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

320 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINETREATMENT BASED ON PATTERNDISCRIMINATION:1. HEAT TOXINS DEPRESSED WITHIN THECONSTRUCTIVE PATTERNMAIN SYMPTOMS: Relatively acute onset initially beginningwith cold and heat, oral thirst, a dry throat, vexation, agitation,and restlessness, reddish urine, constipation, lots ofdeep-colored purpurae, dizziness, possible accompanyingepistaxis, bleeding gums, hematuria, hemafecia, andhematemesis, in women, excessive menstruation like a flood,fresh red blood, a red crimson tongue with either slimy ordry, yellow or brownish yellow fur, and a bowstring, rapid orslippery rapid pulse. In children, purple lines in the windand/or qi bars or gates.NOTE: This pattern describes the initial outbreak of acutethrombocytopenic purpura.TREATMENT PRINCIPLES: Clear heat and resolve toxins,cool the blood and stop bleedingRX: Xi Jiao Di Huang Tang Jia Jian (Rhinoceros Horn &Rehmannia Decoction with Additions & Subtractions)INGREDIENTS:Shui Niu Jiao (Cornu Bubali)Xiao Ji (Herba Cephalanoploris)Sheng Di (uncooked Radix Rehmanniae)Lian Qiao (Fructus Forsythiae)Zi Cao (Radix Arnebiae/Lithospermi)Chi Shao (Radix Paeoniae Rubrae)Dan Pi (Cortex Moutan)Xuan Shen (Radix Scrophulariae)30g30g20g15g12g9g9g9gANALYSIS OF FORMULA: Shui Niu Jiao, Xiao Ji, Sheng Di,Zi Cao, Chi Shao, Dan Pi, and Xuan Shen cool the blood,clear the constructive, and stop bleeding. Lian Qiao andXuan Shen clear heat and resolve toxins. In addition, Zi Caoand Shui Niu Jiao disperse purple macules, while Chi Shaoand Dan Pi quicken the blood and transform stasis.ADDITIONS & SUBTRACTIONS: If bleeding is profuse, add 30grams of Xian He Cao (Herba Agrimoniae) and 15 grams ofQian Cao (Radix Rubiae). If there is oral thirst with a liking forchilled drinks, add 30 grams of Shi Gao (Gypsum Fibrosum)and nine grams of Zhi Mu (Rhizoma Anemarrhenae). If there isvexation and agitation and constipation, add six grams of DaHuang (Radix Et Rhizoma Rhei). For epistaxis, add nine gramseach of Huang Qin (Radix Scutellariae), Chuan Niu Xi (RadixCyathulae), and Ce Bai Ye (Cacumen Platycladi). For bleedinggums, add 30 grams of Shi Gao (Gypsum Fibrosum) and sixgrams of Huang Lian (Rhizoma Coptidis). For hemafecia, addnine grams each of Di Yu (Radix Sanguisorbae) and Huai HuaMi (Flos Immaturus Sophorae). For hematuria, add 30 grams ofOu Jie (Nodus Nelumbinis) and 15 grams of Da Ji (HerbaCirsii). For hematemesis, add 15 grams each of Bai Mao Gen(Rhizoma Imperatae) and Ce Bai Ye (Cacumen Platycladi) andfive grams of Bai Ji (Rhizoma Bletillae), powdered and takenwith the strained decoction. For excessive menstruation like aflood, add 12 grams of Pu Huang (Pollen Typhae) and ninegrams of E Jiao (Gelatinum Corii Asini). For severe heat toxinswith a red, painful, swollen throat, add 15 grams each of ShanDou Gen (Radix Sophorae Subprostratae), Ban Lan Gen (RadixIsatidis/Baphicacanthi), and She Gan (Rhizoma Belamcandae).For heat entering in the pericardium with restlessness, insomnia,deranged speech, and confusion, add nine grams each of Zhi Zi(Fructus Gardeniae) and Lian Xin (Plumula Nelumbinis) andsix grams of Huang Lian (Rhizoma Coptidis). For fever, add 30grams of Jin Yin Hua (Flos Lonicerae). For fatigue and weakness,add 12 grams each of Huang Qi (Radix Astragali) andDang Shen (Radix Codonopsitis).ACUPUNCTURE & MOXIBUSTION: Ge Shu (Bl 17), XueHai (Sp 10), San Yin Jiao (Sp 6), Yong Quan (Ki 1)ANALYSIS OF FORMULA: Ge Shu is the meeting point of theblood. Draining it cools the blood and clears the constructive,quickens the blood and stops bleeding mainly in the upperpart of the body. Xue Hai’s name is the sea of blood. Drainingit cools the blood and clears the constructive, quickens theblood and stops bleeding mainly in the lower part of the body.Draining San Yin Jiao also cools the blood and clears the constructive,quickens the blood and stops bleeding. However, itstops bleeding anywhere in the body. Yong Quan clears heatand abates fever. It is also an empirical point for the treatmentof ITP. Acupuncture for the acute stage of ITP should only beseen as an auxiliary therapy.ADDITIONS & SUBTRACTIONS: For epistaxis, add Kong Zui (Lu6). For bleeding gums, add He Gu (LI 4). For hemafecia, addShang Ju Xu (St 37). For hematuria, add Zhong Ji (CV 3). Forhematemesis, add Xi Men (Per 4). For excessive menstruationlike a flood, add Zhong Du (Liv 6). For fever, add He Gu (LI 4)and Wai Guan (TB 5). If there is vexation and agitation and constipation,add Zhi Gou (TB 6). For severe heat toxins with a red,painful, swollen throat, add Yu Ji (Lu 10) and Chi Ze (Lu 5). Forheat entering in the pericardium with restlessness, insomnia,deranged speech, and confusion, add Lao Gong (Per 8) and ShenMen (Ht 7). For fatigue and weakness, add Zu San Li (St 36) orPi Shu (Bl 20). For splenomegaly, add Zhang Men (Liv 13).2. YIN VACUITY, FIRE EFFULGENCE PATTERNMAIN SYMPTOMS: Insidious onset or prolonged course, skinpurpurae sometimes light, sometimes heavy, purple red ordark red in color, epistaxis, bleeding gums, hemafecia, hematuria,dark red blood, vexatious heat in the five hearts, tidalfever, low-grade fever, night sweats, hot flashes in the face,