Guest guest Posted November 26, 2007 Report Share Posted November 26, 2007 Far from me to second guess Bob on his own formula but one could also look at the formula not as Xiao Chai Hu but as Xiao Yao Wan (or more precisely Dan Zhi Xiao Yao Wan) with the blood deficiency elements juiced up and instead of internal heat, external invasion. The Blood then becomes a force in fortifying Qi and Kidney and the Chai Hu is to clear heat, raise/upbear Qi but not neccesarily out of the Shao Yang. There is also the question of half interior half exterior which if I remember correctly is Yi Ban Yi Ban meaning in between, or neither exterior or interior. Then the Shao Yang differenciation becomes more fluid. any more comments out there? doug , Steve Sterling <acusteve1 wrote: > > Hi Everybody, > > Blue Poppy has a formula called Cold Quell which is based on a combination of Xiao Chai Hu Tang + Si Wu Tang with the addition of ban lan gen, lian qiao, jin yin hua, xuan shen, niu bang zi and jie geng http://www.bluepoppy.com/store/h_coldquell.cf > > Xiao Chai Hu Tang is a Zhang Zhong-jing's Shan Han Lun (Treatise on Damage [Due to] Cold) disease formula. My understanding of the use of this formula is in the treatment of Shao yang pattern disease which is considered half exterior half interior, between the greater yang exterior (Tai yang) and the yang brightness interior (Yang ming). When the pathogen enters the Shao yang division, it inhibits the pivot mechanism and the right and evil Qi struggle without either being able to overcome the other. This produces the main signs are alternating aversion to cold & heat effusion, fullness in the chest, rib-side distention, taciturnity (reserved speach), lack of appetite, etc. > > Cold Quell formula is indicated for the treatment of a wind heat external invasion exterior pattern in a person with a righteous Qi vacuity (both Qi & Xue xu) and liver depression Qi Stagnation, with or without phlegm nodulation and/or heat toxins. (The presence of the Si Wu Tang addition reinforces the tonify blood function.) > > A wind heat external invasion is associated with simulataneous Heat effusion + Chills with Heat effusion predominate, yellow tongue coating and a rapid, superficial pulse. The Shao yang pattern presents with an alternating aversion to cold & heat effusion, (a white tongue coating that may be slippery on one-side only) and possibly a wiry pulse. > > If the disease presentation doesn't match the Shao yang pattern then why would we include the Xiao Chai Hu Tang in a formula to treat this pattern? (I'm not saying that it is wrong, I want to understand the rationale for using it. I've read the references for this in A Handbook of Menstrual Diseases in by Bob Flaws and I'm still unclear). I've seen some literature substantiating the use of this formula from a western principle based on individual herb function. > > I would recommend to everyone who hasn't done so already to think about this because it is a good hearbalist exercise. I have an idea how it works but I would like to hear other practitioner's unbiased views before I voice my own. > > Thank you, > Steve Sterling, L.Ac. > www.WebLAc.com > > > > > Be a better sports nut! Let your teams follow you with Mobile. Try it now. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 Group, I thought that XCHT + ban lan gen etc. was an approach that was en vogue a few years ago (maybe late 80's?) for treating ganmao, based on some pharmacological approach.. I imagine Bob's formula is based on some research article(s), I could be wrong though. Another common product that seems odd to me is " cold Snap, " It has a similar theme. It contains: Forsythia, Lonicera, Tang Kuei, Phragmites, Articum, Soja, Bamboo Leaves, Peony, Platycodon, Buplerum, Scute, Cnidium, Ginseng, Rehmannia, Licorice, Jujube, Pinellia Ginger, Schizonepeta, Mentha, Corn Starch, Excipient. I personally have never liked it, but some patients swear by it. One of the arguments for including si wu tang is that our population of patients is deficient and needs tonification to fight of the pathogen. I personally do not find this true clinically. Patients may be tired and " stressed " , but it is not usually from deficiency. There is usually accumulation and stagnation behind many seemingly deficient patients. Of course one cannot generalize as all types walk through the door. However, I (and my colleagues) treat oodles of ganmao, and do not commonly include tonification methods, especially in the initial stages. There are though some exceptions. Furthermore, I have seen, quite a few times, patients create lingering pathogens from taking Cold Snap. I think it has the potential to not fully release the exterior and evict the pathogen. On a side note: Wasn't there a paradigm publications " article " that was released a few years ago that was used to demonstrate how often the top 500 Chinese characters were used. I think it was an excerpt on gui zhi tang + si wu tang and ma huang tang + si wu tang.. (or something like that?) Does anyone know where this was from or have it? - _____ On Behalf Of Tuesday, November 27, 2007 12:14 AM Re: Xiao Chai Hu Tang treats Shaoyang pattern why use it for Taiyang exter Far from me to second guess Bob on his own formula but one could also look at the formula not as Xiao Chai Hu but as Xiao Yao Wan (or more precisely Dan Zhi Xiao Yao Wan) with the blood deficiency elements juiced up and instead of internal heat, external invasion. The Blood then becomes a force in fortifying Qi and Kidney and the Chai Hu is to clear heat, raise/upbear Qi but not neccesarily out of the Shao Yang. There is also the question of half interior half exterior which if I remember correctly is Yi Ban Yi Ban meaning in between, or neither exterior or interior. Then the Shao Yang differenciation becomes more fluid. any more comments out there? doug @ <%40> , Steve Sterling <acusteve1 wrote: > > Hi Everybody, > > Blue Poppy has a formula called Cold Quell which is based on a combination of Xiao Chai Hu Tang + Si Wu Tang with the addition of ban lan gen, lian qiao, jin yin hua, xuan shen, niu bang zi and jie geng http://www.bluepopp <http://www.bluepoppy.com/store/h_coldquell.cf> y.com/store/h_coldquell.cf > > Xiao Chai Hu Tang is a Zhang Zhong-jing's Shan Han Lun (Treatise on Damage [Due to] Cold) disease formula. My understanding of the use of this formula is in the treatment of Shao yang pattern disease which is considered half exterior half interior, between the greater yang exterior (Tai yang) and the yang brightness interior (Yang ming). When the pathogen enters the Shao yang division, it inhibits the pivot mechanism and the right and evil Qi struggle without either being able to overcome the other. This produces the main signs are alternating aversion to cold & heat effusion, fullness in the chest, rib-side distention, taciturnity (reserved speach), lack of appetite, etc. > > Cold Quell formula is indicated for the treatment of a wind heat external invasion exterior pattern in a person with a righteous Qi vacuity (both Qi & Xue xu) and liver depression Qi Stagnation, with or without phlegm nodulation and/or heat toxins. (The presence of the Si Wu Tang addition reinforces the tonify blood function.) > > A wind heat external invasion is associated with simulataneous Heat effusion + Chills with Heat effusion predominate, yellow tongue coating and a rapid, superficial pulse. The Shao yang pattern presents with an alternating aversion to cold & heat effusion, (a white tongue coating that may be slippery on one-side only) and possibly a wiry pulse. > > If the disease presentation doesn't match the Shao yang pattern then why would we include the Xiao Chai Hu Tang in a formula to treat this pattern? (I'm not saying that it is wrong, I want to understand the rationale for using it. I've read the references for this in A Handbook of Menstrual Diseases in by Bob Flaws and I'm still unclear). I've seen some literature substantiating the use of this formula from a western principle based on individual herb function. > > I would recommend to everyone who hasn't done so already to think about this because it is a good hearbalist exercise. I have an idea how it works but I would like to hear other practitioner's unbiased views before I voice my own. > > Thank you, > Steve Sterling, L.Ac. > www.WebLAc.com > > > > > Be a better sports nut! Let your teams follow you with Mobile. Try it now. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 Steve, Because most Western patients with a cold or flu suffer from both a righteous vacuity (which allowed for catching the cold in the first place) and the external evil contraction. Therefore, they suffer from both a righteous internal vacuity and a replete external contraction. I have written extensively on all this, explaining the rationale behind the formula as a whole as well as the role of each individual med in the Rx. If you go to www.bluepoppy.com, you can read all about this. I have been using this combo for almost 25 years. The key to getting near miraculous results is taking eight caps per time, 3-5 times per day at the first sing of an acute sore throat as the harbinger of coming down with a cold. Bob Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 27, 2007 Report Share Posted November 27, 2007 Look in the files section of CHA - Characters1.pdf and Characters2.pdf Look in the Files section of CHA. They are halfway down the page, clearly marked 2 files described as 500 characters etc.... Posted by Bob Felt using the name rfaultson. > Doug > > > > -m, " " <@> wrote: > > On a side note: Wasn't there a paradigm publications " article " that was > > released a few years ago that was used to demonstrate how often the top 500 > > Chinese characters were used. I think it was an excerpt on gui zhi tang + si > > wu tang and ma huang tang + si wu tang.. (or something like that?) Does > > anyone know where this was from or have it? > > > > > > > > - > > > > > > > > a > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted November 30, 2007 Report Share Posted November 30, 2007 Hi Doug, Xiao Chai Hu Tang contains: chai hu, huang qin, ban xia, sheng jiang, ren shen, zhi gan cao, da zao and Si Wu Tang contains: shu di huang, bai shao, dang gui, chuang xiong vs Dan Zhi Xiao Yao San contains: chai hu, dang gui, bai shao, bai zhu, fu ling, zhi gan cao, wei jiang, bo he + mu dan pi & zhi zi The herbs in bold are common to the XCHT + SWT and the DZXYS. Other than the chai hu, bai shao and dang gui I'm not seeing much similiarity between the two formulas. In DZXYS the chief herb chai hu relieves Liver constriant, the deputies dang gui & bai shao together nourish blood & soften edginess resulting from liver constraint. The DZXYS is indicated for Liver constraint with Spleen deficiency that transforms into heat which results in irritability " fan " , etc. not the same thing as the indications for Cold Quell which is for the treatment of a wind heat external invasion exterior pattern in a person with a righteous qi vacuity and liver depression qi stagnation. There may also be phlegm nodulation and/or heat toxins. The actual ingredients in the Cold Quell formula are: Radix Isatidis Seu Baphicacanthi (Ban Lan Gen) Fructus Forsythiae Suspensae (Lian Qiao) Flos Lonicerae Japonicae (Jin Yin Hua) Radix Scrophulariae Ningpoensis (Xuan Shen) uncooked Radix Rehmanniae (Sheng Di) Radix Ligustici Wallichii (Chuan Xiong) Radix Scutellariae Baicalensis (Huang Qin) Radix Bupleuri (Chai Hu) Radix Codonopsitis Pilosulae (Dang Shen) Rhizoma Pinelliae Ternatae (Ban Xia) Fructus Zizyphi Jujubae (Da Zao) uncooked Rhizoma Zingiberis (Sheng Jiang) Fructus Arctii Lappae (Niu Bang Zi) Radix Albus Paeoniae Lactiflorae (Bai Shao) Radix Angelicae Sinensis (Dang Gui) mix-fried Radix Glycyrrhizae (Gan Cao) Radix Platycodi Grandiflori (Jie Geng) with ingredients from XCHT in bold, SWT underlined, Pu Ji Xiao du Yin highlighted in yellow This a quote (taken out of context) from a newletter that a collegue wrote, " I am enclosing a product description card for one of my best selling products, Cold Quell. It is very effective for the initial onset of the most common cold presentation and is a great one to keep around " . So I say to myself " hmmm, what's in this Cold Quell " and I go to the Bluepoppy website: http://www.bluepoppy.com/store/h_coldquell.cfm and I see in the product description: " This formula is a combination of two of the most famous formulas in Chinese herbal medicine. Xiao Chai Hu Tang comes from Zhang Zhong-jing’s Shan Han Lun (Treatise on Damage [Due to] Cold). Si Wu Tang comes from the Tai Ping Hui Min He Ji Chu Fang (Tai Ping [Era] Imperial Grace Formulary), a famous formulary published in the Song dynasty. " and so I'm thinking ... Xiao Chai Hu Tang + Si Wu Tang for external attack of Wind-Heat ??? But, now when I look at the actual ingredients in the Cold Quell formula the XCHT + SWT are secondary to the first six herbs and I see a stronger resemblence to the core backbone of the formula Pu Ji Xiao Du Yin (Universal Disperse Toxin Cool-Decoction) with the additition of jin yin hua (which pairs with lian qiao in another popular Wind-Heat formula Yin Qiao San) minus: huang lian, bo he, jiang can, ma bo chen pi and sheng ma. When I read further about the product description on the Bluepoppy website it says: " In terms of disease diagnosis, this formula is for common cold and epidemic influenza with possible bronchitis and especially in women as opposed to men, and even more especially perimenstrually. However, if the patient’s pattern conforms, this formula may be taken by men and women alike and regardless of phase in menstrual cycle. For instance, this formula is also often indicated for postpartum fevers and flus ... " so now I see this makes more sense. Cold Quell is more suited for Wind-Heat attack with underlying blood deficiency and liver Qi stagnation with the addition of the XCHT + SWT to handle the latter. Perhaps I'm reading more into it but, I think there is more to it than that .... Cheers, Steve wrote: Far from me to second guess Bob on his own formula but one could also look at the formula not as Xiao Chai Hu but as Xiao Yao Wan (or more precisely Dan Zhi Xiao Yao Wan) with the blood deficiency elements juiced up and instead of internal heat, external invasion. The Blood then becomes a force in fortifying Qi and Kidney and the Chai Hu is to clear heat, raise/upbear Qi but not neccesarily out of the Shao Yang. There is also the question of half interior half exterior which if I remember correctly is Yi Ban Yi Ban meaning in between, or neither exterior or interior. Then the Shao Yang differenciation becomes more fluid. any more comments out there? doug , Steve Sterling <acusteve1 wrote: > > Hi Everybody, > > Blue Poppy has a formula called Cold Quell which is based on a combination of Xiao Chai Hu Tang + Si Wu Tang with the addition of ban lan gen, lian qiao, jin yin hua, xuan shen, niu bang zi and jie geng http://www.bluepoppy.com/store/h_coldquell.cf > > Xiao Chai Hu Tang is a Zhang Zhong-jing's Shan Han Lun (Treatise on Damage [Due to] Cold) disease formula. My understanding of the use of this formula is in the treatment of Shao yang pattern disease which is considered half exterior half interior, between the greater yang exterior (Tai yang) and the yang brightness interior (Yang ming). When the pathogen enters the Shao yang division, it inhibits the pivot mechanism and the right and evil Qi struggle without either being able to overcome the other. This produces the main signs are alternating aversion to cold & heat effusion, fullness in the chest, rib-side distention, taciturnity (reserved speach), lack of appetite, etc. > > Cold Quell formula is indicated for the treatment of a wind heat external invasion exterior pattern in a person with a righteous Qi vacuity (both Qi & Xue xu) and liver depression Qi Stagnation, with or without phlegm nodulation and/or heat toxins. (The presence of the Si Wu Tang addition reinforces the tonify blood function.) > > A wind heat external invasion is associated with simulataneous Heat effusion + Chills with Heat effusion predominate, yellow tongue coating and a rapid, superficial pulse. The Shao yang pattern presents with an alternating aversion to cold & heat effusion, (a white tongue coating that may be slippery on one-side only) and possibly a wiry pulse. > > If the disease presentation doesn't match the Shao yang pattern then why would we include the Xiao Chai Hu Tang in a formula to treat this pattern? (I'm not saying that it is wrong, I want to understand the rationale for using it. I've read the references for this in A Handbook of Menstrual Diseases in by Bob Flaws and I'm still unclear). I've seen some literature substantiating the use of this formula from a western principle based on individual herb function. > > I would recommend to everyone who hasn't done so already to think about this because it is a good hearbalist exercise. I have an idea how it works but I would like to hear other practitioner's unbiased views before I voice my own. > > Thank you, > Steve Sterling, L.Ac. > www.WebLAc.com > > > > > Be a better sports nut! Let your teams follow you with Mobile. Try it now. > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted December 1, 2007 Report Share Posted December 1, 2007 Steve et al, I think another important question to ask is, how appropriate it is to nourish (esp. blood) in gan maos. We should ask, how deficient is our patient population? How does this compare to China? What about China in the 60's or in Li Dong-Yuan's time? Clearly there are times in Chinese history (as above) that China had very little food and the population was stricken with poverty and ill-health (lots of spleen qi xu). How did China treat gan mao during these times and how do we think this compares to our culture now? To be clear, I am not picking a beef with Bob's cold-quell. I am suggesting we look into the status of our population and find out the roots, thinking, methodology of such approaches for treating ganmao (i.e. cold quell and cold snap.) I am curious, are these based on modern research? IS there a lineage of thought that supports this approach? Actually maybe more important is just to notice the differences between their approach and mainstream CM thought. Therefore it seems useful to look at what the modern / pre-modern / classical literature and case records say in regard to treating ganmao. XCHT + SWT is recommended for ganmao with menstruation. Otherwise, in the case records and literature I have found very few cases of ganmao (especially early stage) treated in such a manner. (what have others found?) For example, in regard to supplementation (i.e. Ginseng or sheng di), one does see it in ganmao conditions. It seems not too occur often. Usually the commentary makes a big deal about it, and it is usually only 1 or 2 herbs. The patients are usually QUITE deficient, i.e. elderly or post-partum (as Bob's article suggests.) In these situations one still sees the primarily thrust to release the exterior. One should note the formulas, ren shen bai du san (1 tonic), cong bai qi wei tang (contains mai dong + sheng di). My reading is more traditionally based. Even the modern doctors I study have classical roots. I am curious about the modern usage of XCHT to treat ganmao. Since this is not an approach that I utilize (and would like to learn more) does anyone have some commentary on this? CM theory would suggest that in early stages of wind attack one should " diffuse the Lungs with acrid scattering medicinals. " I have no idea about cold-quell clinically, but my beef with cold-snap is that it does not do this enough for the general population. People take it for any type of " cold " in the early stages. In cold-snap's defense, the SHL states that if one has blood exhaustion then one should not use the sweating method. The question is how blood deficient we are as a population? Comments? But it is my opinion that not releasing the exterior (or diffusing the Lungs) in the early stage while using cold-bitter medicinals has a tendency to lock in pathogens. I have seen this over and over with cold-snap. One should note the latest issue of " The Lantern " where Jack Schaefer discusses the creation of lurking pathogens with an incorrect approach (one problem was using ban lan gen in the early stages). This is quite controversial, because I have seen famous herbalists in China do this in modern times. Does anyone know if this has any classical roots, or is this just based on modern research>? Ideas in practice are constantly evolving and changing, sometimes for the better, sometimes for the worse. Maybe we have come upon a new way to treating ganmao. Either way, getting a sense of where these formulas come from is helpful in understanding them and the real life clinic. Thanks for bringing up this topic (Steve?).. However, as Steve points out, I do not find it helpful to look at these formulas as XCHT + SIWUTANG because I am not aware of strategies to treat early stage ganmao that utilize these formulas or methods for the general population. Therefore, does Bob or someone have some articles, research, or case studies (from China) that use or discuss this method that they could share? One final note: In general, evaluating clinical efficacy of beginning stage cold treatments is problematic. Many times if we are getting sick, we just do not get sick. It is common to believe that our " not getting sick " is a result of whatever we did or took that " prevented it " , instead of factoring in our own ability to actually fight of the cold. - _____ On Behalf Of Steve Sterling Friday, November 30, 2007 11:41 PM Re: Xiao Chai Hu Tang treats Shaoyang pattern why use it for Taiyang exter Hi Doug, Xiao Chai Hu Tang contains: chai hu, huang qin, ban xia, sheng jiang, ren shen, zhi gan cao, da zao and Si Wu Tang contains: shu di huang, bai shao, dang gui, chuang xiong vs Dan Zhi Xiao Yao San contains: chai hu, dang gui, bai shao, bai zhu, fu ling, zhi gan cao, wei jiang, bo he + mu dan pi & zhi zi The herbs in bold are common to the XCHT + SWT and the DZXYS. Other than the chai hu, bai shao and dang gui I'm not seeing much similiarity between the two formulas. In DZXYS the chief herb chai hu relieves Liver constriant, the deputies dang gui & bai shao together nourish blood & soften edginess resulting from liver constraint. The DZXYS is indicated for Liver constraint with Spleen deficiency that transforms into heat which results in irritability " fan " , etc. not the same thing as the indications for Cold Quell which is for the treatment of a wind heat external invasion exterior pattern in a person with a righteous qi vacuity and liver depression qi stagnation. There may also be phlegm nodulation and/or heat toxins. The actual ingredients in the Cold Quell formula are: Radix Isatidis Seu Baphicacanthi (Ban Lan Gen) Fructus Forsythiae Suspensae (Lian Qiao) Flos Lonicerae Japonicae (Jin Yin Hua) Radix Scrophulariae Ningpoensis (Xuan Shen) uncooked Radix Rehmanniae (Sheng Di) Radix Ligustici Wallichii (Chuan Xiong) Radix Scutellariae Baicalensis (Huang Qin) Radix Bupleuri (Chai Hu) Radix Codonopsitis Pilosulae (Dang Shen) Rhizoma Pinelliae Ternatae (Ban Xia) Fructus Zizyphi Jujubae (Da Zao) uncooked Rhizoma Zingiberis (Sheng Jiang) Fructus Arctii Lappae (Niu Bang Zi) Radix Albus Paeoniae Lactiflorae (Bai Shao) Radix Angelicae Sinensis (Dang Gui) mix-fried Radix Glycyrrhizae (Gan Cao) Radix Platycodi Grandiflori (Jie Geng) with ingredients from XCHT in bold, SWT underlined, Pu Ji Xiao du Yin highlighted in yellow This a quote (taken out of context) from a newletter that a collegue wrote, " I am enclosing a product description card for one of my best selling products, Cold Quell. It is very effective for the initial onset of the most common cold presentation and is a great one to keep around " . So I say to myself " hmmm, what's in this Cold Quell " and I go to the Bluepoppy website: http://www.bluepopp <http://www.bluepoppy.com/store/h_coldquell.cfm> y.com/store/h_coldquell.cfm and I see in the product description: " This formula is a combination of two of the most famous formulas in Chinese herbal medicine. Xiao Chai Hu Tang comes from Zhang Zhong-jing's Shan Han Lun (Treatise on Damage [Due to] Cold). Si Wu Tang comes from the Tai Ping Hui Min He Ji Chu Fang (Tai Ping [Era] Imperial Grace Formulary), a famous formulary published in the Song dynasty. " and so I'm thinking ... Xiao Chai Hu Tang + Si Wu Tang for external attack of Wind-Heat ??? But, now when I look at the actual ingredients in the Cold Quell formula the XCHT + SWT are secondary to the first six herbs and I see a stronger resemblence to the core backbone of the formula Pu Ji Xiao Du Yin (Universal Disperse Toxin Cool-Decoction) with the additition of jin yin hua (which pairs with lian qiao in another popular Wind-Heat formula Yin Qiao San) minus: huang lian, bo he, jiang can, ma bo chen pi and sheng ma. When I read further about the product description on the Bluepoppy website it says: " In terms of disease diagnosis, this formula is for common cold and epidemic influenza with possible bronchitis and especially in women as opposed to men, and even more especially perimenstrually. However, if the patient's pattern conforms, this formula may be taken by men and women alike and regardless of phase in menstrual cycle. For instance, this formula is also often indicated for postpartum fevers and flus ... " so now I see this makes more sense. Cold Quell is more suited for Wind-Heat attack with underlying blood deficiency and liver Qi stagnation with the addition of the XCHT + SWT to handle the latter. Perhaps I'm reading more into it but, I think there is more to it than that .... Cheers, Steve <taiqi (AT) taiqi (DOT) <taiqi%40taiqi.com> com> wrote: Far from me to second guess Bob on his own formula but one could also look at the formula not as Xiao Chai Hu but as Xiao Yao Wan (or more precisely Dan Zhi Xiao Yao Wan) with the blood deficiency elements juiced up and instead of internal heat, external invasion. The Blood then becomes a force in fortifying Qi and Kidney and the Chai Hu is to clear heat, raise/upbear Qi but not neccesarily out of the Shao Yang. There is also the question of half interior half exterior which if I remember correctly is Yi Ban Yi Ban meaning in between, or neither exterior or interior. Then the Shao Yang differenciation becomes more fluid. any more comments out there? doug Quote Link to comment Share on other sites More sharing options...
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