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

416 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEFor bleeding gums, add San Jian (LI 3). For swift digestionwith rapid hungering, add San Yin Jiao (Sp 6). For torpidintake, stomach glomus, vexatious heat in the chest, a bittertaste and sliminess in the mouth, thin, slimy, yellow tonguefur, and a slippery, rapid pulse, add Feng Long (St 40) andXia Xi (GB 43). For constipation, add Zhi Gou (TB 6). Forfood stagnation, add Xuan Ji (CV 21) or Liang Men (St 21).For enduring, recurrent stomach distention and pain, lassitudeof the spirit, and lack of strength due to concomitantspleen vacuity, add Pi Shu (Bl 20) and Wei Shu (Bl 21) andsupplement Zu San Li. For pain, heaviness, or tension in thesolar plexus or diaphragmatic area, add Jiu Wei (CV 15). Forrib-side and stomach pain, add Qi Men (Liv 14). For acidregurgitation or a sour taste in the mouth, add Ri Yue (GB24). For a bitter taste in the mouth, add Yang Fu (GB 38).For frequent belching or hiccup add Ge Shu (Bl 17). For torpidintake, stomach glomus, vexatious heat in the chest, abitter taste and sliminess in the mouth, thin, slimy, yellowtongue fur, and a slippery, rapid pulse, add Feng Long (St 40)and Xia Xi (GB 43) to clear and transform phlegm heat inthe stomach and gallbladder.3. SPLEEN-STOMACH VACUITY WEAKNESS PATTERNMAIN SYMPTOMS: Slight clamoring in the stomach whichusually occurs when the stomach is empty and is better aftereating, especially warm things, but is worse after eatinguncooked, chilled foods, possible vomiting of clear waterwith a sour taste which also gets worse after eating uncooked,chilled foods, abdominal distention after eating, reducedappetite, a bland taste in the mouth or lack of taste, fatiguedlimbs and lack of strength, possible cold hands and feet, awhite facial complexion, loose stools, a pale tongue withthin, white fur, and a vacuous or weak pulseNOTE: This pattern often complicates a liver-stomach pattern,in which case, the stomach is hot and possibly dry,while the spleen is cold and typically damp. However, it ispossible to see this as the main pattern in the elderly withpeptic ulcers.TREATMENT PRINCIPLES: Fortify the spleen and boost theqi, warm the center and scatter coldRX: Xiang Sha Liu Jun Zi Tang Jia Jian (Aucklandia &Amomum Six Gentlemen Decoction with Additions &Subtractions)INGREDIENTS:Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Fu Ling (Poria)mix-fried Gan Cao (Radix Glycyrrhizae)Chen Pi (Pericarpium Citri Reticulatae)9g9g9g6g6gMu Xiang (Radix Auklandiae)Sha Ren (Fructus Amomi)6g3gANALYSIS OF FORMULA: Dang Shen, Bai Zhu, Fu Ling, andmix-fried Gan Cao are the four gentlemen of Si Jun Zi Tang(Four Gentlemen Decoction). They fortify the spleen andboost the qi. Mu Xiang and Sha Ren mainly move the qi andharmonize the stomach. In addition, Sha Ren warms the centerand scatters cold. Chen Pi helps the latter to move the qiand to loosen the center. Also, it disperses food and improvesappetite.ADDITIONS & SUBTRACTIONS: For severe vacuity cold, addsix grams each of Gan Jiang (dry Rhizoma Zingiberis) andGui Zhi (Ramulus Cinnamomi). For damp accumulation,add nine grams each of Huo Xiang (Herba Pogostemonis)and Hou Po (Cortex Magnoliae Officinalis). For phlegm, addnine grams of Ban Xia (Rhizoma Pinelliae). For phlegm orvomiting of clear fluids, add nine grams each of Ban Xia(Rhizoma Pinelliae) and Sheng Jiang (uncooked RhizomaZingiberis). For acid regurgitation, take Hai Piao Xiao(Endoconcha Sepiae) and Zhe Bei Mu (Bulbus FritillariaeThunbergii) at a 4:1 ratio. Grind these two medicinals intoa fine powder and take 3-5 grams of this powder after eachmeal in addition to the above decoction. If there are somedigestive side effects, such as abdominal distention andreduced appetite, add one gram each of Shen Qu (MassaMedica Fermentata) and Mai Ya (Fructus GerminatusHordei) to the preceding powder. For black stools, add 20grams of Fu Long Gan (Terra Flava Usta) and three grams ofBai Ji (Rhizoma Bletillae), powdered and taken with thestrained decoction. If melena is severe, add an additional 30grams of Xian He Cao (Herba Agrimoniae) and nine gramsof Di Yu (Radix Sanguisorbae). For fatigue and weakness,add 15 grams of Huang Qi (Radix Astragali). For severe pain,add Liang Fu Wan (Alpinia & Cyperus Pills, i.e., Gao LiangJiang, Rhizoma Alpiniae Officinari, 9g, and Xiang Fu,Rhizoma Cyperi, 6g).ACUPUNCTURE & MOXIBUSTION: Liang Men (St 21),Zhong Wan (CV 12), Pi Shu (Bl 20), Wei Shu (Bl 21), Zu SanLi (St 36)ANALYSIS OF FORMULA: Liang Men and Zhong Wan warmthe center and scatter cold when needled with moxibustionon the heads of the needles, while Pi Shu, Wei Shu, and ZuSan Li supplement the spleen and boost the stomach whenneedled with supplementing technique.ADDITIONS & SUBTRACTIONS: For cold pain in the stomach,add Liang Qiu (St 34). For acid regurgitation and vomitingof clear water, add Li Nei Ting (M-LE-1). For stomachand abdominal glomus and fullness, add Gong Sun (Sp 4)and Nei Guan (Per 6).