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

OSTEOARTHRITIS (OA) 397ADDITIONS & SUBTRACTIONS: For heart palpitations, addnine grams of Yuan Zhi (Radix Polygalae) and 15 grams ofLong Yan Rou (Arillus Longanae). For severe joint pain, addsix grams each of Ru Xiang (Olbanum) and Mo Yao(Myrrha ). If there is coolness of the joint, add nine grams ofZhi Fu Zi (Radix Lateralis Praeparatus Aconiti Carmichaeli).For joint pain in the upper limbs, add 15 grams of JiangHuang (Rhizoma Curcumae Longae). For joint pain in thelower limbs, add 15 grams of Chuan Niu Xi (RadixCyathulae). If there is concomitant yin vacuity, add 15 gramsof Sheng Di (uncooked Radix Rehmanniae). For swollenjoints, add 15 grams of Yi Yi Ren (Semen Coicis) and ninegrams of Cang Zhu (Rhizoma Atractylodis).If wind damp evils are marked, replace Dang Gui Bu Xue Tangplus Si Jun Zi Tang with Juan Bi Tang Jia Jian (AlleviateImpediment Decoction with Additions & Subtractions): HuangQi (Radix Astragali), 30g, Luo Shi Teng (CaulisTrachelospermi), Yi Yi Ren (Semen Coicis), Dang Gui (RadixAngelicae Sinensis), Ji Xue Teng (Caulis Spatholobi), and DangShen (Radix Codonopsitis), 12g each, Qiang Huo (Radix EtRhizoma Notopterygii), Du Huo (Radix Angelicae Pubescentis),Fang Feng (Radix Saposhnakoviae), Gui Zhi (RamulusCinnamomi), Zhi Fu Zi (Radix Lateralis Praeparatus AconitiCarmichaeli), Cang Zhu (Rhizoma Atractylodis), Chuan Xiong(Rhizoma Chuanxiong), Bai Shao (Radix Paeoniae Albae), andNiu Xi (Radix Achyranthis Bidentatae), 9g each, and mix-friedGan Cao (Radix Glycyrrhizae), 6g.ACUPUNCTURE & MOXIBUSTION: San Yin Jiao (Sp 6), ZuSan Li (St 36), the local points described under the additionsand subtractions in pattern #1 aboveANALYSIS OF FORMULA: Supplementing San Yin Jiao andZu San Li supplements the qi and blood, while drainingthe local points frees the flow of the network vessels in theaffected area. For this pattern, the systemic points are notvery powerful. Using just the local points with the internaladministration of Chinese medicinals is more effective.7. KIDNEY YIN VACUITY PATTERNMAIN SYMPTOMS: Enduring disease which does not cure,joint pain with stiffness of the sinews, a slight burning sensation,redness, and swelling in the affected area, worse painat night, possible slightly inhibited flexion and extension ofthe affected joints, a tendency towards a thin body, dizziness,vertigo, tinnitus, a dry throat, heart vexation, insomnia,night sweats, low back and knee soreness and weakness, vexatiousheat in the five centers, a red tongue with scanty fluids,and a fine, rapid pulseTREATMENT PRINCIPLES: Supplement the liver and kidneys,enrich yin, harmonize the blood, and free the flow ofthe network vesselsRX: Du Huo Ji Sheng Tang Jia Jian (Angelica Pubescens &Taxillus Decoction with Additions & Subtractions)INGREDIENTS:Sang Ji Sheng (Herba Taxilli)Du Zhong (Cortex Eucommiae)Shu Di (cooked Radix Rehmanniae)Qin Jiao (Gentianae Macrophyllae)Fu Ling (Poria)Du Huo (Radix Angelicae Pubescentis)Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Niu Xi (Radix Achyranthis Bidentatae)Fang Feng (Radix Saposhnikoviae)Chuan Xiong (Rhizoma Chuanxiong)mix-fried Gan Cao (Radix Glycyrrhizae)Xi Xin (Herba Asari)15g15g15g12g12g12g9g9g9g6g6g6g3gANALYSIS OF FORMULA: Sang Ji Sheng, Shu Di, and Niu Xisupplement the liver and kidneys, enrich yin, boost the marrow,and reinforce the bones. Shu Di, Dang Gui, and BaiShao nourish liver blood in order to strengthens the sinewsand help supplement yin. Du Zhong gently supplementsboth kidney yin and yang, strengthens the sinews and reinforcesthe bones. Sang Ji Sheng, Du Huo, Qin Jiao, Fang Feng,Xi Xin, and Chuan Xiong dispel wind and eliminate dampnesswhich have taken advantage of vacuity to enter, diffuseimpediment and free the flow of the network vessels. Fu Lingand mix-fried Gan Cao boost the latter heaven to engenderacquired essence and replenish the former heaven. In addition,Fu Ling helps to eliminate dampness.ADDITIONS & SUBTRACTIONS: If there is concomitant kidneyyang vacuity, add 12 grams each of Yin Yang Huo (HerbaEpimedii) and Xian Mao (Rhizoma Curculiginis) and threegrams of Rou Gui (Cortex Cinnamomi), powdered and takenwith the strained decoction. For concomitant qi vacuity, add12 grams each of Huang Qi (Radix Astragali) and Dang Shen(Radix Codonopsitis). If there is yin vacuity fire effulgence,add nine grams each of Huang Bai (Cortex Phellodendri) andZhi Mu (Rhizoma Anemarrhenae). If there is severe stiffnessof the sinews and inhibited flexion and extension of thejoints, add 20 grams of Ji Xue Teng (Caulis Spatholobi), 15grams of Luo Shi Teng (Caulis Trachelospermi), and threegrams of Di Long (Pheretima), powdered and taken with thestrained decoction. If there is concomitant wind damp heatwith a burning sensation, redness, and swelling in the affectedarea, subtract Xi Xin, Fang Feng, and Du Zhong, and add12 grams each of Ren Dong Teng (Caulis Lonicerae), Sang Zhi(Ramulus Mori), Han Fang Ji (Radix Stephaniae), and XiXian Cao (Herba Siegesbeckiae).ACUPUNCTURE & MOXIBUSTION: Fu Liu (Ki 7), Da Zhu(Bl 11), Xuan Zhong (GB 39), the local points describedunder the additions and subtractions in pattern #1 above