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shanghanlun

Shang Han Lun (On Cold Damage)

By Gory ⋅ August 23, 2006 ⋅ Print This Post Print This Post ⋅ Post a comment

On Cold Damage is a masterpiece by a master. A master from eons ago may be someone we look up to, but we needn’t do as he did without some critical thinking on our part. That’s exactly what many physicians kept doing since the Han era, with an upsurge after the Song era. Times have changed, people have changed and even the environment around us has changed.

The translations therein are mostly my paraphrasing of the material as I read them in Chinese. Often I realize some noun is not so translatable and so I take the word off Craig, Wiseman and Feng Ye’s Shanghanlun. Most ideas are from the Chinese material I get from around here, some from Huang Huang’s books on this subject, some from my teacher Zhao Mingfang. The rest, especially in interpretations from a Western medicine perspective, are my own.

Note: Do quote and leave a link if you use my material, which is free and available. Lots of labor has gone into writing the various articles.

On Dosage:

On Greater Yang Disease:

On Cinnamon Twig Decoction:

On Ephedra Decoction:

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3 variants on Ephedra Decoction:

On Pueraria Decoction and Variants:

On the Green-Blue Dragon Decoctions:

On Ma Xing Shi Gan Decoction:

Amount of Ephedra, Cinnamon Twig and Gypsum used the Green-Blue Dragon Varieties

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Combining Cinnamon Twig Decoction and Ephedra Decoction:

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For a weak heart:

Moving Blood Beneath : Peach Kernel Qi-Coordinating Decoction (line 106 ) | Dead-On Decoction (lines 124 & 125) | Dead-On Pill (line 126) | Dead-On Decoction vs Dead-On Pill | Greater Yang vs Yang Brightness Blood Amassment

On Chest Bind and Glomus:

Mr Zhang’s diuretics:

Yang Ming Disease:

  • Defining Yang Ming
  • Heat Patterns: Using Gardenia to clear heart heat | Gardenia and Prepared Soybean Decoction and its variants | Using Gardenia and Prepared Soybean Decoction | Baihu Tang and its variants (lines 176, 219, 168-170 and 220) | Zhuling Tang for water metabolism (line 223 and 224)
  • Repletion Patterns: Tiao Wei Cheng Qi Tang (lines 248, 249, 207) | Xiao Cheng Qi Tang (lines 213, 214, 250) | Da Cheng Qi Tang (lines 220, 212, 241, 242, 252-256, 215, 217 and 238)
  • Hemp Seed and Apricot Pill (line 247)
  • Downward Propellation: Enemas using Honey, Cucumber Gourd or Pig Bile (line 233)
  • When to using which method of precipitation (lines 208, 209, 251, 203)
  • When not to use Precipitation (lines 204-206, 189, 194)
  • Treatment of Jaundice (lines 199, 200, 260, 260-262, 259, 195)
  • Blood Heat (lines 202, 227, 216)
  • Using Di Dang Tang to treat blood heat — Yang Ming Blood Amassment (lines 237 and 257)
  • Yang ming with symptom differentiation (lines 190, 191, 197, 198, 226, 243)
  • Vacuity and Repletion (lines 210, 211, 245, 246, 196)
  • Others in the appendix (lines 192, 218, 225 ‘Si Ni Tang’, 231 ‘Xiao Chai Hu Tang’, 232 and 235 ‘Mahuang Tang’, 234 ‘Guizhi Tang’,
  • More from the appendix: line 240 on using Da Cheng Qi Tang or Guizhi Tang, line 244 ‘Wuling San’,
  • What constitutes a Lesser Yang Disease?
  • What constitutes a Chai Hu Pattern?
  • Xiao Chai Hu Tang
  • How to prepare Xiao Chai Hu Tang
  • Examples of Xiao Chai Hu Tang in Use
  • When not to use Xiao Chai Hu Tang
  • Chai Hu Gui Zhi Tang (line 146)
  • Chai Hu Gui Zhi Gan Jiang Tang (line 147)
  • Da Chai Hu Tang (lines 103 & 165)
  • Chai Hu Plus Mang Xiao Tang (line 104)
  • Chai Hu Plus Long Mu Tang (line 107)

Greater Yin Disease:

  • What is a tai yin disease? (line 273)
  • How to tell if you’re recovering from taiyin disease (line 274)
  • How to treat taiyin disease: Use warming treatment — si ni tang (line 277)
  • Treating taiyin disease using gui zhi tang — how to making sense of it. (line 276).
  • Treating taiyang disease that due to precipitation becomes taiyin (defined as abdominal pain) using modified gui zhi tang (add peony or add da huang). In effect, it’s about using gui zhi tang to solve a certain transmuted form of abdominal pain…. (line 279)
  • Warning on the use of modified (adding peony or rhubarb) gui zhi tang for people with weak stomach qi…. (line 280)
  • Difficult lines: line 278 and line 187

Summary: taiyin disease is treated using warming method. either use si ni tang (stronger) or gui zhi tang (weaker).  Add either shao yao or da huang for abdominal pain – the former for weak pain, the latter for strong pain.

Lesser Yin Disease:

Reverting Yin Disease:

  • Definition of Jue Yin Disease (line 326)
  • Definition of Jue — Ni vs Jue (line 337)
  • Wu Mei Wan (line 338) for worms and what else?
  • Gan Jiang Qin Lian Ren Shen Tang (line 359) or Ma Huang Sheng Ma Tang (line 357) for a weakened constitution with vomiting and diarrhea
  • Possible scenarios in a Jue Yin Situation (lines 331, 336, 342, 334, 341, 332 and 333)
  • The link between Jue and Heat (lines 335 and 339)
  • Treating Heat Reversal (厥) using Bai Hu Tang (line 353 and 354)
  • Treating Cold Reversal (厥) using Si Ni Tang (line 353 and 354), Dang Gui Si Ni Tang (line 351) and  Dang Gui Si Ni jia Wu Zhu Yu Sheng Jiang Tang (line 352)
  • Treating cold reversal using acupuncture and moxibustion (lines 340 and 349)
  • How not to treat (lines 330 and 347) — don’t precipitate!!!
  • Treating the vomiting (line 355) or palpitations (line 356) that come with Reversal
  • Tong Mai Si Ni Tang (line 370)
  • How do know when you’re getting spontaneous diarrhea (line 358)
  • Jue Yin diarrhea: Si Ni Tang (lines 353, 354 – already mentioned above) | Bai Tou Weng Tang (lines 371 and 373) |
  • Retching: Wu Zhu Yu Tang to treat dry retching (line 378) | Si Ni Tang to treat Retching accompanied by cold (line 377) | Xiao Chai Hu Tang to treat retching accompanied by heat effusion (line 379) | Retching secondary to purulent abscesses (line 376). Note that his point here is to treat the root and the retching will cease.
  • Hiccups: Cold in Stomach causes Hiccup (line 380) | Check urine and bowel movement when treating hiccups (line 381)
  • Good Prognosis: Thirst is a good sign if you have Jue Yin Disease (line 329) | It is a good sign if the pulse at Taixi is weaker than that at Chongyang acupoint (line 363b) | When there is  diarrhea, if there is mild heat and thirst, with a weak pulse, recovery is imminent (line 360) | When there is diarrhea, a rapid pulse, mild heat and perspiration means imminent recovery, a tightened pulse means recovery is not so soon (line 361)
  • Bad Prognosis (impending death): If moxibustion during a Jue Yin disease does not bring cold, the person will die (line 343 and 363a) | If you have cold damage, heat effusion, diarrhea and reversal, agitation and inability to sleep is a sign of impending death (line 344) | Incessant reversals are also a bad sign (line 345) | Sudden heat effusion, diarrhea and sweating is a sign of likely death (line 346) | In the event that the pulse expires for 24 hours and suddenly returns, that’s a good sign, of course if it doesn’t return, that means death (line 368) | A replete pulse after many days of diarrhea suggests likely death (line 369) | heat effusion, reversal with diarrhea for seven days is difficult to treat (line 348)
  • Is it over and done with? (line 365b, 327)
  • Predicting blood and pus in the stool (lines 363 and 367)
  • Predicting rectal heaviness (line 365a)

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