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

MIGRAINE HEADACHES 367If the flow of qi and blood is inhibited for a long time orrecurrently over a long period of time, blood stasis may furthercomplicate any of the above scenarios, in which casestatic blood enters the network vessels causing localized,sharp, or severe pain.TREATMENT BASED ON PATTERNDISCRIMINATION:1. LIVER DEPRESSION-QI & BLOODVACUITY PATTERNMAIN SYMPTOMS: One-sided headache most often occurringin females perimenstrually, blurred vision, tunnel vision,photophobia, numbness and tingling of the fingers or face,chest, rib-side, and/or breast distention and fullness, a tendencyto sighing, headaches caused or aggravated by emotionalstimulation, emotional depression, fatigue, lack ofstrength, cold hands and feet, menstrual irregularities, possiblelower abdominal distention and pain, alternating constipationand diarrhea or loose stools, a pale but dark tonguewith white fur, and a bowstring, fine pulseNOTE: This pattern describes a liver-spleen disharmonycomplicated by blood vacuity.TREATMENT PRINCIPLES: Harmonize the liver and resolvedepression, fortify the spleen and supplement the qiRX: Xiao Yao San Jia Wei (Rambling Powder with AddedFlavors)INGREDIENTS:Bai Shao (Radix Paeoniae Albae)Chuan Xiong (Rhizoma Chuanxiong)Bai Zhi (Radix Angelicae Dahuricae)Chai Hu (Radix Bupleuri)Dang Gui (Radix Angelicae Sinensis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Fu Ling (Poria)mix-fried Gan Cao (Radix Glycyrrhizae)Bo He (Herba Menthae Haplocalycis)Sheng Jiang (uncooked Rhizoma Zingiberis)18g15g15g9g9g9g9g6g6g3 slicesNOTE: Because of its ascendant, upbearing nature, Chai Huis usually forbidden in case of upward counterflow of liver qi,yang, or fire. However, it is an essential medicinal to resolvedepression. Therefore, it is important when using this medicinalfor the treatment of headache to use either stir-fried orvinegar stir-fried Chai Hu and to combine Chai Hu with BaiShao. Using correctly processed Chai Hu and combining itwith Bai Shao will prevent this medicinal’s upbearing naturefrom causing unwanted side effects.ANALYSIS OF FORMULA: Chai Hu and Bo He work on theyang aspect of the liver. They course the liver and resolvedepression. Bai Shao and Dang Gui work on the yin aspectof the liver. They nourish liver blood to prevent further liverdepression and qi stagnation. Together, these four medicinalsharmonize the liver and resolve depression. Bai Zhu, Fu Ling,Sheng Jiang, and mix-fried Gan Cao fortify the spleen andboost the qi so as to keep the liver qi in its rightful place. Ifthe spleen is strong, the liver cannot counterflow horizontallyonto it. Since the spleen is the root of qi and blood engendermentand transformation, these medicinals also helpengender the blood so that the liver can function correctly.Chuan Xiong and Dang Gui quicken the blood and stoppain. In addition, Chuan Xiong, Bai Zhi, and Bo He free theflow of the network vessels in the head and stop pain.ADDITIONS & SUBTRACTIONS: If liver depression has transformedheat, add 15 grams each of Xia Ku Cao (SpicaPrunellae) and Ju Hua (Flos Chyrsanthemi) and nine gramseach of Dan Pi (Cortex Moutan) and Zhi Zi (FructusGardeniae). If there is concomitant blood stasis, add 15 gramsof Dan Shen (Radix Salviae Miltiorrhizae) and nine grams eachof Tao Ren (Semen Persicae) and Hong Hua (Flos Carthami). Ifenduring disease has entered the network vessels, add ninegrams each of Quan Xie (Scorpio) and Wu Gong (Scolopendra).If spleen qi vacuity is more pronounced with marked fatigue,add 15 grams of Huang Qi (Radix Astragali) and nine grams ofDang Shen (Radix Codonopsitis). If blood vacuity is more pronounced,add 15 grams of Ji Xue Teng (Caulis Spatholobi) and12 grams of He Shou Wu (Radix Polygoni Multiflori). Ifphlegm dampness is obstructing the network vessels, add ninegrams each of Tian Nan Xing (Rhizoma Arisaematis) and BaiJie Zi (Semen Sinapis). During acute attacks, if there is markedpain at the vertex, nausea and vomiting, and counterflow chilling,nine grams each of Wu Zhu Yu (Fructus Evodiae), Ban Xia(Rhizoma Pinelliae), and Chen Pi (Pericarpium CitriReticulatae) may be added. Between attacks, only add Ban Xiaand Chen Pi. If perimenstrually there is concomitant low backsoreness and pain, add 15 grams of Niu Xi (Radix AchyranthisBidentatae) and nine grams of Du Zhong (Cortex Eucommiae).If there is accompanying dizziness, add 15 grams of Gou Teng(Ramulus Uncariae Cum Uncis) and nine grams of Tian Ma(Rhizoma Gastrodiae).ACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3), NeiGuan (Per 6), local points according to the location of pain,distant points according to the channel affected. For localpoints according to the site of pain, select 1-3 points pertreatment from among: Jiao Sun (TB 20), Shuai Gu (GB 8),Yang Bai (GB 14), Tai Yang (M-HN-9), Bai Hui (GV 20),Feng Chi (GB 20), Yi Feng (TB 17), Yin Tang (M-HN-3),and a shi points. Direct the tip of the needle to the site wherethe pain is most severe. For distant points according to thechannel affected, select one hand and one foot point from