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Differences in preparation types

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The comments on variation in therapeutic effects due to variation of

preparation method is a topic which I have been interested in for several

years. I remember discussing it at great length with Todd in the OCOM

clinic.

 

My general conclusion has been that it is best to pay attention to the

traditional designations for formula preparation--Wan/Dan=Pill (with honey

or flour), Tang=Decoction, San=Powder, etc.

 

It seems that formulae which are heavily dependent upon the essential oils

(for nasal congestion, EPIs, etc.) were originally uncooked. For example:

 

Yin Qiao San

Cang Er Zi San

 

Tonics and mineral-based formulae are often honey pills:

 

Liu Wei Di Huang Wan is a good example

Tian Wang Bu Xin Dan

 

One point in favor of decoction for certain herbs (which gives them favor

over mixing the same formula as granules) is the chemical interactions

between the herbs while boiling. One specific example would be the effect

at saponins in one herb (such as licorice) at increasing the water

solubility of lipids from other herbs (xing ren, seeds, etc.).

 

In my mind, there is plenty of common sense involved. Ma Zi Ren Wan, which

has a large degree of its function due to the essential fatty acids in hemp

seeds (as well as the fiber, and partially the honey), would be ridiculous

as a decoction or granule (are there any intact EFAs in Ma Zi Ren

granules?). That's assuming that dry-type constipation is often a sign of

EFA deficiency. Another example is Mu Li San, " the original calcium

supplement. " Boiling oyster shells and then discarding the shell may give

a little bit of calcium in solution, but probably nothing compared to

encapsulating the powder or taking it in a pill (especially with herbs to

increase the body's ability to digest and absorb the Mu Li--the Huang Qi,

especially, with it's secondary function of tonifying the spleen).

 

I don't think there is any one preparation type or one product line which

is 'best' or appropriate for all formulae. Personally, I started with a

bulk pharmacy, then added Golden Flower tablets, and am about to try some

granules.

 

If anyone thinks of some other good examples of why the traditional

preparation methods *just make sense*, please share them!

 

--Kevin O'Neil

www.AncientWay.com

" Treating Rednecks, Ranchers, and the Misfits of Klamath Falls, Oregon "

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