Herbal USA

MAIN SYMPTOMS: Enduring disease in an older, commonly ectomorphic patient, enduring but less severe pain, pain which is worse in the evening and after prolonged inactivity but which is better after moderate exercise, however, pain which is also worse with excessive activity, a liking for pressure or massage in the affected area, dizziness, tinnitus, insomnia, heart palpitations, age spots, dry, scaly skin, low back and knee soreness and weakness, muscle whittling and weakness of the lower limbs, possible dry mouth and throat, possible red tongue with scanty fur or fluids, and a bowstring, fine, possibly rapid pulse

TREATMENT PRINCIPLES: Supplement and nourish the liver and kidneys, quicken the blood and strengthen the low back

Rx: Bu Shen HuoXue Tang Jia Jian (Supplement the Kidneys & Quicken the Blood Decoction with Additions & Subtractions)

Analysis of formula: Shu Di, Niu Xi, and Gou Qi Zi enrich kidney yin and strengthen the bones. Dang Gui, Shu Di, Gou Qi Zi, and Shan Zhu Yu nourish liver blood and strengthen the sinews. Tu Si Zi, Bu Gu Zhi, Du Zhong, and Rou CongRongwarm the kidneys and strengthen the low back. In addition, Du Zhong leads the action of the other medicinals to the low back region. Mo Yao, Hong Hua, and Dang Gui quicken the blood and stop pain. Qin Jiao dispels wind dampness and treats impediment pain. Also, Qin Jiao leads the action of the other medicinals to the spinal column and limbs.

Additions & subtractions: If there is marked liver depression qi stagnation, add nine grams of Chuan Lian Zi (Fructus Toosendan) and six grams of Zhi Shi (Fructus Immaturus Aurantii). If there is more pronounced blood vacuity, add 15 grams of Ji Xue Teng (Caulis Spatholobi) and nine grams of He Shou Wu (Radix Polygoni Multiflori). If there is concomitant qi vacuity, add 15 grams of Huang Qi (Radix Astragali) and nine grams each of Dang Shen (Radix Codonopsitis) and Shan Yao (Radix Dioscoreae). If there is fluid dryness constipation, add nine grams each of Huo Ma Ren (Semen Cannabis) and Tao Ren (Semen Persicae). If there is concomitant yang vacuity, add nine grams each of Ba Ji Tian (Radix Morindae Officinalis) and Suo Yang (Herba Cynomorii). If there is internal heat, add 9-12 grams of Huang Qin (Radix Scutellariae). If there is qi vacuity with muscle atrophy and weakness in the lower limbs, add 15 grams of Huang Qi (Radix Astragali) and nine grams each of Bai Zhu (Rhizoma Atractylodis Macrocephalae) and Dang Shen (Radix Codonopsitis). If there is spasmodic pain, add 18 grams of Bai Shao (Radix Paeoniae Albae).

Acupuncture & moxibustion: Bilateral Xue Hai (Sp 10), San Yin Jiao (Sp 6), and Fu Liu (Ki 7), Zhi Bian (Bl 54), Wei Zhong (Bl 40), and any locally tender a shi points on the affected side

Analysis OF FORMULA: Supplementing San Yin Jiao and Fu Liu supplements and nourishes the liver and kidneys. Even supplementing-even draining Xue Hai quickens the blood and dispels stasis, while the rest of the points move the qi and free the flow of the network vessels in the affected area.

Additions & subtractions: 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 11:10 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.