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

POLYMYOSITIS/DERMATOMYOSITIS 451Huang Bai (Cortex Phellodendri)Mu Tong (Caulis Akebiae)Jie Geng (Radix Platycodi)Huang Lian (Rhizoma Coptidis)Gan Cao (Radix Glycyrrhizae)9g6g6g3g3gANALYSIS OF FORMULA: Shi Gao and Zhi Mu clear heatfrom the qi division or aspect, while Sheng Di, Xuan Shen,Shui Niu Jiao, Chi Shao, and Dan Pi clear heat from the constructive.Lian Qiao, Huang Lian, Huang Qin, Huang Bai,and Zhi Zi clear heat and resolve toxins. Jie Geng guides theother medicinals to the lungs, and Mu Tong clears and disinhibitsdampness and heat.ADDITIONS & SUBTRACTIONS: If there is spirit clouding, addthe ready-made Chinese medicine An Gong Niu Huang Wan(Quiet the Palace Cow Bezoar Pills). If there is constipation,add 3-6 grams each of Da Huang (Radix Et Rhizoma Rhei)and Mang Xiao (Natrii Sulfas). For very high fever, add 12-15grams each of Da Qing Ye (Folium Daqingye) and Ban LanGen (Radix Isatidis/Baphicacanthi). For dark, purple skinlesions, add 15 grams of Zi Cao (Radix Arnebiae/Lithospermi)and nine grams each of Hong Hua (Flos Carthami), Tao Ren(Semen Persicae), and Dang Gui (Radix Angelicae Sinensis).ACUPUNCTURE & MOXIBUSTION: Shi Xuan (M-UE-1),He Gu (LI 4), Wei Zhong (Bl 40), Qu Ze (Per 3), Ling Tai(GV 10)ANALYSIS OF FORMULA: When pricked to exit 7-10 drops of theblood at each point, the Shi Xuan points discharge fire andabate fever. Draining He Gu clears heat from the qi division oraspect. When pricked to bleed, Wei Zhong and Qu Ze clear heatfrom the constructive aspect and treat skin disease. DrainingLing Tai is an empirical treatment for skin diseases due to heat.ADDITIONS & SUBTRACTIONS: If there is spirit clouding,add Shui Gou (GV 26). If there is constipation, add Zhi Gou(TB 6). For very high fever, add Qu Chi (LI 11), Da Zhui(GV 14), and Wai Guan (TB 5). For dark, purple skinlesions, add Xue Hai (Sp 10) and Qu Chi (LI 11).3. DAMP HEAT SOAKING & SPREADING PATTERNMAIN SYMPTOMS: Heavy, encumbered extremities, wilting,limpness, and lack of strength, possible simultaneous minorswelling and numbness, condition worse in the lowerextremities, possible emission of heat or fever, chest and venterglomus and oppression, short, reddish urination, a redtongue with slimy, yellow or slimy, yellow and white fur, anda soggy, rapid or slippery, rapid pulseTREATMENT PRINCIPLES: Clear heat and disinhibit dampness,soothe the sinews and quicken the network vesselsRX: Jia Wei Si Miao San (Added Flavors Four WondersPowder)INGREDIENTS:Yi Yi Ren (Semen Coicis)Bi Xie (Rhizoma Dioscoreae Hypoglaucae)Mu Gua (Fructus Chaenomelis)Huang Bai (Cortex Phellodendri)Cang Zhu (Rhizoma Atractylodis)Niu Xi (Radix Achyranthis Bidentatae)Han Fang Ji (Radix Stephaniae)Mu Tong (Caulis Akebiae)Can Sha (Feces Bombycis)30g15g15g9g9g9g9g9g9gANALYSIS OF FORMULA: Huang Bai, Cang Zhu, Han FangJi, Mu Tong, and Bi Xie together clear and disinhibit dampnessand heat. Niu Xi quickens the blood and strengthens thesinews. In addition, it leads the other medicinals towards thelower limbs. Can Sha, Mu Gua, and Yi Yi Ren course andeliminate wind and dampness and soothe the sinews.ADDITIONS & SUBTRACTIONS: If dampness is predominantand there is chest and ductal glomus and oppression,heavy, swollen limbs, glossy, slimy tongue fur, and a soggypulse, one can add nine grams each of Hou Po (CortexMagnoliae Officinalis), Fu Ling (Poria), Ze Xie (RhizomaAlismatis), Huo Xiang (Herba Pogostemonis), and Pei Lan(Herba Eupatorii). If there is numbness and insensitivity ofthe limbs, inhibited bending and extending, and a purpletongue or static macules and/or spots, add nine grams eachof Tao Ren (Semen Persicae), Hong Hua (Flos Carthami), ChiShao (Radix Paeoniae Rubrae), and Dan Shen (Radix SalviaeMiltiorrhizae). If the limbs are numb and insensitive but alsochilly feeling, then omit Huang Bai and add nine grams ofGui Zhi (Ramulus Cinnamomi).ACUPUNCTURE & MOXIBUSTION: Nei Ting (St 44), YinLing Quan (Sp 9), Zhong Ji (CV 3), Zu San Li (St 36), localpoints in the affected areaANALYSIS OF FORMULA: Together, draining Nei Ting andYin Ling Quan clears and disinhibits dampness and heat.Draining Zhong Ji, the front mu or alarm point of the bladder,helps seep dampness and, therefore, clear heat.Supplementing Zu San Li fortifies the spleen and boosts theqi, and spleen vacuity is the main mechanism for the internalengenderment of damp heat. Draining local points regulatesand rectifies the qi and blood in the affected area.ADDITIONS & SUBTRACTIONS: If dampness is predominantand there is chest and venter glomus and oppressionwith heavy, swollen limbs, add Zhong Wan (CV 12) and SanYin Jiao (Sp 6). If there is numbness and insensitivity of thelimbs, inhibited bending and extending, and a purple tongue