Jump to content
IndiaDivine.org

Herbal substitute for Coumadin

Rate this topic


Guest guest

Recommended Posts

Guest guest

> If there are no blood stagnation signs, consider herbs from the class of

> gentle activators such as: Dang Gui Dan Pi Dan Shen Sheng Di Huang

 

 

Hi Al, do you consider sheng di a blood activator? Thanks, Gus Turpin

Link to comment
Share on other sites

Guest guest

No, I don't consider Sheng Di a blood activator, but Dr. Hua-bing Wen does

apparently since it comes from his lecture. I'll be if you have access to a

database that looks at clotting times, etc. you might find Rehmannia there.

I'm guessing that's how it got on to the list, but I don't know for sure.

 

-al.

 

On 4/9/06, Gus Turpin <tonics wrote:

>

> > If there are no blood stagnation signs, consider herbs from the class

> of

> > gentle activators such as: Dang Gui Dan Pi Dan Shen Sheng Di Huang

>

>

> Hi Al, do you consider sheng di a blood activator? Thanks, Gus Turpin

>

 

--

 

Pain is inevitable, suffering is optional.

 

 

 

Link to comment
Share on other sites

Guest guest

Paradoxically, Sheng di huang is also indicated to stop bleeding and is one of

the 4 shengs in Si Sheng Wan. Perhaps this is similar to the " blood regulating "

property of San qi which stops bleeding yet also activates blood circulation to

move the blood.

 

Watcha think?

 

Yehuda

 

Al Stone <al wrote:

No, I don't consider Sheng Di a blood activator, but Dr. Hua-bing Wen does

apparently since it comes from his lecture. I'll be if you have access to a

database that looks at clotting times, etc. you might find Rehmannia there.

I'm guessing that's how it got on to the list, but I don't know for sure.

 

-al.

 

On 4/9/06, Gus Turpin <tonics wrote:

>

> > If there are no blood stagnation signs, consider herbs from the class

> of

> > gentle activators such as: Dang Gui Dan Pi Dan Shen Sheng Di Huang

>

>

> Hi Al, do you consider sheng di a blood activator? Thanks, Gus Turpin

>

 

--

 

Pain is inevitable, suffering is optional.

 

 

 

Link to comment
Share on other sites

Guest guest

Makes sense, thanks. Gus

 

>

> No, I don't consider Sheng Di a blood activator, but Dr. Hua-bing

Wen does

> apparently since it comes from his lecture. I'll be if you have

access to a

> database that looks at clotting times, etc. you might find Rehmannia

there.

> I'm guessing that's how it got on to the list, but I don't know for

sure.

>

> -al.

Link to comment
Share on other sites

Guest guest

" No, I don't consider Sheng Di a blood activator, but Dr. Hua-bing Wen

does apparently since it comes from his lecture. "

 

All the contemporary Chinese Ben Cao of which I am aware list

quickening the blood as a secondary function of Sheng Di and I

frequently use it for this purpose when the med is ALSO indicated for

one of its primary purposes.

 

Bob

Link to comment
Share on other sites

Guest guest

All,

 

Mark Wright, in the recently published RCHM(1) Manual of Drug-Herb

Interactions (2nd Version), has the following to say about this

discussion:

 

" Warfarin is a 4-hydroxy-coumarin. It's anticoagulant actions are

mediated through its inhibition of vitamin K epoxide reductase, which

causes the prevention of the re-synthesis of the reduced form of

vitamin K necessary for the conversion of clotting factor precursors...

 

" Mills & Bone (2000) say that the C4 hydroxyl group is 'an essential

requirement (among others) for [dicoumarol's] powerful anticoagulant

activity' and add that its absence accounts for the lack of such

activity, to any significant clinical degree, in those coumarins which

do not have it. "

 

In other words, although many Chinese medicinals from different plant

families contain coumarins, they do not contain the C4 hydroxyl group

warfarin does. These coumarins include coumarin, umbelliferone,

scopoletin, angelical, osthol and ostole, and angelicone. These

coumarins can be found in Compositae, Cruciferae, Hydrangeaceae,

Moraceae, Leguminosae, Ritaceae, and Umbelliferae. From the

Umbelliferae alone, Wright lists the following commonly used (or

eaten) Chinese medicinals:

 

Bai Zhi

Dang Gui

Du Huo

Hu Luo Bo (carrot)

Qian Hu

Qiang Huo

She Chuang Zi

Xiao Hui Xiang

 

From Wright's initial discussion, one would surmise that, because

these medicinals do not contain the C4 hydroxyl group, they do not

potentiate the anti-clotting effects of warfarin. However, to make

matters less clear-cut, Wright goes on to cite:

 

1) Page & Lawrence (1999) who " conclude that the true mechanism of the

interaction of coumarins with blood-clotting is unknown. "

 

2) Chan & Cheung (2000) who suggest that " although coumarins do not by

themselves have anticoagulant properties, they do potentiate the

anticoagulant actions of warfarin by increasing the affinity of

warfarin receptor sites to the drug. "

 

So we're back to the true status of almost all potential Chinese

medicinal-Western drug interactions that no one knows for sure. The

only actually proven interaction with warfarin that I am aware of is

Dan Shen having an additive effect to warfarin.

 

Bob

 

(1) RCHM stands for the Register of Chinese Herbal Medicine which is a

professional association representing approximately Chinese medical

practitioners in the UK. Their main concerns as an organization are

adequate enry and continuing education and Chinese medicinal safety.

In terms of these issues, I would say they are ahead of us in the U.S.

Link to comment
Share on other sites

Join the conversation

You are posting as a guest. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

Loading...
×
×
  • Create New...