Herbs used in hypertension in Beijing

[Guest guest]

Hi All,

 

Zou ZD, Liu N, Guo P, Guo LY, Sun Y, Shi J, Wang L. [Analysis on clinical

treatment in Hypertension by TCM for 10 years in Beijing] [Article in

Chinese] Zhongguo Zhong Yao Za Zhi. 2007 Aug;32(15):1569-72. College

of TCM, Capital Medicinal University, Beijing 100069, China. zyx-

24 AIM: To study retrospectively the clinical treatment of

Hypertension by TCM for 10 years in Beijing, & analyze 3 main facets by

studying: (1) regularity of using CHM; (2) regularity of application, & (3)

differentiation of S & Ss. RESULT: (1) Regularity of using CHM: In

hypertension (depending on Syndrome), Hbs are used to Tone, Expel

Phlegm & Stop Wind, Clear Heat, Quicken Xue & Resolve Xueyu, Clear

Damp; Hbs used often were Gouteng, Niuxi, Tianma, Fuling, Baishao,

Zexie, Chuanxiong, etc. (2) Regularity of application: The same 6 kinds of

Hbs above (Gouteng, Niuxi, Tianma, Fuling, Baishao, Zexie, Chuanxiong)

were used most regularly & frequently; (3) Differentiation of S & Ss: Hbs used

most often in the common Hypertension Syndromes were: (a) LV Yang

Ascending Syndrome: Gouteng, Niuxi, Baishao, Tianma, Chuanxiong,

Juhua, etc; (b) LV & KI Yinxu S & Ss: Gouqizi, Niuxi, Shanyao, Shudihuang,

Fuling, Mudanpi, etc; © LV Fire Upflaring Syndrome: Huangqin, Xiakucao,

Gouteng, Zhizi, Longdancao, Juhua, etc; (d) Phlegm Stag: Fuling, Banxia,

Jupi, Baizhu, Tianma, Gancao, etc; (e) LV (?Wind) Upstirring: Tianma,

Gouteng, Baishao, Shijiuming, Banxia, etc; (f) Xueyu Syndrome in brain

Collaterals: Chuanxiong, Chishao, Honghua, Danshen, Sanqi, etc; (g) Both

Yinxu & Yangxu (Deficiency): Shanzhuyu, Shudi, Fuling, Rougui, Fuzi, Niuxi,

etc; PMID: 17972592 [PubMed - indexed for MEDLINE]

 

Best regards,

 

 

 

 

 

[Guest guest]

Hello honorable group

 

I'm a student of TCM quietly listening and appreciating your

discussions.

This question is bothering me for a long time so I have to voice it.

Why Gan Cao is used to treat hypertension (as per analysis below) if

it's agreed that it could cause hypertension (Bensky p. 734). This is

one of the paradoxes of Chinese herbalism.

I would be grateful for explanation

 

Edita

 

, " "

< wrote:

>

> Hi All,

>

> Zou ZD, Liu N, Guo P, Guo LY, Sun Y, Shi J, Wang L. [Analysis on

clinical

> treatment in Hypertension by TCM for 10 years in Beijing] [Article

in

> Chinese] Zhongguo Zhong Yao Za Zhi. 2007 Aug;32(15):1569-72.

College

> of TCM, Capital Medicinal University, Beijing 100069, China. zyx-

> 24 AIM: To study retrospectively the clinical treatment of

> Hypertension by TCM for 10 years in Beijing, & analyze 3 main

facets by

> studying: (1) regularity of using CHM; (2) regularity of

application, & (3)

> differentiation of S & Ss. RESULT: (1) Regularity of using CHM: In

> hypertension (depending on Syndrome), Hbs are used to Tone, Expel

> Phlegm & Stop Wind, Clear Heat, Quicken Xue & Resolve Xueyu, Clear

> Damp; Hbs used often were Gouteng, Niuxi, Tianma, Fuling, Baishao,

> Zexie, Chuanxiong, etc. (2) Regularity of application: The same 6

kinds of

> Hbs above (Gouteng, Niuxi, Tianma, Fuling, Baishao, Zexie,

Chuanxiong)

> were used most regularly & frequently; (3) Differentiation of S & Ss:

Hbs used

> most often in the common Hypertension Syndromes were: (a) LV Yang

> Ascending Syndrome: Gouteng, Niuxi, Baishao, Tianma, Chuanxiong,

> Juhua, etc; (b) LV & KI Yinxu S & Ss: Gouqizi, Niuxi, Shanyao,

Shudihuang,

> Fuling, Mudanpi, etc; © LV Fire Upflaring Syndrome: Huangqin,

Xiakucao,

> Gouteng, Zhizi, Longdancao, Juhua, etc; (d) Phlegm Stag: Fuling,

Banxia,

> Jupi, Baizhu, Tianma, Gancao, etc; (e) LV (?Wind) Upstirring:

Tianma,

> Gouteng, Baishao, Shijiuming, Banxia, etc; (f) Xueyu Syndrome in

brain

> Collaterals: Chuanxiong, Chishao, Honghua, Danshen, Sanqi, etc; (g)

Both

> Yinxu & Yangxu (Deficiency): Shanzhuyu, Shudi, Fuling, Rougui,

Fuzi, Niuxi,

> etc; PMID: 17972592 [PubMed - indexed for MEDLINE]

>

> Best regards,

>

>

>

>

>

[Guest guest]

The formulas here work in concert to relieve high blood pressure

according to the presenting pattern. The gan cao is used in small

dosages (usually) and will not cause any spikes in blood pressure. In

other words, its benefit to the rest of the formula outweighs any

detriment, again, especially in the usual dosages.

Doug

 

 

 

, " zvedita " <zvedita wrote:

>

> Hello honorable group

>

> I'm a student of TCM quietly listening and appreciating your

> discussions.

> This question is bothering me for a long time so I have to voice it.

> Why Gan Cao is used to treat hypertension (as per analysis below) if

> it's agreed that it could cause hypertension (Bensky p. 734). This is

> one of the paradoxes of Chinese herbalism.

> I would be grateful for explanation

>

> Edita

>

> , " "

> <@> wrote:

> >

> > Hi All,

> >

> > Zou ZD, Liu N, Guo P, Guo LY, Sun Y, Shi J, Wang L. [Analysis on

> clinical

> > treatment in Hypertension by TCM for 10 years in Beijing] [Article

> in

> > Chinese] Zhongguo Zhong Yao Za Zhi. 2007 Aug;32(15):1569-72.

> College

> > of TCM, Capital Medicinal University, Beijing 100069, China. zyx-

> > 24@ AIM: To study retrospectively the clinical treatment of

> > Hypertension by TCM for 10 years in Beijing, & analyze 3 main

> facets by

> > studying: (1) regularity of using CHM; (2) regularity of

> application, & (3)

> > differentiation of S & Ss. RESULT: (1) Regularity of using CHM: In

> > hypertension (depending on Syndrome), Hbs are used to Tone, Expel

> > Phlegm & Stop Wind, Clear Heat, Quicken Xue & Resolve Xueyu, Clear

> > Damp; Hbs used often were Gouteng, Niuxi, Tianma, Fuling, Baishao,

> > Zexie, Chuanxiong, etc. (2) Regularity of application: The same 6

> kinds of

> > Hbs above (Gouteng, Niuxi, Tianma, Fuling, Baishao, Zexie,

> Chuanxiong)

> > were used most regularly & frequently; (3) Differentiation of S & Ss:

> Hbs used

> > most often in the common Hypertension Syndromes were: (a) LV Yang

> > Ascending Syndrome: Gouteng, Niuxi, Baishao, Tianma, Chuanxiong,

> > Juhua, etc; (b) LV & KI Yinxu S & Ss: Gouqizi, Niuxi, Shanyao,

> Shudihuang,

> > Fuling, Mudanpi, etc; © LV Fire Upflaring Syndrome: Huangqin,

> Xiakucao,

> > Gouteng, Zhizi, Longdancao, Juhua, etc; (d) Phlegm Stag: Fuling,

> Banxia,

> > Jupi, Baizhu, Tianma, Gancao, etc; (e) LV (?Wind) Upstirring:

> Tianma,

> > Gouteng, Baishao, Shijiuming, Banxia, etc; (f) Xueyu Syndrome in

> brain

> > Collaterals: Chuanxiong, Chishao, Honghua, Danshen, Sanqi, etc; (g)

> Both

> > Yinxu & Yangxu (Deficiency): Shanzhuyu, Shudi, Fuling, Rougui,

> Fuzi, Niuxi,

> > etc; PMID: 17972592 [PubMed - indexed for MEDLINE]

> >

> > Best regards,

> >

> >

> >

> >

> >

[Guest guest]

If my memory serves me right, gancao will only cause hypertension is large doses

or if taken for extended periods of time...this idea comes from the West not

China...I believe it was England or somewhere in Northern Europe from people

eating licorice candy, I can't remember now...Bill you got your finger on the

pulse of that piece of history.

 

Thomas

 

 

 

Beijing, China

Author of Western Herbs According to Traditional : A

Practitioners Guide

 

www.sourcepointherbs.org

 

 

[Guest guest]

The licorice hypertension was reported in a few settings. The most well

known came from eating licorice candy like Panda, which is basically a very

high

concentration solid extract. There was another case where a woman drank 7

or more cups of licorice tea daily. Normal formula concentrations should not

have this effect.

 

Karen Vaughan, MSTOM

Licensed Acupuncturist, NCCAOM

Registered Herbalist (AHG)

253 Garfield Place

Brooklyn, NY 11215

 

(718) 622-6755

_http://www.byregion.net/profiles/ksvaughan2.html_

(http://www.byregion.net/profiles/ksvaughan2.html)

 

Losar Tashi Delek! Happy TibetanYear of the Earth Mouse.

 

 

 

**************It's Tax Time! Get tips, forms, and advice on AOL Money &

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[Guest guest]

Hi Edita,

 

I don't know if it was clear enough, but

1. Herbs have a variety of effects on the body. For instance ma huang has

alkaloids that both speed up and slow down heart rate (buffers, that

extracted ephedrine lacks, for instance.) Herbs can stimulate several pathways

of

attacking a problem at once. For instance huang lian will have a direct

antimicrobial effect, probable interference with the drug resistance pumps of

bacteria, an anti-inflammatory effect and an immune stimulating effect. A

formula

may seek to emphasize one effect of an herb or all of them.

2. There are dosage-related effects of herbs. This happens in two ways.

With gan cao, the threshold of raising blood pressure is high and requires

very high doses. It is an additive effect- seven cups of licorice tea daily for

several months or the very high dry extract concentrations of Panda candy,

also over time will raise blood pressure, but you need a lot. With many toxic

medicinals there is a dual dosage effect- a hot acrid medicinal may in very

low doses be effective on a hot dry condition, but in normal doses may have a

deleterious effect on the same condition. (Use toxin to treat toxin.) That

is with many toxic herbs, the very low dose treats a condition with the same

energetics as the herb, while a higher dose will worsen the condition.

3. In formulas herbs can be added as buffers, penetrants or for a specific

effect where their other actions are moderated by the rest of the herbs in a

formula. So while ma huang is hot, it may be used in a cooling diaphoretic

formula if its heating properties are counterbalanced by other herbs. Gan

cao can harmonize a formula without raising blood pressure so long as the other

herbs in the formula do not also raise blood pressure.

 

Karen Vaughan, MSTOM

Licensed Acupuncturist, NCCAOM

Registered Herbalist (AHG)

253 Garfield Place

Brooklyn, NY 11215

 

(718) 622-6755

_http://www.byregion.net/profiles/ksvaughan2.html_

(http://www.byregion.net/profiles/ksvaughan2.html)

 

Losar Tashi Delek! Happy TibetanYear of the Earth Mouse.

 

 

 

**************It's Tax Time! Get tips, forms, and advice on AOL Money &

Finance. (http://money.aol.com/tax?NCID=aolprf00030000000001)

 

 

 

[Guest guest]

I guess all serious student/member of this list deserves a reply

here when basic tcm issue is asked and problem needed to be solved.

Chinese herbalism has many unknown facts but it definitely is not a

paradoxal case here.

 

Fistly, under tcm theory, we never say one single herb can treat one

particular disease. In a very rare case in Jin Gui Yao Lue (The

Sypnosis of the Golden Chamber) by ZHANG, Zhong-jing discusses the

Bai He disease (neurosis). WEI, Nian-ting, one of the commentators

of Jin Gui states: ¡§The disease is named after lily bulb (bai he)

because lily bulb (bai he) alone can treat this disease¡¨. All

diseases in western medicine terminology should be treated by

breaking it down into various patterns; each pattern is broken down

by various treatment methods; each method will be composed of a

group of properties. For example, heat-clearing: huang qin, huang

lian, da huang...So it seems unscientific to say one single herb can

treat one particular disease.

 

Besides, each single herb contains dozens of pharmceutical

ingredients. For example, dang gui contains over 40 molecules and

who knows what happens when it is boiled with bai shao,ren shen

etc.. and those also contains molecules that will change their

molecular structures as well when decocted. All u need to know is

the direction of the herbs work as a group/in pairs.

 

Thirdly, all searches are done with some fixed assumptions or

conditions. U have to read between lines. Seems to me the mentioned

research did not specify claim the effect of gan cao as u suggested.

There are many bias about researches (i don't mean this one) but no

need to discuss here.

 

Hypertension is not even a disease, it is only a symptom that is

induced by many factors. All competitive TCM practitioners have

their own ways to tackle it effectively I am sure.

 

That is why the best way to learn TCM is to find a shifu (mentor)

that can lead your way and save u lots of trouble by trial and error

before u grow old and $ comes in but plastic teeth is all u need.

(formal training is absolutely necessary so u r qualified to sit for

lic.exam)

 

SUNG,Yuk-ming

[Guest guest]

Hello

 

Just to say thank you to all of you who explained Gan Cao and

hypertension dilema. This is too important herb to be uncomfortable

with.

 

Edita