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In a message dated 9/25/04 7:24:19 AM Pacific Daylight Time,

writes:

 

 

> [Jason]

> The intent was purely to present that there are other more common reasons

> that people can't tolerate tonic herbs, b/c at least in my mind the LP

> scenario is really pretty far down the list.

OK - this makes more sense to me and I would agree. Depending on the

constellation of signs and symptoms, LP can achieve a higher rank on the list;

the

pulse patterns I provided are part of that.

 

...you stated that:

 

> " ... I have to suspect lurking pathogens if they were not... " This to me

> suggests that you think of it quite quickly (i.e. have to)... So my

> questions are:

> 1) have you heard this idea discussed in Chinese somewhere

 

This is complicated all my Chinese teachers from 20 years ago insisted that

patients could not be allergic to the herbs, rather it was a wrong

prescription. That has changed and the Chinese faculty at Emperor's consider

allergy as a

potential complication of herbal therapy.

 

This idea comes from my clinical experience. Yang Tiande said to me as have

all the great teachers in my life " The patient teaches you. " My concepts of

latent pathology were rooted in my clinical successes and failures. This lead me

to the books to answer the question. For certain patients who got worse with

supplementation, I would retreat into formulas that relieved latent pathogens

and they would improve. By certain, I mean those who upon closer examination

had sings and symptoms consistent with latent pathogens.

 

> 2) How does it help your treatment.. meaning what do you do once you believe

> that a lurking pathogen is not letting them take the tonic herbs

 

It varies depending on the location of the latency, constitution, region,

season and other patterns that are occurring. I may still use supplementation

such as in xiao chai hu tang.

 

Patent options from the late Ye Tian Ni:

Xiao Chai Hu Tang

Summer Heat: add Huo Xiang Zheng Qi Pian (Agastache Formula)

Blood Xu: add Bu Zhong Yi Qi Tang (Ginseng and Astragalus) and add Dang Gui

(Rx Angelica sinensis)

Qi and Yang Xu: add Ren Shen Lu Rong Wan (Ginseng and Cornu Cervi pill)

Deficiency: add Huang Qi (Rx Astragalus)

Venting: Sheng Ma (Cimicifuga), Ge Gen (Rx Pueraria)

 

Liu Bao-yi

" Lead Surface-Dispersing Medicinals to the Kidneys to disperse deep-lying

Latent Qi "

Herba Menthae (Bo He)

Radix Rehmanniae glutinosae (Sheng Di)

Semen Soja Preparatum (Dou Chi)

 

Zhang's Shao Yang Stage:

Resolve Latent Heat

Huang Qin Tang

Rx Scutellaria baical (Huang Qin)

Radix Peonia alba (Bai Shao)

Radix Glycyrrhizae uralensis (Gan Cao)

Fructus Zizyphi jujube (Da Zao).

Zhi Zi Dou Chi San

10 Zhi Zi (Fr. Gardenia jasminoides)

12 Dan Dou Chi (Sm. Sojae praeperatum)

 

One of the most robust formulas as far as general application for latent heat

and resultant complications is Chai Hu Qing Gan Tang.

 

Tian Hua Fen

Huang Bai

Jie Geng

Dang Gui

Shu Di

Chuan Xiong

Huang Qin

Lian Qiao

Gan Cao

Bo He

Chai Hu

Bai Shao

Huang Lian

Zhi Zi

Niu Bang Zi

 

> 3) I am still unclear how you determine if this is indeed the case...

> Finally I didn't see an answer in your previous post on how a lurking

> pathogen manifests that is lurking in the qi level. What does this really

> mean (manifestation) is it purely on the pulse

 

Bear in mind - the following is influenced by European concepts as well as

China - this has been the way of developing medicine since at least the Han

Dynasty in various cycles.

 

Latent Heat - History

Recurrent colds and flus

Chronic fatigue

Chronic viral infections

Chronic fibromyalgia

Patient gets worse with tonic therapy

Infection arises with fatigue or treatment

 

Latent Heat and the Tongue

 

Faded red prickles

 

Classic scarlet Yin Xu

 

Swollen on one side more than the other

 

Coated on one side more than the other

 

‘Normal appearance’

 

 

 

Focal Infections

Dental

Chronic appendicitis

Chronic tonsilitis

Intestines

Vaginal

Prostatic

 

In my experience, for the qi stage, it is the Xiao Chai Hu Tang patterns that

are most common

 

Let me know if I missed anything in your questions. I know I went afield a

little. Don't take it personally if I am late responding, I am going into a

deadline crunch for some course preparations.

 

Best -

 

Will

 

Will Morris, LAc., OMD, MSEd

Secretary AAOM

310-453-8300 phone

310-829-3838 fax

 

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