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

IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP) 321generalized lack of strength, oral thirst, a dry throat, dizziness,tinnitus, excessively profuse menstruation in women whichdribbles and drips and does not stop and which is dark red,sticky, and thick in consistency, low back pain and weaknessin the lower limbs, dry stools, a red tongue with scanty, nofur, or peeled fur, and a fine, rapid pulseNOTE: This pattern is mostly seen in chronic thrombocytopenicpurpura or as the sequela of the acute disease.TREATMENT PRINCIPLES: Nourish yin and clear heat, coolthe blood and stop bleedingRX: Da Bu Yin Wan Jia Jian (Greatly Supplementing YinPills with Additions & Subtractions)Dong (Tuber Ophiopogonis), Tian Hua Fen (RadixTrichosanthis), and Xuan Shen (Radix Scrophulariae). Forascendant liver yang hyperactivity, add 30 grams of Mu Li(Concha Ostreae) and 18 grams of Bai Shao (Radix PaeoniaeAlbae).ACUPUNCTURE & MOXIBUSTION: Ge Shu (Bl 17), ShenShu (Bl 23), San Yin Jiao (Sp 6), Yong Quan (Ki 1)ANALYSIS OF FORMULA: Supplementing Ge Shu harmonizesthe blood and stops bleeding. Supplementing San YinJiao supplements the liver and kidneys, nourishes yin andstops bleeding. Draining Yong Quan subdues yang anddownbears counterflow. It is also an empirical point for thetreatment of ITP.INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae)Shu Di (cooked Radix Rehmanniae)Gui Ban (Plastrum Testudinis)Han Lian Cao (Herba Ecliptae)Zhi Mu (Rhizoma Anemarrhenae)Nu Zhen Zi (Fructus Ligustri Lucidi)Huang Bai (Cortex Phellodendri)E Jiao (Gelatinum Corii Asini)Dan Pi (Cortex Moutan)Di Gu Pi (Cortex Lycii)Ce Bai Ye (Cacumen Platycladi)20g20g15g15g12g12g9g9g9g9g9gADDITIONS & SUBTRACTIONS: For severe purpura, add Xue Hai(Sp 10). For epistaxis, add Kong Zui (Lu 6). For bleeding gums,add He Gu (LI 4). For hemafecia, add Shang Ju Xu (St 37). Forhematuria, add Zhong Ji (CV 3). For hematemesis, add Xi Men(Per 4). For excessive menstruation like a flood, add Zhong Du(Liv 6). For low-grade fever, add Da Zhui (GV 14). If there isvexation and agitation and constipation, add Zhi Gou (TB 6).For fatigue and weakness, add Zu San Li (St 36) or Pi Shu (Bl20). For heat damaging fluids with dryness of the mouth, eyes,skin, and stools, add Zhao Hai (Ki 6). For ascendant liver yanghyperactivity, add Tai Chong (Liv 3) and Feng Chi (GB 20). Forsplenomegaly, add Zhang Men (Liv 13).ANALYSIS OF FORMULA: Sheng Di, Shu Di, Gui Ban, HanLian Cao, Nu Zhen Zi, and E Jiao all nourish yin blood, andessence. In addition, E Jiao and Gui Ban stop bleeding, whileSheng Di, Han Lian Cao, Dan Pi, and Ce Bai Ye cool theblood and stop bleeding. Zhi Mu, Huang Bai, Di Gu Pi, andDan Pi clear vacuity heat.ADDITIONS & SUBTRACTIONS: For severe purpura, add 15grams of Qian Cao (Radix Rubiae) and 12 grams Zi Cao(Radix Arnebiae/Lithospermi). For epistaxis, add nine gramseach of Huang Qin (Radix Scutellariae), and Chuan Niu Xi(Radix Cyathulae). For bleeding gums, add 30 grams of ShiGao (Gypsum Fibrosum) and six grams of Huang Lian(Rhizoma Coptidis). For hemafecia, add nine grams each ofDi Yu (Radix Sanguisorbae) and Huai Hua Mi (FlosImmaturus Sophorae). For hematuria, add 30 grams of NodusOu Jie (Rhizomatis Nelumbinis) and 15 grams of Da Ji (HerbaCirsii). For hematemesis, add 15 grams of Bai Mao Gen(Rhizoma Imperatae) and five grams of Bai Ji (RhizomaBletillae), powdered and taken with the strained decoction.For excessive menstruation like a flood, add 12 grams of PuHuang (Pollen Typhae). For low-grade fever or tidal fever, addnine grams each of Yin Chai Hu (Radix Stellariae), Bai Wai(Radix Cynanchi Atrati), and Hu Huang Lian (RhizomaPicrorrhizae). For heat damaging fluids with dryness of themouth, eyes, skin, and stools, add nine grams each of Mai Men3. SPLEEN QI DEBILITY & VACUITY PATTERNMAIN SYMPTOMS: Insidious onset, disease condition worsenedby taxation and fatigue, purpurae which come and goand which are scattered in location and pale in color, epistaxis,bleeding gums, lassitude of the spirit, lack of strength,heart palpitations, shortness of breath, dizziness, a lusterlessfacial complexion, devitalized eating and drinking, long, profusemenstruation with pale-colored, watery blood inwomen, abdominal fullness, loose stools, a possible blandtaste in the mouth, a pale tongue with teeth-marks on itsedges, and a fine, weak pulseNOTE: This pattern is seen in chronic ITP.TREATMENT PRINCIPLES: Fortify the spleen and boost theqi, lead the blood back to flow within its channelsRX: Gui Pi Tang Jia Jian (Return the Spleen Decoction withAdditions & Subtractions)INGREDIENTS:Huang Qi (Radix Astragali)Dang Shen (Radix Codonopsitis)Han Lian Cao (Herba Ecliptae)Bai Zhu (Rhizoma Atractylodis Macrocephalae)20g15g12g9g