Guest guest Posted April 1, 2010 Report Share Posted April 1, 2010 Hi, I have a patient who is breast feeding and her baby has a cold. I have told her not stop tonifying herbal formulas if she catches a cold to avoid tonifying the pathogen. She asked if the herbs could come through the breast milk and have the same effect on her baby. Anyone know? In other words, could herbs that the mother takes tonify a pathogen in a baby through the breast milk if the baby is sick? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2010 Report Share Posted April 1, 2010 Qi will travel from the mother to the baby. If you are doing a good job with the mother, the baby will benefit. Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.middlemedicine.org ________________________________ heylaurag <heylaurag Chinese Medicine Thu, 1 April, 2010 15:52:42 herbs for breast feeding mom--effect baby? Hi, I have a patient who is breast feeding and her baby has a cold. I have told her not stop tonifying herbal formulas if she catches a cold to avoid tonifying the pathogen. She asked if the herbs could come through the breast milk and have the same effect on her baby. Anyone know? In other words, could herbs that the mother takes tonify a pathogen in a baby through the breast milk if the baby is sick? Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 1, 2010 Report Share Posted April 1, 2010 Thanks, but what I'm wondering is if the mother is not sick but the baby is sick, will tonifying herbs for the mother feed the pathogen in the baby? Chinese Medicine , Hugo Ramiro <subincor wrote: > > Qi will travel from the mother to the baby. If you are doing a good job with the mother, the baby will benefit. > > Hugo > > > ________________________________ > Hugo Ramiro > http://middlemedicine.wordpress.com > http://www.middlemedicine.org > > > > > > ________________________________ > heylaurag <heylaurag > Chinese Medicine > Thu, 1 April, 2010 15:52:42 > herbs for breast feeding mom--effect baby? > > > Hi, I have a patient who is breast feeding and her baby has a cold. I have told her not stop tonifying herbal formulas if she catches a cold to avoid tonifying the pathogen. She asked if the herbs could come through the breast milk and have the same effect on her baby. Anyone know? In other words, could herbs that the mother takes tonify a pathogen in a baby through the breast milk if the baby is sick? > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 Hi Laura: " Thanks, but what I'm wondering is if the mother is not sick but the baby is sick, will tonifying herbs for the mother feed the pathogen in the baby? " Do a good job for the mom. Remember that the reason that tonics are contraindicated for someone with a pathogen involve the (*potential*) creation of heat, stagnation and obstruction. That is why tonics are *indicated* for someone who has a pathogen but weak qi, or internal cold and so on. The idea is to always keep the patient within the Golden mean (ä¸åº¸). All you have to do is that. If you do this, the baby will benefit. Also consider pediatric massage for the baby. Very effective. Thanks Laura, Hugo ________________________________ Hugo Ramiro http://middlemedicine.wordpress.com http://www.middlemedicine.org Traditional_ Chinese_Medicine , Hugo Ramiro <subincor@.. ..> wrote: > > Qi will travel from the mother to the baby. If you are doing a good job with the mother, the baby will benefit. > > Hugo > > > ____________ _________ _________ __ > Hugo Ramiro > http://middlemedici ne.wordpress. com > http://www.middleme dicine.org Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 Hi, I have a patient who is breast feeding and her baby has a cold. I have told her not stop tonifying herbal formulas if she catches a cold to avoid tonifying the pathogen. She asked if the herbs could come through the breast milk and have the same effect on her baby. Anyone know? In other words, could herbs that the mother takes tonify a pathogen in a baby through the breast milk if the baby is sick? Hi Laura, This is an interesting question. I have not found information regarding this in the Chinese literature. However, there is so much literature regarding the treatment of women postpartum. I have never seen any mention of herbs for women postpartum being harmful to the baby. In fact, there has not been any mention of the herbs even effecting the baby. Again, this is only so far as I have read and translated. For me, in my own practice, this has led me to focus on the health of the mom and to not consider that these same herbs are treating the baby in any way. So far, this has been effective with no side effects for the baby. So, I would recommend that you treat the mother the way you have diagnosed her and not consider this to be giving the baby herbs at all. That is what I do. Now, as for the idea of " tonifying the pathogen " - it is an idea that is not very useful. It has made a whole generation of practitioners afraid to use supplementing herbs when there are symptoms on the exterior. Basically, the idea that it is a rule of Chinese medicine to avoid tonics when a person's pathology is on the exterior, is an over simplification that somehow took root in our rule books. There are many formulas that tonify as they release the exterior. The rule is really to treat what is actually there. So, for example, if a person is Qi deficient with exterior symptoms then the treatment principle will be to supplement the Qi and resolve the exterior. Another way to say this is that, when the symptoms are on the exterior, it is important not to ignore these and ONLY focus on the interior. Sharon Sharon Weizenbaum 86 Henry Street Amherst, MA 01002 www.whitepinehealingarts.com Topics in Blog sweiz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 Sharon, Thanks for posting this. .. . On Apr 2, 2010, at 5:01 AM, sharon weizenbaum wrote: > Now, as for the idea of " tonifying the pathogen " - it is an idea that is not very useful. It has made a whole generation of practitioners afraid to use supplementing herbs when there are symptoms on the exterior. Basically, the idea that it is a rule of Chinese medicine to avoid tonics when a person's pathology is on the exterior, is an over simplification that somehow took root in our rule books. There are many formulas that tonify as they release the exterior. The rule is really to treat what is actually there. So, for example, if a person is Qi deficient with exterior symptoms then the treatment principle will be to supplement the Qi and resolve the exterior. Another way to say this is that, when the symptoms are on the exterior, it is important not to ignore these and ONLY focus on the interior. > > Sharon Chair, Department of Herbal Medicine Pacific College of Oriental Medicine San Diego, Ca. 92122 Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2010 Report Share Posted April 2, 2010 Bravo, Sharon! Our medicine must never be dogmatic, or we shall never be able to treat the whole person. Years ago when I was in school, I was taught by a clinical professor of mine, that when treating vacuous patients who contract Wind-Heat pathogens, to have no qualms about  adding to Yin Qiao San, Huang Qi and Ren Shen (or Dang Shen,  Xi Yang Shen, or Tai Zi Shen, depending upon the patient's constitution).  My experience has validated his advice.    ________________________________ sharon weizenbaum <sweiz Chinese Medicine Fri, April 2, 2010 5:01:46 AM Re:herbs for breast feeding mom--effect baby?  Hi, I have a patient who is breast feeding and her baby has a cold. I have told her not stop tonifying herbal formulas if she catches a cold to avoid tonifying the pathogen. She asked if the herbs could come through the breast milk and have the same effect on her baby. Anyone know? In other words, could herbs that the mother takes tonify a pathogen in a baby through the breast milk if the baby is sick? Hi Laura, This is an interesting question. I have not found information regarding this in the Chinese literature. However, there is so much literature regarding the treatment of women postpartum. I have never seen any mention of herbs for women postpartum being harmful to the baby. In fact, there has not been any mention of the herbs even effecting the baby. Again, this is only so far as I have read and translated. For me, in my own practice, this has led me to focus on the health of the mom and to not consider that these same herbs are treating the baby in any way. So far, this has been effective with no side effects for the baby. So, I would recommend that you treat the mother the way you have diagnosed her and not consider this to be giving the baby herbs at all. That is what I do. Now, as for the idea of " tonifying the pathogen " - it is an idea that is not very useful. It has made a whole generation of practitioners afraid to use supplementing herbs when there are symptoms on the exterior. Basically, the idea that it is a rule of Chinese medicine to avoid tonics when a person's pathology is on the exterior, is an over simplification that somehow took root in our rule books. There are many formulas that tonify as they release the exterior. The rule is really to treat what is actually there. So, for example, if a person is Qi deficient with exterior symptoms then the treatment principle will be to supplement the Qi and resolve the exterior. Another way to say this is that, when the symptoms are on the exterior, it is important not to ignore these and ONLY focus on the interior. Sharon Sharon Weizenbaum 86 Henry Street Amherst, MA 01002 www.whitepinehealin garts.com Topics in Blog sweiz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2010 Report Share Posted April 3, 2010 on the tonifying xu with exterior patterns: the new bensky formulas & strategies discusses this under one of the ext releasing formulas: maybe gui zhi tang. basically under scores your points here. the concern about herbs reaching the baby comes from western med advice, as the drug due transfer to the baby through mom's milk. being as the herbs are not chemicals and recognized by the immune sys as food, wouldn't the body transform them? so that, say qin jiao while traveling/transforming from ST to xue to breast milk undergoes a structural change on the journey? the body can't make this same chem transformation on the synthetic drugs the way it does on the naturally derived herbs which the body receives as foods. kath On Fri, Apr 2, 2010 at 8:01 AM, sharon weizenbaum <sweiz wrote: > > > Hi, I have a patient who is breast feeding and her baby has a cold. I have > told her not stop tonifying herbal formulas if she catches a cold to avoid > tonifying the pathogen. She asked if the herbs could come through the breast > milk and have the same effect on her baby. Anyone know? In other words, > could herbs that the mother takes tonify a pathogen in a baby through the > breast milk if the baby is sick? > > Hi Laura, > > This is an interesting question. I have not found information regarding > this in the Chinese literature. However, there is so much literature > regarding the treatment of women postpartum. I have never seen any mention > of herbs for women postpartum being harmful to the baby. In fact, there has > not been any mention of the herbs even effecting the baby. Again, this is > only so far as I have read and translated. > > For me, in my own practice, this has led me to focus on the health of the > mom and to not consider that these same herbs are treating the baby in any > way. So far, this has been effective with no side effects for the baby. So, > I would recommend that you treat the mother the way you have diagnosed her > and not consider this to be giving the baby herbs at all. That is what I do. > > > Now, as for the idea of " tonifying the pathogen " - it is an idea that is > not very useful. It has made a whole generation of practitioners afraid to > use supplementing herbs when there are symptoms on the exterior. Basically, > the idea that it is a rule of Chinese medicine to avoid tonics when a > person's pathology is on the exterior, is an over simplification that > somehow took root in our rule books. There are many formulas that tonify as > they release the exterior. The rule is really to treat what is actually > there. So, for example, if a person is Qi deficient with exterior symptoms > then the treatment principle will be to supplement the Qi and resolve the > exterior. Another way to say this is that, when the symptoms are on the > exterior, it is important not to ignore these and ONLY focus on the > interior. > > Sharon > > Sharon Weizenbaum > 86 Henry Street > Amherst, MA 01002 > www.whitepinehealingarts.com > Topics in Blog > sweiz <sweiz%40rcn.com> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2010 Report Share Posted April 3, 2010 yes, actually the McClean/Lyttleton clin hand vol 1 includes exterior attacks with underlying def (yin, qi, xue) and representative formulas for tx these pattens. they include yin, xue and qi tonics with ext resolving meds, as you describe here. kath On Fri, Apr 2, 2010 at 2:52 PM, wrote: > > > Bravo, Sharon! > > Our medicine must never be dogmatic, or we shall never be able to treat the > whole person. Years ago when I was in school, I was taught by a clinical > professor of mine, that when treating vacuous patients who > contract Wind-Heat pathogens, to have no qualms about adding to Yin Qiao > San, Huang Qi and Ren Shen (or Dang Shen, Xi Yang Shen, or Tai Zi Shen, > depending upon the patient's constitution). My experience has validated his > advice. > > > > > > > > ________________________________ > sharon weizenbaum <sweiz <sweiz%40rcn.com>> > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > Fri, April 2, 2010 5:01:46 AM > Re:herbs for breast feeding mom--effect baby? > > > > Hi, I have a patient who is breast feeding and her baby has a cold. I have > told her not stop tonifying herbal formulas if she catches a cold to avoid > tonifying the pathogen. She asked if the herbs could come through the breast > milk and have the same effect on her baby. Anyone know? In other words, > could herbs that the mother takes tonify a pathogen in a baby through the > breast milk if the baby is sick? > > Hi Laura, > > This is an interesting question. I have not found information regarding > this in the Chinese literature. However, there is so much literature > regarding the treatment of women postpartum. I have never seen any mention > of herbs for women postpartum being harmful to the baby. In fact, there has > not been any mention of the herbs even effecting the baby. Again, this is > only so far as I have read and translated. > > For me, in my own practice, this has led me to focus on the health of the > mom and to not consider that these same herbs are treating the baby in any > way. So far, this has been effective with no side effects for the baby. So, > I would recommend that you treat the mother the way you have diagnosed her > and not consider this to be giving the baby herbs at all. That is what I do. > > > Now, as for the idea of " tonifying the pathogen " - it is an idea that is > not very useful. It has made a whole generation of practitioners afraid to > use supplementing herbs when there are symptoms on the exterior. Basically, > the idea that it is a rule of Chinese medicine to avoid tonics when a > person's pathology is on the exterior, is an over simplification that > somehow took root in our rule books. There are many formulas that tonify as > they release the exterior. The rule is really to treat what is actually > there. So, for example, if a person is Qi deficient with exterior symptoms > then the treatment principle will be to supplement the Qi and resolve the > exterior. Another way to say this is that, when the symptoms are on the > exterior, it is important not to ignore these and ONLY focus on the > interior. > > Sharon > > Sharon Weizenbaum > 86 Henry Street > Amherst, MA 01002 > www.whitepinehealin garts.com > > Topics in Blog > sweiz <sweiz%40rcn.com> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 3, 2010 Report Share Posted April 3, 2010 doesn't the body 'know' what to do with the herbs? in other words, wouldn't the body 'know' to use the qi/xue tonics itself. rather than passing the tonic herbs themselves through the breast milk, aren't the herbs tonifying mom's qi/xue. when mom's qi/xue is tonified, she will pass strong qi/xue to baby which will help baby's undeveloped immune sys fight the cold. isn't this a physical demonstration of the 5E theory? isn't the cold a natural process teaching the baby's immune sys how to work? kath On Thu, Apr 1, 2010 at 7:48 PM, Hugo Ramiro <subincor wrote: > > > > Hi Laura: > > > " Thanks, but what I'm wondering is if the mother is not sick but the > baby is sick, will tonifying herbs for the mother feed the pathogen in > the baby? " > > Do a good job for the mom. > > Remember that the reason that tonics are contraindicated for someone with a > pathogen involve the (*potential*) creation of heat, stagnation and > obstruction. That is why tonics are *indicated* for someone who has a > pathogen but weak qi, or internal cold and so on. The idea is to always keep > the patient within the Golden mean (ä¸åº¸). All you have to do is that. If you > do this, the baby will benefit. > > Also consider pediatric massage for the baby. Very effective. > > Thanks Laura, > > Hugo > > ________________________________ > Hugo Ramiro > http://middlemedicine.wordpress.com > http://www.middlemedicine.org > > Traditional_ Chinese_Medicine , Hugo Ramiro > <subincor@.. .> wrote: > > > > Qi will travel from the mother to the baby. If you are doing a good job > with the mother, the baby will benefit. > > > > Hugo > > > > > > ____________ _________ _________ __ > > Hugo Ramiro > > http://middlemedici ne.wordpress. com > > http://www.middleme dicine.org > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2010 Report Share Posted April 5, 2010 Da huang ingested by nursing mothers can cause diarrhea in the infant. Mark Zaranski Chinese Medicine , " " wrote: > > on the tonifying xu with exterior patterns: the new bensky formulas & > strategies discusses this under one of the ext releasing formulas: maybe gui > zhi tang. basically under scores your points here. > > the concern about herbs reaching the baby comes from western med advice, as > the drug due transfer to the baby through mom's milk. > > being as the herbs are not chemicals and recognized by the immune sys as > food, wouldn't the body transform them? so that, say qin jiao while > traveling/transforming from ST to xue to breast milk undergoes a structural > change on the journey? the body can't make this same chem transformation on > the synthetic drugs the way it does on the naturally derived herbs which the > body receives as foods. > > kath > > On Fri, Apr 2, 2010 at 8:01 AM, sharon weizenbaum <sweiz wrote: > > > > > > > Hi, I have a patient who is breast feeding and her baby has a cold. I have > > told her not stop tonifying herbal formulas if she catches a cold to avoid > > tonifying the pathogen. She asked if the herbs could come through the breast > > milk and have the same effect on her baby. Anyone know? In other words, > > could herbs that the mother takes tonify a pathogen in a baby through the > > breast milk if the baby is sick? > > > > Hi Laura, > > > > This is an interesting question. I have not found information regarding > > this in the Chinese literature. However, there is so much literature > > regarding the treatment of women postpartum. I have never seen any mention > > of herbs for women postpartum being harmful to the baby. In fact, there has > > not been any mention of the herbs even effecting the baby. Again, this is > > only so far as I have read and translated. > > > > For me, in my own practice, this has led me to focus on the health of the > > mom and to not consider that these same herbs are treating the baby in any > > way. So far, this has been effective with no side effects for the baby. So, > > I would recommend that you treat the mother the way you have diagnosed her > > and not consider this to be giving the baby herbs at all. That is what I do. > > > > > > Now, as for the idea of " tonifying the pathogen " - it is an idea that is > > not very useful. It has made a whole generation of practitioners afraid to > > use supplementing herbs when there are symptoms on the exterior. Basically, > > the idea that it is a rule of Chinese medicine to avoid tonics when a > > person's pathology is on the exterior, is an over simplification that > > somehow took root in our rule books. There are many formulas that tonify as > > they release the exterior. The rule is really to treat what is actually > > there. So, for example, if a person is Qi deficient with exterior symptoms > > then the treatment principle will be to supplement the Qi and resolve the > > exterior. Another way to say this is that, when the symptoms are on the > > exterior, it is important not to ignore these and ONLY focus on the > > interior. > > > > Sharon > > > > Sharon Weizenbaum > > 86 Henry Street > > Amherst, MA 01002 > > www.whitepinehealingarts.com > > Topics in Blog > > sweiz <sweiz%40rcn.com> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2010 Report Share Posted April 7, 2010 I agree--in fact, I use qi tonics in most of my formulas for an early stage EPI and then towards the end I use more and more blood, yin, and sometimes even yang tonics. However, I do know for certain that if you tonify without addressing the exterior condition you can make things worse. Laura Chinese Medicine , " " wrote: > > yes, actually the McClean/Lyttleton clin hand vol 1 includes exterior > attacks with underlying def (yin, qi, xue) and representative formulas for > tx these pattens. they include yin, xue and qi tonics with ext resolving > meds, as you describe here. > > kath > > On Fri, Apr 2, 2010 at 2:52 PM, wrote: > > > > > > > Bravo, Sharon! > > > > Our medicine must never be dogmatic, or we shall never be able to treat the > > whole person. Years ago when I was in school, I was taught by a clinical > > professor of mine, that when treating vacuous patients who > > contract Wind-Heat pathogens, to have no qualms about adding to Yin Qiao > > San, Huang Qi and Ren Shen (or Dang Shen, Xi Yang Shen, or Tai Zi Shen, > > depending upon the patient's constitution). My experience has validated his > > advice. > > > > > > > > > > > > > > > > ________________________________ > > sharon weizenbaum <sweiz <sweiz%40rcn.com>> > > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > > Fri, April 2, 2010 5:01:46 AM > > Re:herbs for breast feeding mom--effect baby? > > > > > > > > Hi, I have a patient who is breast feeding and her baby has a cold. I have > > told her not stop tonifying herbal formulas if she catches a cold to avoid > > tonifying the pathogen. She asked if the herbs could come through the breast > > milk and have the same effect on her baby. Anyone know? In other words, > > could herbs that the mother takes tonify a pathogen in a baby through the > > breast milk if the baby is sick? > > > > Hi Laura, > > > > This is an interesting question. I have not found information regarding > > this in the Chinese literature. However, there is so much literature > > regarding the treatment of women postpartum. I have never seen any mention > > of herbs for women postpartum being harmful to the baby. In fact, there has > > not been any mention of the herbs even effecting the baby. Again, this is > > only so far as I have read and translated. > > > > For me, in my own practice, this has led me to focus on the health of the > > mom and to not consider that these same herbs are treating the baby in any > > way. So far, this has been effective with no side effects for the baby. So, > > I would recommend that you treat the mother the way you have diagnosed her > > and not consider this to be giving the baby herbs at all. That is what I do. > > > > > > Now, as for the idea of " tonifying the pathogen " - it is an idea that is > > not very useful. It has made a whole generation of practitioners afraid to > > use supplementing herbs when there are symptoms on the exterior. Basically, > > the idea that it is a rule of Chinese medicine to avoid tonics when a > > person's pathology is on the exterior, is an over simplification that > > somehow took root in our rule books. There are many formulas that tonify as > > they release the exterior. The rule is really to treat what is actually > > there. So, for example, if a person is Qi deficient with exterior symptoms > > then the treatment principle will be to supplement the Qi and resolve the > > exterior. Another way to say this is that, when the symptoms are on the > > exterior, it is important not to ignore these and ONLY focus on the > > interior. > > > > Sharon > > > > Sharon Weizenbaum > > 86 Henry Street > > Amherst, MA 01002 > > www.whitepinehealin garts.com > > > > Topics in Blog > > sweiz <sweiz%40rcn.com> > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2010 Report Share Posted April 7, 2010 Ren shen is in so many exterior releasing formulas that it necessitates changing the way that we're taught about formulas... Xiao chai hu tang, Ren shen bai du san etc. Like Sharon said, if someone has an exterior pathogen, don't just tonify if there is a deficiency, but don't be afraid to tonify as well,if you need to. There's kind of a disconnect from what is taught in single herbs class (don't take Ren shen alone if you're sick) and then in formulas class (Ren shen or Dang shen could be added to an exterior-releasing formula if they're fortifying properties are needed). The Shen nong ben cao jing way of looking at Ren shen (sl. cold, generating fluids) is very different than what we're taught in TCM school (warming, tonifying SP, Lung qi, Yuan qi). How did our views of Ren shen change over 2000 years? Also, for Zhang Zhong Jing formulas, it seems as though he's conscious of supporting the zhong qi no matter the presentation (excess of deficiency). If the middle (earth) is unregulated, then the other herbs will not be metabolized as efficiently, nor will the other zang/fu transform as well around the axis which is the earth phase. That's why the " three amigos " are in so many of these formulas... sheng jiang, zhi gan cao, da zao. The sweet flavors of da zao and zhi gan cao support the nutritive/ constructive and sheng jiang's pungency carries the nutritive outward to the defensive (harmonizing ying / wei). I'm wondering about the TCM idea of eliminating excesses first and then tonifying later, unless the patient is so deficient, where draining their zheng Qi would tonify the pathogenic factor. This seems to be more of a herbal axiom than an acupuncture one. Many practitioners follow Nan jing rules of tonifying the constitutional presentation first, even in the presence of " excess " pathogens. K On Tue, Apr 6, 2010 at 9:28 PM, heylaurag <heylaurag wrote: > > > I agree--in fact, I use qi tonics in most of my formulas for an early stage > EPI and then towards the end I use more and more blood, yin, and sometimes > even yang tonics. However, I do know for certain that if you tonify without > addressing the exterior condition you can make things worse. > > Laura > > > --- In Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com>, > " " wrote: > > > > yes, actually the McClean/Lyttleton clin hand vol 1 includes exterior > > attacks with underlying def (yin, qi, xue) and representative formulas > for > > tx these pattens. they include yin, xue and qi tonics with ext resolving > > meds, as you describe here. > > > > kath > > > > On Fri, Apr 2, 2010 at 2:52 PM, wrote: > > > > > > > > > > > Bravo, Sharon! > > > > > > Our medicine must never be dogmatic, or we shall never be able to treat > the > > > whole person. Years ago when I was in school, I was taught by a > clinical > > > professor of mine, that when treating vacuous patients who > > > contract Wind-Heat pathogens, to have no qualms about adding to Yin > Qiao > > > San, Huang Qi and Ren Shen (or Dang Shen, Xi Yang Shen, or Tai Zi Shen, > > > depending upon the patient's constitution). My experience has validated > his > > > advice. > > > > > > > > > > > > > > > > > > > > > > > > ________________________________ > > > sharon weizenbaum <sweiz <sweiz%40rcn.com>> > > > > To: Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com> > <Chinese Medicine%40> > > > Fri, April 2, 2010 5:01:46 AM > > > Re:herbs for breast feeding mom--effect baby? > > > > > > > > > > > > Hi, I have a patient who is breast feeding and her baby has a cold. I > have > > > told her not stop tonifying herbal formulas if she catches a cold to > avoid > > > tonifying the pathogen. She asked if the herbs could come through the > breast > > > milk and have the same effect on her baby. Anyone know? In other words, > > > could herbs that the mother takes tonify a pathogen in a baby through > the > > > breast milk if the baby is sick? > > > > > > Hi Laura, > > > > > > This is an interesting question. I have not found information regarding > > > this in the Chinese literature. However, there is so much literature > > > regarding the treatment of women postpartum. I have never seen any > mention > > > of herbs for women postpartum being harmful to the baby. In fact, there > has > > > not been any mention of the herbs even effecting the baby. Again, this > is > > > only so far as I have read and translated. > > > > > > For me, in my own practice, this has led me to focus on the health of > the > > > mom and to not consider that these same herbs are treating the baby in > any > > > way. So far, this has been effective with no side effects for the baby. > So, > > > I would recommend that you treat the mother the way you have diagnosed > her > > > and not consider this to be giving the baby herbs at all. That is what > I do. > > > > > > > > > Now, as for the idea of " tonifying the pathogen " - it is an idea that > is > > > not very useful. It has made a whole generation of practitioners afraid > to > > > use supplementing herbs when there are symptoms on the exterior. > Basically, > > > the idea that it is a rule of Chinese medicine to avoid tonics when a > > > person's pathology is on the exterior, is an over simplification that > > > somehow took root in our rule books. There are many formulas that > tonify as > > > they release the exterior. The rule is really to treat what is actually > > > there. So, for example, if a person is Qi deficient with exterior > symptoms > > > then the treatment principle will be to supplement the Qi and resolve > the > > > exterior. Another way to say this is that, when the symptoms are on the > > > exterior, it is important not to ignore these and ONLY focus on the > > > interior. > > > > > > Sharon > > > > > > Sharon Weizenbaum > > > 86 Henry Street > > > Amherst, MA 01002 > > > www.whitepinehealin garts.com > > > > > > Topics in Blog > > > sweiz <sweiz%40rcn.com> > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 7, 2010 Report Share Posted April 7, 2010 for ext path one must release ext. if patient is also qi, xue, yin xu then add tonics. kath On Wed, Apr 7, 2010 at 12:28 AM, heylaurag <heylaurag wrote: > > > I agree--in fact, I use qi tonics in most of my formulas for an early stage > EPI and then towards the end I use more and more blood, yin, and sometimes > even yang tonics. However, I do know for certain that if you tonify without > addressing the exterior condition you can make things worse. > > Laura > > > --- In Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com>, > " " wrote: > > > > yes, actually the McClean/Lyttleton clin hand vol 1 includes exterior > > attacks with underlying def (yin, qi, xue) and representative formulas > for > > tx these pattens. they include yin, xue and qi tonics with ext resolving > > meds, as you describe here. > > > > kath > > > > On Fri, Apr 2, 2010 at 2:52 PM, wrote: > > > > > > > > > > > Bravo, Sharon! > > > > > > Our medicine must never be dogmatic, or we shall never be able to treat > the > > > whole person. Years ago when I was in school, I was taught by a > clinical > > > professor of mine, that when treating vacuous patients who > > > contract Wind-Heat pathogens, to have no qualms about adding to Yin > Qiao > > > San, Huang Qi and Ren Shen (or Dang Shen, Xi Yang Shen, or Tai Zi Shen, > > > depending upon the patient's constitution). My experience has validated > his > > > advice. > > > > > > > > > > > > > > > > > > > > . > > > -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Abstain from all that is evil. Perform all that is good. Purify your thoughts. This is the teaching of the Buddhas. Follow Your Bliss! Joseph Campbell Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC Amazon.com http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\ 1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1 and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Chinese Medicine , <johnkokko wrote: > > Ren shen is in so many exterior releasing formulas that it necessitates > changing the way that we're taught about formulas... Xiao chai hu tang, > The Shen nong ben cao jing way of looking at Ren shen (sl. cold, generating > fluids) is very different than what we're taught in TCM school (warming, > tonifying SP, Lung qi, Yuan qi). How did our views of Ren shen change over > 2000 years? > The reason for that I think is that wild Asian ginseng has a moistening property within(similar to American ginseng) that cultivated Asian and red-hot steamed sundried Korean don't. There are reasons not to use strong qi tonics that can aggravate an already xs body reaction or sticky tonics like shu di, light, exterior releasing herbs are called for in many cases of ext. xie qi invasion, no one says not to use a tonic like huang qi, on the contrary, like jade windscreen formula. Xiao chai hu tang harmonizes the shaoyang which is different than releasing the exterior. " Treat the xs first tcm concept " is like this: you have a patient with an acute condition, you have to give heat clearing herbs, ext. releasing herbs, purging herbs etc to treat the acute condition, if you treat the root not the branch with slow acting tonics the result will be slow and the condition might worsen. With acupuncture its good practice to treat root and branch at once if the person is strong enough. Respectfully, -JB Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Jason wrote: " no one says not to use a tonic like huang qi, on the contrary, like jade windscreen formula. " I've heard that we shouldn't use Yu ping feng san when the patient has an acute exterior invasion. It stops sweating and fortifies wei qi, which could hold the pathogen inside the palace walls, so to speak. What are others view on this? Just curious if there's any literary source that wild ren shen generates fluids, while cultivated ren shen does not.....? How is Korean ginseng processed? (sundried, steamed).... any herbal additions? Jason wrote: " Xiao chai hu tang harmonizes the shaoyang which is different than releasing the exterior. " Xiao chai hu tang regulates shao yang (the pivot in the yang conformation), that is true, but it is also seen as an exterior releasing formula by commentators such as Tang Zong-Hai: " This is an invigorating formula that spreads out the exterior and harmonizes the interior, that lifts the clear upward and directs the turbid downward. The exterior of the human body (in this context refers to) the pivotal dynamic of the interstices and pores and the nutritive and protective (aspects).... Where the Qi of the greater yang sinks into the anterior aspect of the chest from where it has no way out, one can also use this formula to clear the interior and harmonize the middle, raising and spreading the Qi so that it does not clump but releases any exterior condition. " (pgs. 106-107 Formulas and Strategies 2nd ed) So, this idea has been controversial for a long time. Of course, I don't see Xiao chai hu tang as only releasing the exterior, but the point is that Ren shen is an ingredient inside of this formula that can release the pathogen towards the exterior, while harmonizes the interior at the same time. This function is used clinically to great effect. thoughts? K On Thu, Apr 8, 2010 at 4:05 AM, jasonwcom <jasonwcom wrote: > > > > > --- In Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com>, > <johnkokko wrote: > > > > Ren shen is in so many exterior releasing formulas that it necessitates > > changing the way that we're taught about formulas... Xiao chai hu tang, > > > The Shen nong ben cao jing way of looking at Ren shen (sl. cold, > generating > > fluids) is very different than what we're taught in TCM school (warming, > > tonifying SP, Lung qi, Yuan qi). How did our views of Ren shen change > over > > 2000 years? > > > The reason for that I think is that wild Asian ginseng has a moistening > property within(similar to American ginseng) that cultivated Asian and > red-hot steamed sundried Korean don't. There are reasons not to use strong > qi tonics that can aggravate an already xs body reaction or sticky tonics > like shu di, light, exterior releasing herbs are called for in many cases of > ext. xie qi invasion, no one says not to use a tonic like huang qi, on the > contrary, like jade windscreen formula. Xiao chai hu tang harmonizes the > shaoyang which is different than releasing the exterior. " Treat the xs first > tcm concept " is like this: you have a patient with an acute condition, you > have to give heat clearing herbs, ext. releasing herbs, purging herbs etc to > treat the acute condition, if you treat the root not the branch with slow > acting tonics the result will be slow and the condition might worsen. With > acupuncture its good practice to treat root and branch at once if the person > is strong enough. > Respectfully, -JB > > > -- "" www.tcmreview.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Koko dont forget the ZZJ uses renshen mainly to protect or nourish fluids, not tonifying zhong qi 400 29th St. Suite 419 Oakland Ca 94609 alonmarcus Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Alon, yes... that's what I wrote... according to the SNBCJ.. it generates fluids and is sl. cold, but TCM says it may be warming and tonifies SP, Lung and Yuan Qi. So, the question is when did this thinking change? K On Thu, Apr 8, 2010 at 8:33 AM, alon marcus <alonmarcus wrote: > > > Koko dont forget the ZZJ uses renshen mainly to protect or nourish > fluids, not tonifying zhong qi > > > 400 29th St. Suite 419 > Oakland Ca 94609 > > > > alonmarcus <alonmarcus%40wans.net> > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 huang qi: yes, huang qi c/i exterior conditions: locks the in the path. other qi/xue/yin tonics can be used for xu patient. korean ginseng: red is steamed, white is sun-dried. the steaming causes the roots to turn red. kath On Thu, Apr 8, 2010 at 11:21 AM, <johnkokko wrote: > Jason wrote: > " no one says not to use a tonic like huang qi, on the contrary, like jade > windscreen formula. " > > I've heard that we shouldn't use Yu ping feng san when the patient has an > acute exterior invasion. > It stops sweating and fortifies wei qi, which could hold the pathogen > inside > the palace walls, so to speak. What are others view on this? > > > How is Korean ginseng processed? (sundried, steamed).... any herbal > additions? > > Respectfully, -JB > > > > > > > > > > -- > > > "" > > > www.tcmreview.com > > -- Kath Bartlett, LAc, MS, BA UCLA Oriental Medicine Experienced, Dedicated, Effective Abstain from all that is evil. Perform all that is good. Purify your thoughts. This is the teaching of the Buddhas. Follow Your Bliss! Joseph Campbell Kath's Blog about , Healthy Living & Spirituality: http://acukath.blogspot.com/ Flying Dragon Liniment: Effective pain relief for muscles & joints Formulated by Kath Bartlett, Traditional Chinese Herbalist Available at Asheville Center for : www.FlyingDragonLiniment.com Greenlife Grocery - Asheville, NC Amazon.com http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\ 1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1 and from the following supply companies: Kamwo Herbal Pharmacy: NY - Chinatown https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= Asheville Center For 70 Woodfin Place, Suite West Wing Two Asheville, NC 28801 828.258.2777 kbartlett www.AcupunctureAsheville.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 According to Bensky, Huang qi can stop sweating in qi def. conditions and promote sweating in ext conditions...Jiao shu de's book is one of many book sources for the wild ginseng info. To understand shang hun lun and xiao chai hu tang you have to look at the concept of harmonious change- use the bagua to explain old yin conditins turning to young yin etc, anyway you want to move the pathnogen up levels but not make too drastic a change or it will snap back, its been a while but I remember that a shao yang condition is flickering from ext. to internal, which is why the action is to harmonize shaoyang. With acupuncture you would want to reduce the source and luo points of the shaoyang channel... Chinese Medicine , <johnkokko wrote: > > Jason wrote: > " no one says not to use a tonic like huang qi, on the contrary, like jade > windscreen formula. " > > I've heard that we shouldn't use Yu ping feng san when the patient has an > acute exterior invasion. > It stops sweating and fortifies wei qi, which could hold the pathogen inside > the palace walls, so to speak. What are others view on this? > > Just curious if there's any literary source that wild ren shen generates > fluids, while cultivated ren shen does not.....? > > How is Korean ginseng processed? (sundried, steamed).... any herbal > additions? > > Jason wrote: > " Xiao chai hu tang harmonizes the shaoyang which is different than releasing > the exterior. " > > Xiao chai hu tang regulates shao yang (the pivot in the yang conformation), > that is true, but it is also seen as an exterior releasing formula by > commentators such as Tang Zong-Hai: > > " This is an invigorating formula that spreads out the exterior and > harmonizes the interior, that lifts the clear upward and directs the turbid > downward. The exterior of the human body (in this context refers to) the > pivotal dynamic of the interstices and pores and the nutritive and > protective (aspects).... > Where the Qi of the greater yang sinks into the anterior aspect of the chest > from where it has no way out, one can also use this formula to clear the > interior and harmonize the middle, raising and spreading the Qi so that it > does not clump but releases any exterior condition. " > (pgs. 106-107 Formulas and Strategies 2nd ed) > > So, this idea has been controversial for a long time. Of course, I don't > see Xiao chai hu tang as only releasing the exterior, but the point is that > Ren shen is an ingredient inside of this formula that can release the > pathogen towards the exterior, while harmonizes the interior at the same > time. This function is used clinically to great effect. thoughts? > > K > > > > On Thu, Apr 8, 2010 at 4:05 AM, jasonwcom <jasonwcom wrote: > > > > > > > > > > > --- In Chinese Medicine <Chinese Medicine%40yaho\ ogroups.com>, > > <johnkokko@> wrote: > > > > > > Ren shen is in so many exterior releasing formulas that it necessitates > > > changing the way that we're taught about formulas... Xiao chai hu tang, > > > > > The Shen nong ben cao jing way of looking at Ren shen (sl. cold, > > generating > > > fluids) is very different than what we're taught in TCM school (warming, > > > tonifying SP, Lung qi, Yuan qi). How did our views of Ren shen change > > over > > > 2000 years? > > > > > The reason for that I think is that wild Asian ginseng has a moistening > > property within(similar to American ginseng) that cultivated Asian and > > red-hot steamed sundried Korean don't. There are reasons not to use strong > > qi tonics that can aggravate an already xs body reaction or sticky tonics > > like shu di, light, exterior releasing herbs are called for in many cases of > > ext. xie qi invasion, no one says not to use a tonic like huang qi, on the > > contrary, like jade windscreen formula. Xiao chai hu tang harmonizes the > > shaoyang which is different than releasing the exterior. " Treat the xs first > > tcm concept " is like this: you have a patient with an acute condition, you > > have to give heat clearing herbs, ext. releasing herbs, purging herbs etc to > > treat the acute condition, if you treat the root not the branch with slow > > acting tonics the result will be slow and the condition might worsen. With > > acupuncture its good practice to treat root and branch at once if the person > > is strong enough. > > Respectfully, -JB > > > > > > > > > > -- > > > "" > > > www.tcmreview.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 So, is Yu ping feng san used for releasing acute exterior pathogens as well as tonifying the Wei Qi? The name of the formula points to the latter usage, but I'm open to understanding how Huang qi, Bai zhu and Fang feng can be used when the pathogen is already lodged inside the body. Seems as if you want the patient to sweat in an exterior attack, you use something like Ma huang and pungent herbs, such as Sheng jiang or Bo he or Cong bai... Jason said, " With acupuncture you would want to reduce the source and luo points of the shaoyang channel... " ... From the Nei jing, I thought that you reduced the luo point of the pathogenic channel (guest) and tonified the source point of its pair (host).... By tonifying the source point, you tonify the Yuan qi from that organ, which in turn, tonifies the Zeng Qi (upright Qi). Usually luo points were bled and source points could be treated with needles or moxa. Please elaborate. K Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Not true at all- in fact sometimes jade windscreen is used at high doses in acute ext. conditions with excellent results. Page 319 of Bensky/Gamble says not only is huang qi safe in exterior conditions, it can be used to induce sweating when regular sweat-inducing herbs have failed. Chinese Medicine , " " wrote: > > huang qi: > > yes, huang qi c/i exterior conditions: locks the in the path. other > qi/xue/yin tonics can be used for xu patient. > > korean ginseng: red is steamed, white is sun-dried. the steaming causes the > roots to turn red. > > kath > > On Thu, Apr 8, 2010 at 11:21 AM, <johnkokko wrote: > > > Jason wrote: > > " no one says not to use a tonic like huang qi, on the contrary, like jade > > windscreen formula. " > > > > I've heard that we shouldn't use Yu ping feng san when the patient has an > > acute exterior invasion. > > It stops sweating and fortifies wei qi, which could hold the pathogen > > inside > > the palace walls, so to speak. What are others view on this? > > > > > > How is Korean ginseng processed? (sundried, steamed).... any herbal > > additions? > > > Respectfully, -JB > > > > > > > > > > > > > > > > > -- > > > > > > "" > > > > > > www.tcmreview.com > > > > > > > -- > Kath Bartlett, LAc, MS, BA UCLA > Oriental Medicine > Experienced, Dedicated, Effective > > > Abstain from all that is evil. > Perform all that is good. > Purify your thoughts. > This is the teaching of the Buddhas. > > Follow Your Bliss! > Joseph Campbell > > > Kath's Blog about , Healthy Living & Spirituality: > http://acukath.blogspot.com/ > > Flying Dragon Liniment: Effective pain relief for muscles & joints > Formulated by Kath Bartlett, Traditional Chinese Herbalist > Available at Asheville Center for : > www.FlyingDragonLiniment.com > > Greenlife Grocery - Asheville, NC > > Amazon.com > http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\ 1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1 > > > and from the following supply companies: > Kamwo Herbal Pharmacy: NY - Chinatown > https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1 > > Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC > http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \ product=5554 & pg= > > > Asheville Center For > 70 Woodfin Place, Suite West Wing Two > Asheville, NC 28801 828.258.2777 > kbartlett > www.AcupunctureAsheville.com > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Nono source/luo technique(reduce luo, tonify source) is used should be used to tonify internal def. conditions ONLY- if you want to treat exterior conditions it will make the pathnogen go to a deeper level!!!- To " REDUCE THE LUO AND THE SOURCE POINTS OF THE SHAO YANG CHANNEL(S) " is a special technique for " shao yang " syndrome(only) and should only be used as such, in general avoid the luo points in exterior syndromes, shao yang syndrome is not exterior syndrome it is MORE complicated than that. Huang qi has an immune regulatory effect, it can stop sweating or promote it, fang feng is an exterior releasing herb that promtes sweating, bai zhu is a drying spleen boosting herb not cloying or too hot...I'm not making this stuff up Chinese Medicine , <johnkokko wrote: > > So, is Yu ping feng san used for releasing acute exterior pathogens as well > as tonifying the Wei Qi? > The name of the formula points to the latter usage, but I'm open to > understanding how > Huang qi, Bai zhu and Fang feng can be used when the pathogen is already > lodged inside the body. > > Seems as if you want the patient to sweat in an exterior attack, you use > something like Ma huang > and pungent herbs, such as Sheng jiang or Bo he or Cong bai... > > > Jason said, " With acupuncture you would want to reduce the source and luo > points of the shaoyang channel... " ... > > From the Nei jing, > I thought that you reduced the luo point of the pathogenic channel (guest) > and tonified the source point of its pair (host).... > By tonifying the source point, you tonify the Yuan qi from that organ, which > in turn, tonifies the Zeng Qi (upright Qi). > Usually luo points were bled and source points could be treated with needles > or moxa. > Please elaborate. > > K > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 Correction, avoid source/luo combo when there is xie qi affecting that channel in specific as it will drive the pathnogen deeper, using lu7 and li4 for ext. has a very complicated action and is good in ext. conditions Chinese Medicine , " jasonwcom " <jasonwcom wrote: > > Nono source/luo technique(reduce luo, tonify source) is used should be used to tonify internal def. conditions ONLY- if you want to treat exterior conditions it will make the pathnogen go to a deeper level!!!- To " REDUCE THE LUO AND THE SOURCE POINTS OF THE SHAO YANG CHANNEL(S) " is a special technique for " shao yang " syndrome(only) and should only be used as such, in general avoid the luo points in exterior syndromes, shao yang syndrome is not exterior syndrome it is MORE complicated than that. Huang qi has an immune regulatory effect, it can stop sweating or promote it, fang feng is an exterior releasing herb that promtes sweating, bai zhu is a drying spleen boosting herb not cloying or too hot...I'm not making this stuff up > > Chinese Medicine , <johnkokko@> wrote: > > > > So, is Yu ping feng san used for releasing acute exterior pathogens as well > > as tonifying the Wei Qi? > > The name of the formula points to the latter usage, but I'm open to > > understanding how > > Huang qi, Bai zhu and Fang feng can be used when the pathogen is already > > lodged inside the body. > > > > Seems as if you want the patient to sweat in an exterior attack, you use > > something like Ma huang > > and pungent herbs, such as Sheng jiang or Bo he or Cong bai... > > > > > > Jason said, " With acupuncture you would want to reduce the source and luo > > points of the shaoyang channel... " ... > > > > From the Nei jing, > > I thought that you reduced the luo point of the pathogenic channel (guest) > > and tonified the source point of its pair (host).... > > By tonifying the source point, you tonify the Yuan qi from that organ, which > > in turn, tonifies the Zeng Qi (upright Qi). > > Usually luo points were bled and source points could be treated with needles > > or moxa. > > Please elaborate. > > > > K > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 8, 2010 Report Share Posted April 8, 2010 G Good evening, I am new to this , but do we usually sign our names, etc, to take responsibility for our posts? Thanks. Please let me know if this is different than other professional related ... -- Robin C. Valentine, VMD, PA Valentine Veterinary Services Serving South Florida and Greater Philadelphia, PA Quote Link to comment Share on other sites More sharing options...
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