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from the excerpt of Bensky's new materia medica:

 

combining Ephedrae Herba (ma huang) With Cinnamomi Ramulus (gui zhi)

 

Both of these herbs are acrid and warm, and both enter

the greater yang channel. The combination is used when

pathogenic cold has attacked and lodged in the exterior,

especially in winter. Ephedrae Herba (ma huang) travels

best at the protective level; it strongly disperses cold by

promoting sweating.

 

****Cinnamomi Ramulus (gui zhi) moves

best at the nutritive level, ****

 

where it warms the channels and

releases the muscle layer, but

 

****its sweat-inducing action

is much less than that of Ephedrae Herba (ma huang).****

 

The diaphoretic effect of Ephedrae Herba (ma huang) is

enhanced by the addition of Cinnamomi Ramulus (gu“

zh•), and the latter can lead a pathogen lodged at the nutritive

level out to the exterior, where it is dispersed.

 

A strong patient with a strong wind-cold pathogen

requires Ephedrae Herba (ma huang) at twice the dose

of Cinnamomi Ramulus (gui zhi). If the dose is equal,

or there is only slightly more Ephedrae Herba (ma huang),

there will be a moderate sweating effect. More Cinnamomi

Ramulus (gui zhi) than Ephedrae Herba (ma huang) induces

only a slight sweat.

 

My comments: This passage actually suggests that while gui zhi does

induce some sweating on it own ( " its sweat-inducing action

is much less than that of Ephedrae Herba " ), that is locus of action is

actually the nutritive or ying. The last paragraph above seems to

suggest that gui zhi actually has an inhibiting effect on ma huang.

With it action on the ying and it having an inhibition on ma huang's

activity, yet still inducing slight sweating on its own, it does appear

to embody the idea of harmonizing ying and wei by itself.

 

 

Chinese Herbs

 

 

FAX:

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, wrote:

 

> actually the nutritive or ying. The last paragraph above seems to

> suggest that gui zhi actually has an inhibiting effect on ma huang.

> With it action on the ying and it having an inhibition on ma huang's

> activity, yet still inducing slight sweating on its own, it does appear

> to embody the idea of harmonizing ying and wei by itself.

 

There were 2 ways to read that passage on which you are commenting,

which is really a shame because this is a new book and it already has

problems.

 

1. One way to read it is as you have indicated above, that gui zhi

has an inhibitory effect on ma huang.

2. The other way to read it is where the problem exists. The

previous idea mentions Ma Huang at twice the dose of Gui Zhi, but no

doses are given. Gan I give 1 g of Ma Huang and .5g of Gui Zhi and

get a good diaphoretic effect? Probably not. It is likely that the

author is referring to standard dosing ideas. Likewise, if I use 18g

of Ma Huang and 20g of Gui Zhi, is Gui Zhi really going to inhibit Ma

Huang's diaphoretic action, or does the author again assume standard

dosing ideas.

 

If this type of vagueness is found widespread in this book in regards

to combinations, then it might not even be worth getting, if the

combinations commentary was a major reason for getting the new edition.

 

Brian C. Allen

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, " bcataiji " <bcaom@c...> wrote:

 

>

> 1. One way to read it is as you have indicated above, that gui zhi

> has an inhibitory effect on ma huang.

> 2. The other way to read it is where the problem exists. The

> previous idea mentions Ma Huang at twice the dose of Gui Zhi, but no

> doses are given. Gan I give 1 g of Ma Huang and .5g of Gui Zhi and

> get a good diaphoretic effect? Probably not. It is likely that the

> author is referring to standard dosing ideas. Likewise, if I use 18g

> of Ma Huang and 20g of Gui Zhi, is Gui Zhi really going to inhibit Ma

> Huang's diaphoretic action, or does the author again assume standard

> dosing ideas.

 

 

Even relying on standard dose ranges, you could still end with this:

 

ma huang 6/ gui zhi 3 (2:1 ratio): big sweat

 

ma huang 6/ gui zhi 6 (1:1 ratio): moderate sweat

 

ma huang 6/ gui zhi 9 (1:1.5 ratio): slight sweat

 

If the dose of ma haung stays the same, the only way to read that math is that

the

increasing dose of gui zhi actually has an inhibitory on sweating.

 

However if you hold gui zhi stable and vary ma huang, then I would not draw the

same

conclusion. However if the example below is more accurate, then all that is

being said is

that as you lower the total dosage of the two herbs combined that the total

diaphoretic

effect decreases. That would be expected by common sense and demonstrates

simple

summation of effects and no real synergy or even substraction of effects. Note

that the

total dosage of the two herbs increases in the first example and decreases in

the second

one below.

 

ma huang 9/ gui zhi 4.5 (2:1 ratio): big sweat

 

ma huang 4.5/ gui zhi 4.5 (1:1 ratio): moderate sweat

 

ma huang 3/ gui zhi 4.5 (1:1.5 ratio): slight sweat

 

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In Formulas and Strategies, Bensky states that gui zhi, 'when combined

with the chief herb, strengthens the diaphoretic action of the

formula " .

 

A modification of ma huang tang is san ao tang, minus gui zhi. Bensky

states that without gui zhi, 'the diaphoretic action is not as strong

as the principal formula'.

 

 

 

On Aug 7, 2004, at 11:31 AM, wrote:

 

> My comments: This passage actually suggests that while gui zhi does

> induce some sweating on it own ( " its sweat-inducing action

> is much less than that of Ephedrae Herba " ), that is locus of action is

> actually the nutritive or ying. The last paragraph above seems to

> suggest that gui zhi actually has an inhibiting effect on ma huang.

> With it action on the ying and it having an inhibition on ma huang's

> activity, yet still inducing slight sweating on its own, it does appear

> to embody the idea of harmonizing ying and wei by itself.

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At 12:46 PM -0700 8/8/04, wrote:

>In Formulas and Strategies, Bensky states that gui zhi, 'when combined

>with the chief herb, strengthens the diaphoretic action of the

>formula " .

>

>A modification of ma huang tang is san ao tang, minus gui zhi. Bensky

>states that without gui zhi, 'the diaphoretic action is not as strong

>as the principal formula'.

--

I'd always assumed this was an example of " mutual accentuation " ,

whereby two herbs with similar functions have enhanced function when

combined.

 

Rory

--

 

 

 

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Undoubtedly, but it seems to contradict what Todd was quoting earlier.

I found that interesting.

 

 

On Aug 8, 2004, at 2:02 PM, Rory Kerr wrote:

 

> At 12:46 PM -0700 8/8/04, wrote:

>> In Formulas and Strategies, Bensky states that gui zhi, 'when combined

>> with the chief herb, strengthens the diaphoretic action of the

>> formula " .

>>

>> A modification of ma huang tang is san ao tang, minus gui zhi. Bensky

>> states that without gui zhi, 'the diaphoretic action is not as strong

>> as the principal formula'.

> --

> I'd always assumed this was an example of " mutual accentuation " ,

> whereby two herbs with similar functions have enhanced function when

> combined.

>

> Rory

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, " "

<zrosenbe@s...> wrote:

> Undoubtedly, but it seems to contradict what Todd was quoting earlier.

> I found that interesting.

>

 

It is interesting, especially if you are a student faced with the

option of buying the new edition of the materia medica now knowing

that it contains poor vaguaries and stands in contradiction to the

formulary.

 

I think clear, consistent, and complete information is what students

want most from their textbooks.

 

Brian C. Allen

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At 2:33 PM -0700 8/8/04, wrote:

>Undoubtedly, but it seems to contradict what Todd was quoting earlier.

>I found that interesting.

--

 

Ah! but then again, maybe it's the fact that san ao tang has a lower

total weight of acrid herbs that reduces its diaphoretic effect.

 

Perhaps Dan could be encouraged to weigh in on this one.

 

Rory

--

 

 

 

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Can we frame this in terms of different sorts of

warming/supplementing/exterior releasing functions?

 

While gui zhi is primarily acrid it has a sweet side which could also be

thought of as retarding or prolonging the effect of the diaphoresis, making

MHT stronger than san ao tang. The analogy would be lighting gasoline on

fire: it goes whoomp, but if there is something to wick on it will soak in

and burn longer, producing a more enduring/somewhat different effect.

Sometimes all one needs is the whoomp, sometimes you need slow(er) and

steady(er).

 

I think there is a rough parallel with ma huang xi xin fu zi tang, where ma

huang and xi xin are too quick and acrid to sustain outthrusting action to

break cold. Fu zi supports this with its deeper expel cold/damp function,

which is strong, but not quick enough on its own to break exterior cold

without using to much internally and risking a trapped heat problem. At

root is the yang vacuity, which could be thought of as a deeper

manifestation of the exterior vacuity which allows a pathogen in to begin

with. If we think about any exterior condition as being rooted in a vacuity

then it becomes an issue of analyzing the depth of the vacuity, and

constructing a chain of appropriate herbs to make sure the pathogen is

cleared effectively with warm acrid medicinals that address the appropriate

depths. While fu zi is typically included in " expel cold " it is most often

seen in yang tonics. What I mean is that releasing the exterior and

expelling cold are functionally similar. You are adding an overflow of

zheng qi at some level to blow out xie qi. What is left over in releasing

the exterior is blown off via the pores, producing a diffuse sweat. In

expel cold the heat isn't retained (yang isn't supplemented) because it is

administered sans the yin tonics which usually anchor it in yang tonic rx.

In all these situations sweet/cloying herbs or qualities fix the heat and

change its function or location of action. So I don't think we can assume

it a mere function of quantity of acrid meds in a particular rx, but rather

a function of the overlapping effect of acrid meds that work at different

levels..

 

Par

 

 

 

 

 

 

 

 

-

" Rory Kerr " <rorykerr

 

Sunday, August 08, 2004 5:02 PM

Re: more on gui zhi

 

 

> At 12:46 PM -0700 8/8/04, wrote:

> >In Formulas and Strategies, Bensky states that gui zhi, 'when combined

> >with the chief herb, strengthens the diaphoretic action of the

> >formula " .

> >

> >A modification of ma huang tang is san ao tang, minus gui zhi. Bensky

> >states that without gui zhi, 'the diaphoretic action is not as strong

> >as the principal formula'.

> --

> I'd always assumed this was an example of " mutual accentuation " ,

> whereby two herbs with similar functions have enhanced function when

> combined.

>

> Rory

> --

>

>

>

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