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

356 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINE4. QI, BLOOD, YIN & YANG VACUITY PATTERNMAIN SYMPTOMS: Decreased visual acuity which is worse atnight and when fatigued, a pale, possibly sallow yellow facialcomplexion, fatigue, lack of strength, shortness of breath onslight exertion, dry skin, brittle nails, low back and kneesoreness and weakness, tinnitus, dizziness, impaired memory,decreased auditory acuity, decreased sexual desire, coldhands and feet, upper back chill, aversion to cold, nocturia,possible seminal emission, constipation, spider nevi, cherryhemangiomas, or other varicosities, age spots on the skin, apale, enlarged or enlarged, red, dry tongue with scanty fur,and a fine, deep, weak pulseNOTE: If qi and blood, yin and yang are all truly vacuousand insufficient, there will have to be complications associatedwith liver depression and blood stasis at the least even ifthe name of this pattern does not say so.TREATMENT PRINCIPLES: Enrich the kidneys and invigorateyang, nourish the blood and boost the qi, quicken theblood and free the flow of the network vesselsRX: Wang Yi Jian (Retinal Changes Decoction)INGREDIENTS:Ji Xue Teng (Caulis Spatholobi)Dang Shen (Radix Codonopsitis)Shu Di (cooked Radix Rehmanniae)Tu Si Zi (Semen Cuscutae)Lu Lu Tong (Fructus Liquidambaris)Mi Meng Hua (Flos Immaturus Buddleiae)Nu Zhen Zi (Fructus Ligustri Lucidi)Gou Qi Zi (Fructus Lycii)Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli)Ba Ji Tian (Radix Morindae Officinalis)Chong Wei Zi (Semen Leonuri)Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Tao Ren (Semen Persicae)Hong Hua (Flos Carthami)Sheng Ma (Rhizoma Cimicifugae)Gan Cao (Radix Glycyrrhizae)30g20g15g15g15g15g12g12g12g12g12g9g9g9g9g6g3gANALYSIS OF FORMULA: Ji Xue Teng, Shu Di, Dang Gui, BaiShao, Nu Zhen Zi, and Gou Qi Zi all supplement the liverand nourish the blood. Shu Di, Gou Qi Zi, and Tu Si Zi supplementthe kidneys and help foster essence. In addition, TuSi Zi, Nu Zhen Zi, and Gou Qi Zi brighten the eyes. Tu Si Zialso secures and astringes essence and urine. Ba Ji Tian supplementsthe kidneys and invigorates yang, while Fu Ziwarms and invigorates yang. Ji Xue Teng, Dang Gui, HongHua, Chong Wei Zi, Lu Lu Tong, and Tao Ren quicken theblood and transform stasis. Tao Ren also moistens the intestinesand frees the flow of the stools. Dang Shen fortifies thespleen and supplements the qi. Sheng Ma upbears the clear,thus aiding in the rectification of the qi mechanism and thesupplementation of the qi. Mi Meng Hua generally benefitsand brightens the eyes, being used for either replete or vacuitypatterns of eye problems. Gan Cao harmonizes all theother medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is liver depression qistagnation, add nine grams of Chai Hu (Radix Bupleuri). Ifthere is yin vacuity-fire effulgence, add nine grams each ofHuang Bai (Cortex Phellodendri) and Zhi Mu (RhizomaAnemarrhenae). If there is more marked fatigue and bodilyweakness, add up to 30 grams of Huang Qi (Radix Astragali).If there is low back pain, add 12 grams each of Du Zhong(Cortex Eucommiae) and Sang Ji Sheng (Herba Taxilli). Ifthere is phlegm misting the clear orifices, add nine grams ofShi Chang Pu (Rhizoma Acori Tatarinowii). For decreased sexualdesire, add nine grams each of Xian Mao (RhizomaCurculiginis) and Yin Yang Huo (Herba Epimedii).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), FuLiu (Ki 7), San Yin Jiao (Sp 6), Ge Shu (Bl 17), Gan Shu (Bl18), Pi Shu (Bl 20), Shen Shu (Bl 23), Jing Ming (Bl 1), QiuHou (M-HN-8), Cheng Qi (St 1)ANALYSIS OF FORMULA: Supplementing Zu San Li, San YinJiao, and Pi Shu fortifies the spleen and boosts the qi.Supplementing Ge Shu and Gan Shu supplements the liverand nourishes the blood. Supplementing Fu Liu, the metalmotherpoint of the kidneys, supplements the kidneys andenriches yin. Supplementing Shen Shu with moxibustion supplementsthe kidneys and invigorates yang. SupplementingJing Ming, Qiu Hou, and/or Cheng Qi brightens the eyes.ADDITIONS & SUBTRACTIONS: If there is marked bloodstasis, needle Ge Shu and San Yin Jiao with even supplementing-evendraining technique. If there is marked qi vacuity,add Tai Bai (Sp 3). If there is marked yang vacuity, alsomoxa Guan Yuan (CV 4) and Ming Men (GV 4).REMARKS1. Vision degeneration problems are often difficult to treatsatisfactorily with either fine needle acupuncture or internallyadministered Chinese medicinals. One explanation forthis is that there is blood stasis in the grandchild networkvessels which nourish the eyes, and fine needles are not sogood for freeing the flow of the network vessels, especially inthis region. Therefore, daily local self-massage, includingtapotement around the orbits of the eyes, is recommended aslocal adjunctive therapy. Likewise, cupping, gua sha, andbleeding therapy may also be helpful adjunctively as these are