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

382 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINETREATMENT BASED ON PATTERNDISCRIMINATION:1. QI VACUITY FALLING DOWNWARD PATTERNMAIN SYMPTOMS: Drooping eyelids, double vision, abright white, lusterless facial complexion, decreased eating,loose stools, fatigue, lassitude of the spirit, scanty qi, disinclinationto speak, a weak voice, a slight degree of lack ofstrength and warmth in the extremities, symptoms better inthe morning and worse in the afternoon, a pale tongue withwhite fur, and a fine, weak pulse. This pattern is mostly seenin patients with ptosis of the eyelids.TREATMENT PRINCIPLES: Supplement the center andboost the qi, upbear yang and lift the fallenRX: Bu Zhong Yi Qi Tang Jia Jian (Supplement the Center &Boost the Qi Decoction with Additions & Subtractions)INGREDIENTS:Dang Shen (Radix Codonopsitis)Shan Yao (Radix Dioscoreae)Huang Qi (Radix Astragali)mix-fried Gan Cao (Radix Glycyrrhizae)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Dang Gui (Radix Angelicae Sinensis)Bian Dou (Semen Dolichoris)Huang Jing (Rhizoma Polygonati)Zi He Che (Placenta Hominis)Chen Pi (Pericarpium Citri Reticulatae)Sheng Ma (Rhizoma Cimicifugae)Chai Hu (Radix Bupleuri)30g30g30g9g9g9g9g9g9g9g5g5gANALYSIS OF FORMULA: Dang Shen, Huang Qi, mix-friedGan Cao, Bai Zhu, Shan Yao, Bai Bian Dou, and Huang Jing,all supplement the center and boost the qi. In addition, BaiBian Dou and Bai Zhu with the help of Chen Pi transformdampness, Huang Jing and Shan Yao supplement the kidneys,and Huang Qi with the help of Chai Hu and Sheng Maupbears yang and lifts the fallen. Dang Gui regulates theblood, while Chen Pi regulates the qi. Zi He Che supplementsthe qi, blood, yin, and yang and treats weakness andwilting condition.ADDITIONS & SUBTRACTIONS: If there is chest oppressionand venter glomus with slimy tongue fur, add nine gramseach of Cang Zhu (Rhizoma Atractylodis) and Pei Lan(Herba Eupatorii). If eating and drinking are devitalized, add15 grams each of Shan Zha (Fructus Crataegi), Mai Ya(Fructus Germinatus Hordei), and Gu Ya (FructusGerminatus Oryzae). If there is simultaneous emission ofcoolness of the four extremities, add 15 grams each of Tu SiZi (Semen Cuscutae), Ba Ji Tian (Radix MorindaeOfficinalis), and Shu Di (cooked Radix Rehmanniae). Ifthere is a severe qi vacuity with severe fatigue, increase thedosage of Huang Qi and Dang Shen up to 50 grams and thatof Chai Hu and Sheng Ma up to nine grams.An alternative treatment to Bu Zhong Yi Qi Tang is ShengXian Tang (Upbear the Fallen Decoction) which is anotherfamous formula for the treatment of the qi vacuity fallingdownward pattern: rice stir-fried Dang Shen (RadixCodonopsitis) and honey stir-fried Huang Qi (RadixAstragali), 30g each, Gang Gui (Radix Angelicae Sinensis),Sheng Ma (Rhizoma Cimicifugae), and Chai Hu (RadixBupleuri), 9g each, mix-fried Gan Cao (RadixGlycyrrhizae), 5g, Gui Zhi (Ramulus Cinnamomi) and JieGeng (Radix Platycodi), 3g each.ACUPUNCTURE & MOXIBUSTION: For any pattern ofmyasthenia gravis, one can select points from the three followinggroups: 1) local points according to which limbs areweak, 2) distant points according to the pattern discrimination,and 3) symptomatic points according to the main manifestationsof the patient1. Local points: A) For weakness of the upper arm: Da Zhui(GV 14), Jia Ji (EX-B-2) T1-T8. Select 2-3 points per treatment.B) For weakness in the forearm: Jian Yu (LI 15), BiNao (LI 14), Qu Chi (LI 11), Shou San Li (LI 10), He Gu (LI4), Wai Guan (TB 5). Select 2-3 points per treatment. C) Forweakness in the buttocks and thighs: Ci Liao (Bl 32), ZhiBian (Bl 34), Yao Yang Guan (GV 3), Jia Ji (EX-B-2) T10-L5. Select 2-3 points per treatment. D) For weakness in thelower legs: Bi Guan (St 31), Fu Tu (St 32), Liang Qiu (St 34),Zu San Li (St 36), Shang Ju Xu (St 37), Jie Xi (St 41). Select2-3 points per treatment.2. Distant points: Qi Hai (CV 6), Zu San Li (St 36), Bai Hui(GV 20)3. Symptomatic points: For drooping eyelids, add Zan Zhu(Bl 2), Si Zhu Kong (TB 3), and Yu Yao (M-HN-6), or needlefrom Zan Zhu through to Yu Yao or Si Zhu Kongthrough to Yu Yao or Yang Bai (GB 14) through to Yu Yao.For weakness of the wrist, add Yang Chi (TB 4) and Yang Xi(LI 5). For weakness of the hands, add He Gu (LI 4)through to Hou Xi (SI 3) using penetrating needle method.For weakness or numbness of the fingers, add Ba Xie (M-UE-22). For weakness of the knees, add Wei Zhong (Bl 40)and Qu Quan (Liv 8). For weakness of the feet or numbnessof the toes, add Ba Feng (M-LE-8). For talipes equinus dueto weakness of the sinew vessels of the foot yang ming, footshao yang, and foot jue yin, add Shang Ju Xu (St 37), Jie Xi(St 41), Qiu Xu (GB 40), Zhong Feng (Liv 4), and Yang LingQuan (GB 34). For talipes varus due to weakness of thesinew vessels of the foot tai yang and foot shao yang, addKun Lun (Bl 60), Shen Mai (Bl 62), Xuan Zhong (GB 39),and Qiu Xu (GB 40). For talipes valgus due to weakness of