Digest Number 1348

[Guest guest]

Hi all,

here I find an article regarding TCM treatment for bird flu (source

http://english.china.org.cn/chinese/news/1039567.htm).

Please share your insight on this approach. Which one of pattern identification

it is based? Is there a better approach?

I am looking forward for your comment. Thanks in advance.

 

1. Toxic evil assail the lung (du xie fan fei)

- Main symptoms : fever, chill, sore pharynx, headache, muscle and joint

soreness, cough, scanty phlegm, white tongue fur, floating slippery rapid pulse

- Pathomechanisms : Toxic evil assail Lung-defense, causing Lung-defense brewing

(in), impaired diffusion and downbearing of the lung

- Method of treatment : clear heat and resolve toxin, diffuse the lung,

outthurst evil.

 

Prescription :

chai hu (Radix Bupleuri) 10g

huang qin (Radix Scutellariae) 12g

zhi ma huang (honey-fried Herba Ephedrae) 6g

chao xing ren (stir-fry Semen Armeniacae Amarum) 10g

yin hua (Flos Lonicerae) 10g

lian qiao (Fructus Forsythiae) 15g

niu bang zi (Fructus Arctii) 15g

qiang huo (Rhizoma et Radix Notopterygii) 10g

mao lu gen (Rhizoma Imperatae) 15g

sheng gan cao (Radix Glycyrrhizae) 6g

 

modification :

- severe cough add zhi pi pa ye (honey-fried Folium Eriobotryae), zhe bei mu

(Bulbus Fritillariae Thunbergii)

- nausea, vomiting add zhu ru (Caulis Bambusae in Taenia), su ye (Folium

Perillae)

 

2. Toxic assail the Lung and Stomach (du fan fei wei)

- Main symptoms : fever or chill, headache, muscle and joint soreness, nausea,

vomiting, diarrhea, abdominal pain, slimy tongue fur, floating slippery pulse.

- Pathomechanisms : Toxic evil assail the Lung and Stomach, internal brewing of

damp turbidity, impaired harmonizing and

downbearing of the Stomach Intestine

- Method of treatment : clear heat and resolve toxin, dispel dampness, harmonize

the Stomach

 

Prescription :

ge gen (Radix Puerariae) 20g

huang qin (Radix Scutellariae) 10g

huang lian (Rhizoma Coptidis) 6g

yu xing cao (Herba Houttuyniae) 30g

cang zhu (Rhizoma Atractylodis) 10g

ru xiang (Gummi Olibanu) 10g

jiang ban xia (ginger-processed Rhizoma Pinelliae) 10g

hou po (Cortex Magnoliae Officinalis) 6g

lian qiao (Fructus Forsythiae) 15g

bai zhi (Radix Angelicae Dahuricae) 10g

bai mao gen (Rhizoma Imperatae) 20g

 

Modification :

- severe stomach pain add chao bai shao (stir-fry Radix Paeoniae Alba), zhi gan

cao (honey-fried Radix Glycyrrhizae)

- heavy cough add chao xing ren (stir-fry Semen Armeniacae Amarum), chan tui

(Periostracum Cicadae)

 

3. Toxic evil congesting the Lung (du xie yong fei)

- Main symptoms : high fever, cough with scanty phlegm, oppression in the chest;

suffocation, shortness of breath, hasty panting, or palpitation, agitation,

disquieted, in severe case clouded spirit and dilirious speech, dark purple

lips, dark red tongue, slimy yellow fur or slimy gray fur.

- Pathomechanisms : in severe pathocondition toxic evil congesting the Lung,

impaired diffusion and downbearing of the lung, hence high fever, cough,

phlegm-stasis obstructing the Lung, dark purple lips, shortness of breath, hasty

panting.

- Method of treatment : Clear heat, drain the Lung, resolve toxin, transform

stasis.

 

Prescription :

zhi ma huang (Radix Glycyrrhizae Preparata) 9g

sheng shi gao (Gypsum Fibrosum) 30g (predecoction)

chao xing ren (stir-fry Semen Armeniacae Amarum) 10g

huang qin (Radix Scutellariae) 10g

zhi mu (Radix Anemarrhenae) 10g

zhe bei mu (Bulbus Fritillariae Thunbergii) 10g

ting li zi (Semen Descurainiae seu Lepidii) 15g

sang bai pi (Cortex Mori) 15g

pu gong hing (Herba Taraxaci) 15g

cao he che (Rhizoma paridis) 10g

chi shao (Radix Paeoniae Rubrae) 10g

dan pi (Cortex Moutan) 10g

 

Modification :

- high fever, abstraction, in severe case clouded spirit and dilirious speech

add an gong niu huang wan (Peaceful Palace Bovine Bezoar Pill), or use qing kai

ling zhu she ye (clear and open the spirit injection), tan re qing zhu she ye

(clear phlegm-heat injection), yu xing cao zhu she ye (Herba Houttuyniae

injection)

- dark purple lips add huang qi (Radix Astragali), san qi (Radix Notoginseng),

dang gui wei (Extremitas Radicis Angelicae Sinensis)

 

4. Internal block outward desertion (nei bi wai tuo)

- Main symptoms : high fever or low fever, cough, suffocation, hasty panting,

lack of warmth in the extremities or cold limbs, cold sweating, dark purple lips

and nails, sunken fine pulse or faint pulse verging on expiry.

- Pathomechanisms : Toxic evil falling inward, qi desertion, yang disertion,

exhaution of yin.

- Method of treatment : Support the right, stem desertion

 

Prescription :

sheng sai shen (fresh sun-dried radix ginseng) 15g

mai dong (Radix Ophiopogonis) 15g

wu wei zi (Fructus Schisandrae Chinensis) 10g

bao fu zi (roasted Radix Aconiti Lateralis Praeparata) 10g (predecoction)

gan jiang (Rhizoma Zingiberis) 10g

shan zhu yu (Fructus Corni) 30g

zhi gan cao (Radix Glycyrrhizae Preparata) 6g

 

Modification :

- excessive sweating : duan mu li (Ostreae Concha Calcinata)

- copious phlegm, phlegm rale in the throat, slimy tongue fur add jin qiao mai

(golden buckwheat), su he xiang wan (Styrax pill), hou zao san (Macaque Stone

Powder)

- Can use xing nao jing zhu she ye (Xingnaojing injection), sheng mai zhu she ye

(Pulse-Engendering injection), shen mai zhu she ye (ginseng and Ophiopogonis

injection), shen fu zhu she ye (ginseng and Radix Aconiti Lateralis Praeparata

injection), xue bi jing zhu she ye (blood must quite injection), etc

 

Best regards,

Yandy