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

POLYMYOSITIS/DERMATOMYOSITIS 453Fu Ling (Poria)Sha Ren (Fructus Amomi) (decocted later)Chen Pi (Pericarpium Citri Reticulatae)10g10g10gANALYSIS OF FORMULA: Dang Shen, Bai Zhu, Bai BianDou, Fu Ling, Shan Yao, and Lian Zi together fortify thespleen and boost the qi. Bai Zhu, Bai Bian Dou, Fu Ling, YiYi Ren, Chen Pi, and Sha Ren dry, seep, disinhibit, and/ortransform dampness. In addition, Sha Ren warms the spleenand Chen Pi rectifies the qi. Sang Ji Sheng and Niu Xi nourishthe blood and strengthen the sinews.ADDITIONS & SUBTRACTIONS: If there is dread of cold andchilled limbs, add 6-9 grams of Zhi Fu Zi (Radix LateralisPraeparatus Aconiti Carmichaeli) and nine grams of Gan Jiang(dry Rhizoma Zingiberis). If the disease is enduring and thebody is weak with qi and blood dual vacuity, one can doublethe amounts of Dang Shen, Bai Zhu, and Shan Yao and add 15grams each of Huang Qi (Radix Astragali) and Shu Di (cookedRadix Rehmanniae) and nine grams of Dang Gui (RadixAngelicae Sinensis). If there are simultaneous wind cold dampevils, add nine grams each of Wei Ling Xian (RadixClematidis), Qiang Huo (Radix Et Rhizoma Notopterygii),and Du Huo (Radix Angelicae Pubescentis). If there are simultaneouswind damp heat evils, add nine grams each of Qin Jiao(Radix Gentianae Macrophyllae), Cang Zhu (RhizomaAtractylodis), and Huang Bai (Cortex Phellodendri). If pain isexperienced primarily in the upper body, add nine grams eachof Jiang Huang (Rhizoma Curcumae Longae) and Sang Zhi(Ramulus Mori). If pain is primarily experienced in the lowerbody, add nine grams each of Mu Gua (Fructus Chaenomelis)and Du Huo (Radix Angelicae Pubescentis). For simultaneousliver depression qi stagnation, add nine grams of Chai Hu(Radix Bupleuri) and/or other such qi-rectifying medicinalsdepending on the main symptoms and locations of qi stagnation.For instance, if there is chest and abdominal oppressionand distention, add nine grams of Zhi Ke (Fructus Aurantii).If there is breast and rib-side pain, add nine grams of Qing Pi(Pericarpium Citri Reticulatae Viride). If there is lowerabdominal or menstrual pain, add nine grams of Wu Yao(Radix Linderae).ACUPUNCTURE & MOXIBUSTION: Zu San Li (St 36), SanYin Jiao (Sp 6), Ge Shu (Bl 17), Gan Shu (Bl 18), Pi Shu (Bl20), Wei Shu (Bl 21), Yang Ling Quan (GB 34)ANALYSIS OF FORMULA: Together, supplementing Zu SanLi, San Yin Jiao, Ge Shu, Gan Shu, Pi Shu, and Wei Shu fortifiesthe spleen and boosts the qi, supplements the liver andnourishes the blood. Supplementing Yang Ling Quan, themeeting point of the sinews, strengthens the sinews.ADDITIONS & SUBTRACTIONS: If there is dread of coldand chilled limbs, add Guan Yuan (CV 4) with moxibustion.If there are simultaneous wind cold damp evils, add Qu Chi(LI 11) and Yin Ling Quan (Sp 9). If there are simultaneouswind damp heat evils, add Yin Ling Quan (Sp 9), Qu Chi (LI11), and Nei Ting (St 44). For simultaneous liver depressionqi stagnation, add Tai Chong (Liv 3).6. SPLEEN-KIDNEY YANG VACUITY PATTERNMAIN SYMPTOMS: Dark red or crimson skin lesions, muscularatrophy, joint pain, cyanosis of the fingertips and toes,emaciation, reduced food intake, fatigue, lassitude of thespirit, lack of strength, abdominal chill, loose stools or daybreakdiarrhea if severe, aversion to cold, chilled extremities,low back and knee soreness and weakness, a fat, pale tonguewith thin, white fur, and a deep, weak, possibly slow pulseNOTE: As with the above pattern, this pattern does not usuallypresent in its pure form in Western patients with thiscondition. It is always accompanied by liver depression, iscommonly accompanied by blood stasis (viz. the dark redskin lesions and cyanotic fingertips), and there may even besigns and symptoms of lingering wind cold damp or winddamp heat evils.TREATMENT PRINCIPLES: Supplement the kidneys andinvigorate yang, fortify the spleen and boost the qiRX: Jin Gui Shen Qi Wan Jia Jian (Golden Cabinet Kidney QiPills with Additions & Subtractions)INGREDIENTS:Ze Xie (Rhizoma Alismatis)Xian Ling Pi (Herba Epimedii)Ba Ji Tian (Radix Morindae Officinalis)Hu Lu Ba (Semen Trigonellae)Shu Di (cooked Radix Rehmanniae)Shan Zhu Yu (Fructus Corni)Shan Yao (Radix Dioscoreae)Dang Shen (Radix Codonopsitis)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Huang Qi (Radix Astragali)mix-fried Gan Cao (Radix Glycyrrhizae)stir-fried Dan Pi (Cortex Moutan)15g15g15g15g12g12g12g12g12g9g9g6gANALYSIS OF FORMULA: Shu Di, Shan Zhu Yu, Shan Yao, ZeXie, and Dan Pi are five of the six ingredients of Liu Wei DiHuang Wan (Six Flavors Rehmannia Pills), a key formula forenriching kidney yin to grow kidney yang. Yin Yang Huo, BaJi Tian, and Hu Lu Ba warm and supplement kidney yang.Dang Shen, Shan Yao, Bai Zhu, Huang Qi, and mix-fried GanCao fortify the spleen and boost the qi.ADDITIONS & SUBTRACTIONS: For pain primarily in theupper body, add nine grams of Gui Zhi (Ramulus