Knotty patterns in Chinese patients

[Guest guest]

To support Eric's and my contention that some Chinese patients present

just as knotted multiple patterns, on page 27 of issue #4, 2005 of Hei

Long Jiang Zhong Yi Yao (Heilongjiang & Medicinals),

Ma Jin-ping et al. published an article titled, " The Treatment of Yin

Vacuity, Damp Heat & Stasis Knotted Pattern Dysmenorrhea. " In this

article, the authors suggest that many patients with membranous

dysmenorrhea, a severe form of spamodic dysmenorrhea, present yin

vacuity plus damp heat plus blood stasis all bound together. This

article is not about a clinical trial. Rather it is an essay about how

the authors treat this knotty pattern of painful menstruation. In it,

they explain the disease causes and mechanisms and how they bind

together. Then they go on to explain the signs and symptoms of this

complex presentation. Next they present a basic formula along with

modifications if 1) liver-kidney debility is more severe, 2) damp heat

is more severe, or 3) there is also qi and blood vacuity. For those

who are interested, their basic formula consists of:

 

Sheng Di (uncooked Radix Rehmanniae), 30-60g

Bei Sha Shen (Radix Glehniae), 20-30g

Bai Shao (Radix Paeoniae Albae), 30-45g

Niu Xi (Radix Achyranthis Bidentatae), 20g

Ze Lan (Herba Lycopi), 10g

Bai Jiang Cao (Herba Patriniae), 20g

Yi Yi Ren (Semen Coicis), 30g

Ze Xie (Rhizoma Alismatis), 10g

Pei Lan (Herba Eupatorii), 10g

Ren Dong Teng (Caulis Lonicerae), 30-50g

Dan Shen (Radix Salviae Miltiorrhizae), 15-20g

Bai Tou Weng (Radix Pulsatillae), 10g

Chuan Lian Zi (Fructus Toosendan), 6g

Yan Hu Suo (Rhizoma Corydalis), 6-10g

Yi Mu Cao (Herba Leonuri), 20g

uncooked Gan Cao (Radix Glycyrrhizae), 9g

Shu Yang Quan (Herba Solani Lyrati), 20g

Xue Jie (Sanguis Draconis), 2g, powdered and swallowed with the

decocted medicinals

 

(Note: In their closing discussion, they discuss Tu Fu Ling, Rhizoma

Smilacis Glabrae in the formula, but this was not listed with the

above medicinals. There is also a typo of Gan Guo for Gan Cao in the

listed formula. However, Gan Cao is discussed in the closing discussion.)

 

If there is liver-kidney debility, they say to add Tu Si Zi (Semen

Cuscutae), Rou Cong Rong (Herba Cistanchis), and Nu Zhen Zi (Fructus

Ligustri Lucidi).

 

If there is severe damp heat, they say to add Hong Teng (Caulis

Sargentodoxae), Hu Zhang ( Rhizoma Polygoni Cuspidati), and Xiao Qing

Cao (?, possibly Herba Artemisiae Scopariae).

 

If there is qi and blood vacuity, they say to add Shu Di (cooked Radix

Rehmanniae) and Dang Shen (Radix Codonopsitis).

 

Note the many ingredients and the large doses. These doses are for a

single day in a water-based decoction. Although the authors do not say

so, I think we can safely assume that patients are only taking this

formula for three days before and three days into their menses.

 

Bob

[Guest guest]

, " Bob Flaws "

<pemachophel2001> wrote:

Xiao Qing

> Cao (?, possibly Herba Artemisiae Scopariae).

 

Could also possibly be Rostellulariae Herba. Xiao3 qing1 cao3

(assuming the name means " little green herb " ) is an alternate name for

jue2 chuang2, which is the official name for rostellularia. Mind you,

I've never heard of this medicinal, but it does have an official and

alternate name listed in the zhong yao da ci dian, and it is the only

match I have for any medicinal pronounced xiao qing cao.

 

If this is the right med, it would basically fit the pattern that is

mentioned. It is acrid, salty, and cold. It clears heat & resolves

toxin; disinhibits dampness & disperses stagnation; quickens the blood

& relieves pain.

 

Thanks for your comments and the summary of the article.

 

Eric

[Guest guest]

" Could also possibly be Rostellulariae Herba. Xiao3 qing1 cao3

(assuming the name means " little green herb " ) is an alternate name for

jue2 chuang2, which is the official name for rostellularia. Mind you,

I've never heard of this medicinal, but it does have an official and

alternate name listed in the zhong yao da ci dian, and it is the only

match I have for any medicinal pronounced xiao qing cao. "

 

Eric,

 

You must be right. I didn't look in the Zhong Yi Da Ci Dian. It dise

match the Chinese name, little green herb.

 

Bob