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

398 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEANALYSIS OF FORMULA: Fu Liu is the supplementing pointof the kidney channel. Supplementing it supplements boththe yin and yang of the kidneys as well as former heavenessence, Xuan Zhong is the meeting point of the marrow.Supplementing it boosts the marrow, Da Zhu is the meetingpoint of the bones. Supplementing it reinforces the bones.Draining the local points frees the flow of the network vesselsin the affected area.8. SPLEEN-KIDNEY YANG VACUITY PATTERNMAIN SYMPTOMS: Enduring disease which does not cure,slight joint pain with stiffness of the sinews which preventswalking, sometimes deformation of the joint with inhibitedflexion and extension of the joint, possible coolness of thejoints, a pale facial complexion, lassitude of the spirit,fatigue, reduced food intake, loose stools, aversion to cold,cold limbs, low back and knee soreness and weakness, frequentcopious urine, nocturia, a pale tongue, and a deep,thin, weak pulseTREATMENT PRINCIPLES: Warm and supplement thespleen and kidneys, course the vessels and free the flow of thenetwork vesselsRX: Zhen Wu Tang Jia Jian (True Warrior Decoction withAdditions & Subtractions)INGREDIENTS:Huang Qi (Radix Astragali)Gui Zhi (Ramulus Cinnamomi)Sang Zhi (Ramulus Mori)Niu Xie (Radix Achyranthis Bidentata)processed Chuan Wu (Radix Aconiti Carmichaeli)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Bai Shao (Radix Paeoniae Albae)Yin Yang Huo (Herba Epimedii)Fu Ling (Poria)mix-fried Gan Cao (Radix Glycyrrhizae)20g20g20g20g12g12g12g9g9g9gANALYSIS OF FORMULA: Gui Zhi, Chuan Wu, Niu Xi, andYin Yang Huo together warm and supplement kidney yangand diffuse impediment. In addition, Gui Zhi warms the vessels,Chuan Wu frees the flow of the 12 vessels, and Yin YangHuo courses wind dampness. Thus the combination of thesemedicinals stop pain due to cold. Niu Xi strengthens thesinews and reinforces the bones, while Sang Zhi frees theflow of the network vessels. The former works on the lowerpart of the body, while the latter works on the upper part ofthe body. Huang Qi, Bai Zhu, Fu Ling, and mix-fried GanCao, with the help of Gui Zhi, warm and supplement spleenyang. Bai Shao and Gui Zhi harmonize the constructive anddefensive, qi and blood to treat vacuity impediment.ADDITIONS & SUBTRACTIONS: If there are loose stools,add nine grams each of Dang Shen (Radix Codonopsitis) andBu Gu Zhi (Fructus Psoraleae). For swelling in the joints, add15 grams of Cang Zhu (Rhizoma Atractylodis) and Yi Yi Ren(Semen Coicis). If there is severe pain or a cold sensation inthe joints, add three grams of Xi Xin (Herba Asari).ACUPUNCTURE & MOXIBUSTION: Guan Yuan (CV 4),Ming Men (GV 4), Da Zhu (Bl 11), Xuan Zhong (GB 39),the local points described under the additions and subtractionsin pattern #1 aboveANALYSIS OF FORMULA: Supplementing Guan Yuan andMing Men with moxibustion warms and supplements spleenand kidney yang and also boosts the former heaven essence.Supplementing Xuan Zhong, the meeting point of the marrow,boosts the marrow, while supplementing Da Zhu, themeeting point of the bones, reinforces the bones. Drainingthe local points free the flow of the network vessels in theaffected area.REMARKS1. Because osteoarthritis occurs mainly in older patients, itusually manifests as a mixed vacuity and repletion pattern.Therefore, there may be pronounced qi, blood, yin, or yangvacuities. In that case, guiding formulas should be pickedbased on the patient’s predominant pattern and modified totreat accompanying patterns and branch symptoms. Whenimpediment is complicated by either kidney yin or yangvacuity, this is called recalcitrant impediment. Recalcitrantimpediment is then divided into heat recalcitrant impedimentif there is yin vacuity and cold recalcitrant impedimentif there is yang vacuity. Of course, yin and yang vacuities mayexist simultaneously.Most patients with OA will also present at least some symptomsof qi stagnation and blood stasis. When these occur, qirectifyingand blood-quickening medicinals should be addedto the formula. Appropriate blood-quickening medicinalsinclude Ji Xue Teng (Caulis Spatholobi), Dan Shen (RadixSalviae Miltiorrhizae), Dang Gui (Radix Angelicae Sinensis),Chuan Xiong (Rhizoma Chuanxiong), Chi Shao (RadixPaeoniae Rubrae), Ru Xiang (Olbanum), Mo Yao (Myrrha),and San Qi (Radix Notoginseng).Du Huo Ji Sheng Tang (Angelica Pubescens & LoranthusDecoction) is designed to treat wind cold damp impedimentcomplicated by spleen qi, liver blood and kidney yangvacuities (but without damp or vacuity heat). It is comprisedof: Shu Di (cooked Radix Rehmanniae), Fu Ling (Poria), andSang Ji Sheng (Herba Taxilli), 12g each, Du Huo (RadixAngelicae Pubescentis), Du Zhong (Cortex Eucommiae),Dang Gui (Radix Angelicae Sinensis), Bai Shao (RadixPaeoniae Albae), and Niu Xi (Radix Achyranthis Bidentatae),9g each, Qin Jiao (Radix Gentianae Macrophyllae), Fang