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

342 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEINGREDIENTS:processed Chuan Wu (Radix Aconiti Carmichaeli)Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli)Gui Zhi (Ramulus Cinnamomi)Du Huo (Radix Angelicae Pubescentis)Ge Gen (Radix Puerariae)Gan Jiang (dry Rhizoma Zingiberis)Ma Huang (Herba Ephedrae)Gan Cao (Radix Glycyrrhizae)Xi Xin (Herba Asari )9g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Ma Huang, Gui Zhi, Ge Gen, XiXin, and Du Huo dispel wind and scatter cold. In addition,Gui Zhi and Du Huo warm the channels and treat impedimentpain. Du Huo dispels evils especially in the lower partof the body, while Ge Gen resolves the muscles, especially inthe bladder channels in the upper back. Du Huo and Ge Genare probably the best Chinese medicinals to dispel wind andstop pain in the back, with Ge Gen better for the upper backand Du Huo better for the lower back. Chuan Wu, Fu Zi,Gan Jiang, Xi Xin, and Gui Zhi scatter cold, dispel dampness,and stop pain. Fu Zi and Xi Xin are very powerful for stoppingpain. Gan Cao harmonizes all the other medicinals ofthis formula and controls the toxicity of Fu Zi.ADDITIONS & SUBTRACTIONS: If there is concomitantkidney vacuity, add nine grams each of Sang Ji Sheng (HerbaTaxilli) and Xu Duan (Radix Dipsaci). If there is a severeheavy sensation in the low back, add nine grams of Cang Zhu(Rhizoma Atractylodis). For concomitant spleen vacuity, add12 grams each of Bai Zhu (Rhizoma AtractylodisMacrocephalae) and Fu Ling (Poria). For concomitant bloodstasis, add nine grams of Chi Shao (Radix Paeoniae Rubrae)and six grams each of Ru Xiang (Olibanum) and Mo Yao(Myrrha). For concomitant wind cold with migrant pain orpain radiating to the leg or rib-side, add nine grams each ofQiang Huo (Radix Et Rhizoma Notopterygii) and Fang Feng(Radix Saposhnikoviae).ACUPUNCTURE & MOXIBUSTION: The following methodmay be used if modern investigations (i.e., x-rays, CT scan,or myelography) show precisely the location of the herniation:A. If the nucleus has moved posteriorly into the extraduralspace, needle bilateraly the Jia Ji (M-BW-35) corresponding tothe affected vertebra plus the Jia Ji above and below the affectedvertebra. In other words, for herniation of the nucleusbetween L2 and L3, needle the Jia Ji of L1, 2, and 3. Use evensupplementing-even draining method and moxibustion.B. If the nucleus has moved posterolaterally and is puttingpressure on the rachidian nerve, needle the Jia Ji (M-BW-35)on the opposite side of the vertebra with the herniation plusthe Jia Ji above and below the affected vertebra, always in theopposite side of the herniation. In other words, for herniationof the nucleus between L2 and L3, needle the Jia Ji of L1, 2,and 3 but only on the opposite side of the herniation. Useeven supplementing-even draining method and moxibustion.Then add to the Jia Ji other local points according to thelocation of pain, such as: Ming Men (GV 4), Yao Yang Guan(GV 3), Xuan Shu (GV 5), San Jiao Shu (Bl 22), Shen Shu (Bl23), Qi Hai Shu (Bl 24), Da Chang Shu (Bl 25), Guan YuanShu (Bl 26), or a shi point(s). Use moxibustion and drainingmethod.ANALYSIS OF FORMULA: All these points warm the channels,scatter cold, and dispel dampness, free the flow of thenetwork vessels and stop pain.ADDITIONS & SUBTRACTIONS: For lateral pain on thebladder channel, add Wei Zhong (Bl 40) or Kun Lun (Bl 60).For central pain on the governing vessel, add Chang Qiang(GV 1), Shui Gou (GV 26), or Hou Xi (SI 3). For both lateraland central pain, add Shen Mai (Bl 62) plus Hou Xi (SI3). For buttock pain, add Zhi Bian (Bl 54) or Huan Tiao (GB30). For cold pain in the low back, buttocks, and lowerlimbs, moxa Zhi Bian (Bl 54), Cheng Fu (Bl 36), and ChengShan (Bl 57). For pain radiating to the lateral side of thethigh, add Feng Shi (GB 31). For pain radiating to the posteriorside of the thigh, add Yin Men (Bl 37). For pain radiatingto the lateral side of the lower leg, add Yang Ling Quan(GB 34) or Xuan Zhong (GB 39). For pain radiating to thecalf, add Cheng Shan (Bl 57). For severe cold pain and coldlimbs, moxa Ming Men (GV 4). For lack of strength in thelow back and knees, add Fu Liu (Ki 7). For digestive troubles,add Gong Sun (Sp 4). For lumbar and hip pain, add BaiHuan Shu (Bl 30) and Ju Liao (GB 29). For lumbosacral andcoccygeal pain, add Yin Bao (Liv 9) and Ci Liao (Bl 32) orother Ba Liao points.2. WIND DAMP IMPEDIMENT PATTERNMAIN SYMPTOMS: Lower and upper back pain which is notfixed in location but migrates around. The pain in the lowback is often accompanied by heaviness and can radiate tothe lower extremities. This is accompanied by numbness ofthe skin, changes in the condition associated with changes inthe weather, slight aversion to wind and cold, bodily heaviness,a pale tongue with thin, white or thin, yellow fur, anda floating, fine, bowstring pulse.NOTE: In this pattern, wind cold evils are associated with qiand blood vacuity which have allowed these evils to invade.TREATMENT PRINCIPLES: Dispel wind and eliminatedampness, diffuse impediment and free the flow of the networkvessels