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

INTERSTITIAL CYSTITIS (IC) 331regularly intermittent pulse, add nine grams each of mix-friedGan Cao (Radix Glycyrrhizae) and Dan Shen (Radix SalviaeMiltiorrhizae). For hasty panting and spontaneous perspiration,add six grams of Ren Shen (Radix Ginseng) and ninegrams of Wu Wei Zi (Fructus Schisandrae). For seminal emission,vaginal discharge, or diarrhea, add nine grams of Bu GuZhi (Fructus Psoraleae). For lower limb edema, subtract Yi ZhiRen, Tu Si Zi, and Sang Piao Xiao and add 12 grams each of WuJia Pi (Cortex Acanthopanacis) and Ze Xie (Rhizoma Alismatis)and nine grams of Fu Ling (Poria). For decreased sexual desireor impotence, add nine grams each of Xian Mao (RhizomaCurculiginis) and Xian Ling Pi (Herba Epimedii). For liverdepression qi stagnation, increase Chai Hu to nine grams. Forspleen vacuity, add 15 grams of Huang Qi (Radix Astragali )and nine grams each of Dang Shen (Radix Codonopsitis) andBai Zhu (Rhizoma Atractylodis Macrocephalae).ACUPUNCTURE & MOXIBUSTION: Tai Xi (Ki 3), GuanYuan (CV 4), Shen Shu (Bl 23), Zhi Shi (Bl 52)ANALYSIS OF FORMULA: Supplementing Tai Xi, Guan Yuan, ShenShu, and Zhi Shi with moxibustion warms and supplements thelower origin, secures and astinges the kidney qi.ADDITIONS & SUBTRACTIONS: For panting counterflow,add Ran Gu (Ki 2). For dribbling urination, add Pang GuangShu (Bl 28). For frequent night-time urination, add ZhaoHai (Ki 6). For clear, thin vaginal discharge, add Dai Mai(GB 26).REMARKS1. Practitioners should take care not to allow the word “cystitis”in interstitial cystitis to seduce them into immediatelythinking of damp heat strangury. Most patients with interstitialcystitis do not exhibit the signs and symptoms of anacute damp heat pattern, such as burning hot urinary pain,even though this is the first pattern listed under this diseasecategory.2. A liver-spleen disharmony is the central disease mechanismof this condition in most Western patients. This may then becomplicated by either damp heat or stomach heat. If spleenvacuity has reached the kidneys, there may be spleen-kidneyyang vacuity. If qi stagnation has damaged the blood, theremay be blood stasis. If enduring heat has damaged yin, theremay be yin vacuity. In perimenopausal women, there is oftenspleen qi and kidney yin vacuity or yin and yang vacuity.3. Whether qi vacuity or replete heat is the main diseasemechanism associated with frequent urination dependslargely on constitution and age. Those who have a habitualyang exuberant body and are younger are more likely to havestomach or damp heat. Those who are habitually less yangexuberant and are older tend to have more qi and yang vacuity.Because many Westerners have a hot, dry stomach andvacuous, damp spleen, it is important to assess these twoorgans separately, not assuming that every case of spleenvacuity is a spleen-stomach vacuity weakness.4. Do not use securing and astringing medicinals if there isreplete heat frequent urination.5. Chinese reports confirm the effectiveness of Zhi Bian (Bl54) for the treatment of acute and chronic cystitis. However,according to modern Chinese style acupuncture, one shouldneedle this point deeply to induce a strong qi sensation in thelower abdomen or genitals.6. Some Western practitioners believe that Mu Tong (CaulisAkebiae) should not be used for a long time, even in smallamounts, due to concerns over nephrotoxicity from aristolochicacid. This is because Caulis AristolochiaeManchurensis is commonly substituted for Caulis AkebiaeTrifoliatae/Quinatae. When one can be sure they are prescribingCaulis Akebiae, this is not a concern. However, onecan rarely be so sure.