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

326 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEburning hot feeling in the urethra, short, dark-colored, turbidurination, a sticky, dry mouth, thirst without desire to drink,lower abdominal distention and fullness, constipation, a redtongue with slimy, yellow fur, and a slippery, rapid pulseNOTE: In real-life, most Western patients with IC do notexhibit this pattern. While damp heat may complicate somepatients’ patterns, it is usually damp heat due to a liverspleendisharmony.TREATMENT PRINCIPLES: Clear heat and disinhibit dampnessRX: Ba Zheng San (Eight Correcting [Ingredients] Powder)INGREDIENTS:Hua Shi (Talcum)Che Qian Zi (Semen Plantaginis)Qu Mai (Herba Dianthi)cooked Da Huang (Radix Et Rhizoma Rhei)Zhi Zi (Fructus Gardeniae)Bian Xu (Herba Polygoni Avicularis)Gan Cao Shao (Radix Tenuis Glycyrrhizae)Mu Tong (Caulis Akebiae)18g12g9g9g9g9g6g6gANALYSIS OF FORMULA: Ba Zheng San is a main Chinesemedicinal formula for the treatment of cystitis due to dampheat pouring downward. Hua Shi, Che Qian Zi, Qu Mai,cooked Da Huang, Bian Xu, Mu Tong, Zhi Zi, and Gan CaoShao together clear and disinhibit dampness in the bladder.Unlike other forms of Da Huang, cooked enters the bladderand treats damp heat. Likewise, Gan Cao Shao is the onlyform of Gan Cao which disinhibits dampness. Because thisformula is very bitter, it should only be used for a short periodof time until damp heat is cleared and eliminated.ADDITIONS & SUBTRACTIONS: For nausea from taking thisformula, subtract Mu Tong and Da Huang and add sixgrams each of Sheng Jiang (uncooked Rhizoma Zingiberis)and ginger-processed Ban Xia (Rhizoma Pinelliae). For concomitantqi vacuity with fatigue, abdominal distention aftermeals, and loose stools, subtract Mu Tong and Da Huang,and add 15 grams each of Huang Qi (Radix Astragali), DangShen (Radix Codonopsitis), and Fu Ling (Poria). For concomitantliver depression, add nine grams each of Chai Hu(Radix Bupleuri), Bai Shao (Radix Paeoniae Albae), andChuan Lian Zi (Fructus Toosendan). For concomitant kidneyvacuity, add nine grams of Tu Si Zi (Semen Cuscutae)and one gram of Rou Gui (Cortex Cinnamomi). For alternatingfever and chills, a bitter taste in the mouth, drythroat, and nausea, add Xiao Chai Hu Tang (MinorBupleurum Decoction): uncooked Chai Hu (RadixBupleuri), uncooked Huang Qin (Radix Scutellariae), andginger stir-fried Ban Xia (Rhizoma Pinelliae), 9g each, DangShen (Radix Codonopsitis) and Sheng Jiang (uncookedRhizoma Zingiberis), 6g each, and Da Zao (FructusJujubae), 4 pieces. For hematuria, add 15 grams each ofXiao Ji (Herba Cephalanoploris), Da Ji (Herba Cirsii), andBai Mao Gen (Rhizoma Imperatae). For constipation, addnine grams of Zhi Shi (Fructus Immaturus Aurantii) andreplace cooked Da Huang with uncooked Da Huang. Fordamp heat damaging yin with thirst and a desire to drink,and a dry mouth and throat, subtract Da Huang and addnine grams each of Zhi Mu (Rhizoma Anemarrhenae),Sheng Di (uncooked Radix Rehmanniae), and Bai Mao Gen(Rhizoma Imperatae). If this formula is too bitter and heatclearingas written above, one can subtract Mu Tong and DaHuang, increase the dosage of Hua Shi up to 25 grams, andadd nine grams each of Fu Ling (Poria) and Da Zao (FructusJujubae).ACUPUNCTURE & MOXIBUSTION: Zhong Ji (CV 3), ZhiBian (Bl 54), San Yin Jiao (Sp 6), Qu Quan (Liv 8)ANALYSIS OF FORMULA: Draining Zhong Ji and San YinJiao is a basic combination for clearing and disinhibitingdampness and heat from the bladder. Draining Zhi Bian is akey empirical point for treating urinary tract infection andcystitis. Draining Qu Quan disinhibits dampness, frees theflow, and stops pain in the liver channel which penetrates thelower abdomen and encircles the urogenital organs.ADDITIONS & SUBTRACTIONS: For fever, a bitter taste in themouth, nausea, and vomiting, add San Jiao Shu (Bl 22) and YeMen (TB 3). For constipation, add Zhao Hai (Ki 6) and ZhiGou (TB 6). For fever, add Qu Chi (LI 11). For colicky painin the abdomen and low back, add Xiao Chang Shu (Bl 27).For severely painful and/or burning urination, add Shui Quan(Ki 5). For concomitant qi vacuity, add Tai Bai (Sp 3) and ZuSan Li (St 36). For concomitant liver depression, add Xing Jian(Liv 2) and Jian Shi (Per 5). For concomitant kidney vacuity,add Tai Xi (Ki 3). For hematuria, add Xue Hai (Sp 10). Fornausea, add Shang Wan (CV 13) or Nei Guan (Per 6).2. LIVER DEPRESSION & DAMPACCUMULATION PATTERNMAIN SYMPTOMS: Frequent urination, an unfinished feelingafter voiding, rib-side discomfort, lower abdominal distentionand fullness, irritability, possible premenstrual ormenstrual breast distention and pain, menstrual lowerabdominal distention and pain, a normal or possibly dark,somewhat swollen tongue with slimy, white fur, and a bowstringpulseTREATMENT PRINCIPLES: Course the liver and rectify qi,eliminate dampness and disinhibit urinationRX: Chai Hu Shu Gan San Jia Wei (Bupleurum Course theLiver Powder with Added Flavors)