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Traditional Chinese MedicineDownward Draining Herbsby Lorna McFadden, DCH Leave a Comment These herbs will stimulate the expulsion of stool or lubricate the intestines to facilitate the movement of feces to be expelled.There are 3 different groups of downward draining herbs;Purgatives, moist laxatives and harsh expellants.Purgatives are usually bitter and cold having a strong heat clearing property and being used for constipation due to heat.Moist laxatives usually have a neutral property, are mild in nature and are often used for geriatric situation. Harsh expellants are only used in severe cases and will cause explosive diarrhea. These herbs are also used as diuretics as they will expel large amounts of water.Many herbs in this category are contraindicated during pregnancy or when accompanied by spleen and stomach deficiency.Da HuangProperties: BITTER COLDDosage: 3 12g.Rhubarb Meridian:HEART, LARGE INTESTINE, LIVER, STOMACH RAW = PURGINGRoot -purge accumulations, clear heat from blood, invigorates blood-drainheat/damp Yangjaundice-topically for burns, hot skin, skin lesions (combine with ShiGao)Mang XiaoProperties:PUNGENT, BITTER, SALTY COLDDosage:3 9g.Na2SO4 10H2OMeridian STOMACH, LARGE INTESTINE purge accumulations, guides out stagnation, soften hardness-clears heat, reduces swelling.Lu HiProperties: BITTER COLDDosage: 0.3 1.5 g.ChrystalineMeridian LARGE INTESTINE, LIVER, STOMACHSolid-purge accumulations, drains fire, cools liver-kills parasites,strengthen stomach.Fan Xie YeProperties: SWEET, BITTER COLDDosage: 3 9g.SennaMeridian:LARGE INTESTINECOOK 15 MINLeaf-drains down, guides out constipation due to heat*contraindicated during pregnancy, menstruation or during nursingMoist LaxativesMust Read: Herbs That Extinguish Wind, Stop Tremors And Calm The SpiritHuo Ma RenProperties: SWEET NEUTRALDosage: 9 15g.Hemp Meridian LARGE INTESTINE, SPLEEN, STOMACHSeeds-moisten and nourishintestines elderly and postpartum constipation-mildly tonify spleen Qi Yin-clear heat promote healing of soresYu Li RenProperties: PUNGENT, BVITTER, SWEET NEUTRALDosage: 3 9g.Bush CherryMeridian: LARGE INTESTINE, SMALL INTESTINE, SPLEENPit -Qi stagnation, moisten Intestines constipation-promote urination edema in legsBa DouProperties: PUNGENT HOT/TOXICDosage:0.1 0.3gBean Seed Meridian LUNG, STOMACH, LARGE INTESTINE vigorouslypurges, warmly un-blocks,drives out water-edemaTOXIC- CAUSES SEVERE EXPLOSIVE DIARRHEADa JiProperties: BITTER, PUNGENT COLD/TOXICDosage: 1.5 3g.Peking spurge Root Meridian: KIDNEY, LARGE INTESTINE, LUNG(Euphorbia)-drain downward, drive out congested fluids fluid in chest, thick sputum-reduceswelling, dissipate nodules topically for red-swollen-painful toxic sores or scrofulaYuan HuaProperties:BITTER, PUNGENT WARM/TOXICDosage:1.5 3g.Genkwa Flower Meridian: KIDNEY, LARGE INTESTINE, LUNG-draindownward, drives out congested fluid cathartic and diuretic fluids in chest and abdomen-kills parasites topically for ringwormHerbs For External Application(Opens in a new browser tab)Gan SuiProperties: BITTER, SWEET COLD/TOXICDosage:1.5 3g.Kan-sui Root Meridian KIDNEY, LUNG, LARGE INTESTINEPOWDER0.3-1g.-draindownward, drives out congested fluid fluid in chest and abdomen -generaledema causes water to be passed anally-clearheat, reduce swellings swollen-painful skin lesionsFiled Under: Herbs Menstrual Disordersby Lorna McFadden, DCH Leave a Comment cycle- days, on time, etc. bleed- 4-7 days normal amount- 50-80 ml, # of tampons/day absorbency, history colour- bright-red to brown-red characteristic- thin/thick, sticky, clots, consistence odour- is there any odour inflammation*Symptoms surrounding menses pain, headache, edema, irritability*Tongue PulseP/T regulate the root differentiate harmonize Yin/Yang regulate Qi/Blood strengthen KI Nourish SP Sooth LR consolidate Ren ChongEarly PeriodsDiagnosisMenstruating 7 days early for 3 months consecutive.May also bleed between periods (mid-cycle) not a true period.EtiologyRen Chong not consolidatedSpleen Qi deficiency diet, fatigue, overwork, worry, over-think, makes Qi sink can t keep blood in vessels.Kidney Qi deficiency pre-heaven def., pre-menopausal, cycles shorten between 40-50, pregnancy close together or amount of miscarries etc all use KI essence/Qi. KI Qi controls lower orifices, this makes Ren Chong lose control.Hyper Yang with heat in blood general Yang life/constitution, lots of spicy food, fire invasion, hot working environment.Liver Qi stagnation with heat in the blood attack Ren Chong, can t consolidate.Yin deficiency with heat in blood TB, long term bleeding will injure Yin, over active reproductive parts (sex babies), Ren Chong can t consolidate.Blood Stasis after delivery or during menses get attacked by ext. pathos, emotional upset can cause Qi stag. Stasis, period stops early next month comes early (blood stasis clogs uterus).Pathogenesis differentiation treatmentSpleen Qi deficiency early period, more blood (not hold in vessels), less blood (SP Qi sink, pale-red colour, watery, low abdominal empty feeling,T pale, white coatP weakPlus Spleen deficiency symptoms (see Appendix 1)P/T nourish SP middle Jiao Qi Rx Gui Pi Tang(stops heavy bleeding) or Bu Zhong Yi Qi Tang(raises Qi , light bleeding)Kidney Qi deficiency early period, more blood (Chong Ren can t consolidate), less blood (Essence deficiency), pale-brown red in colour, clear thin watery, T pale P weakPlus Kidney Qi deficiency symptoms (see Appendix 1) P/T nourish KI Qi consolidate Ren Chong Rx Gui Shen Wan(KI tonic) or Wen Chong Tang(more cold signs)Excess Yang with Heat in the blood amount is more, fresh red or darker sticky, blood may feel hot,Tred, yellow coat P slippery, rapid Plus Heat symptoms (see Appendix 1) P/T clear Heat cool blood to regulate menses. Rx Qing Jing TangLiver Qi stagnation with Heat can be more or less quantity of blood, deep red in colour, thick clotted blood that does not flow smoothly (start stop), breast distention and low abdominal pain,T red sidesP wiry Plus Liver Qi stagnation symptoms (see Appendix 1) P/T soothe LR clear heat cool blood to consolidate Chong MaiRx Dan Zhi Xiao Yao SanYin deficiency with heat in the blood this pattern happens more around menarche menopause deficiency Heat in Chong Ren push blood out of Jing = early scanty, dark color sticky, T red, scanty coatP fine rapid Plus Yin deficiency symptoms (see Appendix 1) P/T nourish Yin, clear heat, consolidate ChongRx Liang Di tangBlood Stasis cold blocks blood, Chong, Ren new blood can t stay in uterus, woman starts spotting dark with clots, painful although better once clots pass, cold in uterus, whole body may not show cold signs,T purple spots P uneven Plus Blood Stasis symptoms (see Appendix 1) P/T promote blood circulation, remove Blood Stasis to regulate menses. Rx Tao Hong Si Wu tangLate PeriodsDiagnosisMenstruate for 35 days or more, 3 months consecutively, more common during menarche and menopause.Is pregnancy a consideration?Etiology1.Blood deficiency chronic illness, bleeding disordersYang deficiency (Kidney) can t warm organs impairs production of blood deficient ChongYin deficiency (Kidney) deficiency Fire impair fluids and blood deficient Chong bloodCold stagnation restrict blood circ blood stasisQi stagnation turns to Blood Stasis block Ren and Chong, Chong will not fill on timePhlegm stagnation overweight phlegm damp retention can block Ren and Chong, Chong can t fill too damp (diabetes etc.)Must Read: Ling Jiao Gou Teng Tang cools Liver, extinguishes Wind, increases fluids, soothes sinewsPathogenesis Differentiation TreatmentBlood deficiency scanty bleeding that is pale in colour and thin in consistency,T pale, thin P thin, weakPlus blood deficiency symptoms (see Appendix 1)P/T nourish blood to nourish Chong Rx Xiao Ying JianKidney Yang deficiency cold symptoms, scanty purple pale thin menstrual blood, dull cold low abdominal pain,T pale swollen, tender babyP deep thin Plus Yang deficiency symptoms (see Appendix 1) P/T warm up KI Yang to nourish Chong RxYou gui wanKidney Yin deficiency scanty dark coloured menstrual blood with small clots,T red, scant coat P fine, rapid Plus Yin deficiency symptoms (see Appendix 1) P/T nourish KI Yin to regulate periodRx Liu Wei Di Huang WanFull Cold stagnation scanty purple red blood with large clots, cold pain in low abdomen, complexion is white/blue,T purple P tense maybe uneven (stasis), deep (internal) Plus whole body feels cold P/T warm meridians, expel cold, promote circulation to remove stagnation Rx Wen Jing TangLiver Qi stagnation scanty or normal, if no heat colour normal, if heat deep red, thick, start/stop bleeding during menses, small clots, distended pain in low abdomen,Tred on sides P wiry Plus Liver Qi stagnation symptoms (see Appendix 1) P/T regulate LR Qi, remove stagnation to regulate menses Rx Xiao Yao SanPhlegm stagnation more (Damp) or less (stagnation) blood quantity, mixed with sticky pale coloured leukorrhea, generally overweight,T greasy thick coatP slippery, wiry Plus Phlegm symptoms (see Appendix 1) P/T ransform Phlegm, dry Damp, promote blood circulation to regulate menses. Rx Er Chen TangIrregular PeriodsDiagnosisMenstruation is 7 days or more early, or 7 days or more late for 3 months consecutively.EtiologyKidney Qi deficiency stores essence, works w/ all other Zang to regulate menses.Kidney can t store essence properly other organs malfunction especially Liver.Liver Qi stagnation can t control amount of blood in Chong Mai, stagnation = late, excess = earlySpleen Qi deficiency can t produce Blood or keep blood in vessels.Chong empty = late, blood escaping from vessels = early.Pathogenesis Differentiation TreatmentKidney Qi deficiency scanty, pale, thin, large amounts of clear thin vaginal discharge,T pale P weak Plus Kidney Qi deficiency symptoms (see Appendix 1) P/T nourish KI Qi to regulate menses RxShen Qi Wan or You Gui WanLiver Qi stagnation large or scanty amounts, colour normal, if heat it is darker, flow start/ stop, clots, PMS distended abdominal pain until menses,pre-menstrual breast distention, T red on sides P wiry Plus Liver Qi stagnation symptoms (see Appendix 1) P/T soothe Liver, harmonize Qi blood to regulate menses. Rx Dan Zhu Xiao Yao San (heat) Xiao Yao San (no heat)Spleen Qi deficiency more blood if vessels not controlled,less blood if production is poor, pale red, thin,Tpale, white coatPweak Plus Spleen Qi deficiency symptoms P/T nourish Spleen Qi blood Rx Ba Zhen Tang(Si Jun Zi Tang + Si Wu Tang)Heavy PeriodsDiagnosisAmount of menstrual bleeding is significantly increased during period to around or over 100 ml/day (normal 30-80ml).Although, there may be a regular, early, or late cycle.Colour pale, dark, or purple red.Consistency thick sticky, or, thin, or clotted.Sometimes there may bepain.EtiologyQi deficiency Spleen Qi deficiency = can t keep blood in vessels = heavybleeding.Long term Heart Spleen deficiency (both Qi blood), or Spleen and Kidney Qi deficiency (can cause Yang deficiency cold)Excess Heatwhole body dry Heat (spicy foods, Liver Qi stagnation turns to heat, or exterior Wind/Heat invasion), Heat enters blood = heavy bleedingDeficiency Heat Yin deficiency, or febrile late stage turns to deficiency Heat, work in high temperatures can also lead to deficiency Heat, long term emotional stressconsumes Yin fluids, excess sex injures Yin-Essence.Deficiency Heat attacks Ren Chong = heavy bleeding.Blood Stasis emotional depression leads to Qi stagnation which leads to Blood stasis.During menses or after delivery it is easy to be attacked by Cold which may cause Blood Stasis.Abortions, or after surgery that was not quite done careful enough may create toxic local Heat = Blood stasis in Ren Chong, this keeps old blood in the uterus which then mixes with new blood = heavy bleeding (with pain)Pathogenesis Differentiation TreatmentQi deficiency pale-red to normal blood colour, thin watery, clotted,T-paleP-thin-weak Plus Spleen Qi deficiency symptoms (see Appendix 1) P/T nourish mid-Jiao Qi, keep blood in Chong Mai Rx Gui Pi TangExcess Heat in Blood VERY heavy, bright-red, sticky-thick, blood feels warm, maybe clots, low abdominal distension relieved when blood comes,T-red with yellow coatP-rapid-slippery Plus excess Heat symptoms (see Appendix 1) P/T Clear Heat cool blood to stop bleeding Rx Shu Yu Qing Gan Yin (new Rx)Deficiency Heat Yin deficiency leads to hyper Yang with deficiency Fire, deep-red sticky blood, prolonged cycle (i.e.: 7-10 days), early period is common,T-red w/ scanty coatP-thin-rapid Plus Yin deficiency symptoms (see Appendix 1) P/T nourish Yin, clear deficiency Heat to stop bleeding Rx Bao Yin JianBlood Stasis dark purple blood with clots, low abdomen excess pain that subsides when clots pass,T-purple dotsP-uneven Plus Blood Stasis symptoms (see Appendix 1) P/T promote circulation, remove Stasis to stop bleeding. Rx Shao Fu Zhu Yu Tang (low Jiao)Scanty PeriodsDiagnosis amount of blood quite small or spotting, only 1-3 days of bleeding.Generally starts @ menarche.Certain birth control methods can cause this.WATCH for possible early pregnancy.EtiologyBlood SP can t produce blood, any severe bleeding, other illness traumaKI late menarche, over sex, overwork stress essence can t make enough blood for Chong/RenCold in Blood external cold invades meridian blocks blood movement, internal cold (SP KI) can t T T enough bloodQi stag. emotions stag. Blood StasisPhlegm stag. any reason (create phlegm) block Qi/Blood circ.Pathogenesis Differentiation TreatmentBlood pale thin, commonly delayed Plus Blood sym.T-pale-thinP-thin P/T nourish blood SP Qi Rx Ba Zhen Tang(Si Wu Tang + Si Jun Zi Tang)KI scanty late menarche, or gradually becomes scanty delayed, pale, thin.Plus KI sym.T-paleP-deep-thin P/T nourish KI Qi essence Rx Zou Gui WanorShen Qi WanCold in Blood cold pain difficult to start full flow, dark colour, clots, delayed (late) Plus Cold pain in low abd., history of Cold inv. T-normal paleP-tense P/T warm meridians, disperse Cold Rx Wen Jing TangQi stag. difficult to start full flow, distention in breasts abd., normal (if stasis = dark w/ clots) Plus PMST-purple spots on sidesP-wiry-uneven P/T regulate Qi, promote blood circ. Rx Xiao Yao SanPhlegm-stag. sticky, mixed w/ sticky fluids, delayed (late), leukorrhea, Plus Phlegm sym., generally overweight, chest oppression T-swollen greasyP-slippery P/T eliminate phlegm promote circ. Rx Er Chen Tang+ blood invigorating herbsDysmenorrhea (painful period)Diagnosis recurring pain in lower abdomen 1-2 days before, during, or after period.Pain can radiate to whole abdomen, lower back, anal/genital area (Endometriosis can have a feeling of downward pulling on the anus).The pain generally diminishes after period ends.The pain can be stabbing, burning, squeezing, dull, down-bearing, in severe cases can cause nausea, vomiting, cold sweating, fainting.This seems to happen mostly in younger women.Differential Diagnosis Appendicitis (pain only in right side, severe when pressed let go), Ulcers (usually in epigastrium), Ovarian cysts Uterine fibroids (milder pain), Inflammatory bowel diseases reproductive intestinal Cancers (constant dull pain), all of these can happen at any time within the cycle.EtiologyQi Blood stag. LR, emotional upset/stress stagnates Qi blood stasis.Sea of Blood stagnates causes pain.Cold in Uterus common in young women (swimming, Yang , living enviro., cold foods), cold invades lower abdomen, Yang can also cause cold in Ren/Chong.Mostly Cold/Damp or Yang .Damp/Heat inflammations, cold turns to heat, surgery, abortions etc cause Damp/Heat in lower Jiao, Ren/Chong Uterus stagnate blocked flow pain.Qi Blood after surgery, illness, constitution, all can cause stagnation pain.LR KI births, sex, abortions essence/blood not enough blood in Ren/Chong pain after menses (lack of lubrication idea).Pathogenesis Differentiation Treatment or PMS is more , pain after period starts is .How severe is the pain?General condition angry, Qi , Blood , leukorrhea (damp), etc.In Qi or Blood level / in LR or KI -if the pain in lower abdomen radiates to sides = LR -if pain radiates to lower back = KI -if pain is fixed = blood stasis -if pain moves (not fixed) = Qi stagnation.Eight-principle diagnosis P/T regulate REN/Chong Qi Blood combine root/branch (pain first) choose herbs according to type of pain symptomsQi Blood stagnation 1 or 2 days before or during 1st day of menses lower abdominal distension pain, pressure makes worse, generally scanty blood flow, start/stop flow, dark-purple colour w/ clots, when clots pass the pain is relieved (or when menses stop). PlusLR Qi stag. sym. (PMS) T-dark-redP-wiry P/T regulate Qi, move stasis to relieve pain Rx Ge XiaZhu YuTang(below diaphragm).Cold in Uterus a) Cold (Yang ) painful during or after, pressure warmth helps, scanty dull-dark red blood.Plus KI Yang sym.T-pale, moist white coatP-deep P/T warm Chong/Ren/Uterus to regulate blood relieve pain Rx Wen Jing Tang b) Cold/Damp block lower Jiao causing lower abdomen cold pain few days before or during, pain gets worse w/ pressure better w/ warmth, scanty very-dark blood w/ clots. Plus cold sym. w/ aching all overT-white coatP-tense P/T expel cold, eliminate Damp, warm meridians to relieve painRx Shao Fu Zhu Yu Tang + eliminate damp (cang zhu, fu ling)Damp/Heat in lower Jiao causes distension pain before or during menses, pressure makes worse, hot sensations, yellow smelly vaginal leukorrhea, dark-red thick blood w/ clots, maybe more blood. Plus Damp/Heat sym.T-red, yellow greasy coatP-wiry-rapid P/T clear heat eliminate damp to relieve pain Rx Qing Re Tiao Xue TangQi Blood dull pain during or after period, pressure helps, scanty pale thin blood.Plus Qi/Blood sym.T-paleP-thin P/T nourish Qi BloodRx Ba Zhen TangLR KI dull softer pain during or after period, dull-dark scanty thin blood Plus LR KI sym.T-paleP-weak P/T nourish LR KI to relieve painRx Tiao Gan Tang(regulate LR w/ KI herbs)Bleeding between periodsDiagnosis around ovulation (3-5 days) there is spotting or bleeding for 2-3 days which is scanty but significant.This can last for 2-3 days and generally is recurring.Can have low back soreness, pain in lower abdomen over the ovaries, sticky egg-white discharge or leukorrhea.Differential Diagnosis similar to early periods checkamountof blood to see if it is actual menstruation (early) or not (bleeding btwn periods).If you follow basal temperature charting, if bleeding comes while temperature is consistently high (after ovulation) then it is early, if it is before this rise bleeding between periods.EtiologyKI Qi or Yin (essence blood), generally more in young women Yin-essence transforms Qi (Qi is needed to make ovulation happen) Qi is not transformed KI Qi can t consolidate Ren/Chong = bleedingDamp/Heat interior or exterior injures Ren/Chong.Damp/Heat is Yang too much Yang around ovulation (which has a Yang Qi action) pushes too hard = bleedingBlood Stasis in uterus.If also Yin more Heat injures collaterals = bleeding.Pathogenesis Differentiation TreatmentKI Yin scanty bright-red blood (earlier in cycle) Plus KI Yin sym.T-red-scanty coatP-thin-rapid P/T nourish KI Yin, clear Heat to stop bleedingRx Liu Wei Di Huang WanKI Qi scanty pale-red blood (later in cycle). Plus Qi sym.T-paleP-weak P/T nourish KI Qi to consolidate Ren/Chong Rx Shen Qi Wan -or Yu Ling Zhu stimulate ovulationDamp/Heat sticky thick blood, thick yellow smelly vaginal leukorrhea. Plus Low Jiao Damp/Heat symT-red-yellow slipperyP-slippery-rapid P/T clear Heat induce diuresis to stop bleeding Rx Ba Zheng SanBlood Stasis dark-purple blood w/ clots, stabbing pain in lower abdomen. Plus T-purple dotsP-thin-wiry P/T remove Blood Stasis to stop bleeding Rx Zhu YuZhi Xue TangBi Jing AmenorrheaDiagnosisPrimary Bi Jing Menstruation has never comeSecondary Bi Jing women s period stops completely for more than 3 months. Normal times for Bi Jing Pregnancy, During puberty when period isn t regulated yet, Pre-menopausal, During breast-feeding, Environmental change, StressDifferentiate:Pregnancy:period usually stops suddenly with pregnancy signsi.e.- morning sickness, cravings.EtiologyLR KI young age, essence can t transform blood and liver has no blood to store so Chong and Ren meridians never receive any blood poor diet, over sexual activityKI Yang Ming men fire is deficient creating deficient cold blocking the meridians.3.Qi Blood Spleen and stomach deficiency do not produce blood so there are no stores of blood.There is no Qi to push and move blood out of uterus.4.Yin/Blood no source of blood, sea of blood is dry (blood dryness)5.Qi Blood stag.- cold invasion and stress leads to Qi and blood stagnationPhlegm-Damp acc.- Spleen Qi/Yang deficiency blocks Chong and Ren meridians.Patient will usually be over weight.Primary Bi-Jing female needs physical check up to see if there are any physical problems.Pathogenesis Differentiation TreatmentLR KI -primary Bi Jing -secondary Bi Jing cycle slowly gets slower and slower till it gradually stops, weak body symptoms Plus LR KI sym.T paleP- deep, weak P/T Nourish liver and kidney to regulate menstruationRx Gui Shen WanQi Blood gradually menstruation becomes smaller and disappears before Amount -little Amenorrhea Colour pale,Consistency -thin Plus whole body Qi/Blood sym.T-pale-thinP-empty P/T nourish Qi and Blood to regulate periodRx Ren Shen Yang Ying Tang (Ba Zhen Tang = base formula for def. Qi and blood)3.Yin w/ dry Blood patient had scanty menstruation which slowlybecomes smaller and disappears. Plus Yin sym.T- red, scanty coatP- thin, rapid P/T nourish yin and blood, clearing deficient heat to regulate period.Rx Jia Jian Yi Yin JianQi Blood stag.-absence of menstruation, easily angered and/or depressed with hypochondriac / chest fullness, pain in lower abdomen.Plus T- purpleP- wiry-uneven-deep P/T regulate Qi, promote blood circulation and remove blood stasis to regulate period.Rx Zue Fu Zhu Yu TangPhlegm Dampness patient generally over weight puffy face, ankle edema, large amount of leucorrhoea, fullness in chest, heavy feeling with fatigue. Plus T- greasy coatP- slippery P/T eliminate phlegm and dampness, regulate Qi and Blood to promote period.Rx Cang Fu Dao Tan WanMetrorrhagia Metrostaxis Beng LouDiagnosisIrregular uterine bleeding between patients cycle.Large amount of blood, or spotting for long periods of time.Blood will come suddenly in large quantities or in small quantities but for a long duration.Blood will be fresh red, dark red, or bright red and can be either thin or thick with possible clots and a possible odour.EtiologyKI Qi -kidney does not close the gate properly causing irregular uterine bleeding.SP Qi -spleen cannot keep blood in vessels causing irregular uterine bleedingHeat in Blood( or ). -pushes blood out of Chong meridianBlood stag. -in Chong and Ren meridians, new blood unable to enter meridians causing irregular uterine bleeding.3 Principles of TreatmentStop bleedingGo to rootRegulate Chong/RenPathogenesis Differentiation Treatment Heat in Blood scanty for long period of time (if heat becomes fire lg. amount of blood), bright red, thick irregular bleeding.Plus Yin sym.T-red-scanty coatP-thin-rapid P/T nourish Yin, clear Heat to stop bleeding Rx Bao Yin Jian Heat in Blood acute sudden onset of large amounts of blood, deep or bright red-thick Plus Heat sym.T-redP-rapid P/T clear/purge Heat cold blood to stop bleeding Rx Qing Re Gu Jing TangKI Yang sudden irregular more or less blood, pale-thin Plus KI Yang sym.T-paleP-weakP/T nourish KI Yang consolidate Chong/Ren to stop bleeding Rx Yu (right) Gui WanKI Yin Metrostaxis (dripping) bright red-thick, possibly large amounts (usually scanty) Plus KI Yin sym.T-red-scantyP-rapid-thin P/T nourish KI Yin to stop bleeding Rx Zou (left) Gui WanSP Qi alternate amounts of blood w/ spotting starting after, pale-thin Plus SP Qi sym.T-paleP-empty P/T nourish SP Qi to keep blood in vessels Rx Gu Ben Zhu Beng TangorGui Pi TangBlood Stasis blood may stop then flow again, or amenorrhea then bleeding occurs in dark colour w/ clots Plus Pain in abdomen P/T promote circ. remove stasis to stop bleeding Rx Si Wu Tang+ Shan Qi, Hong Hua, Qian CaoProlonged PeriodsDiagnosisBleed for more than 7 daysDifferentiate bleeding between periods irregular bleedingEtiologyQi Heat in Blood( or )Blood StasisPathogenesis Differentiation TreatmentQi P/T nourish Qi to stop bleeding Rx Gui Pi TangHeat in Blood( ) P/T nourish Yin, clear heat, stop bleeding Rx Liang Di Tang+Er Zhi TangHeat in Blood( ) Damp / Heat P/T clear heat to stop bleeding Rx Si Miao San+Nui XiBlood Stasis P/T remove Blood Stasis promote circulation Rx Tao Hong Si Wu TangFiled Under: Gynecology Herbs That Release The Exterior Wind Coldby Lorna McFadden, DCH Leave a Comment The herbs in this category release pathogenic diseases which are found in the superficial level of the body.When Pathogenic factors attack the body they first attack the superficial area and exterior aspects of our bodies.These herbs will expel or release the external pathogenic factors through sweating, when the disease is in the skin sweating will bring it out.If the disease progresses past the skin and deeper into the body it enters the muscles.Herbs that release exterior wind cold will generally have a warm and pungent property.They will be used for such symptoms of severe chills with a mild fever, body aches, neck pain and no thirst.Ma HuangProperties: PUNGENT,BITTER WARMDosage: 3 9g.Ephedra Stem Meridian: LUNG, BLADDER-release exterior, disperse cold wind-cold, chills, fever, headache, no sweating-helpsmovelung Qi controls wheezing, cough-promotes urination reduce edemaMust Read: Herbs That Tranform Phlegm And Stop CoughQiangHuoProperties: PUNGENT, BITTER, AROMATIC WARMDosage: 6 15g.Notopterygium RootMeridian: BLADDER, KIDNEY-release exterior, disperse cold chills, fever, headache, damp body ache-unblocks painful obstruction wind-cold-damp pain-guiding herb to governing vessel and greater yang channelXiang RuProperties: PUNGENT, AROMATIC WARMDosage: 3 9g.Aromatic Madder Meridian: LUNG, STOMACH-release exterior, expel summer heat, transform damp chill, fever, no sweat, body ache, diarrhea-promote urination reduces edema and swellings, lin syndromeGui ZhiProperties: PUNGENT, SWEET WARMDosage: 3- 9g.Cinnamon Twig Meridian: HEART, LUNG, BLADDER-pertains to Ying and Wei Qi levels exterior cold with deficiency-warms channels, disperse cold wind-cold, painful joints, dysmenorrhea-unblocks Yang Qi in chest palpitationsZi Su YeProperties: PUNGENT, AROMATIC WARMDosage: 3 9g.PerillaLeaf Meridian: LUNG, SPLEEN-release exterior, disperse cold fever, chills, headache, congestion, cough-promotes Qi movement expands chest nausea, vomit, poor appetite-calming restless fetus alleviates morning sickness-used alone or in combination with other herbs for sea food poisoningJing JieProperties: PUNGENT, AROMATIC WARMDosage: 3 9g.Schizonepeta Meridian: LUNG, LIVERStem or Bud-release exterior, expel wind wind cold or wind heat chills fever, carbuncles or boilsin initial stages of eruptions-vents rashes and alleviate itching of measles and pruritic skin disease-stops bleeding blood in stool, uterine bleedingFang FengProperties: PUNGENT, SWEET WARMDosage: 3 9g.Ledebouriella Root Meridian: LIVER, SPLEEN-release exterior, expel wind headache, chills, body ache-expel wind damp, alleviate pain trembling hands and feet, painful diarrhea, blood in stool imbalanced spleenandliverBai ZhiProperties: PUNGENT WARMDosage: 3 9g.Angelica RootMeridian: LUNG, STOMACH-expel wind-cold, alleviate pain supraorbital pain, congestion, toothache-clears swelling, expel pus early stage, carbuncles, sores, ulcer-expel dampness leucorrhea-opens nasal passages for nasal congestionShengJiangProperties: PUNGENT WARMDosage: 3 9g.Fresh Ginger Rhizome Meridian: LUNG, SPLEEN, STOMACH-release exterior, disperse cold inmiddlejiao vomiting-disperse cold phlegm inlung chronic and acute cough-reduce toxicity of other herbs or treating overdoses-adjusts ying and wei Qi for sweating without improvementCang ErZiProperties: SWEET, BITTER WARM/TOXICDosage: 3 9g.Cocklebur FruitMeridian: LUNG(Xanthium)-expelwind and damp painful obstruction, skin disorders, itching, headache continuing down to back of neck and back-nasal passage obstruction thick nasal discharge, sinus headacheGao BenProperties: PUNGENT WARMDosage:3 9g.Chinese Lovage RootMeridian: BLADDER(Ligusticum Root-expelwind and cold, alleviate pain headache at vertex, lower back painXin YiHuaProperties: PUNGENT WARMDosage: 3 9g.Magnolia FlowerMeridian: LUNG, STOMACH-expelwind-cold, unblocks nasal passages nasal discharge/congestion, loss of smell, sinus headacheXi XinProperties: PUNGENT WARMDosage: 1 3g.Chinese WildMeridian: LUNG, KIDNEYGinger-release exterior, disperse damp and cold headache, body ache-warms lung, transforms phlegm coughing, excessive watery sputum-unblocks Qi for nasal congestionCong BaiProperties: PUNGENT WARMDosage: 2-5 scallionsSpring Onion Meridian: LUNG, STOMACH(Scallion)-releaseexterior, induce sweat early stages of wind-cold-disperse cold, unblock yang abdominal pain, nasal congestion-topically for relieving toxicity, disperse clumps abscess, soresFiled Under: Herbs Herbs That Clear Heat And Dry Dampby Lorna McFadden, DCH Leave a Comment Huang QinProperties:BITTER COLDDosage: 6 15g.Baical Skullcap Root Meridian: GALLBLADDER, LARGE INTESTINE, LUNG, STOMACH(Scutellaria)-clearheat, drain fire upper burner, fever, irritability, thirst, cough-clearheat, dry damp stomach diarrhea, dysentery, thirst with no desire to drink,linsyndrome, jaundice-clearheat, stop bleeding vomit/cough blood, nosebleed, blood in stool-clearheat, calmfetus restlessfetusdue to heat-clearliveryang rising headache, irritability, red eyes, bitter tasteHuangLianProperties: BITTER COLDDosage: 1.5 9g.Coptis Rhizome Meridian:HEART, LARGE INTESTINE, LIVER, STOMACH-drain fire, relieve toxicity high fever, irritability, disorientation, delirium, painful-red eyes, sore throat, boils carbuncles, abscesses-clearheat, drain damp stomach diarrhea, dysentery, acid reflux, halitosis, belching-clearheartfire irritability, insomnia-topically red-painful ulcerationsHuangBaiProperties: BITTER COLDDosage: 3 12g.Amur Cork Tree Bark Meridian: KIDNEY, BLADDER(Phellodendron)-draindamp heat lowerjiao thick-yellow leucorrhea, diarrhea, dysentery, red-swollen-painful knee joints, jaundice-drains kidneyfire steaming bone, night sweat, afternoon fever-drain fire, relieve toxicity sores and lesionsLong Dan CaoProperties: BITTER COLDDosage: 3 9g.Chinese Gentian Root Meridian: GALLBLADDER, LIVER, STOMACH(Gentiana)-draindamp heat fromliverandgallbladder red-swollen-sore throat/eyes/ears, jaundice, painful-swollen genitals, leucorrhea-clears ascendingliverfire headache, red eyes, fever, spasm, convulsionsKu shenProperties: BITTER COLDDosage: 3 15g.Sophora RootMeridian:BLADDER, HEART, LIVER, LARGE INTESTINE, SMALL INTESTINE-clear heat, dry damp dysentery, leucorrhea, jaundice, sores-expels wind, kills parasites itching, skin lesions-clear heat, promote urination lin syndrome, hot edemaMust Read: Ting Li Da Zao Xie Fei Tang drains Lung Heat, moves fluids, drives out Phlegm fluids from the Lungs, calms wheezingFiled Under: Herbs Herbs That Release The Exterior Wind Heatby Lorna McFadden, DCH Leave a Comment The herbs in this category release pathogenic diseases which are found in the superficial level of the body.When Pathogenic factors attack the body they first attack the superficial area and exterior aspects of our bodies.These herbs will expel or release the external pathogenic factors through sweating, when the disease is in the skin sweating will bring it out.If the disease progresses past the skin and deeper into the body it enters the muscles.The herbs in this category will have a cool and pungent property which will expel wind heat pathogens.Wind heat will show itself in the superficial region as severe fevers with mild chills and a sore throat.Bo HeProperties: PUNGENT,AROMATIC COOLDosage: 1.5 6g.Field Mint Meridian: LUNG, LIVER(Mentha)-expelwind-heat fever, headache, cough-clears head and eyes- aids throat, sore throat, red eyes, headache-clears rashes early stage to accelerates rash at early stage-liverQistagnation emotional, gynaecological disordersNiu Bang ZiProperties: PUNGENT,BITTER COLDDosage: 3 9g.Great Burdock Fruit Meridian: LUNG, STOMACH(Arctium)-expelwind-heat, benefits throat fever, cough, sore-red-swollen throat-clear heat, relieve toxicity red swellings, carbuncles, mumps, rashes-moisten intestines constipation due to wind-heatGeGenProperties: SWEET,PUNGENT COOLDosage: 6 12g.Kudzu Root Meridian: SPLEEN, STOMACH(Pueraria)-releasemuscle, clear heat fever, headache, stiffness in back and neck-nourish fluids alleviate thirst withstomachheat-vents measles accelerates rash at early stage-clear heat, helpsspleendeficiency diarrhea, dysentery-hypertension headache, dizziness, tinnitusFu PingProperties:PUNGENT COLDDosage: 3 6g.Duckweed Meridian: BLADDER, LUNG(Spirodela)-expelexterior heat headache, body ache, diaphoretic-unblocks muscle level, vents rashes accelerates rash at early stage-expel water, reduce swelling hot superficial edema in upper extremities,urinary difficultySang YeProperties: SWEET, BITTER COLDDosage: 4.5 15g.White Mulberry Leaf Meridian: LIVER, LUNG-expelwind, clearlungheat fever, headache, sore throat, cough, dry mouth, thick yellow sputum-clearliver red-sore-dry-painful eyes, floaters-coolblood, stop bleeding vomiting bloodJuHuaProperties: SWEET, BITTER COOLDosage:4.5 15g.Chrysanthemum FlowerMeridian: LIVER, LUNG-disperse wind, clear heat headache,fever-clears liver red-painful-dry eyes, excessive tearing, floaters-calms liver dizziness, headache, deafness, blurred visionChanTuiProperties: SWEET,SALTY COOLDosage: 3 9g.Cicada MoultingMeridian: LUNG, LIVER-disperse wind, clear heat loss of voice, swollen throat-vents rashes accelerates early stage of rash-clears liver red-painful-swollen eyes, blurry vision-stops infantile wind spasm, delirium, night terrors, convulsionChaiHuProperties: BITTER, PUNGENT COOLDosage: 3 12g.Thorowax RootMeridian: GALLBLADDER, LIVER, PERICARDIUM, SAN JIAO(Bupleurum)-clearsless yang disorders fever, chills, bitter taste, irritable, vomiting-liverQistagnation vertigo, menstrual disorder, chest pain, bloating-spleenandstomach deficiency prolapsed organ, diarrhea, hemorrhoidsDan Dou ChiProperties: SWEET, BITTER COLD or WARMDosage:6 15g.Prepared Soybean Meridian: LUNG, STOMACH-release both exterior hot or cold yin deficient patters-eliminates vexation, irritability, restlessness, insomniaSheng MaProperties: PUNGENT, SWEET COOLDosage: 1.5 9g.Black Cohosh Rhizome Meridian: LARGE INTESTINE, LUNG, SPLEEN, STOMACH(Bugbane Rhizome) -releaseexterior, vents measles accelerates early stages of skin rash-clearheat, relieve toxicity toxins in upper or superficial areas, swelling-painful-sore gums/lips/throat-raiseYang,spleenQisinking short of breath, fatigue,prolapse-guides other herbs upwardsMan Jing ZiProperties: BITTER, PUNGENT COOLDosage: 6 12g.Vitex Fruit Meridian: BLADDER, LIVER, STOMACH-expel wind, clear heat headache with eye pain-wind-heat in liver excessive tearing, red-painful-swollen eyes, floaters-drains damp, expel wind stiff-numb-cramping-heavy limbsMust Read: Male Infertility Men s Reproductive HealthFiled Under: Herbs Herbs That Clear Deficient Heatby Lorna McFadden, DCH Leave a Comment DiGuPiProperties:SWEET COLDDosage: 6 15g.Wolfberry Root CortexMeridian:LUNG, LIVER, KIDNEY-drain Yin deficient fire night sweat, steaming bone, irritability, thirst-clear lungheat cough, wheezing-clear heat, cool blood nosebleed, vomit blood, xue lin-drain floatingkidneyfire toothacheYinChaiHuProperties: SWEET COOLDosage: 3 9g.Stellaria RootMeridian:LIVER, STOMACH-clear deficient heat steaming bone, deficient yin fever-clear heat fever, thirst, irritability, childhood nutritional impairment-cool blood, stop bleeding coughing up blood, nosebleed, xue linHu HuangLianProperties: BITTER COLDDosage: 3 9g.Picrorhiza RhizomeMeridian:LIVER, STOMACH, LARGE INTESTINE-drain damp heat dysentery, sores-clear deficient heat yin deficiency heat symptoms-clearheat reduce childhood nutritional impairment, abdominaldistention, afternoon fever, dysentery, diarrheaBai WeiProperties: BITTER, SALTY COLDDosage: 6 15g.Swallowwort RootMeridian:LUNG STOMACH, KIDNEY-clearheat, cool blood yin deficient fever, postpartumfever-cools blood, promote urination xue lin-relieves toxicity toxic sores, swollen-painful throat, snake biteQing HaoProperties: BITTER COLDDosage: 3 9g.WormwoodMeridian:KIDNEY, LIVER, GALLBLADDER-clear summer heat fever, headache, dizzy, stifling sensation in chest-clear deficient fever unremitting fever with no sweating-cool blood, stop bleeding purpuric rash, nosebleed-malarial disorders alternating fever and chillsRead More: Herbs That Warm The Interior And Expel ColdFiled Under: Herbs Next Page This website uses cookies to improve your 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