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

392 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEjoint aching and pain, swelling and distention, and inhibitionin flexing and extending. If these external evils block theyang qi, enduring depression of wind, cold, and dampnessmay transform into heat. In that case, there will be burningheat, redness, and swelling in the affected area. If wind is themain evil, the pain will be migratory and not fixed in location.If cold is predominant, there will be severe, chilly painwhich may feel like being cut by a knife. If dampness is predominant,the aching and pain will be heavy and fixed. Inthe early stage of this disease when evils are still lodged in themuscle or fleshy exterior and are causing disharmony of thedefensive and constructive, there may be aversion to wind,sweating, and emission of heat.Because impediment implies lack of free flow of the qi andblood, enduring impediment may be associated with qi stagnationand blood stasis. Because fluids flow with the blood,enduring dampness may congeal into phlegm nodulations.In addition, habitual bodily yin and blood may fail to nourishthe sinews and engender the marrow, while habitual bodilyyang vacuity may aggravate externally contracted coldwith vacuity cold. Since cold’s nature is constricting and contracting,such vacuity cold only worsens impediment pain.TREATMENT BASED ON PATTERNDISCRIMINATION:1. MOVING IMPEDIMENT PATTERNMAIN SYMPTOMS: Migratory joint aching, pain, and sorenesswhich is not fixed in location, aggravation of pain withthe weather, i.e., low pressure systems, possible accompanyingaversion to wind and fever, thin, white tongue fur, and afloating, moderate (i.e., slightly slow) pulseNOTE: This pattern is also called predominant wind pattern.TREATMENT PRINCIPLES: Dispel wind and free the flow ofthe network vessels assisted by scattering cold and dispellingdampnessNOTE: In actual fact, the three evils of wind, dampness, andcold are almost always combined together in the case of windcold damp impediment. When wind is predominant, we callthis moving impediment. When cold is predominant, we callthis painful impediment, and when the dampness is predominant,we call this fixed impediment. Thus, and especially intextbook presentations such as this, we distinguish three typesof impediment and give specific treatment principles for each.However, in real-life practice, in the majority of cases ofimpediment, we course wind, scatter cold, and eliminatedampness at the same time. Then, according to the diseasemechanisms, one should clear depressive heat, supplementvacuity, dispel the stasis, and transform phlegm as necessary.RX: Fang Feng Tang Jia Jian (Ledebouriella Decoction withAdditions & Subtractions)INGREDIENTS:Sang Zhi (Ramulus Mori)30gFu Ling (Poria)12gGe Gen (Radix Puerariae)12gWei Ling Xian (Radix Clematidis)12gXun Gu Feng (Herba Aristolochiae) 12gFang Feng (Radix Saposhnikoviae)9gQiang Huo (Radix Et Rhizoma Notopterygii) 9gQin Jiao (Radix Gentianae Macrophyllae) 9gDang Gui (Radix Angelicae Sinensis) 9gChuan Xiong (Rhizoma Chuanxiong) 6gGan Cao (Radix Glycyrrhizae)6gANALYSIS OF FORMULA: Fang Feng, Sang Zhi, Ge Gen, WeiLing Xian, Xun Gu Feng, Qiang Huo, and Qin Jiao all coursewind and treat impediment. In addition, Fang Feng eliminatesdampness, Sang Zhi frees the flow of the network vesselsand targets the upper limbs, and Xun Gu Feng eliminatesdampness and stops pain. Qin Jiao eliminates dampness andtargets the trunk and limbs, Ge Gen relaxes spasms andresolves the muscles, and Wei Ling Xian eliminates dampnessand works on the whole body, while Qiang Huo eliminatesdampness and works on the upper part of the body. Dang Guiand Chuan Xiong move the qi and quicken the blood in thenetwork vessels to stop pain. Also, Dang Gui nourishes theblood to fill the channels and network vessels to avoid furtherinvasion of evils. Fu Ling seeps dampness, and Gan Cao harmonizesthe other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is pain in theupper limbs, add nine grams of Gui Zhi (RamulusCinnamomi). If there is pain in the lower limbs, add ninegrams of Du Huo (Radix Angelicae Pubescentis). If there isknee pain, add nine grams of Niu Xi (Radix AchyranthisBidentatae). If pain is in the shoulder, add nine grams ofJiang Huang (Rhizoma Curcumae Longae). If pain is in thespinal column, add nine grams of Sang Ji Sheng (HerbaTaxilli). If pain is in the low back, add nine grams of DuZhong (Cortex Eucommiae). If there is a more marked coldsensation in the limbs, add nine grams of Gui Zhi (RamulusCinnamomi) and three grams of Xi Xin (Herba Asari). Incase of enduring disease with qi and blood vacuity, add 15grams of Huang Qi (Radix Astragali) and nine grams of DangShen (Radix Codonopsitis). In case of enduring disease withliver-kidney vacuity, add nine grams each of Xu Duan (RadixDipsaci), Du Zhong (Cortex Eucommiae), and Niu Xi (RadixAchyranthis Bidentatae).ACUPUNCTURE & MOXIBUSTION: Feng Chi (GB 20), GeShu (Bl 17), Xue Hai (Sp 10), Tai Chong (Liv 3), appropriatelocal points