May 2017

May 2017

May 2017

    The Office: The Secret Of Using Blood-Movers

  • If the bloodmovers are not bringing the pulse up, then the used bloodmovers are not strong enough or the dose is not hight enough
  • Bloodmovers are the only way to bring deep (blocked and pounding) pulses up
  • Use Fang Ji Huang Qi Tang (20%) is a back-up option that strengthens the heart and with increased circulation therefore, the dampness and blood stasis (micrso-circulation issues, ischemia, interstitial fluid retention)
  • Kidney or Liver herbs will not bring a too deep Kidney or Liver pulse up (eg Yin Chen Hao Tang)
  • Fu Ling, Ze Xie, Yi Yi Ren and other diuretic will help with the swelling in the legs, but the pulses will stay low
  • If pulses are too low, every formula should have blood movers in them
  • If pulses are too high and extremely thin,
    • Then you can use blood movers (20% max) too to widen the pulses out
    • The rest of the formula should push the pulses down, eg. Long Gu, Mu Li, Ci Shi, Zhen Zhu Mu
    • Or use kidney yin tonics (if left chi is too high)


    The Office: MPD- Treating Edema In The Legs

  • Mostly a cardiovascular problem
  • Most edema pxs will have (suclinical) congestive heart issues
    • Blocked left cun (deep and mushy)
    • Fluid build up in chest and legs, often venous insufficiency (varicose veins)
  • Herbal strategy:
    • vasodialate large arteries of legs
    • shrink the veins
    • Astringents will shrink the veins 30-50
    • Vasodialators for arteries 30-50
      • Dang Gui
      • Chuan Xiong
      • Shui Zhi
      • Di Long
    • Water retension 30
      • Ze Xie
      • Fu Ling
      • Yi Yi Ren
    • If heart is weak
      • Fang Ji Huang Qi Tang 20
    • Add the bugs – they increase blood flow into the legs
      • Quan Xie (scorpion) 5
      • Tu Bie Chong (wingless cockroach) 5
      • Wu Gong (centipede) 5
    • If legs are cold, use Dang Gui Si Ni Tang
    • If legs are warm, use Dang Gui Nian Tong Tang
    • Use different strategies, depending on your patient!


    The Office: MPD- Treating Cysts and Tumors

  • Short pulses (compressed pulses) will present in the pulse positions indicating growths/masses (cysts/tumors), usually left guan, left chi or left proximal pulses
  • Herbal strategy cysts:
    • If theses pulses are extremely short/ tightly compressed, then use
      • Cold-breakers (40):
        • Wang Bu Lu Xing,
        • San Leng,
        • E Zhu
      • Blood movers:
        • Shao Fu Zhu Yu Tang 20
        • Zhe Chong Yin 20
        • Ge Xia Zhu Yu Tang 20
  • Tumors:
    • Larger/wider short (compressed) pulse
    • Can be there without any force/strength to it – blood stasis or with strength to it (pounding)- blood stasis with inflammation (heat)
    • Herbal strategy for blood stasis with inflammation/heat kind of tumors:
      • Warm-breakers 60
        • Huai Hua
        • Xuan Shen
        • Xia Ku Cao
        • Zhe Bei Mu
      • Astrigents 20
      • Zhen Ren Huo Ming Yin/ Resolve EM 20
    • Herbal strategy for blood stasis only kind of tumors:
      • Cold Breakers 20
      • Warm Breaker 20
      • Ge Xia Zhu Yu Tang 20
      • Shao Fu Zhu Yu Tang 20
      • Astrigents 20
    • Herbal strategy for cancerous tumors:
      • Use above strategies and add
      • Ban Zhi Lian 15
      • Bai He She She Cao 15
      • Ru Xiang 10


    The Office: MPD – Pulse-Insights: Strength vs Amplitude

  • Amplitude is basically the pulse shape, in other words, how high up and down your fingers go
  • Strength represents the force of the pulse against your finger-pad
  • Do not confuse the two.
  • There can be a weak pulse with a high amplitude means the pulse carries your finger pad a rather long distance up on the radial artery, but when you push on it, it will give it away immediately. That pulse will almost also be very thin.
  • There can be a weak pulse with a small amplitude and it is thin and when you push on it, it gives away easily.
  • The difference between these two categories of weak pulses is that the small-amplitude one involves more stagnation. One will need to use tonics and movers. The high amplitude weak pulse just requires tonics.
  • A high-amplitude, strong pulse (it pushes against the finger strongly) is a fire or heat pulse.
  • A low-amplitude, strong pulse (it pushes against the finger strongly) is a stagnated heat pulse. You need to move the blood and clear the heat.


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