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

302 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEIn particular, goiter tends to be due to a combination of liverdepression and phlegm. Heart palpitations, agitation, andrestlessness are mostly due to phlegm and heat harassing theheart spirit. Excessive appetite and rapid hungering are dueto stomach heat. Weakness and fatigue are due to spleenvacuity. Tremors and shaking are due to liver heat stirringwind and to liver-kidney yin vacuity not nourishing thesinew vessels. Staring eyes (actually bulging eyes) are due toliver fire, phlegm, and qi counterflowing upward and congealingand gathering in the eyes. And loose stools are due toliver wood assailing the spleen.TREATMENT BASED ON PATTERNDISCRIMINATION:1. QI STAGNATION & PHLEGMCONGELATION PATTERNMAIN SYMPTOMS: Goiter swelling in the front of the neckwhich is soft and not painful, possible nodulations on thethyroid gland, possible exophthalmia or a sensation of distentionin the eyes, emotional depression, frequent suspicion,irritability, easy anger, a tendency to taciturnity, chest oppression,rib-side pain, a tendency to great sighing, a pale redtongue with thin, slimy fur, and a bowstring, slippery pulseTREATMENT PRINCIPLES: Course the liver and rectify theqi, transform phlegm and scatter nodulationRX: Xiao Chai Hu Tang (Minor Bupleurum Decoction) &Xiao Yao San (Rambling Powder) with additions and subtractionsINGREDIENTS:Xia Ku Cao (Spica Prunellae)Mu Li (Concha Ostreae)Zhe Bei Mu (Bulbus Fritillariae Thunbergii)Poria (Fu Ling)Chai Hu (Radix Bupleuri)Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Kun Bu (Thallus Algae)Ban Xia (Rhizoma Pinelliae)Chen Pi (Pericarpium Citri Reticulatae)mix-fried Gan Cao (Radix Glycyrrhizae)Da Zao (Fructus Jujubae)Sheng Jiang (uncooked Rhizoma Zingiberis)15g12g12g12g9g9g9g9g9g9g9g6g6g3 pieces3 slicesANALYSIS OF FORMULA: Chai Hu, Bai Shao, and Xia KuCao course and harmonize the liver, thus resolving depression.Zhe Bei Mu, Kun Bu, Fu Ling, Ban Xia, and Chen Pitransform phlegm, while Dang Shen, Bai Zhu, Fu Ling, mixfriedGan Cao, and Sheng Jiang fortify the spleen and drydampness to prevent further phlegm engenderment. In addition,Xia Ku Cao, Mu Li, Zhe Bei Mu, and Kun Bu soften thehard, scatter nodulation, and treat goiter.ADDITIONS & SUBTRACTIONS: If there is not just depressionbut depressive heat, add 15 grams of Xuan Shen (RadixScrophulariae) and 12 grams of Huang Qin (RadixScutellariae). If enduring heat has damaged stomach fluids,add 12 grams of Mai Dong (Tuber Ophiopogonis) and TianHua Fen (Radix Trichosanthis). If there is vexation and agitationand heart palpitations, add 12 grams of Long Gu (OsDraconis) and 3-6 grams of Huang Lian (RhizomaCoptidis). For insomnia, add 12 grams each of He Huan Pi(Cortex Albiziae), Ye Jiao Teng (Caulis Polygoni Multiflori),and Suan Zao Ren (Semen Zizyphi Spinosae). For fatigue,add 20 grams of Huang Qi (Radix Astragali). For increasedappetite, add 15 grams of Shi Gao (Gypsum Fibrosum) andnine grams of Zhi Mu (Rhizoma Anemarrhenae). For aversionto heat with sweating, add nine grams each of Zhi Zi(Fructus Gardeniae) and Dan Shen (Radix SalviaeMiltiorrhizae). For loose stools, increase the dosage of DangShen, Bai Zhu, Fu Ling, and Chen Pi. For tremors of thehand or fingers, add 15 grams each of Jiang Can (BombyxBatryticatus) and Chan Tui (Periostracum Cicadae). Forsevere goiter, add nine grams each of Huang Yao Zi (RhizomaDioscoreae Bulberiferae), San Leng (Rhizoma Sparganii),and E Zhu (Rhizoma Curcumae). For concomitant bloodvacuity, add nine grams each of Dang Gui (Radix AngelicaeSinensis) and Dan Shen (Radix Salviae Miltiorrhizae). Forleukopenia, add 15 grams each of Huang Qi (RadixAstragali) and Ji Xue Teng (Caulis Spatholobi) and ninegrams of Lu Jiao Jiao (Gelatinum Cornu Cervi). For a sensationof throat obstruction, add 12 grams of She Gan(Rhizoma Belamcandae). For severe liver depression qi stagnation,add six grams of Qing Pi (Pericarpium CitriReticulatae Viride).ACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3), FengLong (St 40), Nao Hui (TB 13), Tian Chuang (SI 16), TianDing (LI 17), Tian Rong (SI 17), Tian Tu (CV 22)ANALYSIS OF FORMULA: Tai Chong rectifies the qi andresolves depression. Feng Long transforms phlegm. TianChuang, Tian Ding, Tian Rong, and Tian Tu soften the hardand scatter nodulation. Nao Hui courses and frees the flow ofthe three burners and disperses goiter qi. Needle all thesepoints with draining method.ADDITIONS & SUBTRACTIONS: For severe liver depression,add Yang Ling Quan (GB 34). If there is depressive heat, addYang Ling Quan (GB 34) and replace Tai Chong with XingJian (Liv 2). For concomitant spleen qi vacuity with fatigueand loose stools, add Zu San Li (St 36). For exophthalmia ora sensation of distention in the eyes, add Jing Ming (Bl 1),Feng Chi (GB 20), and Tai Yang (M-HN-9). For marked irri-