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

MYASTHENIA GRAVIS 383the sinew vessels of the foot tai yin and foot shao yin, addGong Sun (Sp 4), San Yin Jiao (Sp 6), Tai Xi (Ki 3), andZhao Hai (Ki 6).ANALYSIS OF FORMULA: All the local or symptomatic pointssupplement vacuity and harmonize the network vessels. QiHai, Zu San Li, and Bai Hui supplement the center, boostthe original qi, and upbear the clear. Qi Hai supplements theqi of the former heaven, while Zu San Li supplements the qiof the latter heaven. Bai Hui, being on the top of the body,draws the qi up to the top of the head. Moxibustion on thesethree points promotes the upward movement of qi due to theflaming upward nature of heat.ADDITIONS & SUBTRACTIONS: Please see the symptomaticpoints above.2. QI & YIN DUAL VACUITY PATTERNMAIN SYMPTOMS: Drooping eyelids, double vision, lack ofstrength in the four extremities, scanty qi, disinclination tospeak, spontaneous perspiration or night sweats, dry mouthand parched throat, heart vexation, dry stools, a red tonguewith scanty fur, and a bowstring, fine or fine, rapid pulse.This pattern is mostly seen in patients with double vision.TREATMENT PRINCIPLES: Boost the qi and nourish yinRX: Liu Wei Di Huang Tang (Six Flavors RehmanniaDecoction) & Sheng Mai San (Engender the Pulse Powder)with additions and subtractionsINGREDIENTS:Huai Shan Yao (Radix Dioscoreae)Huang Qi (Radix Astragali)Tai Zi Shen (Radix Pseudostellariae)(or Xi Yang Shen (Radix Panacis Quinquefolii) 6g)Sheng Shu Di (uncooked & cooked RadixRehmanniae) eachShan Yu Rou (Fructus Corni)Fu Ling (Poria)Mai Dong (Tuber Ophiopogonis)Wu Wei Zi (Fructus Schisandrae)Bai Shao (Radix Paeoniae Albae)Huang Jing (Rhizoma Polygonati)Dang Gui (Radix Angelicae Sinensis)mix-fried Gan Cao (Radix Glycyrrhizae)powdered Zi He Che (Placenta Hominis)(washed down with the other medicinals)30g30g25g15g15g15g15g9g9g9g9g6g6gANALYSIS OF FORMULA: Sheng Di, Shu Di, Shan Zhu Yu,Shan Yao, Mai Men Dong, Wu Wei Zi, and Zi He Che supplementthe kidneys and enrich yin. Dang Gui, Zi He Che,and Bai Shao also nourish the blood and supplement theliver. Tai Zi Shen or Xi Yang Shen, Fu Ling, Huang Qi, HuangJing, Shan Yao, and mix-fried Gan Cao supplement the spleenand boost the qi. In addition, both Tai Zi Shen and Xi YangShen engender fluids, and Huang Jing and Shan Yao supplementthe kidneys.ADDITIONS & SUBTRACTIONS: If there is spontaneousperspiration, add 30 grams of Fu Xiao Mai (Fructus LevisTritici). If there are night sweats, add nine grams of Di Gu Pi(Cortex Lycii) and six grams of Huang Bai (CortexPhellodendri). If there are drooping eyelids, add six gramseach of Sheng Ma (Rhizoma Cimicifugae) and Chai Hu(Radix Bupleuri) and 15 grams of Ge Gen (Radix Puerariae).If the stools are dry and bound, add 20 grams of Xuan Shen(Radix Scrophulariae).ACUPUNCTURE & MOXIBUSTION: 1. Please see pattern #1above. 2. Fu Liu (Ki 7), San Yin Jiao (Sp 6), Zu San Li (St36). 3. Please see pattern #1 above.ANALYSIS OF FORMULA: All the local and symptomaticpoints supplement vacuity and harmonize the network vessels.Fu Liu is the metal point on the kidney channel. Itnourishes yin and engenders fluids. It also stops perspirationor night sweats. Zu San Li supplements both qi and yin. SanYin Jiao helps Fu Liu to nourish kidney yin and Zu San Li toboost the qi. At the same time, it nourishes liver blood andsecures the essence.ADDITIONS & SUBTRACTIONS: Please see the symptomaticpoints in pattern #1 above. For double vision, one canuse the same points as for drooping eyelids alternated with YiMing (M-HN-13), Jing Ming (Bl 1), and Tai Yang (M-HN-9). Clinical experience suggests that the distant points FengChi (GB 20) and Guang Ming (GB 37) have a better effectthan purely local points.3. SPLEEN-KIDNEY YANG VACUITY PATTERNMAIN SYMPTOMS: Drooping eyelids, restricted ocularmovement, lack of strength of the four limbs and lack ofwarmth, dread of cold, fear of chill, spontaneous perspiration,aphasia, difficulty swallowing, loose stools, low backand knee limpness and weakness, a pale tongue with white,wet fur, and a deep, fine pulse. This pattern is mostly seen inthose with generalized symptoms affecting their whole bodyaccompanied by double vision.TREATMENT PRINCIPLES: Warm and supplement thespleen and kidneysRX: You Gui Yi (Restore the Right Drink) & Li Zhong Tang(Rectify the Center Decoction) with additions and subtractionsINGREDIENTS:Shu Di (cooked Radix Rehmanniae)30g