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

444 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINE4. WIND COLD DAMP IMPEDIMENT PATTERNMAIN SYMPTOMS: A cool sensation, heaviness, and pain inthe low back and buttock area, difficulty turning the waistdue to this pain, impaired walking, worsening of pain due todamp, cold, or simply changing weather, possible slimytongue fur, and a deep, slow pulseTREATMENT PRINCIPLES: Course wind and scatter cold,eliminate dampness and stop painRX: Juan Bi Tang Jia Jian (Alleviate Impediment Decoctionwith Additions & Subtractions)INGREDIENTS:Sang Zhi (Ramulus Mori)Hai Feng Teng (Caulis Piperis Kadsurae)Qin Jiao (Radix Gentianae Macrophyllae)Dang Gui (Radix Angelicae Sinensis)Du Zhong (Cortex Eucommiae )Qiang Huo (Radix Et Rhizoma Notopterygii)Du Huo (Radix Angelicae Pubescentis)Chuan Xiong (Rhizoma Chuanxiong)Ru Xiang (Olibanum)Chuan Niu Xi (Radix Cyathulae)Gui Zhi (Ramulus Cinnamomi )Mu Xiang (Radix Auklandiae)mix-fried Gan Cao (Radix Glycyrrhizae)15g12g12g12g12g9g9g9g9g9g6g6g3gANALYSIS OF FORMULA: Sang Zhi, Hai Feng Teng, Qin Jiao,Qiang Huo, Du Huo, Chuan Xiong, and Gui Zhi togethercourse wind and scatter cold, eliminate dampness and stoppain. Du Zhong courses and eliminates wind dampness andstregnthens the low back and reinforces the thigh area. DangGui, Chuan Xiong, Chuan Niu Xi, and Ru Xiang quicken theblood and transform stasis, free the flow of the network vesselsand stop pain. Mu Xiang moves the qi to help quicken theblood and stops pain. In addition, Du Huo and Chuan Niu Xilead the other medicinals to the lower part of the body.ADDITIONS & SUBTRACTIONS: If there is a severe coldsensation in the affected area, add nine grams each of Zhi FuZi (Radix Lateralis Praeparatus Aconiti Carmichaeli) and MaHuang (Herba Ephedrae). If there is restricted movement ofthe lower limbs, add 12 grams each of Hai Tong Pi (CortexErythiniae) and Xi Xian Cao (Herba Siegesbeckiae). For concomitantqi vacuity, add 15 grams of Huang Qi (RadixAstragali) and 12 grams of Dang Shen (Radix Codonopsitis).If there is concomitant blood vacuity, add 12 grams each ofBai Shao (Radix Paeoniae Albae) and Shu Di (cooked RadixRehmanniae). For concomitant liver blood-kidney yangvacuity, add nine grams each of Wu Jia Pi (CortexAcanthopanacis), Yin Yang Huo (Herba Epimedii), and Ba JiTian (Radix Morindae Officinalis). For concomitant liverblood-kidney yin vacuity, add 12 grams each of Sang Ji Sheng(Herba Taxilli) and Shu Di (cooked Radix Rehmanniae) andreplace Chuan Niu Xi with Niu Xi (Radix AchyranthisBidentatae).ACUPUNCTURE & MOXIBUSTION: Bilateral Qu Chi (LI11) and Yin Ling Quan (Sp 9), Zhi Bian (Bl 54), Wei Zhong(Bl 40), and any locally tender a shi points on the affectedsideANALYSIS OF FORMULA: Draining Qu Chi and Yin LingQuan is a special combination for coursing wind, scatteringcold, eliminating dampness, and stopping pain whereverthere is impediment pain. Draining Zhi Bian and Wei Zhongcourses and eliminates wind and dampness, diffuses impedimentand frees the flow of the network vessels in the affectedarea as do any local a shi points. Draining method andmoxibustion should be used for all points.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 posterior part ofthe calf, add Cheng Shan (Bl 57). For pain in the lateral partof the foot, add Kun Lun (Bl 60) and Ba Feng (M-LE-8).REMARKS1. Piriformis syndrome in females is usually due to a combinationof liver depression, blood not nourishing the sinews,and blood stasis, with blood vacuity in females mostly beingassociated with concomitant spleen vacuity. In women intheir late 30s and 40s, this combination of patterns is commonlycomplicated by yin or yin and yang vacuity.ENDNOTES1 Beers, Mark H. & Berkow, Robert, eds., The Merck Manual, 17 th edition,Merck Research Laboratories, Whitehouse Station, NJ, 1999, p. 503