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Systemic lupus erythmatosus & Chinese herbal medicine

Townsend Letter for Doctors and Patients, May, 2004 by Bob Flaws

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Rx: Da Bu Yin Wan (Greatly Supplementing Yin Pills) & Si Wu Tang Jia Jian (Four Materials Decoction) with additions and subtractions.

Ingredients: Plastrum Testudinis (Gui Ban) and Carapax Amydae Chinensis (Bie Jia), 30g each, uncooked Radix Rehmanniae (Sheng Di), Cortex Phellodendri (Huang Bai), Rhizoma Anemarrhenae Aspheloidis (Zhi Mu), and Radix Angelicae Sinensis (Dang Gui), 20g each, Radix Albus Paeoniae Lactiflorae (Bai Shao) and Radix Ligustici Wallichii (Chuan Xiong), 9g each.

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Additions & subtractions: If qi vacuity is severe, add 20 grams of Radix Astragali Membranacei (Huang Qi) and nine grams of Radix Panacis Quinquefolii (Xi Yang Shen). If nights sweats and/or spontaneous perspiration are pronounced, add nine grams each of Os Draconis (Long Gu) and Concha Ostreae (Mu Li). For spleen vacuity with scanty eating, add 20 grams each of Radix Dioscoreae Oppositae (Shan Yao) and Sclerotium Poriae Cocos (Fu Ling) and nine grams of Rhizoma Atractylodis Macrocephalae (Bai Zhu). For marked tidal heat and vexatious heat in the five hearts, add 20 grams each of Radix Dioscoreae Oppositae (Shan Yao) and Sclerotium Poriae Cocos (Fu Ling) and nine grams each of Cortex Radicis Moutan (Dan Pi), Fructus Corni Officinalis (Shan Zhu Yu), and Rhizoma Alismatis (Ze Xie). Or one can add 9-15 grams each of Cortex Radicis Lycii Chinensis (Di Gu Pi), Radix Scrophulariae Ningpoensis (Xuan Shen), Radix Trichosanthis Kirlowii (Tian Hua Fen), and Herba Artemensiae Apiaceae (Qing Hao). For static blood and marked skin lesions, add nine grams each of Semen Pruni Persicae (Tao Ren) and Flos Carthami Tinctorii (Hong Hua), 15 grams each of Radix Salviae Miltiorrhizae (Dan Shen) and Radix Rubrus Paeoniae Lactiflorae (Chi Shao), and 20 grams each of Rhizoma Imperatae Cylindricae (Bai Mao Gen) and Nodus Rhizomatis Nelumbinis Nuciferae (Ou Jie). If kidney depletion is marked with low back and knee soreness and weakness, dizziness, and tinnitus, add nine grams each of Fructus Lycii Chinensis (Gou Qi Zi), Semen Cuscutae Chinensis (Tu Si Zi), Fructus Rubi Chingii (Fu Pen Zi), Herba Cistanchis Deserticolae (Rou Cong Rong), Radix Achyranthis Bidentatae (Huai Niu Xi), and Radix Polygoni Multiflori (He Shou Wu).

6. Qi stagnation & blood stasis pattern

Main symptoms: Cyanosis of the tips of the extremities or a mixture of somber white and greenish purple, purple-colored skin macules or disciform, deep or abnormally colored skin lesions, scaley, cracked skin, joint and muscle aching and pain, emotional depression in females with menstrual irregularity, dysmenorrhea, or amenorrhea, a purple red tongue, and static, purple, engorged sublingual veins. This pattern is mostly seen in those with accompanying serious Raynaud's disease or pronounced vasculitis.

Note: This pattern typically does not present in its pure form like this. Rather, blood stasis commonly complicates most, if not all, patterns of chronic, enduring disease.

Rx: Xue Fu Zhu Yu Tang Jia Jian (Blood Mansion Dispel Stasis Decoction with Additions & Subtractions).

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Systemic lupus erythmatosus & Chinese herbal medicine

Townsend Letter for Doctors and Patients, May, 2004 by Bob Flaws

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