Herbal USA

MAIN SYMPTOMS: Either during or after the fever associated with an external contraction there is upper or lower limb weakness and loss of strength, inability of the hands to graps or the feet to stand and walk, if severe, paralysis, progressive emaciation, dry, withered skin, abnormal sensations, dry throat and parched lips, heart vexation, hoarse voice, oral thirst, short, reddish, hot, painful urination, constipation, a red tongue with thin fur and scanty fluids, and a fine, rapid or surging, vacuous, rapid pulse.

TREATMENT PRINCIPLES: Clear heat, engender fluids, and moisten dryness

Rx: Qing Zao Jiu Fei Tang (Clear Dryness & Rescue the Lungs Decoction) & Yi Wei Tang (Boost the Stomach Decoction)

Analysis OF FORMULA: Shi Gao clears heat and drains fire, while Sheng Di clears heat and cools the blood. Mai Men Dong, Sha Shen, and Sheng Di enrich yin, engender fluids, and moisten dryness. Sang Ye clears heat from the lungs, while Pi Pa Ye clears heat from the stomach. Huo Ma Ren moistens the intestines and frees the flow of the stools. Shan Yao, TaiZi Shen, and Gan Cao boost the qi and engender fluids.

Additions & subtractions: If stomach fluid damage is severe, add nine grams each of Shi Hu (Herba Dendrobii), Yu Zhu (Rhizoma Polygonati Odorati), and Tian Hua Fen (Radix Trichosanthis). If heat evils are severe, add 12 grams each of Dan Zhu Ye (Herba Lophatheri) and Lu Gen (Rhizoma Phragmitis).

If oral thirst leads to drinking and there’s a surging, large, vacuous, or scallion-stalk pulse due to summerheat heat damaging qi and yin, replace Qing Zao Jiu Fei Tang and Yi Wei Tang with Bai Hujia Ren Shen Tang (WhiteTiger Plus Ginseng Decoction): Shi Gao (Gypsum Fibrosum), 30g, JingMi (Semen Oryzae), 20g, Zhi Mu (Rhizoma Anemarrhenae), 12g, and Ren Shen (Radix Ginseng) and mix-fried Gan Cao (Radix Glycyrrhizae), 6g each.

Acupuncture & moxibustion: Nei Ting (St 44), Zu San Li (St 36), Zhi Gou (TB 6), Zhao Hai (Ki 6), Da Zhui (GV 14), local points according to the affected areas

ANALYSIS OF FORMULA: Draining Nei Ting clears heat and engenders fluids. Draining Zu San Li frees the flow of the qi and blood in the lower extremities as well as frees the flow of the stools. Draining Zhi Gou clears heat from the three burners and frees the flow of the stools. Supplementing Zhao Hai supplements the kidneys and engenders fluids. The kidneys are the water viscus and, therefore, control the fluids and humors of the entire body. Da Zhui is the intersection point of the six yang channels and the governing vessel. Draining it clears heat from the entire body and recedes or abates fever.

Additions & subtractions: Add the Ba Feng (M-LE-8) if there is numbess and tingling in the toes. Add Yong Quan (Ki 1) if there is burning pain on the sole of the foot. If there is heel pain, add Tai Xi (Ki 3) needled through to Kun Lun (Bl 60). Add Tian Shu (St 25), Da Chang Shu (Bl 25), and He Gu (LI 4) if there is constipation. Add Lie Que (Lu 7) if there is marked lung dryness. Add the Ba Xie (M-UE-22), He Gu (LI 4), and Qu Chi (LI 11) if there is numbness and tingling of the fingers. Add He Gu (LI 4) and Qu Chi (LI 11) if there is fever.

This entry was posted on Tuesday, May 31st, 2011 at 11:06 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.