4 Five-Zang-Organ Interconnected Disease Type

(4) Five-Zang-Organ Interconnected Disease Type

The patient's liver qi is overly strong and not restrained by the lungs (metal overcomes wood). The child can make the mother strong (water generates wood), so in the lower part, kidney fire burns intensely, and the mother's illness can affect the child (wood generates fire); in the upper part, heart fire is overly active. When wood is strong, it overcomes earth, so liver disease can spread to the spleen, leading to a three-jiao fire transformation, with liver-dominant real heat symptoms. For example, if lung-kidney yang deficiency occurs first, followed by liver-spleen deficiency, it will eventually affect the heart, which governs all five zang organs. When the liver is deficient, wood cannot generate, when the spleen is deficient, the child steals the mother's qi, and when kidney water is deficient, it cannot be transmitted to the heart, disrupting the balance of water and fire. The heart governs blood, the lungs govern qi, and when qi is deficient, blood is also hard to fill, resulting in a simultaneous deficiency of all five zang organs, with heart failure as the main critical symptom.

① Five-Zang-Organ Dysregulation, Real Heat in the Liver

[Symptoms］ Chest tightness and weakness, flank or sternum pain, bitter taste, tinnitus, fever, insomnia, abdominal masses that are hard and do not dissolve, weak but forceful pulse, tongue often red, sometimes with purple-dark spots.

[Treatment］ Clear heat, drain the liver, and eliminate accumulation. Must pay attention to, 'teaching camp'

[Formula］ Modified Dang Gui Aloe Vera Decoction: 9g of dang gui, 9g of aloe vera, 9g of gentian, 6g of yellow lotus, 6g of yellow reed, 6g of yellow bark, 6g of yellow cinnamom, 6g of yellow magnolia, 30g of white flower snake tongue grass, 15g of half branch lotus, 24g of sheng mu li, 24g of sheng bie jia.

For those with liver and spleen swelling that is hard to reduce, add 6g of san leng and 6g of e zhu.

② Five-Zang-Organ Dysregulation, Virtual Cold in the Heart

[Symptoms］ Palpitations, shortness of breath, spontaneous sweating, fatigue and weakness, pale complexion, cold limbs, profuse sweating, lack of appetite, mental confusion, all blood parameters below normal, pulse almost non-existent, tongue red, no coating or thin white coating, commonly seen in late-stage leukemia.

[Treatment］ Tonify qi and nourish yin, vigorously strengthen heart yang.

[Formula］ Large Replenishing Yang Decoction: 30g of roasted huang qi, 24g of dang shen, 15g of tai zi shen, 9g of jilin ginseng, 6g of dan fu zi, 9g of bai shu, 9g of fu ling, 6g of zhi cao, 9g of dang gui, 4.5g of cinnamon, 12g of shu di, 9g of bai shao, 6g of chuan xiong, 12g of shan yu rou, 15g of shan yao, 3g of ginger, 2.4g of deer antler (ground and dissolved), 9g of a jiao, 24g of chicken blood vine, 24g of mulberry, 9g of bu gu zhi, 9g of mai dong, 6g of schisandra, 3g of ginger, 5 jujubes.

③ Five-Zang-Organ Dysregulation, Yin Deficiency and Yang Collapse

[Symptoms］ Body heat, profuse sweating, difficulty breathing, loss of appetite, mental confusion. Blood parameters: white blood cells and red blood cells are both low, possibly due to excessive bone marrow suppression after chemotherapy. Pulse is very weak and fine, with occasional signs of rapidity.

[Treatment］ Nourish yin and raise yang.

[Formula］ Yang-Raising and Yin-Recovering Decoction: 15g of shashen, 12g of xuan shen, 24g of dang shen, 9g of sugar cane, 9g of tai zi shen, 15g of danshen, 9g of cun dong, 6g of schisandra, 24g of shan yu rou, 15g of goji berries, 30g of shan yao, 12g of sheng huang qi, 9g of dang gui, 9g of bai shao, 12g of sheng di, 15g of long gu, 45g of floating wheat, 9g of bai shu, 9g of qin jiao, 9g of a jiao, 6g of zhi cao, 9g of shen qu, 3g of jiang, 3g of sheng ma, 5 jujubes, decocted and taken orally.