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

474 THE TREATMENT OF MODERN WESTERN DISEASES WITH CHINESE MEDICINEpromoting, one being the latter heaven and the other beingthe former heaven source. Vice versa, spleen qi vacuity resultingin failing to engender sufficient blood and kidney yangvacuity may both cause or aggravate liver depression.If evils obstruct the flow of qi and blood over a long time orif there is either qi vacuity failing to move the blood, bloodvacuity failing to nourish the vessels, or yang vacuity failingto warm and move, static blood may be engendered whichmay also block and obstruct the flow of qi and blood.TREATMENT BASED ON PATTERNDISCRIMINATION:1. YIN COLD PATTERNMAIN SYMPTOMS: A preference for warmth and dread ofchill, chilling of the fingers or toes leading to their skinbecoming somber white or greenish purple (i.e., cyanotic),emission of coolness and numbness in the affected area, possibleslight pain, obtaint of warmth restoring the normal skincolor and temperature, exposure to cold worsening theevent, thin, white tongue fur, and a deep, fine, possibly slowpulseTREATMENT PRINCIPLES: Warm yang and scatter cold,quicken the blood and free the flow of the vesselsRX: Yang He Tang Jia Jian (Yang Harmonizing Decoctionwith Additions & Subtractions)INGREDIENTS:Shu Di (cooked Radix Rehmanniae)Huang Qi (Radix Astragali)Dan Shen (Radix Salviae Miltiorrhizae)Dang Gui (Radix Angelicae Sinensis)Ji Xue Teng (Caulis Spatholobi)Rou Gui (Cortex Cinnamomi)Gan Jiang (dry Rhizoma Zingiberis)Di Long (Pheretima)Ma Huang (Herba Ephedrae)Gan Cao (Radix Glycyrrhizae)30g30g30g15g15g9g9g9g6g6gANALYSIS OF FORMULA: Rou Gui and Gan Jiang warm yang,while Ma Huang scatters cold. Because evils may take advantageof vacuity to invade the channels, Shu Di and Huang Qisupplement the qi and blood and fill the channels to avoidfurther invasion. Dan Shen, Dang Gui, Ji Xue Teng, and DiLong quicken the blood and free the flow of the vessels. GanCao harmonizes the other medicinals in this formula.ADDITIONS & SUBTRACTIONS: If there is spleen-kidney yangvacuity with cold congealing in the network vessels, replaceYang He Tang with the following unnamed formula:uncooked Huang Qi (Radix Astragali) and Ji Xue Teng(Caulis Spatholobi), 30g each, Dan Shen (Radix SalviaeMiltiorrhizae), 20g, Dang Shen (Radix Codonopsitis), Tu SiZi (Semen Cuscutae), Su Mu (Lignum Sappan), Nu Zhen Zi(Fructus Ligustri Lucidi), and Dang Gui (Extremitas RadicisAngelicae Sinensis), 15g each, and Rou Gui (CortexCinnamomi) and Hong Hua (Flos Carthami), 9g each. Ifthere is low back pain, add nine grams each of Sang Ji Sheng(Herba Taxilli) and Xu Duan (Radix Dipsaci). If aching andpain are marked, add nine grams of Chuan Lian Zi (FructusToosendan) and 15 grams of Yan Hu Suo (RhizomaCorydalis). If the fingertips become swollen, add nine gramseach of Fu Ling (Poria) and Bai Zhu (Rhizoma AtractylodisMacrocephalae). If the extremities become ulcerated, deleteRou Gui and add 20 grams each of Pu Gong Ying (HerbaTaraxaci) and Jin Yin Hua (Flos Lonicerae) and nine gramsof Bai Zhi (Radix Angelicae Dahuricae). For numbness andpain of the fingers or toes, add 12 grams each of Gui Zhi(Ramulus Cinnamomi) and Sang Zhi (Ramulus Mori). Foreven more marked cold symptoms, add three grams of Xi Xin(Herba Asari) and six grams of Zhi Fu Zi (Radix LateralisPraeparatus Aconiti Carmichaeli). For concomitant qi vacuity,add 12 grams each of Dang Shen (Radix Codonopsitis)and Bai Zhu (Rhizoma Atractylodis Macrocephalae). Forconcomitant blood vacuity, add 12 grams of E Jiao(Gelatinum Corii Asini). For stomach and abdominal fullnessand loose stools, add nine grams each of Bai Zhu(Rhizoma Atractylodis Macrocephalae) and Mu Xiang(Radix Auklandiae).ACUPUNCTURE & MOXIBUSTION: Guan Yuan (CV 4), ZuSan Li (St 36); for cold fingers, Que Pen (St 12), Nei Guan(Per 6), Ba Xie (M-UE-22); for cold toes, Huan Tiao (GB30), Cheng Shan (Bl 57), Ba Feng (M-LE-8)ANALYSIS OF FORMULA: Supplementing Guan Yuan andZu San Li with moxibustion warms and supplements spleenand kidney yang. Draining Que Pen and Nei Guan or HuanTiao and Cheng Shan quickens the blood and frees the flowof the vessels in the upper and lower extremities respectively.Moxaing either the Ba Xie or Ba Feng warms yang and scatterscold locally.ADDITIONS & SUBTRACTIONS: For more marked purplishcolor, numbness, cold, and pain in the thumb and forefinger,add Shou San Li (LI 10). In the middle finger, add Da Ling(Per 7). In the ring finger and little finger, add Shao Hai (Ht3). For more marked purplish color, numbness, cold, andpain in the first toe, add Di Ji (Sp 8). In the second and thirdtoes, add Feng Long (St 40). In the fourth toe, add Yang LingQuan (GB 34), and in the fifth toe, add Kun Lun (Bl 60). Forsevere purplish fingers or toes with pain, also bleed Shi Xuan(M-UE-1). For a cold sensation in the buttocks, add ZhiBian (Bl 54). For a cold sensation or numbness in the upper