Guest guest Posted October 20, 2000 Report Share Posted October 20, 2000 All the herb info is from Him-che Yeung's Handbook of Chinese Herbs and Formulas, which was handy at home. Herbs don't simply fill up an empty condition, they can also have a particular 5-Element movement. I am speculating from Nicole's brief description of the patient's reaction that it was caused by the herbs in combination, the 5-Elemental movement of the formula as a whole. Wu zhu yu is very hot and dry, so when given to a patient who has strong " yin deficiency (vital essence) and excess fire " it can cause problems. Xu duan is bitter and warm, going to the liver meridian too. But it doesn't have to be " excess " fire in a chronically ill, old, or weak patient; it can also be a strong contrast between the liver in excess and kidney in deficiency. 5- Elements is a dynamic model; and humans are complex, living systems. You must consider how the movement of the herbal formula is going to combine with the patient's own perverse energy movements. Nothing stands still. Think of it like Tai Chi. Even when there are no overt symptoms directly attributed to the liver stress, you can observe the condition in the pulses. This has certainly been the case in my experience where the use of Wu zhu yu has been used in formulas and caused similar problems. Hence my speculation on why the formula could trigger symptoms in Nicole's patient. I rarely use raw herbs any more so I can't tell you what's available-- -nor how this one is prepared in her formula in particular. And I haven't used Wu zhu yu for a long time simply because I prefer to work with other combinations. But I feel anyone with suppressed hyperactivity of liver yang and kidney deficiency should use it with caution. Just because the patient doesn't report symptoms associated directly to the liver doesn't mean their liver is free and clear. Most stress gets buried in the liver (hence it's involvement in so many patterns). About reading pulses: This is my main area of interest and expertise. Pancreas and spleen and not clearly distinguished from each other, and belong to earth. In the Nan Ching, each pulse position can be divided into three levels. The boundary between the deepest third and the middle third is the endocrine level; so pancreas, being an endocrine gland, is at that level in the earth position. Using the ideas from the Nan Ching, we can look not just at a general overall reading of a jiao but at very specific things within each jiao. In my system we divide each position into 27 sectors (a kind of Rubik's cube in three dimensions). For example, from the pulse alone, we can distinguish if a patient has breast cancer, constipation, common cold, asthma, or lung cancer when examining the right distal position. If you only use the material from Li Shi Zhen regarding the qualities of a pulse, you miss most of the pulse picture. By combining the concepts of the Nan Ching with the ideas from the Li Shi zhen you can often see problems before symptoms occur. Jim Ramholz Quote Link to comment Share on other sites More sharing options...
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