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

IDIOPATHIC THROMBOCYTOPENIC PURPURA (ITP) 323Typhae) and Xian He Cao (Herba Agrimoniae).ACUPUNCTURE & MOXIBUSTION: Ge Shu (Bl 17), XueHai (Sp 10), San Yin Jiao (Sp 6), Yong Quan (Ki 1)ANALYSIS OF FORMULA: Draining Ge Shu quickens theblood, transforms stasis, and stops bleeding mainly in theupper part of the body. Draining Xue Hai quickens the blood,transforms stasis, and stops bleeding mainly in the lower partof the body. Draining San Yin Jiao quickens the blood, transformsstasis, and stops bleeding in the whole body. Yong Quanis an empirical point for the treatment of ITP.ADDITIONS & SUBTRACTIONS: For epistaxis, add Kong Zui(Lu 6). For bleeding gums, add He Gu (LI 4). For hemafecia,add Shang Ju Xu (St 37). For hematuria, add Zhong Ji (CV3). For hematemesis, add Xi Men (Per 4). For excessive menstruationlike a flood, add Zhong Du (Liv 6). Forsplenomegaly, add Zhang Men (Liv 13). For constipation,add Zhi Gou (TB 6). For fatigue and weakness, add Zu SanLi (St 36) or Pi Shu (Bl 20).5. SPLEEN-KIDNEY YANG VACUITY PATTERNMAIN SYMPTOMS: Not very pronounced bleeding signs,dizziness, lack of strength, heart palpitations, tinnitus, dreadof chill, a somber white facial complexion, spontaneous perspiration,purple macules which come and go but tend to bebrought on by over-taxation, low back and lower leg sorenessand limpness, loose stools, torpid intake, a pale tongue withthin, glossy fur, and a deep, fine, forceless pulseTREATMENT PRINCIPLES: Warm and supplement thespleen and kidneys, nourish the blood and stop bleedingRX: Gui Fu Ba Wei Tang (Cinnamon & Aconite Eight FlavorsDecoction) & Huang Tu Tang (Yellow Earth Decoction)INGREDIENTS:Sheng Di (uncooked Radix Rehmanniae)Fu Long Gan (Terra Flava Usta)Shan Zhu Yu (Fructus Corni)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Shan Yao (Radix Dioscoreae)Fu Ling (Poria)E Jiao (Gelatinum Corii Asini)Huang Qin (Radix Scutellariae)Dan Pi (Cortex Moutan)Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli)Rou Gui (Cortex Cinnamomi)Ze Xie (Rhizoma Alismatis)mixed-fried Gan Cao (Radix Glycyrrhizae)20g18g15g15g9g9g9g9g9g6g6g6g6gANALYSIS OF FORMULA: Shan Zhu Yu, Shan Yao, Fu Zi, and RouGui together warm and supplement kidney yang. In addition,Shan Zhu Yu stops bleeding. Bai Zhu, Shan Yao, Fu Ling, andmix-fried Gan Cao fortify the spleen and boost the qi to containthe blood. Fu Long Gan warms the spleen and stops bleeding.Ze Xie seeps dampness, while Dan Pi quickens the blood.Sheng Di and E Jiao nourish the blood and stop bleeding.Huang Qin cools the blood and stops bleeding. Within this formula,Huang Qin prevents the acrid warm ingredients fromexcessively warming the blood and, thus, aggravating bleeding.Hence it functions as a harmonizing ingredient.ADDITIONS & SUBTRACTIONS: For more severe qi vacuity, add15 grams of Huang Qi (Radix Astragali) and nine grams of DangShen (Radix Codonopsitis). For metrorrhagia, add nine gramseach of Ai Ye (Folium Artemisiae Argyii), Pao Jiang (blast-friedRhizoma Zingiberis), and Wu Wei Zi (Fructus Schisandrae). Forblack stools, add three grams of Bai Ji (Rhizoma Bletillae), powderedand taken with the strained decoction. For diarrhea, add12 grams each of Bu Gu Zhi (Fructus Psoraleae) and Tu Si Zi(Semen Cuscutae) and six grams of Rou Dou Kou (SemenMyristicae). For severe bleeding, add nine grams of Lu Jiao Jiao(Gelatinum Cornu Cervi). For marked kidney yang vacuity, add0.3 grams of Lu Rong (Cornu Parvum Cervi), powdered andtaken with the strained decoction.ACUPUNCTURE & MOXIBUSTION: Ge Shu (Bl 17), Pi Shu(Bl 20), Shen Shu (Bl 23), San Yin Jiao (Sp 6)ANALYSIS OF FORMULA: Supplementing Ge Shu harmonizesthe blood and stops bleeding. Supplementing San Yin Jiaofortifies the spleen and boosts the qi, supplements the kidneysand nourishes the blood, and stops bleeding. Pi Shu and ShenShu are, respectively, the back transport points of the spleenand kidneys. Supplementing them with moxibustion warmsand supplements the yang of the spleen and kidneys.ADDITIONS & SUBTRACTIONS: For more severe qi vacuity, addZu San Li (St 36). For epistaxis, add Kong Zui (Lu 6). For bleedinggums, add He Gu (LI 4). For hemafecia, add Shang Ju Xu (St37). For hematuria, add Zhong Ji (CV 3). For hematemesis, addXi Men (Per 4). For excessive menstruation like a flood, addZhong Du (Liv 6). For splenomegaly, add Zhang Men (Liv 13).For diarrhea, add Yin Ling Quan (Sp 9) and Zu San Li (St 36).For marked kidney yang vacuity, add Ming Men (GV 4).6. LIVER FIRE EFFULGENCE &EXUBERANCE PATTERNMAIN SYMPTOMS: Fresh red purpurae which are large andplaque-like, nose and/or gum-bleeding, red face and eyes,tension, agitation, easy anger, a dry mouth with a bitter taste,constipation, excessively profuse menstruation like a flood, ared tongue with yellow fur, and a bowstring, rapid pulseNOTE: This pattern is seen in acute thrombocytopenic pur-