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

POSTCONCUSSION SYNDROME 461Fu Ling (Poria)Ba Ji Tian (Radix Morindae Officinalis)Wu Wei Zi (Fructus Schisandrae)Xiao Hui Xiang (Fructus Foeniculi)Rou Cong Rong (Herba Cistanchis)Yuan Zhi (Radix Polygalae)Shi Chang Pu (Rhizoma Acori Tatarinowii)Gou Qi Zi (Fructus Lycii)30g30g30g30g30g30g20g20gANALYSIS OF FORMULA: Within this formula, a heavy doseof Shu Di enriches yin and fills the essence. Niu Xi, ShanZhu Yu, Du Zhong, Ba Ji Tian, Gou Qi Zi, and Rou CongRong all supplement the kidneys, fill the essence, and boostthe marrow, hence revitalizing the essence spirit. Shan Yaoand Fu Ling fortify the spleen and seep dampness, thus supplyinga source for engenderment and transformation. WuWei Zi and Yuan Zhi nourish the heart and quiet the spirit,while Xiao Hui Xiang and Shi Chang Pu acridly scatterand free the flow of the orifices. When all these medicinalsare combined together, their effect is to supplement thekidneys and engender essence, boost the marrow and fortifythe brain.ADDITIONS & SUBTRACTIONS: If there is bone-steaming or tidalfever with aching and heat in the feet or knees, and a red tonguewith a rapid pulse, add nine grams each of Di Gu Pi (CortexLycii), Zhi Mu (Rhizoma Anemarrhenae), and Huang Bai(Cortex Phellodendri) to enrich yin and clear heat. If there areheart palpitations, fright and fear, vexation, agitation, and restlessness,add 12 grams each of Suan Zao Ren (Semen ZizyphiSpinosae), Long Gu (Os Draconis), and Mu Li (Concha Ostreae)to quiet the spirit and settle fright. If there is piercing headachedue to retained and stagnant vanquished blood, add nine gramseach of Hong Hua (Flos Carthami), Tao Ren (Semen Persicae),Jiang Can (Bombyx Batryticatus), and Quan Xie (Scorpio) toquicken the blood and transform stasis, stop tetany, and stoppain.ACUPUNCTURE & MOXIBUSTION: Bai Hui (GV 20), FengFu (GV 16), Tai Xi (Ki 3), Xuan Zhong (GB 39), Shen Shu(Bl 23), Zhi Shi (Bl 52)ANALYSIS OF FORMULA: As explained above, Feng Fu andBai Hui nourish the sea of marrow and free the flow of theorifices. Even supplementing-even draining Xuan Zhong, themeeting point of the marrow, boosts the sea of marrow,drains the brain, and treats the sequelae of postconcussionsyndrome. Supplementing Tai Xi, Shen Shu, and Zhi Shi supplementsthe kidneys and boosts the intelligence, nourishesthe sea of marrow and increases memory power.ADDITIONS & SUBTRACTIONS: If there is bone-steamingor tidal fever with aching and heat in the feet or knees, a redtongue, and a rapid pulse, add Da Zhui (GV 14) and Yin Xi(Ht 6). If there are heart palpitations, fright and fear, vexation,agitation, and restlessness, add Da Ling (Per 7). If thereis piercing headache due to retained and stagnant vanquishedblood, add Si Shen Cong (M-HN-1). For severely impairedmemory and unclear speech, add Si Shen Cong (M-HN-1).If there are epileptiform symptoms, add Tai Chong (Liv 3),He Gu (LI 4), and Da Zhui (GV 14).REMARKS1. In general, Chinese medicine is quite effective for treatingpostconcussion syndrome. As always, the key is doing anaccurate, personalized pattern discrimination and thendesigning a customized treatment plan to address every elementof that pattern. In most cases of postconcussion syndrome,there is an underlying or pre-existing liver-spleendisharmony which is then aggravated by blood stasis or thecomplications of blood stasis, such as phlegm obstruction.2. When treating blood stasis in postconcussion syndrome, theuse of so-called worm or insect medicinals is usually importantfor freeing the flow of the network vessels. These include QuanXie (Scorpio), Shui Zhi (Hirudo), Tu Bie Chong (Eupolyphaga/Steleophaga), Di Long (Pheretima), and Bie Jia (CarapaxTrionycis).3. The following two contemporary empirical formulas bothtreat the typically complex sorts of patterns seen in real-lifepatients with postconcussion syndrome. The first is Xiao YiTang (Disperse Sequelae Decoction): Dang Shen (RadixCodonopsitis), 15-30g, Bai Shao (Radix Paeoniae Albae),Gou Qi Zi (Fructus Lycii), Ci Shi (Magnetitum), and LongChi (Dens Draconis), 15g each, Da Fu Pi (PericarpiumArecae), Sang Bai Pi (Cortex Mori), and Tao Ren (SemenPersicae), 12g each, Chi Shao (Radix Paeoniae Rubrae), 9g,Jing Jie (Herba Schizonepetae), Chai Hu (Radix Bupleuri),and Xiang Fu (Rhizoma Cyperi), 6g each, and Hu Po(Succinum) and Zhu Sha (Cinnabar), 3g each. This formulasettles the heart and quiets the spirit, upbears the clear anddownbears the turbid, quickens the blood and transformsstasis, rectifies the qi and courses the liver, supplements thekidneys and boosts the spleen.San Bian Di Huang Tang (Scatter the Inclined RehmanniaDecoction): Shu Di (cooked Radix Rehmanniae) and Bai Shao(Radix Paeoniae Albae), 15-30g each, Shan Zhu Yu (FructusCorni), 10-30g, Chuan Xiong (Rhizoma Chuanxiong), 15-20g, Shan Yao (Radix Dioscoreae), 10-15g, Bai Zhi (RadixAngelicae Dahuricae), Xiang Fu (Rhizoma Cyperi), Bai Jie Zi(Semen Sinapis), and Dan Pi (Cortex Moutan), 6-12g each,and Gan Cao (Radix Glycyrrhizae), 3-10g. This formulaquickens the blood and transforms stasis, courses the liver andboosts the spleen, enriches the kidneys and boosts the essence.In comparison to the preceding formula, it more strongly