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

HYPERTHYROIDISM 303tability, easy anger, and emotional depression, add Jian Shi(Per 5) and Shen Ting (GV 24). For insomnia and heart palpitations,add Nei Guan (Per 6) and Shen Men (Ht 7). Forincreased appetite, add Zhong Wan (CV 12) and Nei Ting (St44). For aversion to heat with sweating, also add He Gu (LI4) and Nei Ting (St 44). For tremors of the hands or fingers,add He Gu (LI 4).2. LIVER FIRE HYPERACTIVITY &EXUBERANCE PATTERNMAIN SYMPTOMS: Marked goiter which is soft and notpainful, possible nodulations, possible exophthalmia, emotionaltension, irritability, impetuosity, a red face and eyes,headache, dizziness, head distention, tinnitus, tongue andhand shaking and trembling, heart palpitations, insomnia,dread of heat, profuse sweating, rapid hungering withincreased food intake, oral thirst with profuse drinking, a bittertaste in the mouth, a red tongue with yellow fur, and abowstring, rapid pulseNOTE: In this case, although the pattern name does not sayso, there is still phlegm nodulation.TREATMENT PRINCIPLES: Clear the liver and drain fire,transform phlegm and scatter nodulationRX: Long Dan Xie Gan Tang Jia Jian (Gentiana Drain theLiver Decoction with Additions & Subtractions)INGREDIENTS:Xia Ku Cao (Spica Prunellae)Xuan Shen (Radix Scrophulariae)Sheng Di (uncooked Radix Rehmanniae)Mu Li (Concha Ostreae)Long Gu (Os Draconis)Ban Xia (Rhizoma Pinelliae)Fu Ling (Poria)Zhe Bei Mu (Bulbus Fritillariae Thunbergii)Chai Hu (Radix Bupleuri)Huang Qin (Radix Scutellariae)Zhi Zi (Fructus Gardeniae)Dang Gui Wei (Extremitas Radicis Angelicae Sinensis)Hai Zao (Sargassum)Kun Bu (Thallus Algae)Chen Pi (Pericarpium Citri Reticulatae)uncooked Gan Cao (Radix Glycyrrhizae)15g15g12g12g12g12g12g12g9g9g9g9g9g9g6g3gANALYSIS OF FORMULA: Xia Ku Cao, Huang Qin, and ZhiZi clear the liver and drain fire. Ban Xia, Fu Ling, Zhe BeiMu, Hai Zao, and Kun Bu transform phlegm. Mu Li andLong Gu level the liver and subdue yang. Chai Hu courses theliver and resolves depression. Dang Gui Wei quickens theblood and transforms stasis. Chen Pi rectifies the qi. Sheng Dinourishes and protects liver yin. Xia Ku Cao, Xuan Shen, MuLi, Ban Xia, Zhe Bei Mu, Hai Zao, and Kun Bu soften thehard, scatter nodulation, and treat goiter, and Gan Cao harmonizesthe other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If the stomach is strongand hot and the spleen is vacuous and weak, replace LongDan Xie Gan Tang with Bai Hu Jia Ren Shen Tang (WhiteTiger Plus Ginseng Decoction) plus Xiang Sha Liu Jun ZiTang (Auklandia & Amomum Six Gentlemen Decoction)with additions and subtractions: Shi Gao (GypsumFibrosum), 30g, Zhi Mu (Rhizoma Anemarrhenae) and BanXia (Rhizoma Pinelliae), 12g each, Dang Shen (RadixCodonopsitis), Bai Zhu (Rhizoma AtractylodisMacrocephalae), and Fu Ling (Poria), 9g each, Chen Pi(Pericarpium Citri Reticulatae), Mu Xiang (RadixAuklandiae), and mix-fried Gan Cao (Radix Glycyrrhizae),6g each. If there is concomitant phlegm nodulation, add 15grams each of Xia Ku Cao (Spica Prunellae) and Xuan Shen(Radix Scrophulariae), 12 grams of Zhe Bei Mu (BulbusFritillariae Thunbergii), and nine grams each of Mu Li(Concha Ostreae), Kun Bu (Thallus Algae), and Hai Zao(Sargassum). For severe goiter, add nine grams each of HuangYao Zi (Rhizoma Dioscoreae Bulberiferae), San Leng(Rhizoma Sparganii), and E Zhu (Rhizoma Curcumae). Forhand shaking and trembling, add 15 grams of Shi Jue Ming(Concha Haliotidis), and nine grams each of Gou Teng(Ramulus Uncariae Cum Uncis) and Bai Shao (RadixPaeoniae Albae). For insomnia, emotional tension, irritability,and impetuosity 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 add20 grams of Huang Qi (Radix Astragali). For increasedappetite due to stomach heat, add 15 grams of Sheng Di(uncooked Radix Rehmanniae) and nine grams of Zhi Mu(Rhizoma Anemarrhenae). For constipation, add 6-9 gramsof Da Huang (Radix Et Rhizoma Rhei). For loose stools dueto spleen vacuity, add 12 grams of Dang Shen (RadixCodonopsitis) and Bai Zhu (Rhizoma AtractylodisMacrocephalae). For a sensation of throat obstruction, add12 grams of She Gan (Rhizoma Belamcandae). For oral thirstwith profuse drinking, add 12 grams each of Mai Men Dong(Tuber Ophiopogonis) and Tian Hua Fen (RadixTrichosanthis). For profuse sweating, add 15 grams each ofFu Xiao Mai (Semen Levis Tritici) and Wu Wei Zi (FructusSchisandrae). For a sensation of pain and distention in theeyes, add 15 grams each of Bai Zhi (Radix AngelicaeDahuricae) and Gou Qi Zi (Fructus Lycii) and nine gramseach of Shi Chang Pu (Rhizoma Acori Tatarinowii) and Ci JiLi (Fructus Tribuli).ACUPUNCTURE & MOXIBUSTION: Xing Jian (Liv 2), YangLing Quan (GB 34), Nao Hui (TB 13), Tian Chuang (SI 16),Tian Ding (LI 17), Tian Rong (SI 17), Tian Tu (CV 22)ANALYSIS OF FORMULA: Xing Jian and Yang Ling Quan clear