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

390 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINENOTE: This pattern does not typically present in this pureform. However, qi stagnation and blood stasis may complicateany of the preceding patterns.TREATMENT PRINCIPLES: Quicken the blood and movethe qi, transform stasis and rectify the qiRX: Shi Xiao San Jia Wei (Loose a Smile Powder with AddedFlavors)INGREDIENTS:Tao Ren (Semen Persicae)Hong Hua (Flos Carthami)Chi Shao (Radix Paeoniae Rubrae)Dang Gui (Radix Angelicae Sinensis)Pu Huang (Pollen Typhae)Wu Ling Zhi (Feces Trogopterori)Chai Hu (Radix Bupleuri)Zhi Ke (Fructus Aurantii)Gan Cao (Radix Glycyrrhizae)15g15g15g12g9g9g9g9g6gANALYSIS OF FORMULA: Tao Ren, Hong Hua, Chi Shao, PuHuang, Dang Gui, and Wu Ling Zhi all quicken the bloodand dispel stasis. Dang Gui also nourishes the blood. ChaiHu and Zhi Ke move and rectify the qi. Gan Cao harmonizesthe other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is concomitant spleenqi vacuity, add nine grams each of Huang Qi (Radix Astragali),Dang Shen (Radix Codonopsitis), and Bai Zhu (RhizomaAtractylodis Macrocephalae). If there is concomitant bloodvacuity, add 18 grams of Ji Xue Teng (Caulis Spatholobi) and12 grams of Sheng Di (uncooked Radix Rehmanniae). If thereis concomitant yin vacuity, add 12 grams each of He Shou Wu(Radix Polygoni Multiflori) and Gou Qi Zi (Fructus Lycii).ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), HeGu (LI 4), Tai Chong (Liv 3), Di Cang (St 4), Jia Che (St 6)ANALYSIS OF FORMULA: San Yin Jiao and He Gu togetherquicken the blood and transform stasis throughout the body.Tai Chong and He Gu regulate and rectify the qi of the entirebody. In addition, He Gu treats all diseases of the head andface. Di Cang and Jia Che free the flow of the network vesselslocally. All these points should be drained.ADDITIONS & SUBTRACTIONS: If there is concomitantblood vacuity, add Ge Shu (Bl 17) and Gan Shu (Bl 18). Ifthere is marked spleen vacuity, add Tai Bai (Sp 3) and/or ZuSan Li (St 36).REMARKS1. In real-life practice, most cases of oral leukoplakia displaymultipattern presentations. For instance, spleen vacuity andliver depression are common factors in the causation ofdamp heat in addition to hot, spicy and greasy, fatty foodsand alcohol. Since most cases of leukoplakia occur in thoseover 60, most patients have qi and yin, qi and yang, or yinand yang vacuities which are then complicated by dampness,heat, qi stagnation, and/or blood stasis. Therefore, the aboveprotocols will usually have to be combined and modified tofit each individual patient.2. Since an element of damp heat typically does complicatemany, if not most, cases of oral leukoplakia, Chinese dietarytherapy supports the necessity of eliminating hot, spicy foodsfrom the diet as well as alcohol. In addition, if dampness isengendered internally due to spleen vacuity, sugars andsweets should also be avoided or minimized.3. If there are damp heat lesions with ulcerations and pain,one can spray the Chinese ready-made medicine Xi GuaShuang (Watermelon Frost) onto the affected area.4. Most oral leukoplakia occurs on the rear edges of thetongue where the tongue rubs up against the crowns of theteeth. However, unless the tongue is enlarged, it should notrub up against the crowns of the teeth. An enlarged tonguesuggests internal accumulation of water dampness in turndue to spleen vacuity. Therefore, we consider spleen vacuityto be an important component of this condition and reducingthe enlargement of the tongue as an important componentof its treatment.5. Chewing on the inner surface of the cheeks or lips is a typeof restless stirring or agitation, and, if there is no heat, thereis no agitation. All stirring is an expression of yang activity.Commonly such restless stirring is associated with liverdepression transforming heat or yin vacuity with vacuityheat. However, if spleen vacuity has engendered phlegm,then it may also be due to phlegm heat.ENDNOTES1 Wu Jun-xi, Lao Nian Chang Xian Bing Zheng Fang Zhi Fa (The Prevention& Treatment of Commonly Seen Geriatric Diseases), Chinese NationalChinese Medicine & Medicinal Press, Beijing, 1998, p. 3802 The University of Illinois at Chicago Medical Center, “Leukoplakia,”www.healthgate.com/choice/uic/cons/mdx-books/sym/sym278.html3 Wu Jun-xi, op. cit., p. 381