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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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Ingredients: Cortex Cinnamomi Cassiae (Rou Gui) and Radix Lateralis Praeparatus Aconiti Carmichaeli (Fu Zi), 15g each, Radix Dioscoreae Oppositae (Shan Yao), 20g, Sclerotium Poriae Cocos (Fu Ling), 30g, Rhizoma Atractylodis Macrocephalae (Bai Zhu), Rhizoma Alismatis (Ze Xie), Fructus Corni Officinalis (Shan Zhu Yu), and Cortex Radicis Moutan (Dan Pi), 12g each, and Radix Panacis Ginseng (Ren Shen) and mix-fried Radix Glycyrrhizae (Gan Cao), 6g each.

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Additions & subtractions: For severe nausea and vomiting, add 20 grams of uncooked Rhizoma Zingberis (Sheng Jiang), and nine grams each of Pericarpium Citri Reticulatae (Chen Pi), Rhizoma Pinelliae Ternatae (Ban Xia), Cortex Magnoliae Offiicinalis (Hou Po), and Rhizoma Acori Graminaei (Shi Chang Pu). For more kidney vacuity, add 9-15 grams each of Semen Cuscutae Chinensis (Tu Si Zi), Rhizoma Curculiginis Orchioidis (Xian Mao), Herba Epimedii (Xian Ling Pi), Ramulus Loranthi Seu Visci (Sang Ji Sheng), Radix Dipsaci (Chuan Duan), Fructus Lycii Chinensis (Gou Qi Zi), Cortex Eucommiae Ulmoidis (Du Zhong), Radix Polygoni Multiflori (He Shou Wu), and Herba Cistanchis Deserticolae (Rou Cong Rong). If urination is inhibited and water swelling is severe, add 9-15 grams each of Sclerotium Polypori Umbellati (Zhu Ling), Pericarpium Arecae Catechu (Da Fu Pi), Rhizoma Imperatae Cylindricae (Bai Mao Gen), and Semen Phaseoli Calcarati (Chi Xiao Dou). If there is diarrhea, increase the amount of Shan Yao up to 30 grams and add 20 grams of stir-fried Rhizoma Atractylodis Macrocephalae (Bai Zhu) and nine grams each of Semen Myristicae Fragrantis (Rou Dou Kou) and Fructus Amomi (Sha Ren).

8. Heart-spleen dual vacuity pattern

Main symptoms: In the latter stages, if disease has damaged the heart, there may be heart palpitations, shortness of breath, chest oppression, profuse sweating, chilled limbs, insomnia, profuse dreams, low-grade fever, night sweats, fatigue, lack of strength, emaciation, disinclination to speak and/or weak voice, poor appetite, possible abdominal distention and loose stools, a pale white or sallow yellow facial complexion, a pale, enalrged tongue with white fur, and a fine, weak, possibly rapid, possibly bound or regularly intermittent pulse.

Rx: Gui Pi Tang (Restore the Spleen Decoction) & Tian Wang Bu Xin Dan (Heavenly Emperor Supplement the Heart Elixir) with additions and subtractions.

Ingredients: Sclerotium Pararadicis Poriae Cocos (Fu Shen), 12g, and Radix Codonopsitis Pilosulae (Dang Shen), Radix Astragali Membranacei (Huang Qi), Radix Angelicae Sinensis (Dang Gui), Radix Scrophulariae Ningpoensis (Xuan Shen), Radix Salviae Miltiorrhizae (Dan Shen), Tuber Ophiopogonis Japonici (Mai Men Dong), Fructus Schisandrae Chinensis (Wu Wei Zi), Semen Biotae Orientalis (Bai Zi Ren), Semen Zizyphi Spinosae (Suan Zao Ren), Radix Polygalae Tenuifoliae (Yuan Zhi), and Arillus Euphoriae Longanae (Long Yan Rou), 9g each.

Additions & subtractions: During remission periods, Gui Pi Wan (Restore the Spleen Pills) or Tian Wang Bu Xin Dan (Heavenly Emperor Supplement the Heart Elixir) may be administered in ready-made pills form to patients with mild heart vacuity symp-toms.

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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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