December 2019

December 2019

The Office: Updates on Treating Exterior and Respiratory Conditions

  • Pulses
    • Pounding Right Cun at any depth
      • Activated immune system
    • High Convex, Pounding Right Cun
      • Sinus Heat
    • Wiry, Pounding and High Right Cun
      • Wind-Heat in the upper respiratory system
    • Thin, Tight, and Strong Right Cun
      • Wind-Cold attacking the upper respiratory system
    • Deep and Scattered Right Cun Pulse
      • Phlegm in sinuses
    • Deep, pounding and Scattered Right Cun Pulse
      • Phlegm-Heat in sinuses
    • Pounding Right Yang Wei at any depth
      • Activated immune system
    • High Convex, Pounding Right Yang Wei
      • Lung Heat
    • Wiry, Pounding and High Right Yang Wei
      • Wind-Heat in Lung
    • Thin, Tight, and Strong Right Yang Wei
      • Cold attacking the Lung
    • Deep and Scattered Pulse Right Yang Wei
      • Phlegm in the Lungs
    • Deep, Pounding and Scattered Right Yang Wei Pulse
      • Phlegm-Heat in the Lungs
    • Warm Ren 22
      • Heat in lung
    • Cold Ren 22
      • Cold in lung
    • Weakness in pulse
      • Lung/Wei Qi Deficiency
      • Can occur with any pulse combo potentially
  • Herbs
    • Sinus Heat
      • Herbal ABX or Wu Wei Xiao Du Yin– 15
      • Astringents – 15
      • Huang Lian Shang Qin Wan – 15
      • Clear Heat – 15
      • Resolve EM 40
      • Can add
        • Bai Hu Tang for stronger heat
        • Lu Gen, Shi Hu to moisten dryness
    • Wind-Heat
      • Sang Ju Yin – 100
        • Better than Yin Qiao San due having more moistening and less drying herbs
      • With sore throat
        • Pu Ji Xiao Du Yin
          • 20-40 based on the severity
    • Phlegm in sinuses
      • Herbal ABX or Wu Wei Xiao Du Yin– 15
      • Astringents – 15
      • Huang Lian Shang Qin Wan – 15
      • Clear Heat – 15
      • Resolve EM 40
    • Phlegm-Heat in sinuses
      • Herbal ABX or Wu Wei Xiao Du Yin– 25
      • Astringents – 15
      • Huang Lian Shang Qin Wan – 15
      • Clear Heat – 15
      • Resolve EM 40
      • Can add
        • Chi Shao, Yu Jin to cool and move blood
    • Upper Respiratory Wind-Cold
      • If the patient gets colds that usually present with a runny nose and no sinus infections:
        • Ge Gen Tang
        • Gui Zhi Tang
      • If the patient gets colds that usually become a sinus infection
        • Gui Zhi Tang – 20
        • Sang Ju Yin – 80
    • Lung Heat
      • Lung Phlegm Heat – 100
    • Lung Phlegm Heat
      • Lung Phlegm Heat – 100
    • Lung exterior Heat
      • Sang Ju Yin – 30
      • Lung PH – 30
      • Turning into a Lung infection
        • Wu Wei Xiao Du Yin 20
      • With Sore throat
        • Pu Ji Xiao Du Yin 20
    • Wind-Cold attacking the lungs
      • Ge Gen Tang or Gui Zhi Tang for exterior – 30
      • Dun Sou San – 40
      • With cough
        • Zi Wan – 15
        • Bai Bu – 15
    • Lung Blood Stasis
      • Di Long
      • Xue Fu Zhu Yu Tang
      • Jiang Can
    • Lung Deficiency
      • Huang Qi
      • Yu Ping Feng San
      • Huang Qi Fang Feng Tang
      • These herbs are necessary when the pulse is weak, and the patient can’t get past the cold.
    • Herbs for coughing
      • Cough due to heat
        • Sang Bai Pu
        • Yu Xing Cao
        • Ting Li Zi
        • Xing Ren
      • Dry Cough Non-Productive
        • Ning Sou San
        • Lu Gen
        • Xing Ren
        • Chuan Bei Mu
      • Productive Cold Cough
        • Bai Bu
        • Zi Wan
      • Wheezing
        • Ding Chuan Tang
      • Bronchitis
        • Hot Dry
          • Ning Sou San
        • Infection
          • Lung PH
        • Cold
          • Dun Sou San
      • Pneumonia
        • Mang Xing Gan She Tang
  • Other notes
    • Only use exterior formulas like Ge Gen Tang, Gui Zhi Tang, Yin Qiao San or Sang Ju Yin if the Right Cun is wiry and indicates they have an exterior condition
    • Convex pulses indicate they have an interior problem, which you need to treat with formulas for the interior, you can use a small percentage of exterior formulas only when they have lingering exterior symptoms
    • Nose and cheeks can be cold with either a Wind-Cold or Wind-Heat pathogen, Wind-Cold invasions can quickly turn into Wind-Heat. Always go by the pulse!

The Office: Comprehensive Update on Amoebic Parasitic Infections

  • Parasitic amoebic infections
    • Giardia and Entamoeba Histolytica can insidiously infect your patients and ruin your treatments
    • Problem is commonly missed in the western world due to lack of knowledge and ineffective diagnostic testing
  • Epidemiology
    • #1 health problem in the world according to the WHO.
    • Up to 500 million people are infected worldwide
  • Problematic areas
    • Undeveloped Europe, America, and Canada
      • Giardia
    • Africa, rural Asia, Mexico, and South America
      • Entamoeba Histolytica
  • Problem is not systemically talked about in US medical education
    • Medical doctors in the US learn about severe cases when the parasites affect the brain and liver, but not cases limited to intestinal problems
    • This is a big mistake, because people in developed countries travel to undeveloped countries, get infected, come back, develop symptoms but are not diagnosed correctly
  • Symptoms
    • Chronic Fatigue
    • Digestive issues
      • IBS
      • Particularly bowel problems like constipation or loose stools
    • The patient can also have little or no symptoms
  • Parasites can be asymptomatic
    • Can be exposed and infected when younger, and then have the problem occur later during periods of high stress
  • You should have high clinical suspicion for patients who do not improve with the correct treatment
    • Patients who get worse with all herbs
    • Patients who get better and then worse
      • This can happen in cycles
    • Travel history
      • Any epidemic country from the list above.
      • Any areas with poor sanitation
      • Anyone who has backpacked, camped or drank nonpotable water, even if it was treated
      • Anyone who has swum in lakes or natural water and may have been exposed by drinking or swallowing the water
  • If you are not careful, you can blame yourself or your treatments for a lack of progress
    • These parasites love Chinese herbs!
      • Chinese herbs make the parasites stronger
        • This will make the patient worse overall
  • The patient will need care from a medical doctor
    • The patient will require antiparasitic drugs
    • The best strategy is to find local Medical Doctor willing to prescribe antiparasitic medication
    • If you can’t find a local doctor, you can refer them to Kevin Cahill in New York
      • World-famous parasitologist
      • Office Phone Number: 212-879-2607
  • Treatment
    • Old drug of choice was metronizodile
      • Only has 55% killing factor
      • Does not kill cysts of parasites very well
    • The new class of drugs  
      • Tinidazole
      • Paromomycin
      • Nitazoxanide (Alinia)
    • Cahill Protocol #1
      • 2 grams of Tinidazole a day for 3 days
      • 750 mg of Paromomycin per day for 10 days
      • Can repeat protocol again if the patient still has symptoms
    • If the first protocol fails, use Cahill Protocol #2
      • 1 gram of Nitazoxanide (Alinia) for 6 days
      • 750 mg of Paromomycin for 10 days
  • Quality of stool testing is very poor in developed countries
    • Amoebas don’t live in the stool, but the mucoid
    • US Stool tests are prone to false negatives
    • Don’t waste time with testing, do an empirical test by taking the drugs
      • Drugs don’t have side effects if the patient is not infected
      • The DOD & CDC as of 2019 now recommend going straight to treatment with drugs instead of testing

The Office: How to Treat Concussions with Herbs

  • Patients will usually have been diagnosed previously
    • Many patients will come to you because they have trouble getting over symptoms like fatigue, vision problems, or headaches.
  • The main etiology is vascular damage
    • Blood stasis must always be treated in these patients
  • Can present with other comorbidities
    • Inflammation
    • Qi deficiency/blood deficiency
  • Blood stasis
    • Tong Qiao Huo Xue Tang
      • Dang Gui
      • Chuang Xiong
      • Cold Hands
        • Gui Zhi
      • Warm Hands
        • Sheng Ma
  • Brain Fog
    • Shi Chang Pu
    • With anxiety
      • Yuan Zhi
  • Weak pulses with severe fatigue
    • Deep soggy pulse
      • Fang Ji Huang Qi Tang
    • Qi & blood deficiency with anxiety
      • Yang Xin Tang
    • Extreme fatigue
      • Ren Shen Yin Yang Tang
    • With Yin & blood deficiency
      • Sheng Mai San
  • Tight tense pulse
    • With Heat
      • Pounding Right Cun
        • Bai Hu Tang
        • Huang Lian Shang Qin Wan
  • Eye issues
    • Pounding Left Guan
      • Long Dan Xie Gan Tang
      • Suan Zao Ren
      • Bai Zi Ren
      • Shi Jue Ming
    • Exterior problem with the eye also apparent
      • Bo He
      • Ju Hua
      • Sang Ye
      • Bai Ji Li