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Astragalus & hypertension

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All,

 

Recently I was talking with a Chinese doctor trained in Chengdu.

Seemed pretty knowledgable. Definitely was into pattern discrimination

and was not into disease-based prescribing. We were talking about qi

vacuity hypertension. I have never seen a case of a pure qi vacuity

hypertension. However, there can be a liver-spleen disharmony with

depressive heat, can be a heart-gallbladder qi timidity with or

without depressive heat, can be a qi and yin vacuity, can be a spleen

qi vacuity with phlegm turbidity. In any case, she uses Radix

Astragali Membranacei (Huang Qi) to treat the qi vacuity part of these

mixed vacuity/repletion patterns if the patient is fatigued as one of

their symptoms.

 

Ok, that did not surprise me. I have seen other Chinese doctors also

use Huang Qi for/with hypertension in qi vacuity patients, and there

are a number of hypertension protocols in the Chinese research

literature that include Huang Qi. The thing that I would like to ask

others on this discussion group is this: According to this young woman

(at least she was younger than me), Huang Qi raises the BP if used in

amounts of less than 30g p.d. but lowers the BP when used at 30g and

more (up to 60g p.d.). Has anyone else ever heard/read this? Does

anyone have any experience with this? If this is true, it seems like

an important thing to know. In my personal experience, other Chinese

docs I have worked with have used 15g p.d. for the qi vacuity

component of hypertension.

 

Bob

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