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

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

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PEPTIC ULCERS 415also very common to find heat and cold mixed together.Clamoring stomach refers to a sensation <strong>of</strong> emptiness andburning in the stomach duct or heart region which is describedas like hunger but is not hunger, like pain but is not pain.TREATMENT PRINCIPLES: Course the liver and rectify theqi, clear heat and harmonize the stomachRX: Xiao Yao San (Rambling Powder) & Zuo Jin Wan (LeftMetal Pills)INGREDIENTS:Dang Gui (Radix Angelicae Sinensis) 12gChai Hu (Radix Bupleuri)9gBai Shao (Radix Paeoniae Albae)9gFu Ling (Poria )9gmix-fried Gan Cao (Radix Glycyrrhizae) 6gBai Zhu (Rhizoma Atractylodis Macrocephalae) 6gHuang Lian (Rhizoma Coptidis)6gBo Hes (Herba Menthae Haplocalycis) 3gWu Zhu Yu (F<strong>ru</strong>ctus Evodiae)1gSheng Jiang (uncooked Rhizoma Zingiberis) 2 slicesANALYSIS OF FORMULA: Chai Hu and Bo He course theliver and resolve depression. Bai Shao and Dang Gui nourishliver blood to prevent further liver depression. Fu Ling, mixfriedGan Cao, and Bai Zhu fortify the spleen and boost theqi. Also, mix-fried Gan Cao and Bai Shao relax spasms andstop pain. Huang Lian plus Wu Zhu Yu is a specific combinationfor the treatment <strong>of</strong> acid regurgitation in peptic ulceror in reflux esophagitis. When a small amount <strong>of</strong> Wu Zhu Yuis used as a messenger, it leads Huang Lian to the jue yinliver. Huang Lian clears depressive heat from both the stomachand liver. Sheng Jiang and Chen Pi harmonize the stomachand stop vomiting.ADDITIONS & SUBTRACTIONS: For stabbing pain in thestomach due to blood stasis, add nine grams each <strong>of</strong> DanShen (Radix Salviae Miltiorrhizae) and Chi Shao (RadixPaeoniae Rubrae). For severe acid regurgitation, add 12grams each <strong>of</strong> Hai Piao Xiao (Endoconcha Sepiae) and cWaLeng Zi (Concha Arcae). For rib-side and/or severe pain, addnine grams each <strong>of</strong> Chuan Lian Zi (F<strong>ru</strong>ctus Toosendan) andYan Hu Suo (Rhizoma Corydalis). For thirst, add nine gramseach <strong>of</strong> Tian Hua Fen (Radix Trichosanthis) and Lu Gen(Rhizoma Phragmitis). For constipation, add six grams <strong>of</strong>uncooked Da Huang (Radix Et Rhizoma Rhei).For less liver depression and more dampness, replace Xiao YaoSan plus Zuo Jin Wan with Qi Yu Tang (Qi DepressionDecoction): Ban Xia (Rhizoma Pinelliae), Zhe Bei Mu (BulbusFritillariae Thunbergii), Gan Cao (Radix Glycyrrhizae), Zhi Zi(F<strong>ru</strong>ctus Gardeniae), Mu Xiang (Radix Auklandiae), and BingLang (Semen Arecae), 9g each, Xiang Fu (Rhizoma Cyperi),Cang Zhu (Rhizoma Atractylodis), Chen Pi (Pericarpium CitriReticulatae), Zi Su Ye (Folium Perillae), and Fu Ling (Poria), 6geach, and Chuan Xiong (Rhizoma Chuanxiong), 3g.For more pronounced stomach heat, replace Xiao Yao Sanand Zuo Jin Wan with Wen Dan Tang (Warm theGallbladder Decoction) and Qing Wei San (Clear theStomach Powder) with additions and subtractions: ShengDi (uncooked Radix Rehmanniae), 12g, Fu Ling (Poria), 9g,Ban Xia (Rhizoma Pinelliae), Zhu Ru (Caulis Bambusae InTaeniis), Zhi Shi (F<strong>ru</strong>ctus Immatu<strong>ru</strong>s Aurantii), Chen Pi(Pericarpium Citri Reticulatae), and Dan Pi (CortexMoutan), 6g each, and mix-fried Gan Cao (RadixGlycyrrhizae) and Huang Lian (Rhizoma Coptidis), 3geach. For even more severe stomach heat with possible vomiting<strong>of</strong> blood, add nine grams <strong>of</strong> Zhi Zi (F<strong>ru</strong>ctusGardeniae). For stabbing pain in the stomach, add ninegrams each <strong>of</strong> Dan Shen (Radix Salviae Miltiorrhizae) andChi Shao (Radix Paeoniae Rubrae). For severe acid regurgitation,add nine grams each <strong>of</strong> Hai Piao Xiao (EndoconchaSepiae) and Wa Leng Zi (Concha Arcae). For severe thirst,add nine grams each <strong>of</strong> Lu Gen (Rhizoma Phragmitis) andTian Hua Fen (Radix Trichosanthis).For enduring heat damaging yin and consuming fluids,replace Xiao Yao San and Zuo Jin Wan with Sha Shen MaiDong Tang Jia Jian (Glehnia & Ophiopogon Decoction withAdditions & Subtractions): Bie Sha Shen (Radix Glehniae)and Mai Men Dong (Tuber Ophiopogonis), 12g each, YuZhu (Rhizoma Polygonati Odorati), Shi Hu (HerbaDendrobii), Bai Bian Dou (Semen Dolichoris), and Fo Shou(F<strong>ru</strong>ctus Citri Sacrodactylis), 9g each, and mix-fried GanCao (Radix Glycyrrhizae), 6g. If liver depression is marked,add nine grams <strong>of</strong> Chuan Lian Zi (F<strong>ru</strong>ctus Toosendan). Ifthere is simultaneous qi vacuity, add nine grams <strong>of</strong> DangShen (Radix Codonopositis) and Shan Yao (RadixDioscoreae). If there is simultaneous blood stagnation, add15 grams <strong>of</strong> Dan Shen (Radix Salviae Miltiorrhizae).ACUPUNCTURE & MOXIBUSTION: Zhong Wan (CV 12),Nei Guan (Per 6), Gong Sun (Sp 4), Zu San Li (St 36), LiangQiu (St 34)ANALYSIS OF FORMULA: Draining Nei Guan courses theliver and harmonizes the stomach. Draining Gong Sun harmonizesthe stomach and rectifies the qi. Together, they harmonizeupbearing and downbearing and stop pain. Zu SanLi is the master point <strong>of</strong> the abdomen. Draining it harmonizesthe stomach, drains the yang ming, and stops pain.Zhong Wan is the front mu or alarm point <strong>of</strong> the stomach.Draining it loosens the center and downbears counterflow,clears and harmonizes the stomach and stops pain.ADDITIONS & SUBTRACTIONS: For severe heat in the liverand stomach, add Yang Ling Quan (GB 34) and Nei Ting (St44). For burning pain in the stomach, add Xia Ju Xu (St 37).

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