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

OSTEOARTHRITIS (OA) 399Feng (Radix Saposhnakoviae), Ren Shen (Radix Ginseng),and mix-fried Gan Cao (Radix Glycyrrhizae), 6g each, andRou Gui (Cortex Cinnamomi) and Xi Xin (Herba Asari), 3geach. If pain is severs, add six grams of Chuan Wu (RadixAconiti Carmichaeli). If there is concomitant blood stasis,add nine grams each of Tao Ren (Semen Persicae) and HongHua (Flos Carthami). Other formulas for recalcitrant impedimentinclude San Bi Tang (Three Impediments Decoction),Da Qin Jiao Tang (Major Gentiana Macrophylla Decoction),and Da Fang Feng Tang (Major Ledebouriella Decoction).For liver-spleen-kidney qi and blood, yin and yang vacuitywith wind, damp, cold evils, and qi stagnation and blood stasis,a common complex pattern in the elderly, one can use FuYuan Juan Bi Tang (Restore the Origin & AlleviateImpediment Decoction): Dang Gui (Radix AngelicaeSinensis) and Sang Ji Sheng (Herba Taxilli), 20g each, YinYang Huo (Herba Epimedii), Qian Nian Jian (RhizomaHomalomenae Occultae), Qiang Huo (Radix Et RhizomaNotopterygii), Yan Hu Suo (Rhizoma Corydalis), Gui Zhi(Ramulus Cinnamomi), and Huang Qi (Radix Astragali),15g each, and Chuan Xiong (Rhizoma Chuanxiong), GanCao (Radix Glycyrrhizae), Xi Xin (Herba Asari), and WuGong (Scolopendra), 3g each. If there is concomitant liverdepression, one can add nine grams each of Chai Hu (RadixBupleuri) and Bai Shao (Radix Paeoniae Albae) to this formula.If there is depressive heat, one can also add nine gramseach of Zhi Zi (Fructus Gardeniae) and Dan Pi (CortexMoutan).2. Joint deformation and periarticular nodules are usuallyseen as phlegm nodulation in Chinese medicine. In that case,medicinals for softening the hard and scattering nodulation,such as Hai Zao (Sargassum), Kun Bu (Thallus Algae), HaiDai (Thallus Laminariae), Mu Li (Concha Ostreae), andLong Gu (Os Draconis), should be added to any other formulasbeing used. While these medicinals will not reversedeformation or eliminate nodulations, they will help relievepain and prevent further deformation.3. If one cannot distinguish between predominant wind,damp, or cold, one may use Juan Bi Tang (AlleviateImpediment Decoction) and modify it accordingly. This formulaconsists of: Hai Feng Teng (Caulis Piperis Kadsurae)and Sang Zhi (Ramulus Mori), 15g each, Ru Xiang(Olbanum), 12g, Qiang Huo (Radix Et RhizomaNotopterygii), Du Huo (Radix Angelicae Pubescentis), GuiZhi (Ramulus Cinnamomi), Qin Jiao (Radix GentianaeMacrophyllae), Dang Gui (Radix Angelicae Sinensis), andChuan Xiong (Rhizoma Chuanxiong), 9g each, and MuXiang (Radix Auklandiae) and Gan Cao (RadixGlycyrrhizae), 6g each.4. In cases of active disease, elevated sedimentation rate, andelevated anti-O factor, if there is heat impediment, one shouldadd one or more blood-cooling, toxin-resolving medicinalsto the formula, such as Sheng Di (uncooked RadixRehmanniae), Dan Pi (Cortex Moutan), Chi Shao (RadixPaeoniae Rubrae), Zi Cao (Radix Arnebiae/Lithospermi), PuGong Ying (Herba Taraxaci), and Ren Dong Teng (CaulisLonicerae). In case of cold impediment, one should add oneor more qi-boosting, blood-quickening medicinals to the formula,such as Huang Qi (Radix Astragali), Dang Shen (RadixCodonopsitis), Bai Zhu (Rhizoma AtractylodisMacrocephalae), and Ji Xue Teng (Caulis Spatholobi).5. When acupuncture is accompanied by the internal administrationof Chinese medicinals appropriate to the patient’spattern(s), one can use only the local points as describedunder the additions and subtractions of pattern #1 abovewithout the other points described in the acupuncture andmoxibustion sections under each pattern.6. Uncooked Cang Er Zi (Fructus Xanthii), Ma Qian Zi(Semen Strychnotis), Xi Xin (Herba Asari), and Lei GongTeng (Herba Tripterygii Wilfordii) are all effective for thetreatment of impediment pain. However, due to the risk ofnephrotoxicity, these medicinals should not be used longterm.Most, if not all, of the toxins in Cang Er Zi aredestroyed by decoction at high heat. However, Lei GongTeng, an extremely effective impediment-assuaging medicinalis so toxic it is currently prohibited for sale in the People’sRepublic of China. Likewise, Han Fang Ji (RadixStephaniae ) and Mu Tong (Caulis Akebiae) are also effectivemedicinals for the treatment of impediment pain. If onechooses to use these, it is important to verify that they havenot been substituted by an Aristolochia species.