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

POLYMYOSITIS/DERMATOMYOSITIS 455TREATMENT PRINCIPLES: Boost the qi and nourish theconstructive, quicken the blood and free the flow of the networkvesselsNOTE: The principles of boosting the qi and nourishing theconstructive are added to this pattern because static bloodimpedes the engenderment of fresh or new blood and theblood is the mother of the qi.RX: Sheng Yu Tang Jia Wei (Sagely Healing Decoction withAdded Flavors)INGREDIENTS:Shu Di (cooked Radix Rehmanniae)12gSheng Di (uncooked Radix Rehmanniae) 12gTao Ren (Semen Persicae)9gHong Hua (Flos Carthami)9gNiu Xi (Radix Achyranthis Bidentatae)9gRen Shen (Radix Ginseng)9gChuan Xiong (Rhizoma Chuanxiong)9gDang Gui (Radix Angelicae Sinensis) 1.5gHuang Qi (Radix Astragali) 1.5gANALYSIS OF FORMULA: Tao Ren, Hong Hua, Chuan Xiong,Sheng Di, and Dang Gui quicken the blood and transformstasis. Shu Di, Sheng Di, Niu Xi, and Dang Gui nourish theblood. Ren Shen and Huang Qi boost the qi.ACUPUNCTURE & MOXIBUSTION: Ge Shu (Bl 17), XueHai (Sp 10), San Yin Jiao (Sp 6), Zu San Li (St 36)ANALYSIS OF FORMULA: Ge Shu is the meeting point of theblood, and Xue Hai is the “sea of the blood.” Therefore,draining these two points quickens the blood and transformsstasis. San Yin Jiao nourishes the blood, while Zu San Li supplementsthe spleen and boosts the qi.ADDITIONS & SUBTRACTIONS: For cyanosis of the fingertipsand toes, add Ba Xie (M-UE-22) or Ba Feng (M-LE-8). Ifthere is liver depression qi stagnation, add Tai Chong (Liv 3).REMARKS1. As with most other autoimmune diseases, polymyositis/dermatomyositis is most commonly found in females, andfemales, due to menstruation, gestation, and lactation, aremore apt to exhibit spleen vacuity than men. Such spleen vacuitytends to become more pronounced at around 35 years of agein women. Because the spleen becomes vacuous and weak and,therefore, does not engender and transform blood as abundantlyas before, the liver tends to become or become moredepressed. If spleen qi vacuity reaches the kidneys, spleen qivacuity will evolve into spleen-kidney yang vacuity. If liverblood vacuity reaches the kidneys, liver blood vacuity willevolve into kidney yin vacuity. As it is said, “Yin is automaticallyhalf at 40 years of age.” Because yin and yang are mutuallyrooted, vacuity of one will commonly involve at least someelement or lead to vacuity of the other. Thus, in real-life clinicalpractice, it is not uncommon to see Western women in their40s with autoimmune diseases who display liver depression qistagnation and spleen qi, liver blood, and kidney yin and yangvacuities. Because of the interrelationships between the qi,blood, and fluids and humors, these five patterns may also becomplicated by blood stasis, damp accumulation, phlegmobstruction, and/or some kind of evil heat. In such complicated,multi-pattern scenarios, which are the rule rather than theexception, one must treat all of these disease mechanisms at thesame time since they are all mutually engendering.2. Whenever enduring disease has caused blood stasis in thenetwork vessels, one must use medicinals which quicken theblood and free the flow of the network vessels. Such medicinalsgenerally belong to one of three categories: 1) worm and insectmedicinals, e.g., Quan Xie (Scorpio), Wu Gong (Scolopendra),and Wu Shao She (Zaocys), 2) tree saps and resins, e.g., RuXiang (Olibanum), Mo Yao (Myrrha), and Xue Jie (SanguisDraconis), and 3) medicinals which are network-like in form,e.g., Si Gua Luo (Fasciculus Luffae) and Ju Luo (Fasciculus CitriReticulatae). When dealing with rheumatic complaints, theworm and insect medicinals are usually the most effective ofthese three categories.3. During the initial stage of skin lesions, one can make a washout of 30 grams of Tou Gu Cao (Herba Impatientis), 25 gramsof Gui Zhi (Ramulus Cinnamomi), and nine grams of HongHua (Flos Carthami). Decoct these three medicinals in waterand use the resulting medicinal liquid as an external washapplied warm one time per day.4. Er Shen Er Teng Tang (Two Roots & Two Vines Decoction)treats dermatomyositis presenting as qi, blood, and yin vacuitywith blood stasis and heat toxins: Ji Xue Teng (CaulisSpatholobi) and Luo Shi Teng (Caulis Trachelospermi), 30geach, Huang Qi (Radix Astragali), 20g, Dang Shen (RadixCodonopsitis), Bei Sha Shen (Radix Glehniae), and Sheng Di(uncooked Radix Rehmanniae), 15g each, and Dan Pi(Cortex Moutan) and Zi Cao (Radix Arnebiae/Lithospermi),12g each. During the initial stage with fever, throat pain, redmacules, and red tongue, add 12 grams each of Da Qing Ye(Folium Daqingye) and Jin Yin Hua (Flos Lonicerae) and 18-30 grams of Pu Gong Ying (Herba Taraxaci). For muscle painand aversion to cold due to concomitant yang vacuity withwind damp evils, add nine grams each of Zhi Fu Zi (RadixLateralis Praeparatus Aconiti Carmichaeli), Yin Yang Huo(Herba Epimedii), and Qiang Huo (Radix Et RhizomaNotopterygii ). For enduring disease leading to blood stasis,add nine grams each of Dan Shen (Radix SalviaeMiltiorrhizae ) and Hong Hua (Flos Carthami).