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

328 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEADDITIONS & SUBTRACTIONS: For severe frequent urinationdue to spleen disease reaching the kidneys, add nine gramseach of Qian Shi (Semen Euryalis), Jin Ying Zi (Fructus RosaeLaerigatae), and Tu Si Zi (Semen Cuscutae). For susceptibilityto common cold, add nine grams of Fang Feng (RadixSaposhnikoviae). For phlegm dampness obstructing the lungsmanifesting as cough with white phlegm, add nine grams eachof Ban Xia (Rhizoma Pinelliae) and Jie Geng (Radix Platycodi).For food stagnation with loss of appetite, abdominal distention,and loss of taste, add six grams each of Mai Ya (FructusGerminatus Hordei), Lai Fu Zi (Semen Raphani), and stirfriedShan Zha (Fructus Crataegi).For heart-spleen dual vacuity, replace Bu Zhong Yi Qi Tang withmodified Gui Pi Tang (Return the Spleen Decoction): HuangQi (Radix Astragali), 15g, uncooked Bai Zhu (RhizomaAtractylodis Macrocephalae), 12g, stir-fried Dang Gui (RadixAngelicae Sinensis), Long Yan Rou (Longanae), Dang Shen(Radix Codonopsitis), and Yi Zhi Ren (Fructus AlpiniaeOxyphyllae), 9g each, Mu Xiang (Radix Auklandiae), SuanZao Ren (Semen Zizyphi Spinosae), Yuan Zhi (RadixPolygalae), and Fu Ling (Poria), 6g each, and mix-fried GanCao (Radix Glycyrrhizae), 3g.For both qi and blood vacuity, replace Bu Zhong Yi Qi Tangwith modified Ba Zhen Tang (Eight Pearls Decoction): Shu Di(cooked Radix Rehmanniae), 18g, Bai Zhu (RhizomaAtractylodis Macrocephalae) and Huang Qi (Radix Astragali),15g each, Bai Shao (Radix Paeoniae Albae), Dang Gui (RadixAngelicae Sinensis), and Dang Shen (Radix Codonopsitis), 9geach, and Fu Ling (Poria), Gui Zhi (Ramulus Cinnamomi),Chuan Xiong (Rhizoma Chuanxiong), and mix-fried Gan Cao(Radix Glycyrrhizae), 6g each.ACUPUNCTURE & MOXIBUSTION: Guan Yuan (CV 4), QiHai (CV 6), Bai Hui (GV 20), Zu San Li (St 36), San YinJiao (Sp 6)ANALYSIS OF FORMULA: Supplementing Guan Yuan, Qi Hai,and Bai Hui with moxibustion boosts the qi and upbears theclear, while supplementing Zu San Li and San Yin Jiao fortifiesthe spleen, boosts the qi, and upbears the clear.ADDITIONS & SUBTRACTIONS: For severe frequent urination,add Zhong Ji (CV 3) with supplementing method. For susceptibilityto common cold, add He Gu (LI 4) and Da Zhui(GV 14). For phlegm dampness obstructing the lungs manifestingas cough with profuse white phlegm, add Feng Men(Bl 12) and Fei Shu (Bl 13). For food stagnation, add LiangMen (St 21). For concomitant kidney qi vacuity, add Tai Xi(Ki 3). For heart-spleen dual vacuity, add Shen Men (Ht 7).4. STRAITENED SPLEEN PATTERNMAIN SYMPTOMS: Frequent, possibly dark-colored urination,a tendency to dry, hard stools, rapid hungering and largeappetite, possible abdominal fullness, possible fatigue, a fat,enlarged tongue with yellow, possibly dry tongue fur, and aslippery, bowstring pulse which is often also floating in theright barNOTE: Straitened spleen refers to a replete stomach with avacuous spleen. It is said that the kidneys are the sluicegateof the stomach. Therefore, there is a close reciprocal relationshipbetween the stomach and kidneys. If the stomach ishot, it hyperfunctions. Since one of its functions are todownbear turbidity, a hyperfunctioning stomach dispersesfood too quickly on the one hand, while downbears fluidstoo quickly to the bladder on the other. This gives rise torapid hungering and frequent urination accompanied by atendency to constipation. This is a common pattern inWestern clinical practice. In real-life, it is typically complicatedby liver depression/depressive heat.TREATMENT PRINCIPLES: Clear the stomach and moistenthe intestines, fortify the spleen and supplement the qi, movethe qi and free the flow of the stoolsRX: Xiao Chai Hu Tang (Minor Bupleurum Decoction) &Ma Zi Ren Wan (Cannabis Seed Pills) with additions andsubtractionsINGREDIENTS:Huang Qin (Radix Scutellariae)Chai Hu (Radix Bupleuri)Dang Shen (Radix Codonopsitis)Ban Xia (Rhizoma Pinelliae)Huo Ma Ren (Semen Cannabis)Hou Po (Cortex Magnoliae)Bai Shao (Radix Paeoniae Albae)Zhi Shi (Fructus Immaturus Aurantii)Xing Ren (Semen Armeniacae)mix-fried Gan Cao (Radix Glycyrrhizae)Da Zao (Fructus Jujubae)12g9g9g9g9g9g9g6g6g6g3 piecesANALYSIS OF FORMULA: Huang Qin clears the stomach andliver. Chai Hu and Bai Shao course the liver and resolvedepression. Dang Shen, mix-fried Gan Cao, and Da Zao fortifythe spleen and boost the qi. Ban Xia harmonizes thestomach. Hou Po and Zhi Shi move the qi of the large intestine,while Huo Ma Ren and Xing Ren moisten the intestinesand free the flow of the stools.ADDITIONS & SUBTRACTIONS: If constipation is severe,add six grams of Da Huang (Radix Et Rhizoma Rhei). Ifthere are no dry stools, delete Huo Ma Ren and Xing Ren. Ifspleen vacuity with dampness is marked, add nine gramseach of Bai Zhu (Rhizoma Atractylodis Macrocephalae) andFu Ling (Poria). If Huo Ma Ren is difficult to find, replacewith Tao Ren (Semen Persicae).