Herbs 2 Week 3.pdf

HERBS 2 (HB515): WEEK 3 HERBS THAT STOP COUGH AND WHEEZE (6.3) AND AROMATIC HERBS THAT TRANSFORM DAMPNESS (6.7) GARY WILLIAMS, MSTOM, LAC  TODAY’S CLASS Questions about last week Quiz Lecture  HERBS THAT STOP COUGH AND WHEEZE So what causes cough? ...

HERBS 2 (HB515): WEEK 3 HERBS THAT STOP COUGH AND WHEEZE (6.3) AND AROMATIC HERBS THAT TRANSFORM DAMPNESS (6.7) GARY WILLIAMS, MSTOM, LAC  TODAY’S CLASS Questions about last week Quiz Lecture  HERBS THAT STOP COUGH AND WHEEZE So what causes cough?  HERBS THAT STOP COUGH AND WHEEZE So what causes cough? External Attack Heat, Cold, Dry Internal Disharmony Yin Xu Qi Xu Rebellious Qi Damp / Phlegm etc Just like everything in TCM - its usually either Heat or Cold in some form or fashion that causes it!  HERBS THAT STOP COUGH AND WHEEZE Pinyin Latin Common / English Xing Ren Armeniacae Semen Apricot Seed or Kernel Zi Wan Asteris Radix Purple Aster Root Kuan Dong Hua Farfarae Flos Coltsfoot Zi Su Zi (Su Zi) Perillae Fructus Perilla Fruit Pi Pa Ye Eriobotryae Folium Loquat Leaf Bai Bu Stemonae Radix Stemona Root Sang Bai Pi Mori Cortex Mulberry Root Bark Ma Dou Ling Aristolochiae Fructus Birthwort Fruit Daily amount of granules come from the suggestion of Andrew Ellis’ Notes from South Mountain: A Guide to Concentrated Herb Granules  XING REN - ARMENIACAE SEMEN Taste Temperature Channels Dosage Bitter Sl. Warm - Sl Toxic Lung, Large Int. 3-9 grams Standout directs the Lung Qi Downward, moistens the intestines, slightly Characteristic toxic Cautions and Cx with Yin Xu (alone) or for infants or for those with loose Contraindications stools - keep within the proper dosages due to toxicity Actions and Indications Stops cough and calms wheeze - all types, but especially externally contracted dry cough - it is so good at externally contracted cough that it is said to disperse Wind Cold and Phlegm Damp in the Lung Channel Moistens the intestines - super high in oil content Nan or Tian Xing Ren is more moistening / sweeter for Dry Cough FYI Bei or Ku Xing Ren is more bitter for Damp Heat Cough Granule Suggested Daily Amount < 10-20 seeds for kids, < 40-60 seeds for adults About.5-1 gram Generally the ones we use are peeled and the little tip is broken off removing much of the toxicity - but still keep to the rules!  ZI WAN - ASTERIS RADIX Taste Temperature Channels Dosage Acrid, Bitter Slightly Warm Lung 5-9 grams Standout warms and moistens without drying, enters the Qi and Blood Characteristic aspects, disperses and drains Cautions and None noted Contraindications Actions and Indications Stops Cough and expels phlegm - because of its bitter and acrid lavors and relatively neutral temp, it is safe to use for MANY different types of cough - but is best at treating a cough with profuse sputum due to Wind Cold obstructing Lung Qi FYI Not much to add with this herb - but if we prepare it with honey Mi Granule Suggested Zhi Zi Wan it is better at treating chronic dry Lungs with damaged Daily Amount Yin About.5-1 gram f  KUAN DONG HUA - FARFARAE FLOS Taste Temperature Channels Dosage Acrid Warm Lung 4.5-9 g Standout appropriate for any type of cough or wheeze Characteristic Cautions and CX for those with blood and/or pus in their sputum - avoid long Contraindications term usage due to potential carcinogens Actions and Indications moistens the Lungs, directing Qi downward, stops cough and transforms Phlegm - for MANY types of cough - commonly used with Zi Wan As this herb is Warm, it is best suited for Wind Cold causing profuse Phlegm in the Lungs, but when combined with Zi Wan it is incredibly effective (fried in Honey its even safe for those with blood FYI streaked sputum) Granule Suggested Daily Amount With Bai He for chronic non-productive cough About.5 - 1 gram Bensky pg 443  ZI SU ZI - PERILLAE FRUCTUS Taste Temperature Channels Dosage Acrid Warm Large Int, Lung 3 - 9 grams Standout reliable redirects Lung Qi downward, dissolves Phlegm, technically Characteristic helps moisten the intestines - technically Cautions and CI for severe diarrhea from Spleen Qi De iciency Contraindications Actions and Indications Stop cough and calm wheeze, redirects the Qi downwards and dissolves Phlegm - better for labored exhalation than labored inhalation and sti ling sensation in the chest Moistens the Intestines, unblocks stool for constipation due to dry Intestines We should compare this herb to the leaf from the same plant - Zi Su Ye which is FYI about nausea and vomiting and helping to get rid of exogenous pathogens. Granule Suggested This one is about cough due to rebellious Lung Qi and Phlegm Daily Amount About.5-1 gram Bensky pg 444 f f  PI PA YE - ERIOBOTRYAE FOLIUM - LOQUAT LEAF Taste Temperature Channels Dosage Bitter Neutral Lung, Stomach 6-15 grams Standout directs Qi downward to stop cough and alleviate nausea and Characteristic vomiting Cautions and Cx for cough or vomiting due to cold - be careful of RAW loquat Contraindications leaf as the hairs can cause a lot of irritation - best to bag it Actions and Indications Transforms phlegm, clears Lung Heat, redirects Lung Qi downward - mainly for Lung dryness patterns with cough and wheezing Harmonizes the Stomach, clears Stomach Heat, and redirects Stomach Qi downward for Stomach Heat related nausea, vomiting, hiccup, and belching this herb has tiny little hairs or fuzz on the leaves and should be put FYI in a gauze bag or use the prepared version Dan Pi Pa Ye that has Granule Suggested been adequately cleaned. There is also Mi Zhi Pi Ya Ye and Jiang Zhi Daily Amount Pi Pa Ye that are prepared with honey or ginger juice respectively - About 1-1.5 gram honey prepared is better for moistening and ginger prepared makes it warming to be used for cold cough or nausea GUA LOU PI - TRICHOSANTHIS PERICARPIUM VS  BAI BU - STEMONAE RADIX Taste Temperature Channels Dosage Sweet, Bitter Slightly Warm Lung 3 -9 g Standout sends Qi downward to treat chronic and de icient coughs and Characteristic kills parasites ( leas and lice) Cautions and CI for Spleen Xu loose stools Contraindications Actions and Indications Moistens the Lungs and stops cough - for acute and chronic cough, especially useful for cough from de iciency - Lung Qi and Yin Xu - also it can help treat TB Expels parasites and kills lice - applied topically as a tincture or decoction for lice or leas, douche/wash for bacterial vaginosis, enema for pinworm This herb is typically prepared in honey to help prevent it from causing respiratory issues in about 20-30% of cases from the FYI unprepared root. The fresh is best for parasites though (especially Granule Suggested Daily when paired with Ku Shen (Flavescentis Radix). Amount About.5 -1 gram It is often paired with Zi Wan (Asteris Radix) Bensky pg 450 f f f f  SANG BAI PI - MORI CORTEX - MULBERRY ROOT BARK Taste Temperature Channels Dosage Sweet Cold Lung 6 - 15 grams Standout drains Heat from Lungs and drains luids to treat edema and Characteristic lowers BP Cautions and CI for coughs from Lung Cold Contraindications Actions and Indications Drains Heat from the Lungs, stops cough, and calms wheeze - for Lung Heat coughs Promotes urination to reduce edema - super icial and/or facial edema with a loating pulse, fever and thirst with urinary dif iculty lowers High Blood pressure (hypertension) - especially with Huang Qin, Jue Ming Zi, Xia Ku Cao for Liver Yang Rising HTN Excess requires draining of the Child FYI It drains Water to bene it Metal Granule Suggested Daily Amount It is Sweet and Cold so it is great for cough that is dry or with About.5 - 1 gram Phlegm Heat that is dif icult to expectorate Bensky p 451 f f f f f f  SANG BAI PI - MORI CORTEX - MULBERRY ROOT BARK Suggested Paired Herbs Herb/Herbs Functions Zhi Fu Zi - Aconiti Radix Kidney Yang Xu - Yin-type Edema - This is a very classic and good Praeparata example of a Root and Branch treatment Di Gu Pi - Lycii Cortex Gan Cao - Glycyrrhizae Phlegm Heat obstructing the Lungs - cough with viscous sputum, Radix fever, irritability, and thirst Xia Bai San Drain the White Powder Da Fu Pi - Arecae Pericarpium Fu Ling Pi - Poriae Cutis Super icial Edema with urinary dif iculty Wu Pi Yin Five Peel Drink Huang Qin - Scutellariae Radix Jue Ming Zi - Cassiae Hypertension due to ascendant Liver Yang Semen Xia Ku Cao - Prunellae Spica f f  MA DOU LING - ARISTOLOCHIAE FRUCTUS - “OBSOLETE” Taste Temperature Channels Dosage Slightly Cold, Slightly Bitter Lung, Large Intestine 3-9g Toxic Standout Cools Lung Heat, directs Lung Qi down, transforms Phlegm, Characteristic alleviates cough Cautions and Toxic - readily injures the Spleen and Stomach causing diarrhea Contraindications and vomiting - CI in wheezing due to cold from de iciency Actions and Indications Clears the Lungs, transforms Phlegm, stops coughing and calms wheeze - Lung Heat with rebellious Qi Clears and drains Excess Heat from the Large Intestine while reducing swelling and pain - hemorrhoids, swellings, even istula - the herb is burned in a pot and the smoke is allowed to rise and treat the area. Honey Prepared Mi Ma Dou Ling would be better - but it appears that it is VERY hard to get these days as countries will occasionally restrict it due to potential toxic effects on the kidneys and its mildly carcinogenic nature. If used in small amounts for the purposes intended, it is safe. Currently unavailable due to the aristolochic acid that is nephrotoxic - alcohol extracts can cause digestive issues even within normal range f f  AROMATIC HERBS THAT TRANSFORM DAMPNESS Why is there dampness? Where is the dampness? What are the symptoms?  AROMATIC HERBS THAT TRANSFORM DAMPNESS Pinyin Latin Common / English Cang Zhu Atractylodis Rhizoma Atractylodes Rhizome Magnoliae Of icianlis Hou Po Magnolia Bark Cortex Pogostemonis / Agastaches Hou Xiang Patchouli* Herba Guang Huo Xiang Pogostemonis herba Patchouli Amomum / Grains of Paradise Sha Ren Amomi Fructus Fruit Bai Dou Kou Amomi Fructus Rotundus Round Cardamum Cao Dou Kou Alpiniae Katsumadai Semen Katsumadai Seed Cao Guo Tsaoko Fructus Tsaoko Fruit Daily amount of granules come from the suggestion of Andrew Ellis’ Notes from South Mountain: A Guide to Concentrated Herb Granules f  CANG ZHU - ATRACTYLODIS RHIZOMA Taste Temperature Channels Dosage Acrid Bitter Aromatic - Warm Spleen, Stomach 3-9 grams Standout Guiding herb for the Spleen / Stomach - strongly dries dampness Characteristic in MJ, LJ, clears Wind Damp Bi, nourishes the eyes Cautions and CI for Yin Xu Heat or profuse sweating due Wei Qi Xu Contraindications Actions and Indications strongly dries MJ dampness and “strengthens” the Spleen - pretty much whenever a tongue coating is thick and greasy or for MJ damp diarrhea Induces sweating to dispel Wind-Damp (cold) from the channels and muscles Clears dampness from the LJ Brightens the eyes - has a lot of Vitamin A Compare this to Bai Zhu which helps clear dampness by tonifying FYI the Qi of the Spleen - Cang Zhu is more like a blow drier to help get Granule Suggested rid of the dampness and wake the Spleen up Daily Amount Used together they are called “Er Zhu” and help improve each About.5-1 gram other’s functions Dui Yao with Huang Bai - Er Miao San  HOU PO - MAGNOLIAE OFFICINALIS CORTEX Taste Temperature Channels Dosage Spleen, Stomach, Lung, Bitter, Acrid Aromatic - Warm 3-9 grams Large Intestine Standout regulates Qi that has been stuck due to Food, Damp, Phlegm - Characteristic Cracks the Qi! Cautions and use with caution in pregnancy Contraindications Actions and Indications Promotes the movement of Qi in the Middle Jiao to resolve stagnation - Qi stag and Food Stag Promotes the Movement of Lung Qi down - for phlegm clogging the lungs, relatively mild in fxn Dries Dampness, transforms Phlegm, moves MJ Qi downward - abdominal distention, fullness, nausea, vomiting, diarrhea, greasy (dirty) tongue coat FYI I want you to picture summer in the Southern States of the US - with Granule Suggested big Magnolia Trees to help encourage all that dampness, food stasis Daily Amount and such to just move along with the aromatic smell About.5-1 grams Bensky 471  HOU PO - MAGNOLIAE OFFICINALIS CORTEX Suggested Paired Herbs Formulas Functions Zhi Shi Xiao Pi Wan epigastric and abdominal distention due to Food Stag accumulation and stagnation with abdominal distention, pain, and Xiao Cheng Qi Tang lack of bowel movement epigastric and abdominal distention due to dampness obstructing the Pai Qi Yin Qi dynamic Phlegm obstructing the Qi of the Lungs / Stomach / Liver leading to Ban Xia Hou Po Tang coughing, vomiting, sense of something stuck in the throat Epigastric fullness, distention, acid re lux, distasteful belching, Ping Wei San nausea and vomiting Hou Po Wen Zhong cold damp in the MJ Tang cough and wheeze due to excess above and de iciency below with Su Zi Jiang Qi Tang clogging of Phlegm Gui Zhi Jia Hou Po Xing cough and wheeze due to externally contracted wind (cold) Zi Tang f f (GUANG) HOU XIANG - POGOSTEMONIS / AGASTACHES HERBA Taste Temperature Channels Dosage 3-9 grams - double if Acrid, Aromatic Slightly Warm Spleen, Stomach, Lung using fresh Standout Summerheat, MJ damp nausea and vomiting, stomach lu Characteristic Cautions and CI for blazing Fire from Yin De iciency Contraindications Actions and Indications Aromatically transforms dampness, releases the exterior, dispels summerheat Harmonizes the MJ and stops vomiting - for ANY damp MJ vomiting (even morning sickness with the right combo) Treats dermatosis - fungal infections of the hands and feet Huo Xiang Zheng Qi San - Patchouli/Agastache Powder to Rectify the Qi - the “Stomach Flu” formula and herb FYI Guang Huo Xiang = Pogostemonis = Superior Granule Suggested Huo Xiang = Pogostemonis /Agastaches = “weaker” but the name Daily Amount has stuck About.5-1 gram Dui Yao with Pei Lan to improve its fxns - Bensky p 474 f f  SHA REN - AMOMI FRUCTUS Taste Temperature Channels Dosage Spleen, Stomach 3-6 grams - crush Acrid, Aromatic Warm (Kidney) before use Standout Promotes low of Qi , warms the middle, treats diarrhea from Characteristic Cold, calms the fetus Cautions and CI for Heat from Yin De iciency Contraindications Actions and Indications Promotes the movement of Qi (MJ), transforms dampness, strengthens the Spleen - pain, distention in the abdomen, lack of appetite, vomiting, and diarrhea Warms the MJ to stop diarrhea from Cold Calms the Fetus - morning sickness / restless fetus Helps prevent stagnation and cloying from tonifying herbs - Sha Ren + Shu Di Huang* The usefulness and ef icacy of Sha Ren cannot be understated. FYI Safe for pregnant patients - although not longterm as it can exhaust Granule Suggested the Qi Daily Amount It is stronger at moving the middle jiao than Hou Po - but Hou Po About.5-.75 grams cracks the Qi to wake it up and get moving Xiang Sha Liu Jun Zi Tang f f f  BAI DOU KOU - AMOMI FRUCTUS ROTUNDUS Taste Temperature Channels Dosage 3 - 6 grams Spleen, Acrid, aromatic Warm ground and added just Stomach, Lung before end of decocting Standout Warms the middle, disseminates Lung Qi, transforms dampness Characteristic pierces though turbidity Cautions and CI for Yin or Blood Xu Contraindications Actions and Indications Promotes the movement of Qi to transform dampness and strengthen the Stomach* - damp obstructing the middle - sti ling sensation in the chest, lack of appetite, fullness in the epigastrium, VERY greasy tongue coating Warms the MJ and causes rebellious Qi to descend - for de iciency Cold, excess Cold, Cold-Damp, or Food Stag - for nausea, vomiting Bai Dou Kou inds itself in MANY formulas for its ef icacy in treating FYI either de icient or excess Cold induced nausea and vomiting - it is Granule Suggested even effective as a single herb crushed or powdered and taken with Daily Amount water - when studying the Dou Kou’s you should compare / contrast About.5-.75 grams them f f f f f  CAO DOU KOU - ALPINIAE KATSUMADAI SEMEN Taste Temperature Channels Dosage 3 - 6 grams - crush Acrid, Aromatic Warm Spleen Stomach before decocting Standout STRONGLY dries dampness and warms the MJ Characteristic Cautions and CI for Yin or Blood De iciency Contraindications Actions and Indications Dries dampness and warms the Middle Jiao for Cold Dampness - usually only used when Bai Dou Kou has been ineffective FYI Compared to Bai Dou Kou - Cao doesn’t help the Lungs nor does it Granule Suggested move the Qi as well as Bai Dou Kou Daily Amount Cao Dou Kou, however, is MUCH more drying and better at Turbid About.5 -.75 Dampness grams f  CAO GUO - TSAOKO FRUCTUS Taste Temperature Channels Dosage Acrid Warm Spleen, Stomach 3 - 6 grams Standout checks malarial disorders, strongly dies dampness and disperses Characteristic cold, technically stagnation due to meat stagnation Cautions and blah Contraindications Actions and Indications Strongly ires dampness and disperses Cold - used as “last resort” it is VERY strong checks Malarial disorders - does not “treat” Malaria like Qing Hao - Artemisiae annuae Herba - but it does transform the turbid phlegm that accompanies it dissolves stagnation for indigestion due to meat stagnation FYI Cao Guo, like its position as the last herb in this chapter, is usually Granule Suggested reserved as the last resort to treating stubborn or severe phlegm Daily Amount turbidity in the MJ About.5-.75 grams However, it is a VERY common ingredient in Chinese Hot Pot f  IN SUMMARY Cang Zhu and Hou Po transform dampness and are often used together for treating abdominal distention, vomiting, and diarrhea - but Cang Zhu is more drying and Hou Po cracks the Qi and gets it moving Huo Xiang is great at Summerheat Damp type presentations Sha Ren and Bai Dou Kou are also often used together to treat pain, distention of the abdomen, vomiting, and diarrhea - Sha Ren is more warm and drying, but also calms the fetus - but Bai Dou Kou can help the Lungs Cao Dou Kou is similar to Sha Ren and Bai Dou Kou, but is much drier and lacks the extra functions. Cao Gou is warmer and drier still and checks Malarial disorders  NEXT WEEK Remember - quiz at the beginning of class covering Herb ID and material we covered today Study your herbs EVERY day - it will make memorizing them much easier - trust me And do your Bensky reading - Chapter 6.3 and 7