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

RAYNAUD’S PHENOMENON & DISEASE 475arm, add Ji Quan (Ht 1). For spasmodic pain or forRaynaud’s as a stress reaction, add He Gu (LI 4) and TaiChong (Liv 3). For severe yang vacuity, moxa Da Zhui (GV14) and Shen Que (CV 8).2. LIVER DEPRESSION QI STAGNATION PATTERNMAIN SYMPTOMS: Counterflow chilling of the handscaused and aggravated by stress, irritability, emotionaldepression, chest oppression, frequent sighing, breast, ribside,and/or abdominal distention and pain, menstrual irregularitiesin females, a normal or darkish tongue with whitefur, and a bowstring pulseTREATMENT PRINCIPLES: Course the liver and rectify theqi, move the qi and normalize counterflowRX: Si Ni San (Four Counterflows Powder)INGREDIENTS:Bai Shao (Radix Paeoniae Albae)12gChai Hu (Radix Bupleuri)9gZhi Shi (Fructus Immaturus Aurantii)6gGan Cao (Radix Glycyrrhizae) 4.5gANALYSIS OF FORMULA: Chai Hu and Zhi Shi course the liverand rectify the qi, move the qi and normalize counterflow. BaiShao and Gan Cao emolliate the liver and relax spasm.ADDITIONS & SUBTRACTIONS: If there is chest, breast,and/or rib-side pain, add nine grams each of Yan Hu Suo(Rhizoma Corydalis) and Yu Jin (Tuber Curcumae). If thereis concomitant blood vacuity with menstrual irregularities,delete Zhi Shi and add nine grams each of Bai Zhu (RhizomaAtractylodis Macrocephalae), Fu Ling (Poria), and Dang Gui(Radix Angelicae Sinensis). If there is concomitant food stagnation,add nine grams each of Shan Zha (Fructus Crataegi),Mai Ya (Fructus Germinatus Hordei), and Ji Nei Jin(Endothelium Corneum Gigeriae Galli). If there is painfulmenstruation, add nine grams each of Dang Gui (RadixAngelicae Sinensis), Wu Yao (Radix Linderae), Xiang Fu(Rhizoma Cyperi), and Yan Hu Suo (Rhizoma Corydalis).For intercostal neuralgia, add nine grams each of Gua Lou Pi(Pericarpium Trichosanthis), Xie Bai (Bulbus AlliiMacrostemi), and Yu Jin (Tuber Curcumae). If there is constipation,add 3-6 grams of Da Huang (Radix Et RhizomaRhei).If there is counterflow chilling of the hands and feet due toliver depression and blood stasis, replace Si Ni San with thefollowing unnamed formula: Ji Xue Teng (Caulis Spatholobi),Huang Qi (Radix Astragali), and Bai Shao (Radix PaeoniaeAlbae), 30g each, Yu Jin (Tuber Curcumae), 15g, Gui Zhi(Ramulus Cinnamomi), Chai Hu (Radix Bupleuri), DangGui Wei (Extremitas Radicis Angelicae Sinensis), Chi Shao(Radix Paeoniae Rubrae), and Gan Cao (RadixGlycyrrhizae ), 9g each, and Xi Xin (Herba Asari), 3g.If liver depression has transformed internal heat with adark red tongue and possibly bowstring, rapid pulsedespite chilled hands and fingers, replace Si Ni San withDan Zhi Xiao Yao San (Moutan & Gardenia RamblingPowder): Bai Shao (Radix Paeoniae Albae), 12g, Chai Hu(Radix Bupleuri), Dang Gui (Radix Angelicae Sinensis),Bai Zhu (Rhizoma Atractylodis Macrocephalae), Fu Ling(Poria), Dan Pi (Cortex Moutan), and Zhi Zi (FructusGardeniae), 9g each, and mix-fried Gan Cao (RadixGlycyrrhizae), 6g.ACUPUNCTURE & MOXIBUSTION: Tai Chong (Liv 3), HeGu (LI 4); for the fingers, Nei Guan (Per 6), Ba Xie (M-UE-22); for the toes, Huan Tiao (GB 30), Cheng Shan (Bl 57),Ba Feng (M-LE-8)ANALYSIS OF FORMULA: Draining Tai Chong and He Gucourses the liver and rectifies the qi of the entire body.Draining Nei Guan and Ba Xie or Huan Tiao, Cheng Shan,and Ba Feng quickens the blood and frees the flow of the vesselsin the upper and lower extremities respectively.ADDITIONS & SUBTRACTIONS: Add Pi Shu (Bl 20) andWei Shu (Bl 21) and/or Zu San Li (St 36) and San Yin Jiao(Sp 6) for concomitant spleen vacuity. Add San Yin Jiao (Sp6) for menstrual irregularities and for concomitant blood stasis.Add Dan Zhong (CV 17) for chest oppression and breastdistention.3. BLOOD STASIS PATTERNMAIN SYMPTOMS: Continuously greenish purple or purplishred fingers and toes which emit coolness accompaniedby numbness and tingling, distention and pain with exposureto warmth making these symptoms more pronounced,possible deformation of the nails, a purple, dark tongueand/or static macules or spots, and a deep, fine or deep,choppy pulseTREATMENT PRINCIPLES: Quicken the blood and transformstasis, warm yang and free the flow of the vesselsRX: Huo Xue Wen Yang Tang (Quicken the Blood & WarmYang Decoction)INGREDIENTS:Huang Qi (Radix Astragali)Dan Shen (Radix Salviae Miltiorrhizae)Dang Gui (Radix Angelicae Sinensis)Tao Renx (Semen Persicae)20g15g15g9g