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

MYASTHENIA GRAVIS 3855. BLOOD STASIS OBSTRUCTING THENETWORK VESSELS PATTERNMAIN SYMPTOMS: Drooping eyelids, general weakness ofthe muscles, lack of strength in the lower limbs, chest anddiaphragmatic fullness and oppression, rapid breathing, adark red tongue, and a choppy pulseNOTE: Although bloods stasis can be the consequence ofany of the preceding patterns, it is also typical of thymomacausing myasthenia gravis.TREATMENT PRINCIPLES: Transform stasis and free the flowof the network vesselsRX: Xiong Long Tang (Ligusticum & Lumbricus Decoction)INGREDIENTS:Ge Gen (Radix Puerariae)Yan Hu Suo (Rhizoma Corydalis)San Leng (Rhizoma Sparganii)E Zhu (Rhizoma Curcumae)wine stir-fried Chuan Xiong (Rhizoma Chuanxiong)Dang Shen (Radix Codonopsitis)Di Long (Pheretima)Zhi Ke (Fructus Aurantii)30g30g30g30g15g15g15g12gANALYSIS OF FORMULA: Blood stasis in the chest causesunsmooth circulation of qi and blood in the whole body sincethe chest center is the mansion of the gathering or ancestral qiwhich is responsible for both the respiration and blood circulation.If the circulation of the qi and blood is unsmooth, themuscles and flesh are not correctly nourished, thus leading todrooping eyelids and general weakness. Therefore, large doses ofChuan Xiong, Yan Hu Suo, E Zhu, and San Leng are used tostrongly quicken the blood and transform stasis. Di Long freesthe flow of the network vessels to treat blood stasis at an evendeeper level. Ge Gen transports fluids to the surface to nourishand moisten the sinews and stimulate the muscles. Zhi Ke movesthe qi based on the saying, “When the qi moves, the bloodmoves.” Dang Shen supplements the spleen and boosts the qi.ACUPUNCTURE & MOXIBUSTION: 1. Please see pattern #1above. 2. He Gu (LI 4), San Yin Jiao (Sp 6), Dan Zhong (CV17). 3. Please see pattern #1 above.ANALYSIS OF FORMULA: He Gu and San Yin Jiao are a specialcombination for the treatment of qi and blood stasis and stagnation.The former moves the qi, while the latter quickens theblood. Dan Zhong focuses the two preceding points’ action onthe chest which is the site of the source of this disease.ADDITIONS & SUBTRACTIONS: Please see the symptomaticpoints in pattern #1 above.REMARKS1. Because of the relationship between the qi and blood,patients with this condition may also exhibit the complicatingpatterns of qi and blood dual vacuity, liver depression qistagnation, and blood stasis. As in all chronic, enduring diseases,there will be an element of liver depression due tonothing other, than the frustration of being ill. Because thisdisease tends to be an enduring one, static blood commonlyenters the network vessels over time. If there is concomitantblood vacuity signs and symptoms, it is appropriate to addblood supplementing and nourishing medicinals. If there isconcomitant liver depression qi stagnation, one should addappropriate qi-rectifying medicinals. And if there is bloodstasis, then one should add medicinals which either quickenthe blood and transform stasis or quicken the blood and freethe flow of the network vessels.Bu Qi Zeng Li Tang (Supplement the Qi & Increase theForce Decoction) is an alternative treatment to Bu Zhong YiQi Tang for spleen qi vacuity complicated by blood vacuity,blood stasis, and liver depression: Huang Qi (RadixAstragali), 60g, Ji Xue Teng (Caulis Spatholobi), 24g, DangGui (Radix Angelicae Sinensis) and Ge Gen (RadixPuerariae), 18g each, Shan Yao (Radix Dioscoreae), 15g,Dang Shen (Radix Codonopsitis), Bai Zhu (RhizomaAtractylodis Macrocephalae), and Fu Ling (Poria), 15g each,Chen Pi (Pericarpium Citri Reticulatae), Chuan Xiong(Rhizoma Chuanxiong), Chi Shao (Radix Paeoniae Rubrae),Bai Shao (Radix Paeoniae Albae), Chai Hu (Radix Bupleuri),and Gui Zhi (Ramulus Cinnamomi), 9g each.2. As with most autoimmune diseases, proper diet is extremelyimportant. Since all three major patterns of thisdisease involve a spleen qi vacuity, one should eat a spleensupportingdiet. This means little if any sugars and sweets,little if any uncooked and chilled foods and drinks, andcare when eating foods which strongly engender fluids.Foods which engender fluids are typically those which havea lot of wei or “flavor.” This includes many foods whichenrich yin and fill the essence, such as dairy and animalproducts. When complicated by blood and/or yin vacuity,some yin-enriching foods are necessary. However, so manyof these should not be eaten so as to damage the spleen. Ingeneral, it is always safer in terms of diet to foster essencevia the spleen’s engenderment and transformation of qi andblood than to eat a lot of slimy, enriching, flavor-laden,yin-supplementing foods.3. Like most other autoimmune diseases, this condition’sseverity fluctuates, and there are often periods of relativeremission. In general, Chinese medical treatment shouldmainly be used for the long-term prevention of future reoccurrencesand the progression of this disease, while during