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Archives for the ‘Digestion & Elimination’ Category

Po-chai Pills: How to use them

By Karina • Jul 16th, 2008 • Category: Digestion & Elimination

This is the verse I use to remember what 保济丸 is made up of:
保济白芷与葛根 (解表)
菊花薄荷天花粉 (清)
藿香木香橘红陈 (理气)
苍朴茯苓薏苡仁 (燥湿化湿以健脾)
稻芽六曲赤石脂 (消食 & 涩肠)
What it is used for:

Most people who have ever used 保济丸 have used it when they have diarrhea.
It’s also good for kids who have ‘worms’ inside of them - the Chinese believe this is why […]



麻子仁丸 - and why your shit is hard.

By Karina • Jul 2nd, 2008 • Category: Digestion & Elimination, shanghanlun

The verse:
“趺阳脉浮而涩,浮则胃气强,涩则小便数,浮涩相搏,大便则硬,其脾为约,麻子仁丸主之。” (line 247)
Here we get a glimpse of the unfettered logic of Zhang Ji and perhaps all his predecessors and post-decessors. He says that the fuyang pulse is floating and rough (literally: astringent). And then he explains why: floating means that the stomach qi is strong (from this we know that during exterior illnesses, […]



少阴下利 vs 厥阴下利

By Karina • Jun 28th, 2008 • Category: Digestion & Elimination, shanghanlun

An re-introduction:
“五六日自利而渴者,属少阴也, 虚故引水自救,” (line 282b)
If you remember, diarrhea (下利/自利) can be classified as 太阴下利 or 少阴下利.
We know it COULD BE 少阴下利 if thirst is present.
We can further subdivide thirst-present diarrhea into cold-diarrhea (寒利) or hot-diarrhea (热利) by looking at the urine. It is already known that with cold-diarrhea, the urine is clear and prolonged.
What about […]



太阴下利 vs 少阴下利 (附子理中汤)

By Karina • Jun 28th, 2008 • Category: Digestion & Elimination, shanghanlun

太阴虚寒下利:
“太阴之为病,腹满而吐,食不下,自利益甚,时腹自痛。”
太阴病 is associated with a spleen deficiency that engenders cold-damp (脾虚寒湿). The treatment principle is to warm the center, building spleen qi and getting rid of the damp (温中散寒,健脾燥湿). 理中汤 is indicated here.
少阴虚寒下利:
“五六日自利而渴者,属少阴也, 虚故引水自救,” (line 282b)
If things get worse, then the patient will start experiencing 少阴虚寒下利,where 四逆汤 is indicated for kidney-deficiency that causes cold-damp. This […]



太阳蓄血证 vs 阳明蓄血证

By Karina • Jun 27th, 2008 • Category: Digestion & Elimination, lower jiao, shanghanlun

An introduction:
What we now understand as 蓄血证 appears in two places in 《伤寒论》

First, we have 太阳蓄血证,where three sub-patterns and hence prescriptions are indicated:

桃核承气汤

抵当汤

抵当丸

Now we have 阳明蓄血证, where instead of exhibiting exterior signs like in 太阳蓄血证, the patient exhibiting 阳明 signs. Continue reading to understand more:

One situation (阳明蓄血证):
“阳明证,其人喜忘者,必有蓄血。所以然者,本有久瘀血,故令喜忘。(line 237a)
屎虽硬,大便反易,其色必黑者,宜抵当汤下之。(line 237b)
Line 237a: Here, we have a Yangming […]