November 26, 2024 • 52 mins
This episode covers the Chinese "herb" chi shi zhi, Halloysitum rubrum, or red halloysite or kaolin. This mineral is in the Chinese medical category of herbs that stabilize and bind and can be used in a wide variety of conditions including chronic diarrhea, uterine bleeding, and chronic sores. And, as usual, we will explore all the intricacies of this herb as well as an explanation of its category. Each episode of the podcast will go into great depth about a single herb or formula. Besides covering the basics of herbology including category, and functions, we will explore the history, quality, science, pharmacology, evidence, and any potential interactions of each herb. And then there is always something a little quirky about an episode. In this episode, we are going to look at proper charting including both the why and how of it. Please join us as we find out more about this fascinating Chinese "herb" chi shi zhi or red halloysite or kaolin!
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Speaker 1 (00:00):
Bergs that Angelica sperbverb. Hello and welcome to episode seventy
three of Sperbs Herbs. Today we're going to be talking
about Chinese RB sure suregure or sure sureature, three different
(00:23):
tone marks. They're all on eyes are and the the
Latin here is holloi sittum rubrium or the common name
is halloi site or kalein. So you know, we'll talk
about that in just a minute, but let's get into it.
So today's episode we will be exploring interesting Chinese quote
unquote herb sure sure sure or hollow site or kal in.
(00:48):
This mineral is in the Chinese medical category of herbs
that stabilize and bind and can be used in a
wide variety of conditions, including chronic diarrhea, you do'reine bleeding
and chronics soares and as usual, we will be exploring
something a little different. We are going to discuss an
impordinarya of practice, one that is near and dear to me,
(01:09):
proper charting. Please stay tuned for this intriguing episode. Before
we get into that, did you know that I have
written a couple of books. The first book is Integrative Pharmacology,
combining modern pharmacology with integrative medicine. This is a pretty
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they work, and how they may interact with other drugs,
(01:32):
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But it is also perfect for anyone. It goes in depth,
but it is easy to read and has difficult terminology
bolded with definitions on the same page. There's not only
(01:53):
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(02:14):
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(02:36):
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You can get either or both of these books at
the shop at www dot sperbserbs dot com, spe erbs
(03:01):
hgrbs dot com. Okay, So I teach a course called
protecting Yourself through Proper Charting available at https colon slash
slash Integrativemedicine Council dot org slash products slash proper dash Charting.
(03:23):
So that's how to find. You can just find it
go to the courses an Integrativemedicine Council dot org. In
this course, I do a deep dive in how to
do proper charting for acupuncturist in Chinese medical practitioners. Having
been a clinical supervisor, director of Clinical Services College, dean
subject matter expert for legal cases and acreditation side visitor,
(03:45):
I have examined thousands of chart notes across dozens of schools,
and I am on a bit of a crusade to
promote good charting to protect our profession. With that in mind,
I would like to introduce some basic concepts of charting today.
(04:07):
Charts are usually created using the SOAP or soapy system.
SOAP stands for subjective, objective assessment and plan. Some venues
are adopting soapy or so A p E style notes,
which emphasize the education function of the medical profession. E
may on some variations also mean evaluation and be used
(04:30):
in the acronym soap soap which is I E SO
so A p I E and soap R s A
p I E R, where intervention and revision are also
added in soap style notes. The basic substyle notes are
the standard for charting. So I want to tell you
(04:54):
a true story that happened to me. So I was
working a the supervisors young supervisors, probably my first one
or two semesters working as a clinical supervisor at a
school clinic shift in the afternoon, and what happened was
the patient was passed on to me from the morning shift.
(05:14):
They had been working on her and she couldn't get
off the table and the supervisors needed to go on
the of course, the students need to go. Their shift
was over as the supervisors asked if i'd take it over. Now,
I was new to this in Western medsister in the
hospital as a medical student, you are always handing off
and accepting patients, so it's no big deal. I didn't
realize how odd it was that I was being handed
(05:35):
to patient as an acupuncturist at that time. So try
to get her off the table. She couldn't get off
the table due to spasms in her low back. And
I worked on her for maybe two hours, doing needling
and cupping, and I don't know what else I did.
I did a massage, I did a lot of stuff
on her. She still could not get off the table.
(05:57):
And then I remembered I was wondering one of my
struck one of the structures I had as a master
as a master student at the school but then also
moving on. He was still teaching there and he was
a chiropractor, and I wondered if he was on campus.
I looked around. He was, and I went up to
him and I asked him if he would mind seeing
this patient. He very graciously said yes, and he came
(06:19):
in and he saw the patient for about five minutes.
I had her up and walking soon thereafter, so within
five minutes she was up and walking. She was still
in pain, but was able to get around. And after that,
I'm thinking, Okay, this patient's been here for three or
four hours is a potential practice case. I want to
make sure I get really good notes. So I went
up to the chiropractor. He had gone back to class
(06:40):
as soon as he got the patient up. Really, all
it was was to get her past the initial pain
and then everything kind of fell in the place and
it was fine. But I was new, and when you're new,
you're a little bit afraid to go through that pain.
So it was it was good. So I went into
the classroom where he was prepping, and if you'd write
(07:00):
a chart note for this case. He ended up spending
about twenty to thirty minutes writting a note for a
patient he saw for no more than five or ten minutes.
And I looked at it. It was small print, both sides
of a page, and I said, wow, this is a
(07:20):
huge note. Why did you spend so much time on
the stone? And he replied, Greg, I have been sued
for malpractice twice in my career. Both times the other
lawyer saw how thorough my charting was and dropped the case.
And that's what the power of a good charting is. Again,
I've been a sea matter expert on several cases now,
(07:43):
both sides plain offend defendant. I've seen them all, and
the charting sucks universally in all these cases. And I'm
trying to defend an acupuncture. It's hard for me to
do that. Sometimes with what's in the chart notes. On
the other side of it, it's really easy for me
to go ahead and go ahead and try to say
(08:08):
that there's something wrong because the chart supports that there
is something wrong. So what are some of the general
issues with charting? So the first big issue is using
the word normal. And I again, I taught this. This
is something that I taught in school. So I've had
hundreds of students writing each of them, running in ten
(08:31):
chart notes, big thorough chart notes. It was my exam class,
my physical exam class. And I can't tell you how
many times a student would say normal. They would say, oh,
elbow normal, I'm like, what what does normal mean? Example
of this is blood pressure. Normal could be defined as
blow one thirty over eighty five, which is sort of
the current definition, or it could be the old definition
(08:52):
of blow one forty over ninety, or it could be
normal for this hypertensipation at one sixty over one oh five.
And when does blood pressure become too low? So what
does normal mean? Generally, using normal is most commonly just
a shortcut that means nothing. The bottom line is saying
normal is a diagnosis that in all likelihood is not substantiated.
(09:18):
Other points about using normal include, instead of normal, use
actual findings from exams. Don't say heart sounds are normal,
say heart sounds are dual love dub with nil or
nothing added. If actual findings are too complex, when there
are no abnormalities, or to wrapt several exams into one
finding using the acronym a ney D or no abnormal
(09:40):
it is detected, you can use no abnormalies, no abnormalities detected.
This is the opposite of a diagnosis because it basically says, hey,
I didn't see anything wrong, but there That isn't to
say there isn't something wrong. There are other acceptable acronyms,
such as WNL or within normal limits. Now as soon
as they say in class that you can do any
D or WNL, then instead of normal, everyone just says
(10:03):
n D and WNL. No those are last resorts. Always, always, always,
first thing is to do your actual findings. So don't
say elbow NAD or elbow WNL. No, you say you
do an exam with the elbow. You talk about what
you see the the You know, you see that there's
movement is normal, that they're are within normal limits. But
(10:26):
then you go on and you say, the range of
motion was between this and this and there was no crepitus,
and there's no You explain what your findings actually are.
And again remember actual findings are always better than a
generic acronym. In other words, to avoid that are similar
to normal include okay nothing. As soon as I say
you can't say normal my stoners, I always go okay,
(10:48):
and they'd write okay, you know, or or nothing. I
don't know what nothing means, but they would put nothing.
An exception of these rules are words that come straight
from the patient. In this case, it is a quote
and should have quotation marks around it. Other issues. General
issues with charting is don't mix up history, exam and
(11:08):
investigations or by the same tuque and subjective, objective and assessment.
Common ways this will happen is within the history of
presenting illness when describing the chief complaint. Exam findings are
mixed in. For example, the patient complains of pain in
the leg four centimeters below the head of the fibula
and just anterior to the fibula, history would be the
(11:31):
patient has pain on the side of the leg below
the knee. Later would come the exam findings describing exactly
where the pain is. Remember, history is from the patient
and is subjective and generally inexact. Exam findings are from
the practitioner, objective and should be very exact, including to
the point where there are measurements. You should you know,
(11:54):
I'll be the first amount. I used to, but I
don't anymore. I used to carry around a measuring tape
with me so I can measure things. I don't do
it anymore, but I should. It was handier nowadays. I
usually work in scrubs, and back when I was in
the Clinicut school, I would have a lab coat, so
it's easy just to keep the tape measure in my
(12:15):
lab coat. Just have it always there. Investigations are lab
tests that are ordered by the practitioner and could include
X rays, an MRI or CT scan, or blood work. Generally,
we don't do investigations. In California, we're allowed to in
our scope of practice, but it's not done regularly, and
insurance companies may or may not pay for it, so
(12:35):
we generally don't. Exception here is that investigations ordered by
other practitioners are often included in the history of presenting illness.
The biggest issue in regards to malpractice and insurance training
is not being thorough. The goal here is to answer
all questions of reader. The chart may have. The best
medical writers do this very succinctly in a small amount
(12:57):
of space, but it is best to or on writing
too much rather than too little. The first person should
not be used in a chart and standard history and
exam the first person using the words I, me, my myself, we, us, ourselves,
et cetera is forbidden. Of course. The exception once again
is a quote from the patient, which should be in
(13:17):
quote marks. All right, this is just an introduction to
charting in some of the common issues that can come up.
If you want to know more, you have that course
that I have. It's a two hour course. We get
into this in pretty pretty big depth. But with that
that we've talked about, let's get into today's herb. Today's
(13:39):
herb is sure sure cure or helisite or kalin family
or in this case mine are logical classifications usually talk
about the family of the herb. And this is not
an herb, it's a mineral. So it's classification is in
that it is considered a sheet silicate mineral. And again species,
(14:00):
there's no species here because it's not alive or the
standard substance, and that standard substance is hellisite or in
in Chinese do schwe gal ling schuur. The English translation
of churcher sure is crimson stone resin or redstone resin.
(14:22):
Other names include red hellisite, chi two, chur two hong
gao ling tou, hong gao ling churchher two hong two
church er Tao twu. In Japanese, it's again, I don't
speak Japanese, so please forgive me shaku kusa kishi and
(14:46):
in Korean same morning, joke g joke chioki g. Among
those lines bens Ki and there to remember, we use
three major textbooks. One of those is Benski and his
Team Say the dosage is ninety eighteen grams. Chen Chen
is another one of our textbooks, and brand and Wiseman
(15:08):
is our third one. In both of them, Chen Sheen
and Brown and Wiseman say the doses ten to twenty grams,
so very similar. So Benski tends to go with a
little bit more traditional using threes, so ninety eighteen, while
Chen Chen and Brown Wisemen are a little bit more
modern and they tend to go by fives and ten,
so they go ten to twenty grams, so basically similar
(15:30):
dosages between all the books. Silicon minerals, let's talk about
those sheet silicate minerals as sort of the family. We
always get to the family at this point. Silicon minerals
are rock forming minerals made up of silicate groups. They
are the largest and most important class minerals and make
(15:52):
up approximately ninety percent of Earth's crust. Filo silicates or
sheet silicates, form parallel sheets of silicate tetrahedra with silicate oxides,
so it's two silica and five oxygens or two to
(16:13):
five ratio. All philosilicate minerals are hydrated, which means there's
water with either water or hydroxyl groups attached. Haliicite is
a member of the clay minerals group of philosilicates a category,
(16:33):
so coming off of that sheet silicates back into the
herb category of this herb depends again on which textbook
we're using. Benski and at all put this herb in
the herbs that stabilize in buying category. There are no
subcategories here except Brand Wiseman does have subcategories. Chen Shed
and Benski do not have sub categories. So Benski says
(16:55):
stabilize and buying Chenshen say it is in the astringent
herbs categoryis and bind very similar to a stringent. I
think those are basically synonyms. And Brandon Wiseman says it
is a diarrhea checking medicinal subcategory under the astringent medicinals category.
(17:15):
So they do have the same category overall, but they
have these sub categories which the other books do not,
so it puts it in diarrhea checking medicinal. Benski and
their teams say this sweet sour, astringent and warm temperature
(17:35):
and enters the sleen, stomach and large intestin channels. Both
Chen and Chen and Brann Wiseman agree, but do not
include the swen channel, so it's just the stomach and
large intestin channel and Brown Wiseman do not believe it
is sour, so chen Chen and Benski both say it's sour.
Bran Wiseman says it is not sour, which is interesting
(17:58):
because sour is it's actually the astringent taste. So of
all the tastes here, sour should be the one that sticks.
But okay, that's why we do this. We love the
discrepancies between these books the Divine Farmer's Materia Medica, so
every time I have to introduce the Divine Farmers Materi
(18:19):
America or the Shehndog Ben Saudjing. This is the first
book existing book on single Chinese herbs, and it was
written around two hundred CE, so early on in Chinese herbalism,
and the Divine Farmer's Material America says it is sweet
and balanced temperature, so they don't include sour either. It
(18:42):
also says there are actually five colors of hallisite, and
each color corresponds to its appropriate viscera. In this case,
that means churcher Jir being read should affect the heart
in small intestin. And we're actually going to see that
mentioned when we talk about the commentary on this herb
(19:03):
in the history pretty straight forward to the history. We're
like looking at what when was this first mentioned? And
both Benski and Chen and Chen. Benski and his team
and Chen Chen say the original source for this herb
is the Sendong Ben Sajing. There are no individual herbs
that are before the Sendong Benza Sennong Ben Sajing and
Chinese thought so Shenong Ben Sudjing are the defined Husbandsman's
(19:24):
classic of material medica in the second century CE. As
I mentioned, I said second, I said two hundred sees
second century, so they were from one hundred to two
hundred seed. Let's talk about these herbs that stabilize and binds.
So Benski always has a really good introduction to these categories,
(19:46):
and they do here as well Bedsky and his team.
The herbs in this category are used primarily for treating
disorders in which bodily substances are discharged abnormally are structures
within the body slip from their proper positions. Such disorders
include diarrhea, urinary frequency, excessive sweating, vaginal discharge, miscarriage, and
(20:09):
prolapse of the uterus or rectum. All of these can
be viewed as forms of excessive dispersion SON and require
herbs that stabilize goo or bind SA. These types of
disorders are usually associated with weakness due to chronic disease
or old age, but can also arise from myatrogenic causes
(20:29):
such as improper use of purgatives or dispersing substances. Note
that a weakness of primal chive predisposes one of the
one to these problems and is further injured by these
types of leakage and slippage well. Most of the herbs
in this category are sour and astringent. They serve diverse functions.
(20:51):
Some are best used for stopping sweating, others for stopping diarrhea.
Another group is used primarily for treating polyuria or abnormal
discharges for the lower burner, including leukarhea, white vaginal discharge,
and a fourth group is very effective at stopping coughs.
Consistent with the idea that herbs which stabilize and bind
(21:12):
are those which keep fluids in, some of the substances
in this category are also used to control bleeding, particularly
from the uterus. It is important to bear in mind
that herbs that stabilize and bind only treat the manifestations
of a disorder. To be useful, they must be combined
(21:33):
with other herbs that treat the root cause of the disorder,
which is most often a form of deficiency. Because it
is the nature of these herbs to retain and bind,
they are inappropriate for treating cases where an exter disorder
has not fully resolved, where there is an internal stagnation
of damness or heat from constraint. The use of these
(21:55):
herbs in such situations may prolonged and possibly aggravate the
underlining disorder. Chen Chen say the following about stringent herbs.
Chi blood gingor essence, and jine body fluids are bodily
substances essential to health maintenance. In the normal course of life,
(22:20):
these four substances are continually produced and consumed. Maintenance of
health requires the level of production to be equal to
or greater than that of consumption. When consumption exceeds production,
organ function is compromised, leading to deterioration of overall health.
This imbalance must be treated as early as possible to
(22:43):
restore normal balance. If not, the condition will continue to deteriorate,
leading to deep deficiency. While tonic herbs are often beneficial
in the initial stages of deficiency. They are not as
useful in chronic situation, as the patient is often too
weak to metabolize tonics and will be unable to benefit
(23:05):
fully from the tonic substances. In such cases, astringent herbs
are prescribed to prevent further loss of these four vital substances,
sour and taste. As stringent herbs enter the heart, lung, liver, kidney,
and large intestine to bind, retain, and prevent the loss
of valuable body fluids and other substances. They are often
(23:30):
prescribed for patients who have chronic illnesses with profound deficiency
and inability to hold fluids within the body, leading to leakage.
Clinical indications for use of astringent herbs include profuse menstruation, perspiration, diarrhea, coughing, supermattihea,
nocturnal emissions, frequent urination, and bleeding. It is important to
(23:54):
keep in mind that while stringent herbs prevent the loss
of bodily substances, they do not intrinsically restore normal balance. Therefore,
while the stringents can be used in patients with chronic illnesses,
they should not be used on a long term basis. Clinically.
(24:15):
They should first be used for a short period of
time to stop for their losses and chronic illnesses. When
the condition stabilizes, differential diagnosis must be made again and
appropriate herbs be prescribed. That is, once stable. Patients with
spontaneous perspiration due to cheat deficiency should be treated with
cheat tonics. Patients with loose stools and diarrhea due to
(24:37):
spleen and stomach deficiencies must be treated with stomach tonics,
and patients with frequent urination and continents associated with kidney
deficiency must be treated with kidney tonics. In short, for
adequate treatment, uses stringent herbs to eat the urgency of
(25:00):
the condition, then use tonics to treat the underlying causes
of the disease. As the stringent herbs function to bind
and restrain, the use of such herbs will keep any
pathogenic factors within the body. Therefore, a stringent nerves should
not be used in conditions characterized by the presence of
pathogenic factors inside the body, such as perspiration due to fever,
(25:22):
all disorders, food stagnation with diarrhea, profuse menstrual bleeding due
to heat in the blood, or frequent urination due to
heat in the lower jow lower burner. So that's commentary
on this category of herbs. So what is good quality
of the sturture? Bensky and his team say, good quality
(25:46):
consists inside and out of homogeneous flesh colored, pink, glossy
and soft pieces without any foreign mineral matter. Our usual
text on the quality of herbs tinsmit to identification illustrated
approach does not have an entry for the IRP. So
usually it's pretty good, but not today. So what does
(26:09):
it do with Chinese medical actions? According to benz Key,
it's all churcher zuur binds up the intestines and stops
diarrhea for chronic diarrhea due to cold from deficiency or
chronic dysenteric disorders with mucus and blood in the stool.
Usually diarrhea is chronic and is often accompanied by undigested
(26:30):
food in the stool. It also contains the blood and
stops bleeding for uterine bleeding, excessive menstruation, blood in the
stool and bleeding prolapsed rectum due to cold from deficiency
of the lower burner, also used topically for bleeding due
to trauma, And finally, it promotes healing of wounds, used
(26:53):
in ground form and applied topically for chronic non healing ulcers,
also used topically for weeping damp sores, as well as
prolapsed rectum. Chen say it binds the intestines and stops
diarrhea for chronic unremitting diarrhea dysentery rectal prolapse. It also
(27:16):
stops bleeding in uterine bleeding in leuke rhea, and promotes
healing of sores and ulcers, including chronic non healing ulcers,
weeping damp sores, or bleeding. Brandon Wiseman say it estringes
the intestines and checks diarrhea, stanches bleeding by restriction, and
(27:36):
closes sores and engenders flesh. Finally, the Divine farm I
think it's finally. Yep, it's finally The Divine Farmer's Materia
Medica says it is a superior class herb and it
mainly treats jaundice, diarrhea, and dysentery. Intestinal afflex with pus
(27:58):
and blood that would be dysentery, genital erosion, precipitation of blood,
red and white, red and white vaginal discharge, evil chi
welling abscesses, and swellings, flat abscesses, hemorrhoids, malign sores, head sores,
(28:20):
and itchy itching scabs. Protracted taking may replenish the marrow,
boost the chie and make one fat and strong, free
from hunger and the body light while prolonging life remembers
superior class herbs are designed to be taken more commonly
and have these usually more beneficial effects long term beneficial effects.
(28:40):
So that's our Chinese medical actions here. Let's talk about
different ways to prepare it. So Benski at All has
a single entry on the serbs preparation after a really
expensive overview of the serve, how to prepare the serve.
The substance resembles Kill the Night in that both are
clay substances which are similar in composition, both being hydrous
(29:04):
aluminium silicates. Kalinite is also known as kalin or China clay,
long used medicinally in treating diarrhea as an ingested absorbent powder,
which it is suggested binds and inactivates poisons that may
be in the intestines. Kalin is also used for industrial purposes,
such as porcelain in the manufacture of coated paper. In
(29:28):
their pure form, both halisite and kalin are white in color,
and although in contemporary times the reddish colored clay crimson
stone resin or churcheer jirup is preferred for medicinal use
in Chinese medicine, lescher Zen noted that the properties of
the various colored stone stone reschure are basically similar. He
(29:49):
did say, however, that regarding the white and crimson color,
the white enters the chi level while the red enters
the blood level. His substance is query quarried, I should
say quarry cleaned of extraneous material, and the red colored clay,
which is slippery and greasy like resin, is then collected.
(30:12):
When wet. It gives off the smell of fresh clay,
and being quite absorbent, it sticks a bit to the
tongue when licked. Without further preparation. It is known as
unprepared helisite or shung churcher jur Shung means fresh or
unprepared and is sweet, soury, stringent, and warm, with a
(30:33):
strong ability to restrain damness and generate flesh. And this
format is often applied externally for chronic ulcers that have
failed to heal over or for bleeding from wounds, and
that brings us to the one preparation, which is calcium
and talcite or dwan church heir dur. The substance is
(30:56):
mixed with vinegar, rolled like dough, then cut into section.
These are placed inside a calcininge character and container, then
heated into red hot and a charcoal fire prepared in
this manner. In this manner it is sweet, stringent, and warm.
It is it's restrained and inhibiting nature is enhanced, and
(31:19):
its ability to stop bleeding vaginal discharge in diarrhea is increased.
The calcine form is generally preferred for internal use, although
the raw form is used in some places in decoction,
and in either case it is best placed in a
common bag before decocting. So what are the Western uses
(31:43):
of the herb? It appears this herb is primarily a
Chinese herb and it was difficult to find any westernerable
entries for the herb. The PDR for Herbal Medicines does
not mention the herb, and interestingly, there is some modern
pharmaceutical uses for this material, which we will discuss in
just a few as we get into the science of
this herb. Before we do that. Let's talk about commentary.
(32:09):
Benski and his team always has an excellent commentary, and
this herb is including that, so let's get into it.
Heloicytum rubor mature shar juror is sweet and warm and
thus augments the chi. Heavy in weight such that it
enters the lower burner, reddish in color such that it
enters the blood level, and sour such that it stabilizes
(32:31):
and binds. These characteristics also enable it to generate to
enable it to generate flesh and thus assist in the
healing of chronic sores. Is also applied externally for this indication.
It's main areas of application, however, are in the treatment
of chronic diarrhea and uterine bleeding associated with deficiency disorders.
(32:54):
Although because of its crimson color, the earlier material Medica
Attacks associated this substance with the heart and with blood.
In the gram Materia Medica ben Soelgongmu, written in fifteen ninety,
leisure Jen says that all five stone resins are medicinals
of the hand and foot, young brightness channels. They are
(33:16):
sweet and warm, heavy in weight with an astringent nature,
a stringent and heavy They Therefore, they therefore inhibit dampness,
stop bleeding, and stabilize the lower body. Sweet and warm.
They augment the chi, generate flesh, and adjust the middle.
(33:36):
The middle here means the intestines, stomach, flesh, muscles, palpitations
with anxiety, and jaundice. The lower body means blood in
the stool, dysenteric disorders, incessant uterine bleeding, vaginal discharge, and spermatorrhea.
It goes on to say that the separation of attributes
(33:58):
by color and missling records of famous physicians. The ming
Yi Beilu circle of five hundred is rather forced, but
of the white and Cribson color, the white enters the
chia level and the red enters the blood level. The
gal says this medicinal expels retained placenta, but many commentators
(34:19):
have disagreed, pointing out that this would require an ability
to transform blood stagnation. Others suggest that Lee was probably
referring to women whose spleen and stomach is so exhausted
following childbirth that they lack the strength to expel the placenta. Normally,
for them, the warm sweetness of churchar Ajur can augment
the chi and thereby cyst in the elimination of the placenta.
(34:46):
Chen Chen also has a short author's comments on this herb.
Churscher Zur is historically used as a generic antidote to
treat accidental ingestion of poisonous substances. It has a strong
binding of finis city. When it physically binds to another substance,
the result is a large and soluble complex that cannot
be absorbed through the gastro intestinal tract. The poisonous substance
(35:10):
is then eliminated from the body via the stool with
minimal systemic absorption. It sounds a lot to me like
activated charcoal and how it's used to prevent poisons from uh,
you know, toxic substances from getting djusted. So let's talk
(35:32):
about some comparisons. Benski and his team compares this orb
with two others limonitum yuu leong and Papaveris pericarpium or
ying suka, seeking accuracy in the material medical and compares
these three herbs alstom Rubum, triuscherger, limonitum yuu leang, and
(35:55):
Papavarus pericarpium ying suka are all remedies that restrain, bind
and stabilized conditions of abandonment. However, Papavara's paricarpam ingsucca is
light in weight and slightly cold, with an action that
enters the chi level and preserves the lungs, while chisure
jur is sweet warm, heavy in weight, and red in
(36:18):
color so that it enters the lower burner blood level
to stabilize abandonment ambanment. It also closes up sores which
have perforated and generates flesh. Limonitum or uu leon is sweet,
neutral and is stringent, heavier in weight than churchar Jur
(36:39):
and strictly binding in its effect in terms of sedating
and pressing down. The others are inferior to limonitem u
u leon. Thus, the warmth of churschar Jur augments chi
to generate flesh. Its sourness stops bleeding and stabilizes the
lower body by contract slimonitum eu leong only binds. It
(37:02):
has no ability to augment the cheer generate flesh. Pepevarus
pericarpa Yingsuca's light and weight rather than heavy, which enables
it to enter the upper burner will addresses the chia
level of the lungs rather than the blood level of
the lower body. So that's our comparisons today. Let's get
(37:24):
into combinations. Bensky only has one combination, which is what
your we just talked about with limonitum eu eu leon
Because these two medicinals have similar actions, there is a
synergistic binding and securing effect when they are combined. They
are often used together for chronic dysymeric diarrhea with incontents
(37:46):
and incessant urine bleeding without clotting. At the same time,
the neutral nature of limonitum eu leong modifies the warmth
of chees sersure so that the combination can still be
used in slightly warm conditions. Chronic is the primary indicator
for using this combination. If this remains a branch, not
(38:07):
a root, treatment, other substances must be added to address
the underlying deficiency. In some cases, however, the chronic diarrhea
is not the result of deficiency, but is iatrogenic in origin.
Iatrogenic meaning caused by something else that was hydrogenic means
(38:28):
it was it's caused by something that was supposed to help. So,
in other words, a drug that causes another disease is
called iatrogenic. Equal amounts thirty grams of each substances are
prescribed in the discussion of cold divers to Shangan lung
formula helicoid cytum and lamonite decoction ur tutiar juryu leong tang,
(38:51):
which is designed for incessant diarrhea following repeated and improper
downward draining treatments of the patient. So, in other words,
excess of purging and now would be one of those
iatrogenic causes here. According to the Jiang Zhang Qing who
wrote on cold damage shun Kong Ngong Discussion of cold Damage,
if it does not stop after administering this prescription, one
(39:14):
should then facilitate your nation. All right, that's the combination.
Let's talk about the contents. There's some interesting contents here.
So according to Benski, at all the contents of this
herb quote unquote herb include several in inorganic materials, incleaning
silicate mineral ale four Si four ten in a with
(39:40):
in complex with eight hydroxyl groups and four water groups.
There's also iron, magnesium, manganese, and calcium. Also is an
aluminous silicate claimant mineral with the empirical formula ale to
SI two fiveh four. Its main constituents are oxygen fifty
(40:05):
five point seven eight percent, silicon twenty one point seventy
six percent, aluminum twenty point ninety zero percent, and hydrogen
one point five six percent. Is a member of the
kalinite group. As we mentioned how site typically forms by
a hydrothermal alteration of alumino silicate minerals in the words
(40:29):
hydrotheramine water hot water. So that's the contents. I guess
it wasn't that interesting. It's it's there the science. The
science is where it gets kind of interesting. According to
gen Chen, the pharmacological effects of trichardre include binding. Trichusure
contains a large amount of aluminum silicate. Following an oral
(40:52):
ingestion of trichardure, the aluminum silicate binds two and subsequently
eliminates various since it is present in the gastro intestinal tract,
including but not limited to, phosphorus, mercury, and bacterial endotoxins.
It's also hemi static. Administration of churchugre may decrease bleeding
(41:15):
time in rabbits, and they also describe a study with
an end of fourteen which is very small which successfully
used Churchucher in a formula for turting rectal prolapse, So
lots of issues with that. First of all, N of
fourteen is not statistically valid, so don't care what it says. Really,
(41:36):
it was also used in a formula, so is it
Churchagur or something else in the formula or the combination
and then in rectro prolapse? So interesting, Maybe considered it
like a pilot study, going okay, maybe it can be
used in rectal prolapse, but a lot more evidence seems
to be there before we can say yes it does.
So here's the interesting stuff about the science here, So uh,
(41:59):
setish at all in his team or her team discuss
biomedical application of true sure jure helicite nanotubes H and
t's are naturally occurring tubular clay nanomineral materials made of
aluminal silicate kaline sheets rolled several times. In other words,
this is interesting. These happen naturally with this material. The
(42:23):
aluminol in silaxine groups on the surface of H ANDT
facilitate the formation of hydrogen bonding with the biomateials onto
its surface. Or really, we said that it kind of
sticks to the tongue that this is actually saying that
there's hydrogen binding that's a weak form of bonding that
may do that with biomateials. These properties render agent pivotal
(42:46):
in diverse range of applications, such as in environmental sciences,
waste water treatment, die removal, nanoelectronics and fabrication of nanocomposites,
catalytic studies as class codings or anti corrosive codings, and
cosmetics as flame retardants, stimuli response, and forensic sciences. The
(43:10):
specific producties of agency also lead to numerous applications in
biomedicine and nanomedicine, namely drug delivery, gene delivery, tissue engineering,
cancer and stem cells, isolation, and bioimaging. That's fascinating stuff.
So we're like just starting to learn how these can
these naturally occurring halicite nanotubes can can play a huge
(43:34):
role in modern science and medicine. Okay, let's talk about
drug urbin or actions, which we always get into. Ten
Chen say, trischerzer has a strong binding affinity, and when
it physically binds to another substance, they form a large
and soluble complex that cannot be absorbed in the intestines. Therefore,
(43:58):
it is recommended that ingestion of drugs and this substance
be separate by at least two hours to avoid interference
with proper absorption. So again, this would be level D
evidences from an expert in an expert opinion. There's no evidence,
actual evidence that this occurs. But again, this seems like
a pretty straightforward thing that it could do, So I
kind of agree with that, even if it's lower level.
(44:21):
The one thing I want to mention with this advice,
and I think I said it in a couple episodes back,
there's this idea in our field. If I if I
were to ask anyone in our field, how do you
avoid drug er interactions? Probably nine times out of ten
the responsibility, Oh, you separate the drug from the herb
(44:41):
by a few hours. There are various ones. I've heard
one hour or three hours or whatever. There's all kinds
of different. But you separate the administration of a drug
and a nerb, and that will reduce the possibility of
a drug or interaction. And that's not true, absolutely not true.
It can just as easily increase the chance of a
Drugger interaction as a decreases. It's far more complicated than that,
(45:03):
but there are exceptions to the idea that it's not
going to do this. This is one of those exceptions.
If you take something that physically binds other things at
the same time, then they can give physically bound and
there could be an interaction that occurs. So I agree
with this advice here, though in general I don't agree
with this vice for drug of interactions most of the time,
(45:24):
but this is one of the exceptions to that. I
did do a literature search on evidence of CYTOCHRONP for
fifty and glycoprotein interactions and didn't come up with any,
so there weren't any obvious drug rib interactions. And one
of the books that I like to use here is
the American Herbal Product Association's Botanical Safety Handbook, which rates
(45:49):
herbs on their potential for an interaction as well as
this overall safety, but it doesn't have an entry on
the herb, so I was not able to actually look
at this herb and say, according to the Herbal Product Association,
whether or not it's of concern or not for drug
of interactions. But having said that, there are concerns about
(46:11):
this herb. Benski has quite a bunch of them Benski
and their team. You know, it's several concerns with your sugar.
Under the heading of cautions and contraindications, they say used
with caution during pregnancy, contradicated for hot diarrhea or in
the early stages of dysenteric disorders, and for accumulation of
(46:33):
damp heat from access. Remember this is binding, it's a stringing.
It's holding things in. So you don't want to hold
in damp heat. That hot diarrhea is the same thing.
You don't want to hold in the heat there when
it's hot diary, you kind of want it out. That
kind of cools the body in and gets rid of it.
And the early stages of dysenteric disorders again, that would
(46:53):
that would mean it's an infectious disorder and you don't
want to hold in infection. So all of these good
reasons for not taking this herb. Under the heading of
traditional contraindications, they say, according to some traditional sources, this
herb antagonize the cinema and cortex of Roguay. This is cinnamon,
normal sort of our herb. You know, the cinnamon you
(47:15):
find in your closet. And I say that because more
likely than not, you don't have cinnamon in your classet.
You have something that's very close to cinnamon, But if
you have real cinnamon in your closet, then this is
Roaguay commentary on the Divine Husbandman's Classic of Material Medica
(47:37):
or the Shandong ben Saudjingshu Ran in sixteen twenty five.
So this is not the Divine Farmer's Material Medica that
we talked about earlier. This is commentary on that which
happened fourteen hundred years after that the Divine Husbandman's Material
Medica came out. This commentary warns that before using astringent substances,
(48:00):
most of the pathogenic influences that are causing the problems
should be eliminated. So again this is a branch treatment,
not a root treatment. You want to make sure you're
treating the root as you're going along. For example, it
is continuing that thought from Bensky and his team. For example,
if the vaginal discharge is completely damp heat, it should
(48:22):
not be used, and the method for incessant unine bleeding
should be to toonify the yin in clear heat. One
cannot totally depend upon binding and restraint. The book goes on.
This book goes on to warn that in cases where
the pathogenic influence has not been removed, quote herbs to
arrest and bind are certainly inappropriate. Take care, take care
(48:44):
with an exclamation point. I love that there probably wasn't
an exclamation points back in the sixteen hundred, fifteen ninety,
or whenever this sixteen twenty five, so but there's one
here in this quote. So there you go. Chen Chen
has some concerns as well. They say trischuzur is contraindicated
(49:07):
for patients with damp heat in stagnation. Is also contradicated
in a hot diarrhea or early stages of dysenteric disorders.
Trischuzure should be prescribed with caution for pregnant patients. So
again that pregnancy caution is in both Brandon Wiseman say
it is contradicated in diarrhea or dysentery due to damp
(49:28):
heat accumulation in the digestive track, and it says, I
love the way they say it. We you know, Bensky
said Tuschuzer antagonizes cinemamic cortex Roaguway, while Brann Weiseman says
it fears cinemomaic cortex Roaguway. So I like the terminology
changed from antagonized to fear. As mentioned earlier, the American
(49:50):
Herbal Products Associations with Botanical Safety Hambuk does not have
an entry on the serb for Overall Concerns, which I
like that that book. It's wealth, it's well researched, it's
pretty th and it does its job very well. So
I'm always this point when it's not when a herb
we have is not in that book. So there we go.
(50:12):
We started today by looking at patient charting and some
common errors that can occur. Then we looked at the
Chinese herb churcher zur Halsite or kilin. We saw how
useful this herb is in treating diarrhea and uterine bleeding.
As an stringent herb, it is useful for treating the
manifestations or branch conditions, but should be combined with other
(50:34):
herbs to treat the underlying or root condition. And we
spend a good amount of time discussing its intricacies, including preparations, cautions,
and comparisons to other herbs. And with that we conclude
another exploration of a useful Chinese herb. Our next episode
(50:55):
we'll be looking at another traditional Chinese formula Huanglian ud
giaut or coptis and as hidh gelatin decoction. An interesting
formula for nourishing, in treating fire and irritability and calming
the spirit. As always, we will do our deep dive
into this formula and look at its traditional uses and
(51:15):
its preparation, interactions and cautions, and as usual we will
be adding something a little different. It's going to be
another interesting expedition into the lesser known universe of herbs.
Please join us if you, thank you, and if you
like this podcast, please do us a huge favorite, subscribe
(51:36):
in your favorite podcast app or give us a five
stary and we would love either of those. Thank you
very much. And you can get this courses continuing education
and get more info on my upcoming integrative nutrition series
at www dot Integrative Medicinecouncil dot org. That's Integrative Medicine
Council cou Ncil dot org. You can always get in
(51:58):
touch with me at doctor gregs rbserbs dot com. Are
at our website www dot sperbserbs dot com. That's s
p e r B s h e r b s
dot com. I have here herb picture color code. If
you're wondering why there's all those colors behind the picture,
(52:19):
you see the picture. This is what it all means. Uh,
just something I put together. And here, as usual is
my bibliography. Thank you very much, appreciate it. Spurs Or
The preceding was presented by doctor Greg Sperber. We would
like to thank Janelle for all our support and everybody
else who contributed to this program. Rogecamble
Bergs that Angelica sperbverb. Hello and welcome to episode seventy
three of Sperbs Herbs. Today we're going to be talking
about Chinese RB sure suregure or sure sureature, three different
(00:23):
tone marks. They're all on eyes are and the the
Latin here is holloi sittum rubrium or the common name
is halloi site or kalein. So you know, we'll talk
about that in just a minute, but let's get into it.
So today's episode we will be exploring interesting Chinese quote
unquote herb sure sure sure or hollow site or kal in.
(00:48):
This mineral is in the Chinese medical category of herbs
that stabilize and bind and can be used in a
wide variety of conditions, including chronic diarrhea, you do'reine bleeding
and chronics soares and as usual, we will be exploring
something a little different. We are going to discuss an
impordinarya of practice, one that is near and dear to me,
(01:09):
proper charting. Please stay tuned for this intriguing episode. Before
we get into that, did you know that I have
written a couple of books. The first book is Integrative Pharmacology,
combining modern pharmacology with integrative medicine. This is a pretty
thorough book discussing pharmaceuticals, what they are used for, how
they work, and how they may interact with other drugs,
(01:32):
herbs and supplements. It is the perfect reference book for
all acupuncturists, herbalists, chiropractice, national protests, and really any integrative practitioner.
But it is also perfect for anyone. It goes in depth,
but it is easy to read and has difficult terminology
bolded with definitions on the same page. There's not only
(01:53):
a great book explaining pharmaceuticals, it is also available at
an amazing price. It is available for ten percent off
its regular price and you get it signed by me,
the author, for just sixty seven dollars and forty five cents.
My second book written with an amazing insurance expert, Tiffany
(02:14):
Anderson Hefner, is called Playing the Game, a step by
step approach to accepting insurance as an acupuncturist. This is
the perfect book for any acupuncturist who wants to or
is contemplating accepting insurance. It gives step by step advice
at every part of the insurance game, from getting set
up through the patient encounter and of course getting paid
(02:36):
all uneasy to digest language, honest advice and lots of
handholding through the process. And you guess that it is
also ten percent off and signed by one of the
authors me all for twenty six dollars and ninety eight cents.
You can get either or both of these books at
the shop at www dot sperbserbs dot com, spe erbs
(03:01):
hgrbs dot com. Okay, So I teach a course called
protecting Yourself through Proper Charting available at https colon slash
slash Integrativemedicine Council dot org slash products slash proper dash Charting.
(03:23):
So that's how to find. You can just find it
go to the courses an Integrativemedicine Council dot org. In
this course, I do a deep dive in how to
do proper charting for acupuncturist in Chinese medical practitioners. Having
been a clinical supervisor, director of Clinical Services College, dean
subject matter expert for legal cases and acreditation side visitor,
(03:45):
I have examined thousands of chart notes across dozens of schools,
and I am on a bit of a crusade to
promote good charting to protect our profession. With that in mind,
I would like to introduce some basic concepts of charting today.
(04:07):
Charts are usually created using the SOAP or soapy system.
SOAP stands for subjective, objective assessment and plan. Some venues
are adopting soapy or so A p E style notes,
which emphasize the education function of the medical profession. E
may on some variations also mean evaluation and be used
(04:30):
in the acronym soap soap which is I E SO
so A p I E and soap R s A
p I E R, where intervention and revision are also
added in soap style notes. The basic substyle notes are
the standard for charting. So I want to tell you
(04:54):
a true story that happened to me. So I was
working a the supervisors young supervisors, probably my first one
or two semesters working as a clinical supervisor at a
school clinic shift in the afternoon, and what happened was
the patient was passed on to me from the morning shift.
(05:14):
They had been working on her and she couldn't get
off the table and the supervisors needed to go on
the of course, the students need to go. Their shift
was over as the supervisors asked if i'd take it over. Now,
I was new to this in Western medsister in the
hospital as a medical student, you are always handing off
and accepting patients, so it's no big deal. I didn't
realize how odd it was that I was being handed
(05:35):
to patient as an acupuncturist at that time. So try
to get her off the table. She couldn't get off
the table due to spasms in her low back. And
I worked on her for maybe two hours, doing needling
and cupping, and I don't know what else I did.
I did a massage, I did a lot of stuff
on her. She still could not get off the table.
(05:57):
And then I remembered I was wondering one of my
struck one of the structures I had as a master
as a master student at the school but then also
moving on. He was still teaching there and he was
a chiropractor, and I wondered if he was on campus.
I looked around. He was, and I went up to
him and I asked him if he would mind seeing
this patient. He very graciously said yes, and he came
(06:19):
in and he saw the patient for about five minutes.
I had her up and walking soon thereafter, so within
five minutes she was up and walking. She was still
in pain, but was able to get around. And after that,
I'm thinking, Okay, this patient's been here for three or
four hours is a potential practice case. I want to
make sure I get really good notes. So I went
up to the chiropractor. He had gone back to class
(06:40):
as soon as he got the patient up. Really, all
it was was to get her past the initial pain
and then everything kind of fell in the place and
it was fine. But I was new, and when you're new,
you're a little bit afraid to go through that pain.
So it was it was good. So I went into
the classroom where he was prepping, and if you'd write
(07:00):
a chart note for this case. He ended up spending
about twenty to thirty minutes writting a note for a
patient he saw for no more than five or ten minutes.
And I looked at it. It was small print, both sides
of a page, and I said, wow, this is a
(07:20):
huge note. Why did you spend so much time on
the stone? And he replied, Greg, I have been sued
for malpractice twice in my career. Both times the other
lawyer saw how thorough my charting was and dropped the case.
And that's what the power of a good charting is. Again,
I've been a sea matter expert on several cases now,
(07:43):
both sides plain offend defendant. I've seen them all, and
the charting sucks universally in all these cases. And I'm
trying to defend an acupuncture. It's hard for me to
do that. Sometimes with what's in the chart notes. On
the other side of it, it's really easy for me
to go ahead and go ahead and try to say
(08:08):
that there's something wrong because the chart supports that there
is something wrong. So what are some of the general
issues with charting? So the first big issue is using
the word normal. And I again, I taught this. This
is something that I taught in school. So I've had
hundreds of students writing each of them, running in ten
(08:31):
chart notes, big thorough chart notes. It was my exam class,
my physical exam class. And I can't tell you how
many times a student would say normal. They would say, oh,
elbow normal, I'm like, what what does normal mean? Example
of this is blood pressure. Normal could be defined as
blow one thirty over eighty five, which is sort of
the current definition, or it could be the old definition
(08:52):
of blow one forty over ninety, or it could be
normal for this hypertensipation at one sixty over one oh five.
And when does blood pressure become too low? So what
does normal mean? Generally, using normal is most commonly just
a shortcut that means nothing. The bottom line is saying
normal is a diagnosis that in all likelihood is not substantiated.
(09:18):
Other points about using normal include, instead of normal, use
actual findings from exams. Don't say heart sounds are normal,
say heart sounds are dual love dub with nil or
nothing added. If actual findings are too complex, when there
are no abnormalities, or to wrapt several exams into one
finding using the acronym a ney D or no abnormal
(09:40):
it is detected, you can use no abnormalies, no abnormalities detected.
This is the opposite of a diagnosis because it basically says, hey,
I didn't see anything wrong, but there That isn't to
say there isn't something wrong. There are other acceptable acronyms,
such as WNL or within normal limits. Now as soon
as they say in class that you can do any
D or WNL, then instead of normal, everyone just says
(10:03):
n D and WNL. No those are last resorts. Always, always, always,
first thing is to do your actual findings. So don't
say elbow NAD or elbow WNL. No, you say you
do an exam with the elbow. You talk about what
you see the the You know, you see that there's
movement is normal, that they're are within normal limits. But
(10:26):
then you go on and you say, the range of
motion was between this and this and there was no crepitus,
and there's no You explain what your findings actually are.
And again remember actual findings are always better than a
generic acronym. In other words, to avoid that are similar
to normal include okay nothing. As soon as I say
you can't say normal my stoners, I always go okay,
(10:48):
and they'd write okay, you know, or or nothing. I
don't know what nothing means, but they would put nothing.
An exception of these rules are words that come straight
from the patient. In this case, it is a quote
and should have quotation marks around it. Other issues. General
issues with charting is don't mix up history, exam and
(11:08):
investigations or by the same tuque and subjective, objective and assessment.
Common ways this will happen is within the history of
presenting illness when describing the chief complaint. Exam findings are
mixed in. For example, the patient complains of pain in
the leg four centimeters below the head of the fibula
and just anterior to the fibula, history would be the
(11:31):
patient has pain on the side of the leg below
the knee. Later would come the exam findings describing exactly
where the pain is. Remember, history is from the patient
and is subjective and generally inexact. Exam findings are from
the practitioner, objective and should be very exact, including to
the point where there are measurements. You should you know,
(11:54):
I'll be the first amount. I used to, but I
don't anymore. I used to carry around a measuring tape
with me so I can measure things. I don't do
it anymore, but I should. It was handier nowadays. I
usually work in scrubs, and back when I was in
the Clinicut school, I would have a lab coat, so
it's easy just to keep the tape measure in my
(12:15):
lab coat. Just have it always there. Investigations are lab
tests that are ordered by the practitioner and could include
X rays, an MRI or CT scan, or blood work. Generally,
we don't do investigations. In California, we're allowed to in
our scope of practice, but it's not done regularly, and
insurance companies may or may not pay for it, so
(12:35):
we generally don't. Exception here is that investigations ordered by
other practitioners are often included in the history of presenting illness.
The biggest issue in regards to malpractice and insurance training
is not being thorough. The goal here is to answer
all questions of reader. The chart may have. The best
medical writers do this very succinctly in a small amount
(12:57):
of space, but it is best to or on writing
too much rather than too little. The first person should
not be used in a chart and standard history and
exam the first person using the words I, me, my myself, we, us, ourselves,
et cetera is forbidden. Of course. The exception once again
is a quote from the patient, which should be in
(13:17):
quote marks. All right, this is just an introduction to
charting in some of the common issues that can come up.
If you want to know more, you have that course
that I have. It's a two hour course. We get
into this in pretty pretty big depth. But with that
that we've talked about, let's get into today's herb. Today's
(13:39):
herb is sure sure cure or helisite or kalin family
or in this case mine are logical classifications usually talk
about the family of the herb. And this is not
an herb, it's a mineral. So it's classification is in
that it is considered a sheet silicate mineral. And again species,
(14:00):
there's no species here because it's not alive or the
standard substance, and that standard substance is hellisite or in
in Chinese do schwe gal ling schuur. The English translation
of churcher sure is crimson stone resin or redstone resin.
(14:22):
Other names include red hellisite, chi two, chur two hong
gao ling tou, hong gao ling churchher two hong two
church er Tao twu. In Japanese, it's again, I don't
speak Japanese, so please forgive me shaku kusa kishi and
(14:46):
in Korean same morning, joke g joke chioki g. Among
those lines bens Ki and there to remember, we use
three major textbooks. One of those is Benski and his
Team Say the dosage is ninety eighteen grams. Chen Chen
is another one of our textbooks, and brand and Wiseman
(15:08):
is our third one. In both of them, Chen Sheen
and Brown and Wiseman say the doses ten to twenty grams,
so very similar. So Benski tends to go with a
little bit more traditional using threes, so ninety eighteen, while
Chen Chen and Brown Wisemen are a little bit more
modern and they tend to go by fives and ten,
so they go ten to twenty grams, so basically similar
(15:30):
dosages between all the books. Silicon minerals, let's talk about
those sheet silicate minerals as sort of the family. We
always get to the family at this point. Silicon minerals
are rock forming minerals made up of silicate groups. They
are the largest and most important class minerals and make
(15:52):
up approximately ninety percent of Earth's crust. Filo silicates or
sheet silicates, form parallel sheets of silicate tetrahedra with silicate oxides,
so it's two silica and five oxygens or two to
(16:13):
five ratio. All philosilicate minerals are hydrated, which means there's
water with either water or hydroxyl groups attached. Haliicite is
a member of the clay minerals group of philosilicates a category,
(16:33):
so coming off of that sheet silicates back into the
herb category of this herb depends again on which textbook
we're using. Benski and at all put this herb in
the herbs that stabilize in buying category. There are no
subcategories here except Brand Wiseman does have subcategories. Chen Shed
and Benski do not have sub categories. So Benski says
(16:55):
stabilize and buying Chenshen say it is in the astringent
herbs categoryis and bind very similar to a stringent. I
think those are basically synonyms. And Brandon Wiseman says it
is a diarrhea checking medicinal subcategory under the astringent medicinals category.
(17:15):
So they do have the same category overall, but they
have these sub categories which the other books do not,
so it puts it in diarrhea checking medicinal. Benski and
their teams say this sweet sour, astringent and warm temperature
(17:35):
and enters the sleen, stomach and large intestin channels. Both
Chen and Chen and Brann Wiseman agree, but do not
include the swen channel, so it's just the stomach and
large intestin channel and Brown Wiseman do not believe it
is sour, so chen Chen and Benski both say it's sour.
Bran Wiseman says it is not sour, which is interesting
(17:58):
because sour is it's actually the astringent taste. So of
all the tastes here, sour should be the one that sticks.
But okay, that's why we do this. We love the
discrepancies between these books the Divine Farmer's Materia Medica, so
every time I have to introduce the Divine Farmers Materi
(18:19):
America or the Shehndog Ben Saudjing. This is the first
book existing book on single Chinese herbs, and it was
written around two hundred CE, so early on in Chinese herbalism,
and the Divine Farmer's Material America says it is sweet
and balanced temperature, so they don't include sour either. It
(18:42):
also says there are actually five colors of hallisite, and
each color corresponds to its appropriate viscera. In this case,
that means churcher Jir being read should affect the heart
in small intestin. And we're actually going to see that
mentioned when we talk about the commentary on this herb
(19:03):
in the history pretty straight forward to the history. We're
like looking at what when was this first mentioned? And
both Benski and Chen and Chen. Benski and his team
and Chen Chen say the original source for this herb
is the Sendong Ben Sajing. There are no individual herbs
that are before the Sendong Benza Sennong Ben Sajing and
Chinese thought so Shenong Ben Sudjing are the defined Husbandsman's
(19:24):
classic of material medica in the second century CE. As
I mentioned, I said second, I said two hundred sees
second century, so they were from one hundred to two
hundred seed. Let's talk about these herbs that stabilize and binds.
So Benski always has a really good introduction to these categories,
(19:46):
and they do here as well Bedsky and his team.
The herbs in this category are used primarily for treating
disorders in which bodily substances are discharged abnormally are structures
within the body slip from their proper positions. Such disorders
include diarrhea, urinary frequency, excessive sweating, vaginal discharge, miscarriage, and
(20:09):
prolapse of the uterus or rectum. All of these can
be viewed as forms of excessive dispersion SON and require
herbs that stabilize goo or bind SA. These types of
disorders are usually associated with weakness due to chronic disease
or old age, but can also arise from myatrogenic causes
(20:29):
such as improper use of purgatives or dispersing substances. Note
that a weakness of primal chive predisposes one of the
one to these problems and is further injured by these
types of leakage and slippage well. Most of the herbs
in this category are sour and astringent. They serve diverse functions.
(20:51):
Some are best used for stopping sweating, others for stopping diarrhea.
Another group is used primarily for treating polyuria or abnormal
discharges for the lower burner, including leukarhea, white vaginal discharge,
and a fourth group is very effective at stopping coughs.
Consistent with the idea that herbs which stabilize and bind
(21:12):
are those which keep fluids in, some of the substances
in this category are also used to control bleeding, particularly
from the uterus. It is important to bear in mind
that herbs that stabilize and bind only treat the manifestations
of a disorder. To be useful, they must be combined
(21:33):
with other herbs that treat the root cause of the disorder,
which is most often a form of deficiency. Because it
is the nature of these herbs to retain and bind,
they are inappropriate for treating cases where an exter disorder
has not fully resolved, where there is an internal stagnation
of damness or heat from constraint. The use of these
(21:55):
herbs in such situations may prolonged and possibly aggravate the
underlining disorder. Chen Chen say the following about stringent herbs.
Chi blood gingor essence, and jine body fluids are bodily
substances essential to health maintenance. In the normal course of life,
(22:20):
these four substances are continually produced and consumed. Maintenance of
health requires the level of production to be equal to
or greater than that of consumption. When consumption exceeds production,
organ function is compromised, leading to deterioration of overall health.
This imbalance must be treated as early as possible to
(22:43):
restore normal balance. If not, the condition will continue to deteriorate,
leading to deep deficiency. While tonic herbs are often beneficial
in the initial stages of deficiency. They are not as
useful in chronic situation, as the patient is often too
weak to metabolize tonics and will be unable to benefit
(23:05):
fully from the tonic substances. In such cases, astringent herbs
are prescribed to prevent further loss of these four vital substances,
sour and taste. As stringent herbs enter the heart, lung, liver, kidney,
and large intestine to bind, retain, and prevent the loss
of valuable body fluids and other substances. They are often
(23:30):
prescribed for patients who have chronic illnesses with profound deficiency
and inability to hold fluids within the body, leading to leakage.
Clinical indications for use of astringent herbs include profuse menstruation, perspiration, diarrhea, coughing, supermattihea,
nocturnal emissions, frequent urination, and bleeding. It is important to
(23:54):
keep in mind that while stringent herbs prevent the loss
of bodily substances, they do not intrinsically restore normal balance. Therefore,
while the stringents can be used in patients with chronic illnesses,
they should not be used on a long term basis. Clinically.
(24:15):
They should first be used for a short period of
time to stop for their losses and chronic illnesses. When
the condition stabilizes, differential diagnosis must be made again and
appropriate herbs be prescribed. That is, once stable. Patients with
spontaneous perspiration due to cheat deficiency should be treated with
cheat tonics. Patients with loose stools and diarrhea due to
(24:37):
spleen and stomach deficiencies must be treated with stomach tonics,
and patients with frequent urination and continents associated with kidney
deficiency must be treated with kidney tonics. In short, for
adequate treatment, uses stringent herbs to eat the urgency of
(25:00):
the condition, then use tonics to treat the underlying causes
of the disease. As the stringent herbs function to bind
and restrain, the use of such herbs will keep any
pathogenic factors within the body. Therefore, a stringent nerves should
not be used in conditions characterized by the presence of
pathogenic factors inside the body, such as perspiration due to fever,
(25:22):
all disorders, food stagnation with diarrhea, profuse menstrual bleeding due
to heat in the blood, or frequent urination due to
heat in the lower jow lower burner. So that's commentary
on this category of herbs. So what is good quality
of the sturture? Bensky and his team say, good quality
(25:46):
consists inside and out of homogeneous flesh colored, pink, glossy
and soft pieces without any foreign mineral matter. Our usual
text on the quality of herbs tinsmit to identification illustrated
approach does not have an entry for the IRP. So
usually it's pretty good, but not today. So what does
(26:09):
it do with Chinese medical actions? According to benz Key,
it's all churcher zuur binds up the intestines and stops
diarrhea for chronic diarrhea due to cold from deficiency or
chronic dysenteric disorders with mucus and blood in the stool.
Usually diarrhea is chronic and is often accompanied by undigested
(26:30):
food in the stool. It also contains the blood and
stops bleeding for uterine bleeding, excessive menstruation, blood in the
stool and bleeding prolapsed rectum due to cold from deficiency
of the lower burner, also used topically for bleeding due
to trauma, And finally, it promotes healing of wounds, used
(26:53):
in ground form and applied topically for chronic non healing ulcers,
also used topically for weeping damp sores, as well as
prolapsed rectum. Chen say it binds the intestines and stops
diarrhea for chronic unremitting diarrhea dysentery rectal prolapse. It also
(27:16):
stops bleeding in uterine bleeding in leuke rhea, and promotes
healing of sores and ulcers, including chronic non healing ulcers,
weeping damp sores, or bleeding. Brandon Wiseman say it estringes
the intestines and checks diarrhea, stanches bleeding by restriction, and
(27:36):
closes sores and engenders flesh. Finally, the Divine farm I
think it's finally. Yep, it's finally The Divine Farmer's Materia
Medica says it is a superior class herb and it
mainly treats jaundice, diarrhea, and dysentery. Intestinal afflex with pus
(27:58):
and blood that would be dysentery, genital erosion, precipitation of blood,
red and white, red and white vaginal discharge, evil chi
welling abscesses, and swellings, flat abscesses, hemorrhoids, malign sores, head sores,
(28:20):
and itchy itching scabs. Protracted taking may replenish the marrow,
boost the chie and make one fat and strong, free
from hunger and the body light while prolonging life remembers
superior class herbs are designed to be taken more commonly
and have these usually more beneficial effects long term beneficial effects.
(28:40):
So that's our Chinese medical actions here. Let's talk about
different ways to prepare it. So Benski at All has
a single entry on the serbs preparation after a really
expensive overview of the serve, how to prepare the serve.
The substance resembles Kill the Night in that both are
clay substances which are similar in composition, both being hydrous
(29:04):
aluminium silicates. Kalinite is also known as kalin or China clay,
long used medicinally in treating diarrhea as an ingested absorbent powder,
which it is suggested binds and inactivates poisons that may
be in the intestines. Kalin is also used for industrial purposes,
such as porcelain in the manufacture of coated paper. In
(29:28):
their pure form, both halisite and kalin are white in color,
and although in contemporary times the reddish colored clay crimson
stone resin or churcheer jirup is preferred for medicinal use
in Chinese medicine, lescher Zen noted that the properties of
the various colored stone stone reschure are basically similar. He
(29:49):
did say, however, that regarding the white and crimson color,
the white enters the chi level while the red enters
the blood level. His substance is query quarried, I should
say quarry cleaned of extraneous material, and the red colored clay,
which is slippery and greasy like resin, is then collected.
(30:12):
When wet. It gives off the smell of fresh clay,
and being quite absorbent, it sticks a bit to the
tongue when licked. Without further preparation. It is known as
unprepared helisite or shung churcher jur Shung means fresh or
unprepared and is sweet, soury, stringent, and warm, with a
(30:33):
strong ability to restrain damness and generate flesh. And this
format is often applied externally for chronic ulcers that have
failed to heal over or for bleeding from wounds, and
that brings us to the one preparation, which is calcium
and talcite or dwan church heir dur. The substance is
(30:56):
mixed with vinegar, rolled like dough, then cut into section.
These are placed inside a calcininge character and container, then
heated into red hot and a charcoal fire prepared in
this manner. In this manner it is sweet, stringent, and warm.
It is it's restrained and inhibiting nature is enhanced, and
(31:19):
its ability to stop bleeding vaginal discharge in diarrhea is increased.
The calcine form is generally preferred for internal use, although
the raw form is used in some places in decoction,
and in either case it is best placed in a
common bag before decocting. So what are the Western uses
(31:43):
of the herb? It appears this herb is primarily a
Chinese herb and it was difficult to find any westernerable
entries for the herb. The PDR for Herbal Medicines does
not mention the herb, and interestingly, there is some modern
pharmaceutical uses for this material, which we will discuss in
just a few as we get into the science of
this herb. Before we do that. Let's talk about commentary.
(32:09):
Benski and his team always has an excellent commentary, and
this herb is including that, so let's get into it.
Heloicytum rubor mature shar juror is sweet and warm and
thus augments the chi. Heavy in weight such that it
enters the lower burner, reddish in color such that it
enters the blood level, and sour such that it stabilizes
(32:31):
and binds. These characteristics also enable it to generate to
enable it to generate flesh and thus assist in the
healing of chronic sores. Is also applied externally for this indication.
It's main areas of application, however, are in the treatment
of chronic diarrhea and uterine bleeding associated with deficiency disorders.
(32:54):
Although because of its crimson color, the earlier material Medica
Attacks associated this substance with the heart and with blood.
In the gram Materia Medica ben Soelgongmu, written in fifteen ninety,
leisure Jen says that all five stone resins are medicinals
of the hand and foot, young brightness channels. They are
(33:16):
sweet and warm, heavy in weight with an astringent nature,
a stringent and heavy They Therefore, they therefore inhibit dampness,
stop bleeding, and stabilize the lower body. Sweet and warm.
They augment the chi, generate flesh, and adjust the middle.
(33:36):
The middle here means the intestines, stomach, flesh, muscles, palpitations
with anxiety, and jaundice. The lower body means blood in
the stool, dysenteric disorders, incessant uterine bleeding, vaginal discharge, and spermatorrhea.
It goes on to say that the separation of attributes
(33:58):
by color and missling records of famous physicians. The ming
Yi Beilu circle of five hundred is rather forced, but
of the white and Cribson color, the white enters the
chia level and the red enters the blood level. The
gal says this medicinal expels retained placenta, but many commentators
(34:19):
have disagreed, pointing out that this would require an ability
to transform blood stagnation. Others suggest that Lee was probably
referring to women whose spleen and stomach is so exhausted
following childbirth that they lack the strength to expel the placenta. Normally,
for them, the warm sweetness of churchar Ajur can augment
the chi and thereby cyst in the elimination of the placenta.
(34:46):
Chen Chen also has a short author's comments on this herb.
Churscher Zur is historically used as a generic antidote to
treat accidental ingestion of poisonous substances. It has a strong
binding of finis city. When it physically binds to another substance,
the result is a large and soluble complex that cannot
be absorbed through the gastro intestinal tract. The poisonous substance
(35:10):
is then eliminated from the body via the stool with
minimal systemic absorption. It sounds a lot to me like
activated charcoal and how it's used to prevent poisons from uh,
you know, toxic substances from getting djusted. So let's talk
(35:32):
about some comparisons. Benski and his team compares this orb
with two others limonitum yuu leong and Papaveris pericarpium or
ying suka, seeking accuracy in the material medical and compares
these three herbs alstom Rubum, triuscherger, limonitum yuu leang, and
(35:55):
Papavarus pericarpium ying suka are all remedies that restrain, bind
and stabilized conditions of abandonment. However, Papavara's paricarpam ingsucca is
light in weight and slightly cold, with an action that
enters the chi level and preserves the lungs, while chisure
jur is sweet warm, heavy in weight, and red in
(36:18):
color so that it enters the lower burner blood level
to stabilize abandonment ambanment. It also closes up sores which
have perforated and generates flesh. Limonitum or uu leon is sweet,
neutral and is stringent, heavier in weight than churchar Jur
(36:39):
and strictly binding in its effect in terms of sedating
and pressing down. The others are inferior to limonitem u
u leon. Thus, the warmth of churschar Jur augments chi
to generate flesh. Its sourness stops bleeding and stabilizes the
lower body by contract slimonitum eu leong only binds. It
(37:02):
has no ability to augment the cheer generate flesh. Pepevarus
pericarpa Yingsuca's light and weight rather than heavy, which enables
it to enter the upper burner will addresses the chia
level of the lungs rather than the blood level of
the lower body. So that's our comparisons today. Let's get
(37:24):
into combinations. Bensky only has one combination, which is what
your we just talked about with limonitum eu eu leon
Because these two medicinals have similar actions, there is a
synergistic binding and securing effect when they are combined. They
are often used together for chronic dysymeric diarrhea with incontents
(37:46):
and incessant urine bleeding without clotting. At the same time,
the neutral nature of limonitum eu leong modifies the warmth
of chees sersure so that the combination can still be
used in slightly warm conditions. Chronic is the primary indicator
for using this combination. If this remains a branch, not
(38:07):
a root, treatment, other substances must be added to address
the underlying deficiency. In some cases, however, the chronic diarrhea
is not the result of deficiency, but is iatrogenic in origin.
Iatrogenic meaning caused by something else that was hydrogenic means
(38:28):
it was it's caused by something that was supposed to help. So,
in other words, a drug that causes another disease is
called iatrogenic. Equal amounts thirty grams of each substances are
prescribed in the discussion of cold divers to Shangan lung
formula helicoid cytum and lamonite decoction ur tutiar juryu leong tang,
(38:51):
which is designed for incessant diarrhea following repeated and improper
downward draining treatments of the patient. So, in other words,
excess of purging and now would be one of those
iatrogenic causes here. According to the Jiang Zhang Qing who
wrote on cold damage shun Kong Ngong Discussion of cold Damage,
if it does not stop after administering this prescription, one
(39:14):
should then facilitate your nation. All right, that's the combination.
Let's talk about the contents. There's some interesting contents here.
So according to Benski, at all the contents of this
herb quote unquote herb include several in inorganic materials, incleaning
silicate mineral ale four Si four ten in a with
(39:40):
in complex with eight hydroxyl groups and four water groups.
There's also iron, magnesium, manganese, and calcium. Also is an
aluminous silicate claimant mineral with the empirical formula ale to
SI two fiveh four. Its main constituents are oxygen fifty
(40:05):
five point seven eight percent, silicon twenty one point seventy
six percent, aluminum twenty point ninety zero percent, and hydrogen
one point five six percent. Is a member of the
kalinite group. As we mentioned how site typically forms by
a hydrothermal alteration of alumino silicate minerals in the words
(40:29):
hydrotheramine water hot water. So that's the contents. I guess
it wasn't that interesting. It's it's there the science. The
science is where it gets kind of interesting. According to
gen Chen, the pharmacological effects of trichardre include binding. Trichusure
contains a large amount of aluminum silicate. Following an oral
(40:52):
ingestion of trichardure, the aluminum silicate binds two and subsequently
eliminates various since it is present in the gastro intestinal tract,
including but not limited to, phosphorus, mercury, and bacterial endotoxins.
It's also hemi static. Administration of churchugre may decrease bleeding
(41:15):
time in rabbits, and they also describe a study with
an end of fourteen which is very small which successfully
used Churchucher in a formula for turting rectal prolapse, So
lots of issues with that. First of all, N of
fourteen is not statistically valid, so don't care what it says. Really,
(41:36):
it was also used in a formula, so is it
Churchagur or something else in the formula or the combination
and then in rectro prolapse? So interesting, Maybe considered it
like a pilot study, going okay, maybe it can be
used in rectal prolapse, but a lot more evidence seems
to be there before we can say yes it does.
So here's the interesting stuff about the science here, So uh,
(41:59):
setish at all in his team or her team discuss
biomedical application of true sure jure helicite nanotubes H and
t's are naturally occurring tubular clay nanomineral materials made of
aluminal silicate kaline sheets rolled several times. In other words,
this is interesting. These happen naturally with this material. The
(42:23):
aluminol in silaxine groups on the surface of H ANDT
facilitate the formation of hydrogen bonding with the biomateials onto
its surface. Or really, we said that it kind of
sticks to the tongue that this is actually saying that
there's hydrogen binding that's a weak form of bonding that
may do that with biomateials. These properties render agent pivotal
(42:46):
in diverse range of applications, such as in environmental sciences,
waste water treatment, die removal, nanoelectronics and fabrication of nanocomposites,
catalytic studies as class codings or anti corrosive codings, and
cosmetics as flame retardants, stimuli response, and forensic sciences. The
(43:10):
specific producties of agency also lead to numerous applications in
biomedicine and nanomedicine, namely drug delivery, gene delivery, tissue engineering,
cancer and stem cells, isolation, and bioimaging. That's fascinating stuff.
So we're like just starting to learn how these can
these naturally occurring halicite nanotubes can can play a huge
(43:34):
role in modern science and medicine. Okay, let's talk about
drug urbin or actions, which we always get into. Ten
Chen say, trischerzer has a strong binding affinity, and when
it physically binds to another substance, they form a large
and soluble complex that cannot be absorbed in the intestines. Therefore,
(43:58):
it is recommended that ingestion of drugs and this substance
be separate by at least two hours to avoid interference
with proper absorption. So again, this would be level D
evidences from an expert in an expert opinion. There's no evidence,
actual evidence that this occurs. But again, this seems like
a pretty straightforward thing that it could do, So I
kind of agree with that, even if it's lower level.
(44:21):
The one thing I want to mention with this advice,
and I think I said it in a couple episodes back,
there's this idea in our field. If I if I
were to ask anyone in our field, how do you
avoid drug er interactions? Probably nine times out of ten
the responsibility, Oh, you separate the drug from the herb
(44:41):
by a few hours. There are various ones. I've heard
one hour or three hours or whatever. There's all kinds
of different. But you separate the administration of a drug
and a nerb, and that will reduce the possibility of
a drug or interaction. And that's not true, absolutely not true.
It can just as easily increase the chance of a
Drugger interaction as a decreases. It's far more complicated than that,
(45:03):
but there are exceptions to the idea that it's not
going to do this. This is one of those exceptions.
If you take something that physically binds other things at
the same time, then they can give physically bound and
there could be an interaction that occurs. So I agree
with this advice here, though in general I don't agree
with this vice for drug of interactions most of the time,
(45:24):
but this is one of the exceptions to that. I
did do a literature search on evidence of CYTOCHRONP for
fifty and glycoprotein interactions and didn't come up with any,
so there weren't any obvious drug rib interactions. And one
of the books that I like to use here is
the American Herbal Product Association's Botanical Safety Handbook, which rates
(45:49):
herbs on their potential for an interaction as well as
this overall safety, but it doesn't have an entry on
the herb, so I was not able to actually look
at this herb and say, according to the Herbal Product Association,
whether or not it's of concern or not for drug
of interactions. But having said that, there are concerns about
(46:11):
this herb. Benski has quite a bunch of them Benski
and their team. You know, it's several concerns with your sugar.
Under the heading of cautions and contraindications, they say used
with caution during pregnancy, contradicated for hot diarrhea or in
the early stages of dysenteric disorders, and for accumulation of
(46:33):
damp heat from access. Remember this is binding, it's a stringing.
It's holding things in. So you don't want to hold
in damp heat. That hot diarrhea is the same thing.
You don't want to hold in the heat there when
it's hot diary, you kind of want it out. That
kind of cools the body in and gets rid of it.
And the early stages of dysenteric disorders again, that would
(46:53):
that would mean it's an infectious disorder and you don't
want to hold in infection. So all of these good
reasons for not taking this herb. Under the heading of
traditional contraindications, they say, according to some traditional sources, this
herb antagonize the cinema and cortex of Roguay. This is cinnamon,
normal sort of our herb. You know, the cinnamon you
(47:15):
find in your closet. And I say that because more
likely than not, you don't have cinnamon in your classet.
You have something that's very close to cinnamon, But if
you have real cinnamon in your closet, then this is
Roaguay commentary on the Divine Husbandman's Classic of Material Medica
(47:37):
or the Shandong ben Saudjingshu Ran in sixteen twenty five.
So this is not the Divine Farmer's Material Medica that
we talked about earlier. This is commentary on that which
happened fourteen hundred years after that the Divine Husbandman's Material
Medica came out. This commentary warns that before using astringent substances,
(48:00):
most of the pathogenic influences that are causing the problems
should be eliminated. So again this is a branch treatment,
not a root treatment. You want to make sure you're
treating the root as you're going along. For example, it
is continuing that thought from Bensky and his team. For example,
if the vaginal discharge is completely damp heat, it should
(48:22):
not be used, and the method for incessant unine bleeding
should be to toonify the yin in clear heat. One
cannot totally depend upon binding and restraint. The book goes on.
This book goes on to warn that in cases where
the pathogenic influence has not been removed, quote herbs to
arrest and bind are certainly inappropriate. Take care, take care
(48:44):
with an exclamation point. I love that there probably wasn't
an exclamation points back in the sixteen hundred, fifteen ninety,
or whenever this sixteen twenty five, so but there's one
here in this quote. So there you go. Chen Chen
has some concerns as well. They say trischuzur is contraindicated
(49:07):
for patients with damp heat in stagnation. Is also contradicated
in a hot diarrhea or early stages of dysenteric disorders.
Trischuzure should be prescribed with caution for pregnant patients. So
again that pregnancy caution is in both Brandon Wiseman say
it is contradicated in diarrhea or dysentery due to damp
(49:28):
heat accumulation in the digestive track, and it says, I
love the way they say it. We you know, Bensky
said Tuschuzer antagonizes cinemamic cortex Roaguway, while Brann Weiseman says
it fears cinemomaic cortex Roaguway. So I like the terminology
changed from antagonized to fear. As mentioned earlier, the American
(49:50):
Herbal Products Associations with Botanical Safety Hambuk does not have
an entry on the serb for Overall Concerns, which I
like that that book. It's wealth, it's well researched, it's
pretty th and it does its job very well. So
I'm always this point when it's not when a herb
we have is not in that book. So there we go.
(50:12):
We started today by looking at patient charting and some
common errors that can occur. Then we looked at the
Chinese herb churcher zur Halsite or kilin. We saw how
useful this herb is in treating diarrhea and uterine bleeding.
As an stringent herb, it is useful for treating the
manifestations or branch conditions, but should be combined with other
(50:34):
herbs to treat the underlying or root condition. And we
spend a good amount of time discussing its intricacies, including preparations, cautions,
and comparisons to other herbs. And with that we conclude
another exploration of a useful Chinese herb. Our next episode
(50:55):
we'll be looking at another traditional Chinese formula Huanglian ud
giaut or coptis and as hidh gelatin decoction. An interesting
formula for nourishing, in treating fire and irritability and calming
the spirit. As always, we will do our deep dive
into this formula and look at its traditional uses and
(51:15):
its preparation, interactions and cautions, and as usual we will
be adding something a little different. It's going to be
another interesting expedition into the lesser known universe of herbs.
Please join us if you, thank you, and if you
like this podcast, please do us a huge favorite, subscribe
(51:36):
in your favorite podcast app or give us a five
stary and we would love either of those. Thank you
very much. And you can get this courses continuing education
and get more info on my upcoming integrative nutrition series
at www dot Integrative Medicinecouncil dot org. That's Integrative Medicine
Council cou Ncil dot org. You can always get in
(51:58):
touch with me at doctor gregs rbserbs dot com. Are
at our website www dot sperbserbs dot com. That's s
p e r B s h e r b s
dot com. I have here herb picture color code. If
you're wondering why there's all those colors behind the picture,
(52:19):
you see the picture. This is what it all means. Uh,
just something I put together. And here, as usual is
my bibliography. Thank you very much, appreciate it. Spurs Or
The preceding was presented by doctor Greg Sperber. We would
like to thank Janelle for all our support and everybody
else who contributed to this program. Rogecamble
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