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Herbs that Drain Damp

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60 diapositives · 885 Views · Aug 16, 2014

Herbs that Drain Damp. HCR class 3. Herbs for Draining Dampness. Most have diuretic action. Tx impaired fluid metabolism SP, LU, KD regulate fluid distribution; UB, SI associated with urination. All neutral -> cold Sweet/bland - Milder action, seep dampness, safer for deficiency

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Herbs that Drain Damp
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  1. Herbs that Drain Damp • HCR class 3

  2. Herbs for Draining Dampness • Most have diuretic action. • Tx impaired fluid metabolism • SP, LU, KD regulate fluid distribution; UB, SI associated with urination. • All neutral -> cold • Sweet/bland - Milder action, seep dampness, safer for deficiency • Bitter - Clear damp heat, Lin syndrome, HT fire ->SI, stronger action • Caution in patients using diuretics (Furosemide, etc)

  3. Fu Ling - Poria, Hoelen / Poria cocos • neutral, sweet, bland / HT, SP, LU • A&I: Transforms dampness & strengthens spleen: dysuria, edema, diarrhea, etc. (Si Jun Zi Tang, Shen Ling Bai Zhu San, Wu Ling San) • Phlegm-damp patterns. (Er Chen Tang) • Calms mind: palpitations, insomnia. (Gui Pi Tang)

  4. Use skin (Fu ling pi) for edema, red poria (Chi fu ling) for turbid urine or damp-heat, heart w/pine root (Fu shen) for calming mind. • 9-15 g

  5. Zhu Ling - Polyporus • sl. cool, sweet, bland / SP, K, UB A&I: • A&I: Transforms dampness, promotes urine: dysuria, turbid urine, edema, diarrhea, leukorrhea. (Zhu Ling Tang, Wu Ling San) • C&C: Do not use if no damp sx. Long term use damages Yin. • 5-10 g

  6. Hua shi - Talc / Pulvus Talci • cold, sweet, bland / ST, UB • A&I: UB damp-heat: painful urination. (Ba Zheng San) • Summerheat-damp: thirst, restlessness, dysuria, diarrhea. (Liu Yi San) • Topical: damp weepy skin sores.

  7. C&C: Contraindicated for Sp def, spermatorrhea, fluid damage, excess urine. Long term causes granuloma in LI, vagina. • 9-18g decoct in cheese-cloth

  8. Yi Yi Ren - Coix seed, Job's tears / Sm Coicis • sl cold, sweet, bland / SP, LU, K • A&I: Sp def edema, diarrhea. (Shen Ling Bai Zhu San) • Damp-heat: dysuria, leukorrhea. (Si Miao San) • Wind-damp bi: stiffness, spasm. (Xuan Bi Tang) • C&C: Contraindicated in pregnancy. • Tonify spleen: dry-fry. • 9-30g

  9. Dong Gua Ren - Benincasa seed / Sm Benincasae • cold, sweet / LU, ST, LI, SI • A&I: Phlegm-heat in lung. Damp-heat: lung or LI abcess, leukorrhea. (Da Huang Mu Dan Tang, Wei Jing Tang) • Skin (Dong gua pi): edema d/t summerheat-damp. • C&C: Caution in damp cold, loose stool. • Seed: 3-12 g Skin: 15-30 g

  10. Mu Tong - Akebia / Caulis Akebiae seu Clematis • cool, bitter / UB, HT, SI • A&I: UB damp-heat: dysuria, edema. (Ba Zheng San) • Heart fire -> SI: mouth & tongue ulcers, irritability, red/bloody urine. (Dao Chi San) • Promotes lactation. • C&C: Contraindicated during pregnancy. C&C: Caution in yin def. OD can cause renal failure. Banned in UK; some species contain aristolochic acid. • 3-9 g

  11. Tong Cao - Ricepaper pith / Medulla tetrapanacis • sl cold, sweet, bland / LU, ST • A&I: UB damp-heat: dysuria, edema. (San Ren Tang) • Promotes lactation. • C&C: Caution in pregnancy, qi or yin def. • Often used as substitute for Akebia Mu Tong. • 3-6 g

  12. Deng Xin Cao - Juncus pith / Medulla junci • sl cold, sweet, bland / HT, LU, SI • A&I: Heart fire -> SI, esp children. • Insomnia d/t damp-heat or Ht yin def. • Damp-heat dysuria. (Ba Zheng San) • C&C: Caution in def cold. • 1.5-4.5 g

  13. Qu Mai - Dianthus / Herba dianthi • cold, bitter / UB, HT, SI • A&I: UB damp-heat: dysuria w/blood, pain. (Ba Zheng San) • Amenorrhea d/t blood stasis. • C&C: Contraindicated in pregnancy, SP or KD def. • 6-12 g

  14. Di Fu Zi - Broom cypress fruit / Fructus kochiae • cold, sweet, bitter / UB • A&I: Damp-heat dysuria. • Topical/internal: stop itching, damp-heat skin sores. • 6-15 g

  15. Bian Xu - Common knotgrass / Hb Polygoni avicularis • sl cold, bitter / UB • A&I: UB damp-heat: dysuria w/blood, pain. (Ba Zheng San) • Damp-heat skin sores: eczema, trichomonas, tinea. • C&C: OD harms essence, qi. • 9-15 g

  16. Shi Wei - Pyrrosia leaf / Folium Pyrrosiae • sl cold, bitter, sweet / UB, LU • A&I: Clears damp-heat: hot/stony/bloody dysuria. • Clears lung heat cough & phlegm. • Bleeding d/t reckless movement of blood. • C&C: Contraindicated in yin def. Do not use if no damp-heat. • 3-9 g

  17. Che Qian Zi - Plantain seed / Sm plantaginis • cold, sweet / K, UB, LR, LU • A&I: UB damp-heat w/dysuria, hematuria. (Ba Zheng San) • Damp-heat diarrhea. • Red eyes d/t liver heat, yin def. (Long Dan Xie Gan Tang, Zhu Jing Wan) • Lung heat cough w/phlegm.

  18. Herb (Che qian cao): toxic sores, jaundice. • C&C: Contraindicated during pregnancy. Caution in yang qi def. • Wrap in cheesecloth for decoctions. • Seed: 5-10 g • Herb: 9-30 g

  19. Dong Kui Zi - Abutilon / Sm Malvae • cold, sweet / UB, LI, SI • A&I: Dysuria, edema w/bloody or painful urination. • Promotes lactation. • Dry constipation • C&C: Caution: pregnancy. Contraindicated: sp def diarrhea. • 6-12 g

  20. Bei Xie - Hypoglauca yam / Rz Dioscoreae hypoglaucae • neutral, bitter / UB, LR, ST • A&I: Turbidity in lower jiao: cloudy urine, leukorrhea. (Bei Xie Fen Qing Yin) • Wind-damp bi. • C&C: Caution: KD Yin def. • 9-15 g

  21. Jin Qian Cao - Lysimachia / Hb Lysimachiae • neutral, sweet, bland / UB, GB, K, LR • A&I: Stony dysuria or gallstones. • Liv/GB dampheat: jaundice, red eyes. • Fire toxin, snakebite. • C&C: Large doses long-term may cause potassium loss. • 9-15 g, up to 60 g for stones

  22. Chi Xiao Dou - Aduki bean / Sm Phaseoli • neutral, sweet, sour / HT, SI • A&I: Edema, leg qi. • Blood stasis, fire toxin: sores, boils. • Mild cases of damp-heat jaundice. • C&C: Can cause dryness. • 9-30 g

  23. Ze Xie - Alisma / Rz Alismatis • cold, sweet, bland / K, UB • A&I: Various damp sx esp lower jiao: dysuria, edema, diarrhea. (Wu Ling San, Zhu Ling Tang) • Drains Kd yin def fire. (Liu Wei Di Huang Wan) • C&C: lower jiao discharge d/t Kd yang def or damp-cold. • 6-15 g

  24. Yin Chen Hao - Oriental wormwood / Hb Artemisiae capillaris • cool, bitter, acrid / LR, SP, GB, ST • A&I: Jaundice, d/t damp-heat or damp-cold depending on combination. (Yin Chen Hao Tang) • Exterior heat or Shaoyang patterns. • C&C: jaundice d/t deficiency • 9-15 g

  25. Han Fang Ji - Stephania / Rx Stephaniae • cold, acrid, bitter / UB, SP, K • A&I: Lower body damp or damp-heat: edema, leg qi, ascites, gurgling. Wind-damp-heat bi. (Fang Ji Huang Qi Tang) • C&C: Banned in UK because of possible substitution w/aristolochia Guang Fang Ji. • 3-9 g

  26. Dispel Wind-Dampness

  27. Herbs for expelling Wind Dampness • Use for Wind-Cold-Damp Bi pain, acute or chronic • Acrid/bitter, may be warm, neutral or cold • Most enter LR (sinews); also K (bones) or SP (flesh); some have tonic properties

  28. Du Huo - Pubescent angelica / Rx Angelicae pubescentis • warm, acrid, bitter / K,UB • A&I: Wind-cold-damp bi syndrome, especially lower extremities. (Du Huo Ji Sheng Tang, Qiang Huo Sheng Shi Tang) • C&C: Contraindicated in def yin or blood with heat. • 3-9 g

  29. Qin Jiao - Large-leaf gentian rt / Rx Gentianae macrophyllae • sl cold, bitter, acrid / GB,LR,ST • A&I: Wind-damp bi w/yin def heat. (Du Huo Ji Sheng Tang) • Damp-heat jaundice, esp infants. • Counteracts drying properties of other Wind-damp herbs. • C&C: Contraindicated for weak constitution, Sp def diarrhea, frequent urine. • 4.5-12 g

  30. Wei Ling Xian - Clematis root / Rx Clematidis • warm, acrid, salty / UB • A&I: Wind-cold-damp bi. • Fish bone stuck in the throat. • C&C: Contraindicated in def qi & blood. • Fish bone: decoct w/ vinegar & brown sugar. • 6-12 g fish bone: 15-30 g

  31. Hai Tong Pi - Erythrina bark / Cx Erythrinae • neutral, bitter, acrid / LR,SP,K • A&I: Wind-damp bi w/heat or cold, especially lower extremities. • Superficial edema d/t damp. • Gargle for toothache. • C&C: Contraindicated in def yin or blood • 6-15 g

  32. Mu Gua - Chaenomeles fruit, Chinese quince / Fructus chaenomelis • sl warm, sour / LR,SP • A&I: Wind-damp bi w/cramps, spasms, esp lower extremities. • Painful swollen legs d/t cholera or leg qi. • C&C: Contraindicated in exterior patterns, xs use harms teeth & bones • 4-12 g

  33. Can Sha - Silkworm excrement / Excrementum Bombycis mori • warm, acrid, sweet / LR,SP,ST • A&I: Wind-damp bi. (Xuan Bi Tang) • Eczema, itchy skin d/t wind-damp. • Cramps d/t cholera. • Wrap in cheesecloth. Often taken alone. • 9-15 g

  34. Sang Zhi - Mulberry twigs / Ramulus Mori • sl cold, bitter, sweet / LR • A&I: Wind-damp bi syndrome, especially upper extremities. (Juan Bi Tang) • C&C: Caution in yin deficiency • 10-30 g

  35. Wu Jia Pi - Acanthopanax bark / Cx Acanthopanacis • warm, acrid, bitter / LR,K • A&I: Wind-damp bi, esp Liv/Kd def. • Strengthens sinews & bones, esp w/bl stasis. For weak/chronic elderly or developmental/motor probs in children. • C&C: Caution in yin deficiency heat. • 4.5-15 g Often steeped in wine

  36. Cang Er Zi - Xanthium fruit / Fr Xanthii • warm, sweet, toxic / LU • A&I: Nasal congestion w/thick sticky discharge. (Cang Er Zi San) • Wind-damp bi. • Wind-cold headache. • C&C: Contraindicated in headache d/t blood def. OD: vomit, ab pain, diarrhea. • 3-9 g

  37. Xi Xian Cao - Siegesbeckia / Herba Siegesbeckiae • cold, bitter / LR,K • A&I: Wind-damp-heat bi. • Strengthens sinews: paralysis, hemiplegia. • Damp-heat sores, rashes. • Hypertension d/t Liv Yang. • C&C: Contraindicated in yin or blood def. • 6-15 g

  38. Luo Shi Teng - Chinese starjasmine / Caulis trachelospermi • sl cold, bitter / LR • A&I: Wind-damp-heat bi. • Sore throat, abscesses d/t fire toxin. • C&C: Counteracts Bei mu, Shi chang pu • 3-9 g

  39. Hai Feng Teng - Futokadsura stem / Caulis Piperis futokadsurae • sl warm, acrid, bitter / LR • A&I: Wind-cold-damp bi. • Ab pain, diarrhea d/t cold invading Sp/St. • C&C: none noted. • 6-15 g

  40. Bai Hua She - Agkistrodon • warm, sweet, salty, toxic / LR,SP • A&I: Strongly unblocks channels, extinguishes wind: wind-damp pain, numbness, spasm, tremors, paralysis. • Rashes d/t wind in skin. • C&C: Contraindicated in yin def w/heat. Caution in blood def. • decoct: 3-10 g, powder: 1-1.5 g

  41. Transform Phlegm, Stop Coughing

  42. Transform Phlegm, Stop Coughing • Primarily used for Phlegm collecting in the Lungs (cough), may also include Phlegm in Stomach (nausea, vomiting), Heart (irritability, mania) and channels (lumps). • Phlegm frequently result of Spleen disharmony, so many Phlegm transforming herbs also enter Spleen.

  43. Transform Phlegm, Stop Coughing • Two Phlegm subcategories: Phlegm-Heat and Phlegm-Cold. • 1. Phlegm-Heat: Cold + sweet (moisten), bitter (clear heat) or salty (soften) • 2. Phlegm-Cold: Warm and acrid (scatter and disperse) • A third subcategory specifically focuses on relieving cough; mostly bitter.

  44. Herbs for Phlegm Heat

  45. Qian hu - Peucedanum root / Rx Peucedani • sl cold, bitter, acrid / LU • A&I: Phlegm-heat and/or wind-heat in the lungs: cough w/yellow thick sputum, chest oppression. (Ren Shen Bai Du San) • none • 4.5-9 g

  46. Chuan bei mu - Tendrilled fritillary bulb / Blb fritillariae cirrhosae • sl cold, bitter, sweet / H, LU • A&I: Chronic dry cough d/t lung yin def, phlegm-heat or wind-heat. (Bei Mu Gua Lou San) • Scrofula, mastitis, lung abscess d/t phlegm-heat. • C&C: Ineffective for cold phlegm-damp cough. Expensive. • decoct: 3-12 g ; powder: 1-1.5 g

  47. Zhe bei mu - Fritillary bulb / Blb fritillariae thunbergii • cold, bitter / H, LU • A&I: Similar to Chuan bei mu, but used more for swellings d/t phlegm-fire, less for phlegm-heat cough. (Hai Zao Yu Hu Tang) • C&C: Not useful for Yin def. Ineffective for cold phlegm-damp cough. • Cheaper than Chuan bei mu. • 3-9 g

  48. Gua lou - Trichosanthes fruit / Fr Trichosanthis • cold, sweet / LI, LU,ST • A&I: Phlegm-heat cough. (Bei Mu Gua Lou San) • Chest oppression d/t phlegm or blood stasis. (Gua Luo Xie Bai Bai Jiu Tang) • Constipation. • Mastitis.

  49. Peel (Gua Lou Pi) clears/transforms phlegm heat - dissipates nodules, regulates qi: dry cough, throat, difficult to expectorate sputum. • C&C: Sp/St def cold, phlegm-cold or phlegm-damp • Fruit: 9-30 g ; Peel: 6-12 g

  50. Gua lou ren - Trichosanthes seed / Sm Trichosanthis • cold, sweet / LI, LU,ST • A&I: Phlegm-heat cough, chest oppression w/dry symptoms. (Qing Qi Hua Tan Wan) • Dry constipation. • C&C: Contraindicated in Sp/St def cold w/diarrhea. • 9-12 g