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

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

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PULMONARY TUBERCULOSIS 471RX: Pao Zhen Tang (Protect the T<strong>ru</strong>e Decoction) & ChengYang Li Lao Tang (Save Yang & Rectify Taxation Decoction)with additions and subtractionsINGREDIENTS:Xian He Cao (Herba Agrimoniae)Huang Qi (Radix Astragali)Tai Zi Shen (Radix Pseudostellariae)Sheng Di (uncooked Radix Rehmanniae)Shu Di (cooked Radix Rehmanniae)Mai Men Dong (Tuber Ophiopogonis)Tian Men Dong (Tuber Asparagi)Di Gu Pi (Cortex Lycii)Dang Gui (Radix Angelicae Sinensis)Bai Shao (Radix Paeoniae Albae)Bai Zhu (Rhizoma Atractylodis Macrocephalae)Chen Pi (Pericarpium Citri Reticulatae)Wu Wei Zi (F<strong>ru</strong>ctus Schisandrae)Yin Chai Hu (Radix Stellariae)30g15g15g12g12g12g12g12g9g9g9g6g6g6gANALYSIS OF FORMULA: Sheng Di, Shu Di, Mai Men Dong,Tian Men Dong, and Wu Wei Zi foster and supplementessence and yin. Shu Di, Sheng Di, Dang Gui, and Bai Shaonourish the blood. Huang Qi, Tai Zi Shen, Bai Zhu, and WuWei Zi fortify the spleen and boost the qi. Tai Zi Shen, ShuDi, and Wu Wei Zi supplement the kidneys. Di Gu Pi andYin Chai Hu clear vacuity heat. Wu Wei Zi astringes andsecures the lung qi. Chen Pi moves the qi to help transformthe phlegm. Xian He Cao cools the blood and stops bleeding.ADDITIONS & SUBTRACTIONS: For severe essence and blooddebility, add 3-6 grams <strong>of</strong> Dong Chong Xia Cao (Cordyceps),3-9 grams each <strong>of</strong> Lu Jiao Jiao (Gelatinum Cornu Cervi)and Gui Ban Jiao (Gelatinum Plastri Testudinis), and threegrams <strong>of</strong> Zi He Che (Placenta Hominis), powdered andswallowed with the decoction. For chilled limbs and a deep,slow pulse, add 1.5 grams <strong>of</strong> Rou Gui (Cortex Cin<strong>nam</strong>omi).For cockcrow diarrhea, add nine grams each <strong>of</strong> Bu Gu Zhi(F<strong>ru</strong>ctus Psoraleae) and Wu Zhu Yu (F<strong>ru</strong>ctus Evodiae) andsix grams <strong>of</strong> Rou Dou Kou (Semen Myristicae). For severecough with or without hacking <strong>of</strong> blood, add 12 grams each<strong>of</strong> Zi Wan (Radix Asteris) and Kuan Dong Hua (FlosFarfarae). For tidal heat, add 15 grams <strong>of</strong> Bie Jia (CarapaxTrionycis) and 12 grams <strong>of</strong> Di Gu Pi (Cortex Lycii). Fornight sweats, add 30 grams <strong>of</strong> Fu Xiao Mai (Semen LevisTritici).ACUPUNCTURE & MOXIBUSTION: Fei Shu (Bl 13), GaoHuang Shu (Bl 43), Shen Shu (Bl 23), Zu San Li (St 36)ANALYSIS OF FORMULA: Supplementing Fei Shu and GaoHuang Shu nourishes yin and moistens the lungs, clearsvacuity heat from the lungs and stops coughing. With moxibustionand supplementing method, Shen Shu and Zu SanLi warm and supplement the spleen and kidneys. Zu San als<strong>of</strong>ortifies the spleen and boosts the qi and, thus, indirectly,prevents phlegm accumulation.ADDITIONS & SUBTRACTIONS: For night sweats, add YinXi (Ht 6). For tidal fever, add Da Zhui (GV 14) or Ran Gu(Ki 2). For severe cough, add Chi Ze (Lu 5). For severe hacking<strong>of</strong> blood, add Ge Shu (Bl 17) and Yu Ji (Lu 10). Forsevere spleen vacuity, add Pi Shu (Bl 20) and Wei Shu (Bl 21).For pr<strong>of</strong>use phlegm, add Feng Long (St 40) and Zhong Wan(CV 12). For severe kidney yang vacuity with impotence,seminal emission, etc., add Zhi Shi (Bl 52). For insomnia,add Shen Men (Ht 7) and Zhao Hai (Ki 6). For chest pain oroppression, add Nei Guan (Per 6) and Dan Zhong (CV 17).REMARKS1. Tuberculosis should be treated with a combination <strong>of</strong>Chinese and <strong>Western</strong> medicines. One should not attempt totreat this disease with Chinese medicine alone. Two or more<strong>Western</strong> d<strong>ru</strong>gs are typically administered at a time to avoidbacterial resistance. Unfortunately, these d<strong>ru</strong>gs are hard onthe liver and, therefore, lab test monitoring <strong>of</strong> liver functionsmust be carried out on a regular basis during the course <strong>of</strong>treatment. When Chinese medicine is used in tandem with<strong>Western</strong> d<strong>ru</strong>g therapy, Chinese medicinals and/or acupuncturecan be used to help relieve any adverse reactions. In thatcase, treatment should be based on the patient’s total patterndiscrimination, including the symptoms <strong>of</strong> such adversereactions.2. Traditionally within Chinese medicine, there are fourmajor symptoms <strong>of</strong> lung consumption: cough, hackingblood, tidal fever, and night sweats. It is also said that lungconsumption has three natures: infectious nature, chronicnature, and vacuity nature. Based on these three natures, LiShou-xin et al. say that one should kill the worms to severethe root and then supplement vacuity to recover the source. 2However, in clinical practice, both root and source are typicallytreated simultaneously. <strong>The</strong> types <strong>of</strong> worm-killing medicinalsgiven as examples are Dong Chong Xia Cao(Cordyceps) and Wu Gong (Scolopendra). Neither <strong>of</strong> thesemedicinals is normally thought <strong>of</strong> as a worm-killing medicinalin standard contemporary Chinese medicine. Here, Li etal. are basing their use <strong>of</strong> the concept <strong>of</strong> killing worms on theprinciple <strong>of</strong> using worm or insect medicinals to hunt downand kill other, pathogenic worms.3. External application <strong>of</strong> Chinese medicinal plasters overthe site <strong>of</strong> foci in the lungs or over acupuncture points associatedwith lung diseases may be used as adjunctive treatments.One such formula is comprised <strong>of</strong> equal amounts <strong>of</strong>Gan Sui (Radix Kansui), Da Ji (Radix Euphorbiae/Knoxiae),Ze Qi (Herba Euphorbiae Helioscopiae), Lu Feng Fang(Nidus Vespae), and Ba Jiao Lian (Rhizoma Podophylli) and1/4-1/2 amount <strong>of</strong> Hong Niang Zi (Huechys). <strong>The</strong>se medi-

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