Herbal USA

MAIN SYMPTOMS: Hip and thigh pain which is worse pre-menstrually or after prolonged inactivity but which is better with exercise, premenstrual breast distention and pain, irritability, fatigue, loose stools, constipation, or alternating diarrhea and constipation, abdominal distention, possible painful menstruation, a pale but dark tongue, and a bowstring, fine pulse

TREATMENT PRINCIPLES: Course the liver and resolve depression, supplement the qi and nourish the blood

Rx: Xiao Yao San Jia Jian (Rambling Powder with Additions & Subtractions)

ANALYSIS OF FORMULA: Within this formula, Ji Xue Teng Bai Shao, Dang Gui, Du Zhong, and Niu Xi all supplement the blood and nourish the sinews. In addition, when the liver obtains sufficient blood, it can do its duty of coursing and discharging. Dang Gui, Ji Xue Teng, and Niu Xi also quicken the blood and transform stasis. Chai Hu courses the liver and rectifies the qi. Bai Zhu, Fu Ling, and mix-fried Gan Cao fortify the spleen and supplement the qi. Sheng Jiang helps rectify the qi and harmonize the center as well as harmonizes all the other medicinals in this formula. It assists Gan Cao in this latter function.

ADDITIONS & SUBTRACTIONS: If there is marked fatigue, add 15 grams of Huang Qi (Radix Astragali) and nine grams of Dang Shen (Radix Codonopsitis). If there is depressive heat, add nine grams each of Zhi Zi (Fructus Gardeniae) and Dan Pi (Cortex Moutan). If there is damp heat, add nine grams of Huang Qin (Radix Scutellariae) and three grams of Huang Lian (Rhizoma Coptidis) and replace Sheng Jiang with six grams of Gan Jiang (dry Rhizoma Zingiberis). If there are cold hands and feet, add nine grams of Gui Zhi (Ramulus Cinnamomi). If there is constipation, add six grams of Da Huang (Radix Et Rhizoma Rhei).

Acupuncture & moxibustion: Bilateral Tai Chong (Liv 3), Ge Shu (Bl 17), and Gan Shu (Bl 18), Zhi Bian (Bl 54), and Wei Zhong (B140) on the affected side, any a shi points in the affected area. If there is a visible purple vein in the area of Wei Zhong, bleed this.

ANALYSIS OF FORMULA: When needled with even supple-menting-even draining technique, Tai Chong, Ge Shu, and Gan Shu together course the liver and nourish the blood. Draining Zhi Bian, Wei Zhong, and any a shi points moves the qi and frees the flow of the network vessels in the affected area.

Additions & subtractions: If spleen vacuity is marked, add Pi Shu (Bl 20) and Zu San Li (St 36) with supplementing method to fortify the spleen and supplement the qi. If there is depressive heat, drain Xing Jian (Liv 2) either instead of or in addition to Tai Chong. If there is heat in the yang ming, drain Nei Ting (St 44). For low back pain, add Shen Shu (Bl 23) and/or Yao Yang Guan (GV 3). For pain radiating to the lateral part of the leg, add Yang Ling Quan (GB 34) and Xuan Zhong (GB 39). For pain radiating to the calf, add Cheng Shan (Bl 57). For pain in the lateral part of the feet, add Kun Lun (Bl 60) and Ba Feng (M-LE-8).

This entry was posted on Tuesday, May 31st, 2011 at 11:11 am and is filed under Herbal Therapy. You can follow any responses to this entry through the RSS 2.0 feed. Both comments and pings are currently closed.