PCOM: Herbs that relieve food stagnation, cool and transform phlegm-heat; warm and transform cold-phlegm; relieve cough and wheeze; stop bleeding

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what food stagnation is

the SP/ST can not handle the type or amount of food ingested

S&S of food stagnation

fullness and distention; belching, nausea, vomiting, possible diarrhea or constipation, aversion to food

distinguishing food stagnation from hot-phlegm in the middle jiao

aversion to food in food stagnation

causes of food stagnation

overeating; emotions (attack the spleen); Sp/ST xu; wind-cold attack (contraction of the muscles of the abdomen)

Tx principle for mild food stagnation (food damage)

dissolve the stuck food and conduct it through the digestive system

Tx principle for severe food stagnation (GI tract accumulation)

purgatives

general characteristics of herbs in the relieve food stagnation category

sweet (Tf Sp); warm (also Tf)

organs that herbs that relieve food stagnation generally enter

SP/ST - Tf Sp/ST; promote digestion; relieve abdominal fullness and distention; relieve food stagnation

S&S of hot food stagnation

bad breath; prefers cold drinks and foods; thick, yellow, greasy tongue coating

Tx principle for hot food stagnation

herbs that relieve stagnation and herbs that will clear heat

S&S of cold food stagnation

regurgitation of clear fluids; salty taste in the throat; craves warm foods and drink; thick, white greasy coating on the tongue - all centered around the middle jiao

TX principle for cold food stagnation

herbs that relieve food stagnation and herbs that regulate qi in the middle jiao

distinguishing between food stagnation and damp-heat

there will be damp accumulation in food stagnation anyhow, so add aromatics that treat the dampness

specific nature of herbs in this category

often have a "specialty" - treat a specific type of food; i.e. Shan Zha treats greasy and meaty foods

determining quality of Shen Zha

red/brown surface; very fleshy pulp; found in northern China; northern are considered better than southern due to more sour taste

difference between phlegm and thin mucus

thin mucus comes from water; phlegm generally comes from damp (it can come from water at times)

causes of phlegm (5)

spleen xu; dampness with heat, becoming more viscous and transforming into phlegm; damp with cold congealing into phlegm; Liv qi zhi leads to wood overacting on earth (liver over-controls spleen), leading to spleen xu; kidney xu leads to excess water in the body which slows down and congeals into phlegm

phlegm as the root or branch of disease

phlegm is the branch; the root could be the kidneys or spleen

expression about phlegm as a cause of disease

phlegm is the mother of a hundred diseases

characteristics of herbs in the cool & Transform phlegm-heat category

generally cold in nature; used to treat phlegm heat and dry phlegm (yin xu phlegm) - expectorants (mucus thinners), anti-tussins, anti-inflammatories and tend to be sedatives

caution for use of herbs that are cool & transform phlegm

DNU for long periods as they consume qi; one must always consider preserving qi

distinctive minor function of Qian Hu

can mildly release the exterior

general characteristics of herbs that are warm & transform Phlegm-heat

generally warm, strong in nature and preparation is extremely important to reduce toxicities

general Tx principles of herbs that are warm & transform Phlegm-heat

warm the lungs, dry damp, dissolve phlegm and dispel cold

S&S of cold phlegm

clear white discharge/phlegm, tightness in the chest, aversion to cold, weak limbs, dyspnea

determining quality of Zhi Ban Xia

large, brown and yellow with a powdery texture on top

conditions Zhi Ban Xia is particularly good at treating

plum pit qi and morning sickness in the 1st and last terms of pregnancy (some texts say zhi ban xia can cause misscarriage)

herb added to zhi ban xia to relieve its toxicity

ginger

general principles of herbs that relieve cough and wheezing

treat the branch, not the root; should be combined with herbs that treat the root cause

general ways in which herbs that relieve cough and wheezing treat the lungs

ventilate the lungs to dispel phlegm, moisten the lung o relieve dry cough; subdue rebellious qi; relieve coughing and wheezing

general external causes of cough

wind-cold, wind-heat, wind-dry

general internal causes of cough

phlegm-damp in the lung (obstructs the normal flow of qi); phlegm heat int the lung (weakens the lung); liver fire insults lung (wood insults metal causing rebellious lung qi); qi and yin xu

over dose level of xing ren in children

10-20 seeds

overdose level of xing ren in an adult

40-60 seeds

potentially lethal dose of xing ren

50-120 seeds

general Tx principles of herbs that stop bleeding

generally not used alone; Tx must include discovering the root cause and treating that too

4 causes of bleeding

heat leading to reckless xue; qi xu (cannot restrain the xue in the vessels; stasis (blockage creates blood to flow out of vessels); trauma

determining quality of san qi

large, full and heavy, sold roots; bronze/green/brown surface with black and brown structures in it

biomedical functions of san qi

increases platelets (clotting) and expands coronary arteries (reduces blockages and bleeds from pressure)

how san qi is used topically

for external bleeding

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