlavors)INGREDIENTS:Chai Hu (Radix Bupleuri)Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Fu Ling (Poria)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Gua Lou (Fructus Trichosanthis)Shan Zha (Fructus Crataegi)mix-fried Gan Cao (Radix Glycyrrhizae)Bo He (Herba Menthae Haplocalycis)Sheng Jiang (uncooked Rhizoma Zingiberis)9g9g9g9g9g9g9g6g6g2 slicesANALYSIS OF FORMULA: Chai Hu and Bo He work on the yangaspect of the liver. They course the liver and resolve depression.Bai Shao and Dang Gui work on the yin aspect of the liver.They nourish liver blood. The liver can only perform its functionsof coursing and discharging if it obtains sufficient bloodto nourish it. This is because blood is the mother of qi.Together, these four medicinals harmonize the yin and yangaspects of the liver and resolve depression. Bai Zhu, Fu Ling,Sheng Jiang, and mix-fried Gan Cao fortify the spleen andboost the qi. According to the Nei Jing (Inner Classic), whenthe liver is diseased, first treat the spleen. Although the livercontrols the spleen, a strong spleen helps to keep the liver incheck by preventing horizontal counterflow and wood assailingearth. In addition, because the spleen is the latter heavenroot of qi and blood engenderment and transformation, supplementingthe spleen helps to engender blood which can thennourish and emolliate the liver. Gua Lou disperses phlegm andloosens the chest, thus phlegm accumulation in the heart vesselsof the chest. Shan Zha quickens the blood and lowers fat.It is empirically known to lower serum cholesterol.ADDITIONS & SUBTRACTIONS: If there is damp accumulation,add nine grams each of Ze Xie (Rhizoma Alismatis) andCang Zhu (Rhizoma Atractylodis). If there is severe liverdepression, add 12 grams of Yu Jin (Tuber Curcumae). Ifliver depression transforms into fire, add nine grams each ofDan Pi (Cortex Moutan) and Zhi Zi (Fructus Gardeniae). Ifthere is a severe qi vacuity, add nine grams each of HuangJing (Rhizoma Polygonati) and Ling Zhi (Ganoderma), andsix grams of Ren Shen (Radix Ginseng). For severe bloodvacuity, add 15 grams of He Shou Wu (Radix PolygoniMultiflori). For blood stasis due to liver depression, add ninegrams of Dan Shen (Radix Salviae Miltiorrhizae), and threegrams of San Qi (Radix Notoginseng), powdered and takenwith the strained decoction.ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), NeiGuan (Per 6), Feng Long (St 40), Tai Chong (Liv 3)ANALYSIS OF FORMULA: Draining Tai Chong and Nei Guancourses the liver and resolves depression. Supplementing ZuSan Li fortifies the spleen and boosts the qi, thus promotingthe engenderment and transformation of blood. DrainingFeng Long harmonizes the stomach and disinhibits dampness.ADDITIONS & SUBTRACTIONS: If there is damp accumulation,add Yin Ling Quan (Sp 9). If there is severe liverdepression, add Gan Shu (Bl 18) and Zhang Men (Liv 13). Ifliver depression transforms into fire, add Xing Jian (Liv 2). Ifthere is a severe qi vacuity, add Tai Bai (Sp 3) and Pi Shu (Bl20). For severe blood vacuity, add Xin Shu (Bl 15), Ge Shu(Bl 17), and Gan Shu (Bl 18). For blood stasis due to liverdepression, add San Yin Jiao (Sp 6).2. DAMPNESS & HEAT BREWING INTERNALLYMAIN SYMPTOMS: Dizziness, headache, heavy-headedness,