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

316 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEFu Ling (Poria)9gZe Xie (Rhizoma Alismatis)9gZhi Shi (Fructus Immaturus Aurantii)6gBai Dou Kou (Fructus Cardamomi) 4.5gANALYSIS OF FORMULA: Dang Shen, Bai Zhu, and Wu JiaPi fortify the spleen and boost the qi. Fu Ling, Yi Yi Ren, andZe Xie disinhibit water and seep dampness, and Bai Dou Kouand Zhi Shi regulate and ease the flow of the qi mechanism.ADDITIONS & SUBTRACTIONS: For concomitant liver depression,add nine grams each of Chai Hu (Radix Bupleuri) andBai Shao (Radix Paeoniae Albae). For more serious orthostatichypotension and fatigue, add 15 grams of Huang Qi (RadixAstragali). For persistent loose stools and orthostatic hypotension,add six grams of Sheng Ma (Rhizoma Cimicifugae) andthree grams of Chai Hu (Radix Bupleuri). For concomitantblood vacuity, add six grams of ginger stir-fried Dang Gui(Radix Angelicae Sinensis) and nine grams of Bai Shao (RadixPaeoniae Albae).ACUPUNCTURE & MOXIBUSTION: Bai Hui (GV 20), Zu SanLi (St 36), Zhong Wan (CV 12), Feng Long (St 40), Shang Qiu(Sp 5)ANALYSIS OF FORMULA: Supplementing Zu San Li and BaiHui with moxibustion upbears clear yang, arouses the brain,and raises the pressure. Draining Zhong Wan, Feng Long, andShang Qiu drys and transforms dampness and turbidity.ADDITIONS & SUBTRACTIONS: For more marked spleenqi vacuity, add Pi Shu (Bl 20) and Wei Shu (Bl 21). For concomitantblood vacuity, add Ge Shu (Bl 17), Gan Shu (Bl18), and Pi Shu (Bl 20). For liver depression qi stagnation,add Tai Chong (Liv 3) and Nei Gong (Per 6). For heart palpitations,add Nei Guan (Per 6) and Shen Men (Ht 7).5. QI VACUITY & BLOOD STASIS PATTERNMAIN SYMPTOMS: Either low blood pressure or blood pressurewhich is sometimes low and sometimes high, relativelyhigh blood lipids, dizziness, headache, chest oppression,piercing pain, heart fluster, shortness of breath, lassitude ofthe spirit, lack of strength, a dark tongue and/or possiblestatic macules or spots, and a bowstring, moderate (i.e.,slightly slow), choppy pulseNOTE: Although the name of this pattern does not say so,this pattern includes an element of phlegm turbidity due tothe spleen qi’s failure to divide clear from turbid.TREATMENT PRINCIPLES: Transform phlegm and downbearturbidity, boost the qi and quicken the bloodRX: Huang Jing Dang Shen Sheng Ya Tang (Polygonatum &Codonopsis Upbear the [Blood] Pressure Decoction)INGREDIENTS:Ge Gen (Radix Puerariae)Chuan Xiong (Rhizoma Chuanxiong)Huang Jing (Rhizoma Polygonati)Dang Shen (Radix Codonopsitis )Ban Xia (Rhizoma Pinelliae)Fu Ling (Poria)Shi Chang Pu (Rhizoma Acori Tatarinowii)Shan Zha (Fructus Crataegi)Chi Shao (Radix Paeoniae Rubrae)Jue Ming Zi (Semen Cassiae)18g18g12g12g9g9g9g9g9g9gANALYSIS OF FORMULA: Huang Jing and Dang Shen nourishthe heart and boost the qi. Ban Xia, Fu Ling, and ShiChang Pu dispel phlegm and transform turbidity. ChuanXiong, Ge Gen, Shan Zha, Chi Shao, and Jue Ming Zi movethe qi and quicken the blood, expand the arteries and raisethe pressure.ADDITIONS & SUBTRACTIONS: For marked fatigue, add18 grams of Huang Qi (Radix Astragali). For concomitantliver depression qi stagnation, add nine grams each of ChaiHu (Radix Bupleuri) and Bai Shao (Radix Paeoniae Albae).For concomitant blood vacuity, add 18 grams of Ji Xue Teng(Caulis Spatholobi) and nine grams of Dang Gui (RadixAngelicae Sinensis).ACUPUNCTURE & MOXIBUSTION: Bai Hu (GV 20), ZuSan Li (St 36), San Yin Jiao (Sp 6), Ge Shu (Bl 17)ANALYSIS OF FORMULA: Supplementing Zu San Li and BaiHui with moxibustion upbears clear yang, arouses the brain,and raises the pressure. Draining San Yin Jiao and Ge Shuquickens the blood and transforms stasis.ADDITIONS & SUBTRACTIONS: For marked spleen vacuity,add Tai Bai (Sp 3) and Pi Shu (Bl 20). For heart fluster andchest oppression, add Nei Guan (Per 6) and Shen Men (Ht7). For more marked phlegm turbidity, add Feng Long (St 40)and Zhong Wan (CV 12). For concomitant blood vacuity, useeven supplementing-even draining method on San Yin Jiaoand Ge Shu and add supplementing method at Gan Shu (Bl18) and Pi Shu (Bl 20). For concomitant liver depression,add Tai Chong (Liv 3) and Nei Guan (Per 6).REMARKS1. Low blood pressure typically responds well to Chinesemedical treatment, whether acupuncture-moxibustion orChinese medicinal. When patients are treated for low bloodpressure with Chinese medicine, they typically report moreenergy and warmer hands and feet.