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Shang Han Lun (On Cold Damage)

By Gory • Aug 23rd, 2006 • Category: featured, shanghanlun

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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Using Gardenia to clear heart heat:

For a weak heart:

On Chest Bind and Glomus:

Mr Zhang’s diuretics:

Moving Blood Beneath:

Lesser Yang Disease:

  • 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)
  • Wu Mei Wan (line 338)
  • Gan Jiang Qin Lian Ren Shen Tang (line 359)
  • Ma Huang Sheng Ma Tang (line 357)
  • a
  • a
  • a
  • a
  • Treating Reversal (厥) using Si Ni Tang (line 353 and 354)
  • Treating Reversal (厥) using Dang Gui Si Ni Tang (line 351)
  • Treating Reversal (厥) using Dang Gui Si Ni jia Wu Zhu Yu Sheng Jiang Tang (line 352)
  • Treating Reversal (厥) using Tong Mai Si Ni Tang (line 370)
  • When to use 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:

  • Concept: Cold in Stoamch causes Hiccup (line 380)
  • Check urine and bowel movement when treating hiccups (line 381)

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