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

308 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEDISEASE CAUSES: Unregulated eating and drinking,internal damage by the seven affects, iatrogenesisDISEASE MECHANISMS: The sweet flavor is moderating,i.e., relaxing. Therefore, it is often craved by people understress as a first aid method of coursing the liver and rectifyingthe qi. The sweet flavor also enters the spleen where it booststhe qi. Hence people who, due to whatever reason, suffer fromspleen vacuity also typically crave sweets and carbohydrateswhose flavor is sweet. In other words, if liver wood depressesspleen earth, one desires the sweet flavor to harmonize the liverand spleen. However, the sweet flavor also engenders dampnesswhich may further damage the spleen, remembering thatthe spleen is averse to dampness. The main symptom of liverdepression is irritability or easy anger. The main symptom ofspleen vacuity is fatigue and bodily weakness. Further, if thespleen fails to upbear the clear qi and/or fails to engender andtransform the blood, the heart may also become vacuous andinsufficient. This then results in heart palpitations, impairedmemory, lack of mental clarity, confusion, anxiety, etc.Therefore, the disease mechanisms at the core of most hypoglycemics’condition is a liver-spleen disharmony with a heartqi and/or blood vacuity. Then, depending on age, bodily constitution,disease course and severity, etc., there may be yinand/or yang vacuity, dampness and phlegm, damp heat, colddampness, blood stasis, hidden or retained evils, defensive qiinsecurity, etc., etc.TREATMENT BASED ON PATTERNDISCRIMINATION:1. LIVER-SPLEEN DISHARMONY PATTERNMAIN SYMPTOMS: Weakness and discomfort with nervousnessand irritability 2-4 hours after a meal, possibleheadache, reduced appetite, fatigue, rib-side, chest, breast,and diaphragmatic distention and pain, a tendency todepression or changes of mood, possible spontaneous perspiration,loose stools, and abdominal fullness, especially aftermeals, which are worse with stress or emotional upset, orthostatichypotension, menstrual irregularities in women, a paletongue with thin, white fur, and a fine, bowstring pulseTREATMENT PRINCIPLES: Course the liver and rectify theqi, fortify the spleen and boost the qiRX: Xiao Yao San Jia Jian (Rambling Powder with Additions& Subtractions)INGREDIENTS:Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Dang Shen (Radix Codonopsitis)Xiang Fu (Rhizoma Cyperi)Bai Zhu (Rhizoma Atractylodis Macrocephalae)9g9g9g9g6gFu Ling (Poria)Chai Hu (Radix Bupleuri)Mu Xiang (Radix Auklandiae)mix-fried Gan Cao (Radix Glycyrrhizae)6g6g6g6gANALYSIS OF FORMULA: Chai Hu and Xiang Fu work onthe yang aspect of the liver. They course the liver and resolvedepression. Bai Shao and Dang Gui work on the yin aspectof the liver. They nourish liver blood to prevent further liverdepression and qi stagnation. Together, these four medicinalsharmonize both the yin and yang apsects of the liver andresolve depression. Dang Shen, Bai Zhu, Fu Ling, and GanCao fortify the spleen and boost the qi. They support thetransformation function of the spleen. Mu Xiang harmonizesthe stomach and rectifies the qi.NOTE: In the beginning, this treatment can increase theappetite but reduce faintness. In this case, the patient mustnot increase the number of meals, avoid sugar and sweets,and leave at least four hours between each meal.ADDITIONS & SUBTRACTIONS: For nausea, add nine grams ofBan Xia (Rhizoma Pinelliae) and Chen Pi (Pericarpium CitriReticulatae). For frequent hunger and thirst, add 15 grams ofShi Gao (Gypsum Fibrosum) and nine grams of Zhi Mu(Rhizoma Anemarrhenae). For severe fatigue, weakness aftermeals, or spontaneous perspiration, add 15 grams of Huang Qi(Radix Astragali).If liver depression transforms into heat with frequent anger,permanent irritability, a bitter taste in the mouth, red sides ofthe tongue, and thin, yellow fur, replace Xiao Yao San Jia Jianwith Xiao Chai Hu Tang Jia Jian (Minor BupleurumDecoction with Additions & Subtractions): Bai Zhu(Rhizoma Atractylodis Macrocephalae), 12g, Ban Xia(Rhizoma Pinelliae), Chen Pi (Pericarpium Citri Reticulatae),Fu Ling (Poria), Dang Shen (Radix Codonopsitis), Huang Qin(Radix Scutellariae), and Zhi Zi (Fructus Gardeniae), 9g each,and mix-fried Gan Cao (Radix Glycyrrhizae), 6g.ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), TaiBai (Sp 3), Nei Guan (Per 6), Tai Chong (Liv 3)ANALYSIS OF FORMULA: Supplementing Zu San Li and TaiBai supplements the spleen and boosts the qi. Draining NeiGuan and Tai Chong rectifies the qi and courses the liver.ADDITIONS & SUBTRACTIONS: For nausea, add Gong Sun(Sp 4). For frequent hunger and thirst, add Nei Ting (St 44).For severe fatigue and weakness after meals, add Pi Shu (Bl 20)and Wei Shu (Bl 21). If liver depression transforms into heat,replace Tai Chong with Xing Jian (Liv 2). For dizziness, add BaiHui (GV 20). For tremors, add He Gu (LI 4). For spontaneousperspiration, add Fu Liu (Ki 7) and He Gu (LI 4).