The Office: MPD for Hypertension
Treating high blood pressure with Chinese herbal medicine is difficult and not always successful. Formulations are based on MPD but there has to be different possibilities available for each etiology. This way if one combination is not successful then another one might be. We cannot say that Chinese medicine cures hypertension. We certainly can treat it and in some cases our approach is better due to the sometimes negative side effects of certain pharmaceutical medications. Sometimes drugs are necessary but with the addition of Chinese herbal medicine it is quite possible to reduce the number of drugs the patient is taking.
Western medicine classifies 90 percent of hypertension to be primary hypertension. This means high blood pressure with no known cause. I am not in agreement with this conclusion. MPD reveals what the cause in Chinese medicine is and our herbal approach is to treat that specific etiology. Having said this, sometimes our approach just doesn’t work. Is our etiology wrong or are the herbs wrong? I believe it is the herbal combinations that are not yet good enough to address the specific obvious etiology revealed through MPD. Consequently, I am always on the lookout for better herbal combinations.
Below are the current formulas and combinations I am using as per the pulse:
- MPD: All pulses are big, strong, convex and pounding. The Left Guan is particularly strong. This condition is Excess Heat leading to High blood pressure. The conclusion is inflammation throughout the vascular system and the Zang Fu system.
- MPD: All pulses are too wiry, hard, with no jump. This condition corresponds to Arteriosclerosis causing hypertension.
- MPD: The pulses are thin, weak especially the Left Chi. Signs of Kidney Yang Deficiency. Could be Renal Hypertension with weak Kidneys and arteriosclerosis of renal arteries
- MPD: Confirmed renal hypertension (Secondary hypertension) with both Proximal Pulses wiry and pounding.
- Additions: Da huang lowers blood pressure and can be used if any sign of constipation.
- List of anti hypertensive herbs:
|Xia ku cao||33|
|Herbs||Cha chi huang or Hu zhang||100|
|Herbs||Tian ma gou teng yin||40|
|Herbs||Mao dong qing||20|
|Xia ku cao||20|
|Herbs||Chai hu jia long mu tang||20|
|Ye ju hua||20|
|Jue ming zi||20|
|Jin qian cao||20|
|Xia ku cao||20|
|San huang xie xin tang||40|
|Herbs||from the Nei Jing|
|Zhen zhu mu||20|
|Xia ku cao||15|
|Xi xian cao||15|
|Can add:||Hai zao and Kun bu||20 each|
|Herbs||(from Dr. John Shen)|
|Li zhe he||20|
|Shui ding xian||20|
|Xian feng cao||20|
Chi shao, Ma dou ling, Da huang, Sang ji sheng, Hu zhang, Cha chi huang, Jiang huang, Mu dan pi, Mao dong qing, Sang ji sheng, San qi, Shan zha, Yi mu cao, Xi xian cao, Wang bu liu xing, Xia ku cao, Huai hua, Niu xie, Gou teng, Sheng ma, Gu jing cao.