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

HYPERTENSION 293this 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. ASCENDANT LIVER YANGHYPERACTIVITY PATTERNMAIN SYMPTOMS: Dizziness, head distention and pain, vertigo,a red facial complexion, tinnitus, ringing in the brain,vexation and agitation, easy anger, scanty sleep, a bitter tastein the mouth, a red tongue tip and/or edges with yellow fur,and a bowstring pulseTREATMENT PRINCIPLES: Level the liver, subdue yang, andlower pressureRX: Tian Ma Gou Teng Yin Jia Jian (Gastrodia & UncariaDrink with Additions & Subtractions)INGREDIENTS:Shi Jue Ming (Concha Haliotidis)Mu Li (Concha Ostreae)Long Gu (Os Draconis)Xia Ku Cao (Spica Prunellae)Sang Ji Sheng (Herba Taxilli)Gou Teng (Ramulus Uncariae Cum Uncis)Du Zhong (Cortex Eucommiae)Tian Ma (Rhizoma Gastrodiae)Niu Xi (Radix Achyranthis Bidentatae)Ju Hua (Flos Chrysanthemi)Huang Qin (Radix Scutellariae)15g15g15g15g15g15g12g12g12g9g9gANALYSIS OF FORMULA: Sang Ji Sheng, Du Zhong, and NiuXi nourish kidney yin to check liver yang. Shi Jue Ming, LongGu, and Mu Li level the liver and subdue yang. Xia Ku Cao,Gou Teng, Ju Hua, and Huang Qin drain the liver and clearheat. Tian Ma and Gou Teng settle the liver and extinguishwind. Huang Qin, Xia Ku Cao, Shi Jue Ming, Du Zhong, NiuXi, Sang Ji Sheng, Ju Hua, and Gou Teng all have a directhypotensive action according to Western pharmacodynamics.ADDITIONS & SUBTRACTIONS: If there is constipation,add six grams of Da Huang (Radix Et Rhizoma Rhei). If dizzinessis severe, add 15 grams of Zhen Zhu Mu (ConchaMargaritiferae). For dry mouth and throat, add 15 grams ofSheng Di (uncooked Radix Rehmanniae) and nine grams ofXuan Shen (Radix Scrophulariae). If there is numbness of theextremities, add nine grams each of Di Long (Pheretima) andXi Xian Cao (Herba Siegesbeckiae).For more pronounced symptoms of heat and wind with redface and eyes, trembling hands, and numbness of the tongue,lips, and/or limbs, replace Tian Ma Gou Teng Yin with LongDan Xie Gan Tang Jia Jian (Gentiana Drain the LiverDecoction with Additions & Subtractions): Mu Li (ConchaOstreae) and Zhen Zhu Mu (Concha Margaritiferae), 30geach, Sheng Di (uncooked Radix Rehmanniae) and Gou Teng(Ramulus Uncariae Cum Uncis), 15g each, Chou Wu Tong(Folium Et Ramulus Clerodendri), 12g, Long Dan Cao(Radix Gentianae), Zhi Zi (Fructus Gardeniae), Huang Qin(Radix Scutellariae), Ju Hua (Flos Chrysanthemi), Ci Ji Li(Fructus Tribuli), Xi Xian Cao (Herba Siegesbeckiae), and DiLong (Pheretima), 9g each, and Tian Ma (RhizomaGastrodiae), 6g. If there is severe headache, add 12 grams ofChuan Xiong (Rhizoma Chuanxiong). If there is nausea orvomiting, add nine grams each of Zhu Ru (Caulis BambusaeIn Taeniis) and Ban Xia (Rhizoma Pinelliae).ACUPUNCTURE & MOXIBUSTION: Yang Fu (GB 38), TaiChong (Liv 3), Tai Xi (Ki 3), Feng Chi (GB 20), Zu San Li(St 36), Qu Chi (LI 11)ANALYSIS OF FORMULA: Draining Yang Fu and Tai Chonglevel the liver and subdue yang, while supplementing Tai Xinourishes kidney yin to check liver yang. Using even supplementing-evendraining technique at Feng Chi levels the liverand extinguishes wind. Draining Zu San Li and Qu Chi area commonly used empirical pair for lowering blood pressuresince they drain yang evils from the entire body.ADDITIONS & SUBTRACTIONS: Qiu Xu (GB 40) and XiaXi (GB 43) can be alternated with Yang Fu. For severe hypertension,subtract Feng Chi and add Da Zhui (GV 14). Forliver fire, add Xing Jian (Liv 2). For nausea or vomiting, addNei Guan (Per 6). For heart palpitations, also add Nei Guan(Per 6). For hypertension appearing especially at night, addZhao Hai (Ki 6). For headache in the corner of the head, addTou Wei (St 8). For headache in the temple, needle and thenbleed Tai Yang (M-HN-9). For headache in the occiput ortension in the neck, add Shu Gu (Bl 65). For dizziness, addBai Hui (GV 20). For tension in the trapezius, add Tian Jing(GB 21). For severe liver-kidney yin vacuity, add San Yin Jiao(Sp 6). An alternative treatment is to drain Xuan Zhong (GB39) and supplement San Yin Jiao (Sp 6), then needle FengChi (GB 20) with even supplementing-even draining techniqueif there is headache or dizziness.2. PHLEGM FIRE HARASSING ABOVE PATTERNMAIN SYMPTOMS: Dizziness, head distention, chest andductal glomus and oppression, nausea and vomiting, profuse