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

310 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEYin Jiao (Sp 6), Zhong Wan (CV 12), Nei Ting (St 44)ANALYSIS OF FORMULA: Supplementing Zu San Li and SanYin Jiao fortifies the spleen and boosts the qi. DrainingZhong Wan and Nei Ting clears the stomach and harmonizesthe center.ADDITIONS & SUBTRACTIONS: For spontaneous perspiration,add Fu Liu (Ki 7) and He Gu (LI 4). For loose stools, addYin Ling Quan (Sp 9). For constipation, add Zhi Gou (TB 6).For abdominal fullness after eating, add Nei Guan (Per 6) andGong Sun (Sp 4). For severe fatigue, add Tai Bai (Sp 3).4. QI & BLOOD DUAL VACUITY PATTERNMAIN SYMPTOMS: Heart palpitations, faintness, sweatingand nervousness 2-4 hours after a meal, a pale white or sallowyellow facial complexion, restlessness, dizziness, shortnessof breath, weakness, fatigue, spontaneous perspiration,poor appetite, pale lips and nails, impaired memory, a paletongue with white fur, and a fine, weak pulseTREATMENT PRINCIPLES: Supplement and nourish the qiand blood, nourish the heart and quiet the spiritRX: Ba Zhen Tang Jia Wei (Eight Pearls Decoction withAdded Flavors)INGREDIENTS:Dang Shen (Radix Codonopsitis)30gLong Yan Rou (Arillus Longanae)30gShu Di (cooked Radix Rehmanniae)30gBai Zhu (Rhizoma Atractylodis Macrocephalae) 9gFu Ling (Poria)9gChuan Xiong (Rhizoma Chuanxiong)9gBai Shao (Radix Paeoniae Albae)9gDang Gui (Radix Angelicae Sinensis)9gShan Zhu Yu (Fructus Corni)9gmix-fried Gan Cao (Radix Glycyrrhizae) 4-5gANALYSIS OF FORMULA: Dang Shen, Bai Zhu, Fu Ling, andmix-fried Gan Cao supplement the qi and reinforce transportation,replenish the source of engenderment and transformationof the qi and blood. Shu Di, Bai Shao, Dang Gui,and Chuan Xiong nourish the blood and harmonize the constructive.Long Yan Rou fortifies the spleen, nourishes theheart, and quiets the spirit. Shan Zhu Yu supplements theliver and kidneys and restrains the heart qi.ADDITIONS & SUBTRACTIONS: For cold limbs and long,clear urination, add 0.5-1 gram of Lu Rong (Cornu ParvumCervi). For severe heart palpitations or impaired memory,add 12 grams each of Bai Zi Ren (Semen Platycladi) andSuan Zao Ren (Semen Zizyphi Spinosae). For severe qi vacuity,add 15 grams of Huang Qi (Radix Astragali). For spontaneousperspiration, add 15 grams of Wu Wei Zi (FructusSchisandrae) and nine grams of Wu Mei (Fructus Mume).For insomnia and restlessness, add 15 grams of Ye Jiao Teng(Caulis Polygoni Multiflori) and replace Fu Ling with FuShen (Sclerotium Pararadicis Poriae Cocos). For concomitantfood stagnation, add nine grams each of Shan Zha (FructusCrataegi), Shen Qu (Massa Medica Fermentata), and Mai Ya(Fructus Germinatus Hordei).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), SanYin Jiao (Sp 6), Shen Men (Ht 7)ANALYSIS OF FORMULA: Supplementing Zu San Li fortifiesthe spleen and boosts the qi. Supplementing San Yin Jiaosupplements the qi and nourishes the blood, while supplementingShen Men nourishes the heart and quiets the spirit.ADDITIONS & SUBTRACTIONS: For severe blood vacuity,add Ge Shu (Bl 17). For severe qi vacuity, add Tai Bai (Sp 3).For cold limbs and long, clear urination, add Guan Yuan(CV 4) with moxibustion. For severe heart palpitations, addNei Guan (Per 6). For spontaneous perspiration, add He Gu(LI 4) and Fu Liu (Ki 7). For insomnia and restlessness, addBai Hui (GV 20). For food stagnation, add Liang Men (St21).REMARKS1. The above patterns are merely the most common core patternsin patients with hypoglycemia. These core patterns maythen be complicated by any number of other, related patternsor disease mechanisms, such as blood stasis as a complicationof either qi stagnation of blood vacuity, damp encumbranceas a complication of spleen vacuity, depressive heat as a complicationof liver or any other depression, yin vacuity as acomplication of blood vacuity, and yang vacuity as a complicationof spleen vacuity. In that case, formulas and acupointsshould be chosen accordingly.2. Because reactive hypoglycemia is commonly associatedwith faulty diet, especially overeating sugars, sweets, and carbohydrates,dietary therapy is generally a must in the overalltreatment of this condition. Typically, this means eating frequent,small meals comprised of protein as opposed to carbohydrates.Such protein-rich foods include lean meats, eggs,fish, and cheese if there is not concomitant dampness. Inaddition, carbohydrates should be complex carbohydrateswhich take longer to digest and, therefore, release sugars intothe blood stream more slowly. Similarly, eating plenty of vegetablesallows sugar to arrive more slowly in the blood andhelps to avoid the brutal peaks and troughs of reactive hypoglycemia.3. Because the eating of sweets is often a stress reaction,efforts should also be taken to reduce stress through exercise