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

PIRIFORMIS SYNDROME 443ACUPUNCTURE & MOXIBUSTION: Bilateral Tai Chong (Liv3), Ge Shu (Bl 17), and Gan Shu (Bl 18), Zhi Bian (Bl 54),and Wei Zhong (Bl40) on the affected side, any a shi pointsin the affected area. If there is a visible purple vein in the areaof Wei Zhong, bleed this.ANALYSIS OF FORMULA: When needled with even supplementing-evendraining technique, Tai Chong, Ge Shu, andGan Shu together course the liver and nourish the blood.Draining Zhi Bian, Wei Zhong, and any a shi points movesthe qi and frees the flow of the network vessels in the affectedarea.ADDITIONS & SUBTRACTIONS: If spleen vacuity ismarked, add Pi Shu (Bl 20) and Zu San Li (St 36) with supplementingmethod to fortify the spleen and supplement theqi. If there is depressive heat, drain Xing Jian (Liv 2) eitherinstead of or in addition to Tai Chong. If there is heat in theyang ming, drain Nei Ting (St 44). For low back pain, addShen Shu (Bl 23) and/or Yao Yang Guan (GV 3). For painradiating to the lateral part of the leg, add Yang Ling Quan(GB 34) and Xuan Zhong (GB 39). For pain radiating to thecalf, add Cheng Shan (Bl 57). For pain in the lateral part ofthe feet, add Kun Lun (Bl 60) and Ba Feng (M-LE-8).3. LIVER-KIDNEY YIN VACUITY WITH BLOODSTASIS PATTERNMAIN SYMPTOMS: Enduring disease in an older, commonlyectomorphic patient, enduring but less severe pain, painwhich is worse in the evening and after prolonged inactivitybut which is better after moderate exercise, however, painwhich is also worse with excessive activity, a liking for pressureor massage in the affected area, dizziness, tinnitus,insomnia, heart palpitations, age spots, dry, scaly skin, lowback and knee soreness and weakness, muscle whittling andweakness of the lower limbs, possible dry mouth and throat,possible red tongue with scanty fur or fluids, and a bowstring,fine, possibly rapid pulseTREATMENT PRINCIPLES: Supplement and nourish theliver and kidneys, quicken the blood and strengthen the lowbackRX: Bu Shen Huo Xue Tang Jia Jian (Supplement the Kidneys& Quicken the Blood Decoction with Additions &Subtractions)INGREDIENTS:Shu Di (cooked Radix Rehmanniae)Dang Gui (Radix Angelicae Sinensis)Tu Si Zi (Semen Cuscutae)Gou Qi Zi (Fructus Lycii)Niu Xi (Radix Achyranthis Bidentatae)Bu Gu Zhi (Fructus Psoraleae)18g15g15g12g12g12gShan Zhu Yu (Fructus Corni)Rou Cong Rong (Herba Cistanchis)Mo Yao (Myrrha)Hong Hua (Flos Carthami)Qin Jiao (Radix Gentianae Macrophyllae)Du Zhong (Cortex Eucommiae)9g9g9g9g9g9gANALYSIS OF FORMULA: Shu Di, Niu Xi, and Gou Qi Zienrich kidney yin and strengthen the bones. Dang Gui, ShuDi, Gou Qi Zi, and Shan Zhu Yu nourish liver blood andstrengthen the sinews. Tu Si Zi, Bu Gu Zhi, Du Zhong, andRou Cong Rong warm the kidneys and strengthen the low back.In addition, Du Zhong leads the action of the other medicinalsto the low back region. Mo Yao, Hong Hua, and Dang Guiquicken the blood and stop pain. Qin Jiao dispels wind dampnessand treats impediment pain. Also, Qin Jiao leads theaction of the other medicinals to the spinal column and limbs.ADDITIONS & SUBTRACTIONS: If there is marked liverdepression qi stagnation, add nine grams of Chuan Lian Zi(Fructus Toosendan) and six grams of Zhi Shi (FructusImmaturus Aurantii). If there is more pronounced bloodvacuity, add 15 grams of Ji Xue Teng (Caulis Spatholobi) andnine grams of He Shou Wu (Radix Polygoni Multiflori). Ifthere is concomitant qi vacuity, add 15 grams of Huang Qi(Radix Astragali) and nine grams each of Dang Shen (RadixCodonopsitis) and Shan Yao (Radix Dioscoreae). If there isfluid dryness constipation, add nine grams each of Huo MaRen (Semen Cannabis) and Tao Ren (Semen Persicae). Ifthere is concomitant yang vacuity, add nine grams each ofBa Ji Tian (Radix Morindae Officinalis) and Suo Yang(Herba Cynomorii). If there is internal heat, add 9-12 gramsof Huang Qin (Radix Scutellariae). If there is qi vacuity withmuscle atrophy and weakness in the lower limbs, add 15grams of Huang Qi (Radix Astragali) and nine grams each ofBai Zhu (Rhizoma Atractylodis Macrocephalae) and DangShen (Radix Codonopsitis). If there is spasmodic pain, add18 grams of Bai Shao (Radix Paeoniae Albae).ACUPUNCTURE & MOXIBUSTION: Bilateral Xue Hai (Sp10), San Yin Jiao (Sp 6), and Fu Liu (Ki 7), Zhi Bian (Bl 54),Wei Zhong (Bl 40), and any locally tender a shi points on theaffected sideANALYSIS OF FORMULA: Supplementing San Yin Jiao and FuLiu supplements and nourishes the liver and kidneys. Evensupplementing-even draining Xue Hai quickens the bloodand dispels stasis, while the rest of the points move the qi andfree the flow of the network vessels in the affected area.ADDITIONS & SUBTRACTIONS: For pain radiating to thelateral part of the leg, add Yang Ling Quan (GB 34) and XuanZhong (GB 39). For pain radiating to the calf, add ChengShan (Bl 57). For pain in the lateral part of the feet, add KunLun (Bl 60) and Ba Feng (M-LE-8).