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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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If heart qi vacuity is marked with spontaneous perspiration, replace Gui Pi Tang and Tian Wang Bu Xin Dan with Zhi Gan Cao Tang Jia Jian (Mix-fried Licorice Decoction with Additions & Subtractions): uncooked Radix Rehmanniae (Sheng Di), 15-20g, mix-fried Radix Glycyrrhizae (Gan Cao), 12g, Tuber Ophiopogonis Japonici (Mai Men Dong), and Gelatinum Corii Asini (E Jiao), 9g each, Radix Panacis Ginseng (Ren Shen), and Ramulus Cinnamomi Cassiae (Gui Zhi), 6g each, uncooked Rhizoma Zingiberis (Sheng Jiang), 2 slices, and Fructus Zizyphi Jujubae (Da Zao), 3-5 pieces. If there are heart palpitations or arrhythmia, add 12 grams of Semen Zizyphi Spinosae (Suan Zao Ren) and nine grams of Magnetitum (Ci Shi). If there is constipation with dry, bound stools, add 9-12 grams of Semen Cannabis Sativae (Huo Ma Ren). For concomitant blood stasis with chest pain, add nine grams each of Semen Pruni Persicae (Tao Ren) and Radix Salviae Miltiorrhizae (Dan Shen).

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If there is heart yang vacuity with spontaneous perspiration and chilled limbs, replace Gui Pi Tang and Tian Wang Bu Xin Dan with Zhi Gan Cao Tang (Mix-fried Licorice Decoction) and Shen Fu Tang (Ginseng & Aconite Decoction) with additions and subtractions: uncooked Radix Rehmanniae (Sheng Di), 15-20g, mix-fried Radix Glycyrrhizae (Gan Cao), 12g, Tuber Ophiopogonis Japonici (Mai Men Dong), and Gelatinum Corii Asini (E Jiao), 9g each, Radix Panacis Ginseng (Ren Shen), Radix Lateralis Praeparatus Aconiti Carmichaeli (Fu Zi), and Ramulus Cinnamomi Cassiae (Gui Zhi), 6g each, uncooked Rhizoma Zingiberis (Sheng Jiang), 2 slices, and Fructus Zizyphi Jujubae (Da Zao), 3-5 pieces. If there are fright palpitations, add 12 grams each of Os Draconis (Long Gu) and Concha Ostreae (Mu Li). If there is concomitant blood stasis with chest pain, add nine grams each of Radix Salviae Miltiorrhizae (Dan Shen) and Radix Rubrus Paeoniae Lactiflorae (Chi Shao).

9. Liver-spleen disharmony pattern

Main symptoms: In the latter stages, if disease has damaged the liver and spleen, there may be chest and rib-side distention and pain, hypochondral accumulations (i.e., hepatosplnomegaly), reduced food intake, nausea and vomiting, abdominal pain and diarrhea, jaundice, dizziness, insomnia, menstrual irregularities or amenorrhea, a normal or darkish tongue with thin, slimy fur, and a bowstring, fine pulse.

Note: Although Chinese sources say that this pattern presents in the latter stages of this disease, it is our experience that most SLE sufferers present this pattern early on, even before an SLE diagnosis has been made, and often revert to this pattern during periods of remission. In that case, digestive symptoms may or may not be pronounced.

Rx: Xiao Yao San Jia Jian (Rambling Powder with Additions & Subtractions).

Ingredients: Rhizoma Atractylodis Macrocephalae (Bai Zhu) and Sclerotium Poriae Cocos (Fu Ling), 12g each, Radix Bupleuri (Chai Hu), Radix Angelicae Sinensis (Dang Gui), Radix Albus Paeoniae Lactiflorae (Bai Shao), Radix Codonopsitis Pilosulae (Dang Shen), and Cortex Magnoliae Officinalis (Hou Po), 9g each, and Pericarpium Citri Reticulatae (Chen Pi), 6g.

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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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