3. The organic diseases should be excluded after
examinations of nervous and visceral functions.
Differentiation and Treatment of Common Syndromes
1. Stagnation of the Liver-Qi
Main Symptoms and Signs: Emotional depression, doubting mania,
anxiety, vertigo, blurred vision, fullness in the abdomen,
eructation, anorexia, feeling of oppression in the chest,
hypochondriac pain, irregular menstruation, reddish tongue with
whitish fur, taut and thready pulse.
Therapeutic Principle: Dispersing depressed liver-qi to relieve
emotional depression.
Recipe: Modified Bupleurum Powder for Relieving Liver-Qi
bupleurum root
nutgrass flatsedge
curcuma root
fruit of citron
white peony root
albizia flower
red sage root
All the above herbs are to be decocted in water for oral
administration.
In addition, the recipe should include 10 grams of both
medicated leaven and membrane of chicken's gizzard if the case
is with indigestion; 12 grams of pinellia tuber, 10 grams of
tangerine peel for the case with eructation and oppressed
sensation in the chest; 10 grams of moutan bark and 10 grams of
capejasmine when a disorder is ascribed to the fire-transmission
due to stagnation of qi marked by bitter taste in the mouth,
restlessness, headache, conjunctival congestion, red tongue with
yellow fur, and taut rapid pulse; 10 grams of chrysanthemum and
15 grams of uncaria stem with hooks to treat such symptoms as
dizziness and feeling of fullness in the head.
2. Hyperactivity of Fire due to Yin Deficiency
Main Symptoms and Signs: Anxiety, insomnia, dizziness, tinnitus,
feverish sensation in the palms and soles, dry mouth with a few
saliva, nocturnal emission, spermatorrhoea, premature
ejaculation, palpitation, amnesia, soreness of waist, red tongue
with yellowish fur, thready and rapid pulse.
Therapeutic Principle: Nourishing yin to clear away pathogenic
fire.
Recipe: Modified Prescriptions of Decoction of Coptis and
Donkey-Hide Gelatin and Heat-Tonifying Bolus.
dried rehmannia root
Chinese angelica
white peony root
ophiopogon root
coptis root
spiny jujube seed
fleece-flower stem
schisandra berry
poria with hostwood
red sage root
prepared licorice root
donkey-hide gelatin
All the above herbs are to be decocted in water for oral
administration. In addition, donkey-hide gelatin is melted with
the decoction for oral use.
If the patient is extremely disturbed by insomnia, 30 grams of
raw fossil fragments and 30 grams of oyster shell ought to be
administered. If deficiency of the liver-yin and kidney-yin is
remarkable with symptoms of soreness and weakness of the loins
and knees, 20 grams of prepared rehmannia root and 12 grams of
wolfberry fruit be included. When a disorder is caused by
insufficiency of the kidney-yang manifested as spermatorrhea,
impotence, premature ejaculation, aversion to cold, cold limbs,
listlessness, pale tongue, weak and deep pulse, the treatment
should be aimed at tonifying the kidney-yang. The preferred
recipe is modified
Kidney-yang-reinforcing Bolus. The compositions are: prepared
rehmannia root 20g, Chinese yam 12g, wolfberry fruit 12g, fruit
of medicinal cornel 12g, dodder seed 12g, morinda root 12g
antler glue 10g boiling water for oral administration with the
decoction), red raspberry 10g, prepared aconite root 6g,
epimedium 10g, curculigo rhizome 10g. All the herbs are to be
decocted in water for oral administration.
3. Deficiency of the Heart and Spleen
Main Symptoms and signs: Dreaminess and being easy to wake,
palpitation, amnesia, fatigue and weakness, anorexia, sallow
complexion, pale tongue with thin whitish fur, thready and weak
pulse.
Therapeutic principle: Invigorating the heart and spleen.
Recipe: Modified Decoction for Invigorating the Spleen and
Nourishing the Heart.
astragalus root
codonopsis root
big-headed atractylodes rhizome
poria
Chinese angelica
spiny jujube seed
dried longan pulp
polygala root
aucklandia root
prepared licorice root
All the above herbs are to be decocted in water for oral
administration.
If the patient ifs troubled by frequent insomnia, the recipe
should include schisandra berry 10g, fleece flower stem 30g, or
arborvitae seed 10g, raw fossil fragments 20g, oyster shell 20g,
and if the patient complains of anorexia, 10 grams of membrane
of chicken's gizzard. When a disorder is persistent depression
resulting in impairment of the mind characterized by trance,
dysphoria, sadness and melancholy and tending to cry, pale
tongue with thin whitish fur, string-like and thready pulse, the
treatment should be aimed at nourishing the heart to tranquilize
the mind. Decoction of Licorice, Wheat and Chinese-Date with
additional ingredients can be chosen for the case. It includes
the following herbs:
prepared licorice root
light wheat
Chinese date
spiny jujube seed
arborvitae seed
albizia flower
dragon's teeth
curcuma root
All the above herbs are to be decocted in water for oral
administration.
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