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

338 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEnels. Da Zao aids both Huang Qi and Bai Shao in supplementingthe qi and blood. Since Gui Zhi and Sheng Jiangmove the qi, they may be used whether or not this conditionis complicated by wind cold. In addition, Bai Shao relaxescramping.ADDITIONS & SUBTRACTIONS: For concomitant bloodvacuity and/or blood stasis, add 15 grams of Ji Xue Teng(Caulis Spatholobi) and nine grams of Dang Gui (RadixAngelicae Sinensis). For marked wind cold dampness, addnine grams each of Wu Jia Pi (Cortex Acanthpanacis), WeiLing Xian (Radix Clematidis), and Qiang Huo (Radix EtRhizoma Notopterygii). For bone weakness and sinewfatigue, add nine grams each of Du Zhong (CortexEucommiae) and Xu Duan (Radix Dipsaci).For severe blood stasis due to acute trauma or repetitivestrain or micro-trauma, replace Huang Qi Gui Zhi Wu WuTang with Huo Ying Zhi Tong Tang Jia Jian (Quicken theConstructive & Stop Pain Decoction with Additions &Subtractions): Xu Duan (Radix Dipsaci) and Yan Hu Suo(Rhizoma Corydalis), 12g each, Dang Gui Wei (ExtremitasRadicis Angelicae Sinensis), Chi Shao (Radix PaeoniaeRubrae), Chuan Xiong (Rhizoma Chuanxiong), Su Mu(Lignum Sappan), Chen Pi (Pericarpium Citri Reticulatae),Tao Ren (Semen Persicae), and Wu Yao (Radix Linderae), 9geach, Mo Yao (Myrrha), Ru Xiang (Olibanum), and Gan Cao(Radix Glycyrrhizae), 6g each.If there is mainly blood vacuity failing to nourish the sinews,replace Huang Qi Gui Zhi Wu Wu Tang with Dang Gui JianZhong Tang (Dang Gui Fortify the Center Decoction): YiTang (Maltose) and Bai Shao (Radix Paeoniae Albae), 18geach, Gui Zhi (Ramulus Cinnamomi), Dang Gui (RadixAngelicae Sinensis), and Sheng Jiang (uncooked RhizomaZingiberis), 9g each, mix-fried Gan Cao (RadixGlycyrrhizae), 6g, and Da Zao (Fructus Jujubae), 12 pieces.If there is blood vacuity with marked cold impediment, replaceHuang Qi Gui Zhi Wu Wu Tang with Dang Gui Si Ni Tang(Dang Gui Four Counterflows Decoction): Dang Gui (RadixAngelicae Sinensis), Bai Shao (Radix Paeoniae Albae), and GuiZhi (Ramulus Cinnamomi), 9g each, Xi Xin (Herba Asari),Mu Tong (Caulis Akebiae), and mix-fried Gan Cao (RadixGlycyrrhizae), 6g each, and Da Zao (Fructus Jujubae), 25pieces.If qi and blood vacuity are pronounced, replace Huang QiGui Zhi Wu Wu Tang with Shi Quan Da Bu Tang Jia Wei (Ten[Ingredients] Completely & Greatly SupplementingDecoction with Added Flavors): Shu Di (cooked RadixRehmanniae), Ji Xue Teng (Caulis Spatholobi), and Huang Qi(Radix Astragali), 12g each, Bai Shao (Radix PaeoniaeAlbae), Dang Gui (Radix Angelicae Sinensis), Dang Shen(Radix Codonopsitis), Bai Zhu (Rhizoma AtractylodisMacrocephalae ), and Fu Ling (Poria), 9g each, and ChuanXiong (Rhizoma Chuanxiong), mix-fried Gan Cao (RadixGlycyrrhizae), and Gui Zhi (Ramulus Cinnamomi), 6g each.ACUPUNCTURE & MOXIBUSTION: Zhou Liao (LI 12),Shou San Li (LI 10), Shou Wu Li (LI 13), He Gu (LI 4), locala shi pointsANALYSIS OF FORMULA: Draining Zhou Liao, Shou San Li,Shou Wu Li, and any a shi points frees the flow of the channelsand network vessels in the local area. He Gu is the sourcepoint on the hand yang ming, and the pain of tennis elbowis usually located on this channel. Draining this importantdistal point on this channel helps free the flow of the qi andblood within the hand yang ming. Use warm needle techniqueon all local points if there is prominent cold.ADDITIONS & SUBTRACTIONS: If qi and blood vacuity aremarked, add Zu San Li (St 36) and Ge Shu (Bl 17) with supplementingtechnique. If there is concomitant liver-kidneyvacuity, add Tai Xi (Ki 3), San Yin Jiao (Sp 6), Ge Shu (Bl17), and Gan Shu (Bl 18) with supplementing technique. Ifthere are signs and symptoms of systemic blood stasis, addXue Hai (Sp 10). If there is phlegm obstructing the channels,add Feng Long (St 40) and Zu San Li (St 36).REMARKS1. In real life, most patients with tennis elbow also have liverdepression qi stagnation either simply due to being an adultor due to the frustration of not being able to work or play.Therefore, one will typically have to add appropriate qi-rectifyingmedicinals to the above formulas or use a liver-spleenharmonizing formula, such as Xiao Yao San (RamblingPowder) and then modify that for blood vacuity, blood stasis,and/or wind cold impediment. In addition, if the patientclearly has a pattern based on their habitual bodily constitution,then one should choose a formula for that constitutionand modify it for tennis elbow, keeping in mind the mainmechanisms of this disease. In other words, if a person had aliver blood-kidney yin vacuity bodily constitution, then onemight start with Liu Wei Di Huang Wan (Six FlavorsRehmannia Pills). If one has a phlegm damp bodily constitution,then one might modify Er Chen Tang (Two Aged[Ingredients] Decoction), etc.2. In order to get a satisfactory result with tennis elbow, thepatient needs to refrain from all activities, be they work orplay, that aggravate this condition. Until or unless the patientis willing to allow the inflammation of their lateral epicondyleto heal, no amount of acupuncture or Chinese medicinalsare going to get a satisfactory effect. If the cause ofthis inflammation is work related, the patient should beadvised to modify their equipment or their work habits. Thismay mean using a lighter hammer or tennis racket or seek-