September 23, 2025 • 61 mins
In this episode, we will be looking at another Chinese herbal formula, Rén Shēn Bài Dú Sǎn or Ginseng Powder to Overcome Pathogenic Influences. It is under the subcategory of formulas that release exterior disorders with interior deficiency and is useful for treating external attacks (colds) with underlying deficiency. We will doing our deep dive into this formula. And while we usually do a “little something different,” there is just so much to discuss about this important formula, there isn’t time to add anything else… 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 or formula. Please join us as we don our spacesuits, do a spacewalk, and enter the unexplored space of medicinal herbs in this exciting episode exploring Rén Shēn Bài Dú Sǎn or Ginseng Powder to Overcome Pathogenic Influences!
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Speaker 1 (00:03):
That Angelica.
Speaker 2 (00:08):
Sperver, Welcome to Sperbs Herbs, Episode ninety four. We're rapidly
coming up to episode one hundred and today we're going
to be talking about wrench and bidusan ginsen powder to
overcome pathogenic influences. As always, I'm your presenter, doctor Greg Sperber.
We have a lot to cover with this. This is
(00:29):
a important, relatively important formula, but there's lots of information
on it, so we have a lot to cover, so
let's get into it. Today we'll be looking at another
Chinese herbal formula, Wrenchen. Let me try and get the
Tellmrkcent Wrenschen, Bye, du so on. Sorry with my as
(00:51):
I always do, I apologize for my Chinese pronunciation.
Speaker 1 (00:53):
I've had several years of Chinese. I'm still not a
good not good at pronunciation.
Speaker 2 (00:58):
Or gensing power to overcome pathogenic influences. And right off
the bat, it has gensing, which is probably one of
the most well known Chinese herbs out there, so that
puts it right up there, which is interesting. Jensing's in
the name.
Speaker 1 (01:13):
But is it a chief herb. We're gonna find out it.
Speaker 2 (01:17):
Is under the subcategory of formulas that release exterior disorders
with interior deficiency and is useful for treating external attacks
or colds with underlying deficiency. We will do in our
deep dive into this formula as we always do, and
while we usually do a little something different, today there's
just so much to discuss about this important formula. There
(01:41):
isn't time to add anything else, so we don't have
a little something different. I've done this a couple times
in the past, but rarely, so we don't have a
little something different today. Are a little some different is
not having a little something different, So please join us
as we don our space suits, do a space walk
and enter the unexplored space of medicinal herbs in this
(02:02):
exciting episode. Before we get going, I wanted to tell
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want to check it out sooner rather than later. Okay,
so let's get into our formula today. Wrench and bidy
song or jensenpowder to overcome pathogenic influences.
Speaker 1 (03:56):
There are lots of other names for this as well.
Speaker 2 (03:59):
Most of them are kind of in the Chinese tradition.
Let's see what we've got here, overcome pathogenic influences powdered
by song. So they actually you can actually eliminate rench
sheen from the name and just call it baidu. Soon
we're gonna talk a little bit more about that as
we get into this. Another name for this is no
top to turigium decoction or chiang hung. We're gonna see
(04:22):
chiang Ho is one of our chief ingredients, is one
of the sometimes it's called chief ingredients, sometimes are called
emperor ingredients. And then we have ten season decoction, our
sure shirt, tong gen sing and pucidanum powder or wrench
and chiang hu son gens sheen by Bai dousan. So
(04:44):
this is actually j e n, which is interesting, schn
and P instead of B and T instead of d.
This is more of the way Giles approach to this.
So genshen paiduce on, it's actually pronounced the same wrenching
bidus on, genseng detoxifying formula, gensing antiphlogistic powder. I love
(05:06):
that name, even though I'm not even sure what antifligistic means.
Gensing and mentha formula is another one. So that's interesting
because Mentha is referring to boha, which is field mint,
and it's actually a relatively minor, very minor ingredient to
this formula, so to call it gensing and mentha is
(05:27):
interesting as a formula. But most typically it's renschen body
son or bidy son. So let's talk about this word
do in here renshen by do son. The word do
in the name of this formula, although generally rendered as toxin,
refers here to externally contracted pathogenic influences. The name suggests
(05:50):
the ability of this formula strengthen the normal chi and
thereby enable the body to overcome pathogenic influences. And that's
from one of our major tech books. We have two
major textbooks that we look at for herbal formulas, and
this is from Shide and his team.
Speaker 1 (06:07):
And we'll get into that was from them. The formula.
Speaker 2 (06:13):
This formula is in the subcarriy of formulas that release
exterior disorders with interior deficiency, under the category of formulas
that release six terier. Now we've been covering a lot
of formulas that release the exterior UH, and so we're
gonna go over those that category again. In just a
little bit, but that's a pretty big category. This is
(06:34):
a subcategory over this. I think this is the first
time we've covered well, maybe not. There may be one
other formula that we've covered that's in this subcategory of
extra release the exterior disorders with interior deficiency Our other
usual Formulas. Textbook Chinese Medical Herbal Formulas and Applications, Pharmacological
Effects and Clinical Research by Chen and Chen says it
(06:59):
is the supporting the upright and releasing the exterior formulas
subcategory under the exterior releasing Formulas category. So basically the
same thing with maybe some slight translational differences there, but
basically supporting the upright and releasing the exterior formulas subcategory. Okay, so,
(07:25):
Chen and Chen says Bi Dousan Overcome Pathogenic Influences powder
and renschen Baidu san Gensen powdered to Overcome Pathogenic Influences
are essentially the same formulas with the same indications. The
minor differences between these two formulas are preparation of some
of the ingredients and the dose of gonzo riddicx, aut
(07:45):
rhizoma glycerusra or licorice. Because of their overwhelming similarities. The
names Bidusan and Renschen. Bidusan are sometimes used interchangeably in
their book by Doson is the main formula and ren
Sheen Bidisan is a small related formula with minimal information.
(08:07):
Because of all this, we will be using the main
monograph of Bidsgan from Chen and Chen and compare it
to the Renschen Baidusan monograph and Shide at All. This
seems reasonable as the source for these two formulas is
the same. Well, Rench and bidisign and Chen and Chen
have a different original source, as we will discuss under history,
(08:30):
So we really are looking at the same formula. As
Tenshin says, it's bide Sign, shied at All says Renchen
BiDi Sign. Most of my undergrad most of my graduate
training in this was from an earlier version of Shide,
which was still written by Benski, who wrote or individual
or book textbook, but he also wrote the formula's book,
(08:52):
and I always learned it as Wrenschend biders On. So
I'm continuing that trend here. So, as we've discussed in
several previous episodes, Shine at All describe the overall category
of formulas that released the exterior in the following way.
When a pathogenic influence first penetrates the body, it tends
(09:13):
to cause a disorder of the exterior. In this context,
the term exterior biao denotes the superficial layers of the body,
comprised of the skin and muscles. These are perfused by
the body's protective chi, which is fierce and hot in nature,
whose task it is to warm and defend against penetration
(09:36):
into the body by external pathogens of a pathogenic influence
lodges in this aspect of the body and not only
obstructs the normal physiological diffusion of chi and fluids there
but encourages the body to move more protective chi towards
the exterior in an attempt to push out the invading pathogen.
(09:58):
For this reason, your disorders are characterized by fever and chills,
indicating obstruction of normal physiological warming, even as protective young
in the exterior tends toward excess head and body aches
indicating obstruction of chi and fluids in the most young
ie exterior portions of the body, and a floating pulse
(10:18):
indicating the movement of protective young toward the exterior. Since
wind is the vehicle by which other external pathogenic influences
enter the body. View of the exterior excuse me. It
is involved in most exterior disorders, especially those involving cold
and heat. Thus, it is said that wind is the
(10:40):
leader of the one hundred diseases fung Wi by being Churchhong.
The symptoms associated with an exterior disorder indicate that the
body is actively trying to overcome obstruction of the Chi
dynamic by one or more of the six pathogenic influences.
Treatment in China medicine seeks to support these physiological reactions
(11:03):
through strategies that release the pathogenic influence from the exterior
or GBL. For this purpose, one deploys light acrid moving
herbs that unblock obstruction, diffuse the protective g and disseminate
fluids to vent pathogenic influences back toward the outside. No
other strategy will prevent the pathogenic influence from penetrating more
(11:26):
deeply into the body. Often, but not always, this results
in sweating. This type of sweating indicates that an obstruction
has been overcome and that the g fluids can once
again stream to the surface of the body, like the
(11:47):
flow of water that breaks through a dam. The sweating
may initially be pronounced, especially if a very acrid and
warming formula is used. However, the profuse sweating should quickly
abate as the body finds its physiological balance. For this reason,
releasing the exterior is often equated with inducing sweating, Yet
(12:09):
in many contexts or formulas to release the exterior are used,
the sweating may hardly be noticeable, or strong pathological sweating
may evolve into a mild physiological sweat. This is because
the ultimate goal of these formulas is not to promote sweating,
but to unblock and restore order to the flow of
(12:30):
chi and fluids. The term released from the exterior was
first described in chapter five of Basic Questions. So the
Basic Questions refers to the Hoangdi Najing Siu Win, which
is the Yellow Emperor's Classic Basic Questions. And this is
the oldest existing book on Chinese medsine. It's sort of,
(12:53):
I use this word a little bit advisedly, it's sort
of the Bible of Chinese medicine. It came out about
twenty two hundred years ago. It is one of the
oldest existing books on Chinese medicine around, and probably medicine
in general. There's a few books in the Greek tradition
(13:13):
that may be around from that period of time, so
this is an old book and foundational for Chinese medicine.
So first, this term released from the exter was first
described in chapter five of Basic Questions. If a person
harbors a pathogen, the body becomes soaked has the movement
of protective chie to the exterior transforms fluids into sweat. Hence,
(13:36):
when the pathogen is at the level of the skin,
used sweating to discharge it. The first known text to
list herbal formulas that embody this strategy is the early
third century work Discussion of Cold Damage or the shot
on Lung, which provides some of the most influential formulas
in this category, such as the Federi decoction, mahwog tong
(14:00):
in twig decoction, guader tongue, and their variants. So this
book Discussion of Discussion of Cold dossor Shakuo Lung is
probably the oldest existing book on Chinese herbal formulas. So
we're in about twenty two two hundred and twenty CE,
so about four one hundred years after the Long Ding aging,
(14:23):
but very foundational for verbal formulas. Its focus on acrid
warming herbs to overcome obstruction from wind, cold, and damnness
dominated medical practice until the Genuan dynasties of the twelfth
to fourteenth centuries. Innovation until then consisted of extending the
range of substances used to promote sweating rather than in sinking.
Speaker 1 (14:46):
New areas of application.
Speaker 2 (14:51):
Is changed in the twelfth century with Leo Wan SU's
focus on heat pathogens, which led to the idea that
heat in the exterior can occur there directly, rather than
being due to constraint caused by cold venting. Such heat
requires the use of acrid cooling substances, which do not
necessarily promote noticeable sweating. The treatment strategies and formulas composed
(15:14):
by seventeenth and eighteenth century physicians like Ya Tianshure and
Wujutang Are, who are associated with the warm pathogen Current
or School, are most emblematic of this approach. Other innovations
stemming from the Genuine era are the combination of exterior
venting with tonifying herbs to treat exterior access combined with
(15:36):
deficiency of cheap blood or fluids in the interior, and
the use of herbs to dispel pathogens from specific channels
and their associated surface regions. Sweating is the first of
the eight methods of treatment formulated by the eighteenth century
physician Chunguo punk, underlining its importance in clinical practice. Yet
(15:59):
many practitioners can tinue to underrate this method. This is
unfortunate because the odds of preventing the development of a
serious condition are always better when intervention occurs at the
early stage of an illness. It is best to treat illness.
Excuse me, is best to treat diseases at the level
of the skin and hair. The next best is to
treat them at the level of the muscles and flesh.
(16:20):
The next best is to treat them at the level
of the sinews and vessels. The next best is to
treat them at the level of the six young organs.
The next best is to.
Speaker 1 (16:29):
Treat them at the level of the five yin organs.
Speaker 2 (16:32):
When treating at the level of the five yen organs,
half the patients die and the other half survive. This
is a quote again from that chapter five of the
wangd Ajing su Win or the Basic Questions the Yellow
Emperors Classic of Internal Messes Medicine. Basic questions, by the way,
when I say basic questions. There's two halves to the
wand and aging. One is the sou win and the
(16:55):
other one I totally went out of my head. But
there's two parts to it. The suit went is what we're.
Speaker 1 (17:01):
Talking about here.
Speaker 2 (17:03):
Successful use of the formulas discussed in this category will
be aided by paying attention to the following principles. First,
accurate diagnosis is essential. If an interior disorder develops before
the exterior has been released, the practitioner must choose between
releasing the exterior first or treating the exterior and interior simultaneously.
(17:25):
The formulas in this chapter are inappropriate for treating disorders
solely of the anterior expressed rashes or a dima due
to deficiency. Likewise, it is important to be clear about
the precise nature of the pathogenic influence to be released,
as this determines the choice of formula. One must be
cognizant of the type of wedding to expect from a
(17:46):
particular formula. Second, most of these formulas should be cooked. Briefly,
They treat acute disorders and are prepared as decoctions or powders.
They contain substances that are light and volatile in nature,
which if subjected to too much heat, lose their efficacy.
And I just want to add when they say volatile
(18:07):
in nature, here they're talking about volatile oils which can
boil off. And so just think of like mint as
a great example. There's a lot of other in this category,
but min is a great example. If you boil mint,
the mint oils will boil off and.
Speaker 1 (18:21):
It will not be used very It will not be
very effective.
Speaker 2 (18:27):
Third, formulas taken hot after meals will provide the best results.
Sweating is further encouraged by instructing the patient to bundle
up up after taking the medicine. As the goal is
sweating is not sweating itself, but to assist the function
of the protective chi. Only a slight sweat over the
entire body is needed to release the exterior Excessive sweating
(18:51):
dissipates the chi and fluids. And Fourth, the formula and
dosage should be adjusted to the individual constitution, local climate,
and season. For example, a person who sweats easily lives
in a warm climate and contracts in illness during the
spring or summer requires only mild treatment. On the other hand,
(19:14):
a person who does not sweat easily lives in a
cold climate and contracts in illness in the autumn or
winter requires stronger treatment. So that is Schide's book explaining
the category of formulas that release the exterior. Let's see
what he says specifically about the subcategory of formulas that
(19:35):
release exterior disorders with interior deficiency, So sh ite at
all continue to describe the subcategory. The formulas in this
subcategory address those cases in which a person suffering from
interior deficiency contracts the disease of external origin, and where
the ensuing disorder is characterized by symptoms of both excess
(19:56):
and deficiency. The complexity of these diseases patterns requires the
use of formulas that are themselves complex, and that they
combine herbs that release the excess from the exterior with
herbs that toonify the deficiency in the interior. This is
one example of using the method of supporting the normal
(20:18):
while dispelling the pathogen or fujong to shi. With the
exception of the patterns discussed here, these two classes of
herbs would rarely be used together. Tonifying herbs are ordinarily
contraindicated for exterior conditions, as are exterior releasing herbs. In
(20:39):
cases of interior deficiency, they make each other worse.
Speaker 1 (20:44):
Like we have a saying that if this is.
Speaker 2 (20:47):
Me talking to schite, we have a saying that says,
if you toonify an external pathogen, you toonify during an
external pathogen. You toonify the external pathogen, not the person.
And so that's why we don't generally do tonifying herbs.
And by the same token, if you're releasing the exterior
with someone who has an interior deficiency, you're gonna push
(21:08):
all what's left of the stuff that they're deficient to
the act to the outside, and the deficiency is gonna
get worse. So they should not be used together. Okay,
back to Shite. The particular formulation of herbs and these
prescriptions is based on whether the underlying deficiency is one
of chi, blood yin, or young, which are known as
(21:28):
the four substances.
Speaker 1 (21:30):
She and young.
Speaker 2 (21:31):
Deficient patients will tend to be those invaded by wind, cold,
and dampness. For this reason, formulas that treat these conditions
combine acrid warming herbs that disperse pathogens from the exteriors,
such as the Federa Herba ma huang no top Turiji turgii, riizomasu,
radix chiang kuo se passion of kvia, radix fung fung
(21:53):
i love saying some passional covid I don't know why.
Speaker 1 (21:56):
Maybe it's my Russian background.
Speaker 2 (21:58):
Or perrilla Folium zisuie with chi. Tonics such as astragulai,
redis huang chi and ginsen redix renshen are herbs that
warm the interior, such as achonide, redex lateralis, preparata fudza
and asari redex at Rhizoma chi shin. Blood and yin
(22:19):
deficient patients, on the other hand, are more prone to
invasion by wind, heat or if wind cold invades, require
strategies that do not emphasize sweating, as this would further
damage the essences. For that reason, the formulas used to
treat such patterns combined herbs that enrich the yin and
(22:40):
nourish the blood, such as Redix romania glunenose or shund
wang ophiopagonus, redix mamandong and polygonaate odorati, Rhizoma yuzu with
acrid cooling or slightly warming herbs that gently vent pathogens
from the exterior, such as metha haplocalsis herba or boha
(23:00):
that's field mint, SoJ semen preparatum don docci or prepared
swabeing or alii, ficile, ficilosi, bulbous sungbai.
Speaker 1 (23:11):
Which is green onion. So there you got. You kind
of know all those herbs if you don't know herbs.
Speaker 2 (23:18):
And that's it for an overview of formulas that release
the exterior as well as formulas that release sixterior disorders
with interior deficiency.
Speaker 1 (23:26):
So that's the overview.
Speaker 2 (23:27):
Let's get back into specifics about this formula and let's
talk about as Chinese medical actions. So Shide and his
team say this formula releases the exterior, dispels wind and damness,
and augments the chi chen Chen say it releases the
exterior through diaphoresis sweating, dispels wind, cold and damnness, and
(23:49):
tonifies the chi tanofies chi, not the chi tnofhies Chi.
That's a subtle difference, and it's just a translational difference.
But I want to make sure I'm saying the right thing.
So those are the actions, shines mental collections, what are
the indications?
Speaker 1 (24:03):
So why would you use these?
Speaker 2 (24:05):
So shine it all so This FOREMLA can be used
for quote high fever accompanied by severe chills and shivering,
absence of sweating, pain and stiffness of the head and neck,
soreness and pain of the extremities, focal distension, distension and
fullness of the chest, nasal congestion, with sonorous breathing, a
(24:28):
productive cough, a greasy white tongue coating, and a floating,
soggy pulse. This is externally contracted wind cold damness battling
the body's deficient normal CHI, which is unable to expel
the pathogenic influences. This produces a high fever, severe chills
(24:51):
and shivering, an absence of sweating and pain, and stiffness
of the head and neck. Lingering damness causes local distension
and fullness in the chest. The deficiency of CHI allows
damness to penetrate rather quickly, producing a greasy white tongue coating.
(25:12):
If the chie were strong, the tongue coating would remain
thin and white. The attack of wind cold on the
lungs disrupts the circulation of CHI, causing nasal congestion, sonorous
breathing in a productive cough. Presence of wind cold and
damnness at the level of the muscles, produces generalized soreness
and pain and a floating pulse. The floating soggy quality
(25:35):
of the pulse reflects the deficiency of chi, which is
the salient aspect of this disorder. So chanan Chen say,
bidy song. Remember changen causes BiDi sign shay cause it
wrenchd bodyes on. So Chan Chen say, bidy son treats
exterior wind, cold and damness with chee deficiency a version
(25:58):
of cold fever, headache, next stiffness, joint pain, body ache,
absence of perspiration, nasal obstruction and cough with sputum, a
feeling of distension and fullness in the chest and diaphragm,
a pale tongue with a white greasy tongue coating, and
a superficial soggy or superficial rapid pulse that is forceless
(26:18):
upon pressure. So that is how Chen Chen explains the
indication Chinese medical indications. So what's the history of this formula?
So both Hide and his team and Chin and Chen
both agree on the source for this formula, though they
do translate the Chinese name Shao er Yao jiang jer
(26:41):
Jui differently. So shide at All translate this as craft
of Medicines and Patterns for Children. Chen Chen translated as
Craft of Medicinal Treatment for childhood disease Patterns. So what
we get here with both of these is this is
a pediatric formula. We're gonna talk about that minute.
Speaker 1 (27:01):
Both agree it was written in.
Speaker 2 (27:05):
Nineteen by Chian Yi. So i'd like to bring out
when these are. You know, sometimes chen Chen and Hide agree,
sometimes they don't agree with where these first come out.
So I think it's really interesting. When they do first agree,
that means there's there's a pretty strong consensus. When they
don't agree, it's it's just as interesting. And I try
to figure out why they don't agree. But I'm not
(27:28):
a historian of ancient Chinese medicine, so unfortunately I can
only kind of go with what the books say. At
this point, let's get into the ingredient surrend up by Son.
There's there's quite a few. So according to Shide at All,
the rbs in this formula reflect the twin strategies of
expelling the pathogenic influences and strengthening the deficient CHI. Because
(27:52):
the formula is designed for acute externally contracted disorders. The
emphasis is on expelling the pathogenic influences. So there you go,
and we can tell which herbs are doing that. We'll
see things like it released the exterior herbs, and we'll
see coffeing herbs, and we know that's going to be
for the explaining the pathogenic influence. And then we're gonna
(28:13):
have the tana phi chi herbs. So it's gonna be
clear what is what as we talk about these individual ingredients.
So let's start off with no top tiergy of Rhizoma suadix,
Chiang Kuo chiang huo. All of these except for Gansau
are using thirty grams. Uh, and that may seem odd Uh.
(28:33):
First of all, that's a fairly high dose of herbs
in general. But this this formally as we're gonna see,
is it's prepared, it's supposed to be powdered, and then
you take a small amount of it with some particular
tea which we're going to get into. So you're not
really doing thirty grams in like a decoction as we
would do in normal times here. So kind of keep
(28:55):
that in mind with these with these doses of thirty grams,
no top tier.
Speaker 1 (29:00):
G raizomas su retix. Chiang quo is a warm acrid
herb that.
Speaker 2 (29:03):
Releas releases the exterior. Its functions are it releases the exterior,
dispersus cold, unblocks painful obstruction, and alleviates pain, guides chie
to the greater young channel and governing vessel. And here's
its explanation for why it's in this formula. The chief
herbs no top tiergy raizomas who redix chiang quo and
(29:27):
Angelica pubcentis pubcentis radix duho dispell wing cold from the exterior,
dispell dampness, and alleviate pain. These herbs address the primary
symptoms of fever and chills without sweating, headache, and generalized
pain and soreness. By the way, this combination of chiang
(29:51):
quo and duho is a combination we call the two holes,
and they're often used together.
Speaker 1 (29:57):
They're very good for pain.
Speaker 2 (30:00):
Our next herb is angelic Ca pubicentis radix are du
ho again thirty grams and this actually comes from the
category herbs that dispel wind damnness. So again when say
this is more of a dispersing sort of herb, and
its functions include dispels wind, damness and alleviates pain, disperses wind, cold, damp,
(30:21):
and releases the exterior, also used for lesser yin stage,
headache and toothache. This is the other chief herb of
this formula, and chen Chen say chang Ho radix no
top tiergy and du Ho redex angelica pub centis act
as the chief herbs to dispel wind, cold.
Speaker 1 (30:42):
And damness from the whole body.
Speaker 2 (30:43):
So, in other words, it says pretty much the same
thing that Shita it All says about these two herbs.
Our next herb is chang Chuang Chiang rhizoma or chuang
chong thirty grams herbs that regulate the blood, so this
is an interesting one in this category. Invigorates the blood,
promotes the movement of chi, expels wind, and alleviates pain,
(31:08):
and Schid explains its use here. Chwang shang riisoma. Chuangshang,
one of the deputies, helps the chief verbs release the exterior,
moves the blood blood, and dispels wind, which enhances the
pain relieving action of the formula, especially in the head
and neck. Chuang Shang, according to this is chen Chen
(31:30):
now saying Chwang Shang raizoma Chuangshang activates blood circulation to
relieve pain. It also dispels exterior wind and cold. There
you go, yeah, very similar between the two books. Our
next urbs bupleuri radix or chai whu again thirty grams,
and this is from the category of cool acrid herbs
(31:51):
that release the exterior. Its normal Its traditional functions are
resolves lesser young disorders and reduces fever, spreads liver chi,
and relieves constraint, and raises and lifts the young chi,
specifically the clear chi of the stomach and gall bladder,
and Chaishai says it's used in this formula. The other
(32:13):
deputies bupluri, radix, chai whu and mentha haplo, calisius herba
boha release the exterior, reduce the fever, and expel the
pathogenic influences. Together, they are particularly effective in releasing pathogenic
influences from the muscle lair. According to chen Chin, chaihu
redis buplury helps the chief herbs release the exterior. Our
(32:41):
next herb is platycode radix jagung jagung thirty grams, and
it's a warm herb that transforms cold phlegm. Its traditional
functions are opens up and disseminates the lung chi, dispels phlegm,
and benefits the throat, pushes out puss and opens up
(33:02):
and raises the lung chi while also directing the actions
of other herbs to the upper regions of the body
as assistants. This is according to Shia again for this
formula as assistants, the ascending action of platycho redix jaygung
and the descending action of erranti i frucus or jurika
(33:23):
is a very effective combination for regulating the flow of
chi in the chest, thereby relieving the symptoms of discomfort
in the chest. These two herbs also interact with pusidani
redix chian who to improve the circulation of lung chi,
expel phlegm and stop the coughing chanchense jaegong Redix platicona
(33:44):
platiconis and chian Hu redix pusidani relieve coughing and dispel phlegm.
Speaker 1 (33:53):
And let's go to our.
Speaker 2 (33:54):
Next ingredient, which is brand fried aurantii fructus or foo
chow which means bran fried jerika again thirty grams. And
this is in the form the category of herbs that
regulate the chi, and its sole function is to traditional
function is to promote the flow of chi. And you
(34:15):
might be wondering, like, we're not talking about any stagnations here,
why are we moving chi in this? And the reason
why you'll often see chi movers in formulas that are
tonifying is tonifying stagnates, and so it's we say that
most tonifying herbs are clin and can stagnate, so we
will push in herbs that help move either blood or
(34:37):
chie or whatever to kind of counteract that that stagnating
sort of.
Speaker 1 (34:45):
Action that can.
Speaker 2 (34:45):
Happen with tonification. Okay, so why are we dry frying this?
This is again from uh shy at all. Dry frying,
usually with brand makes its actions more moderate and reduces
the slight digestive irritation that the sour flavor can cause,
(35:05):
and it's thus more appropriate for elderly or weak patients
or for inclusion in tonifying formulas to aid digestion.
Speaker 1 (35:13):
It's also and it says, so.
Speaker 2 (35:15):
You're looking at this and you're like, Okay, this is interesting,
but remember this was a pediatric formula at the beginning,
so that would fall under this category potentially weak patients
so and they usually have trouble with digestion. Kids usually
have trouble with digestion. We have to keep support their digestion.
So it makes sense that this could this would be
in a pediatric formula. But this isn't just a pediatric formula.
(35:38):
It is an actual formula that's used adults now. But
it's a gentle formula.
Speaker 1 (35:42):
So that's good.
Speaker 2 (35:44):
Chen Chen say your chow fruitus or anti your chow.
We said your cu your chow is the same thing.
It's just they're the same herbs with slightly different names.
Regulates the sourka. Your chow regulates the she flows the
lung to relieve chest distension and fullness. In this formula,
(36:07):
our next herb we meted earlier is Pusidani redix Chian,
who again thirty grams has the dosage and herbs that
it's from the category herbs that cool and transform phlem heat,
directs chi downward and dispels phlegm and disperses and scatters
wind heat. And for this formula, the phlegm that collects
(36:28):
and the lungs is produced in the spleen. For this reason,
Pusidani redex Chian, who is used with poria fu ling,
which transforms phlegm and strengthens the spleen as zingibaris forezoma
reasons shengiog that's fresh ginger to treat both the branch
and root of this disorder.
Speaker 1 (36:50):
So there you go.
Speaker 2 (36:51):
That's pusidani bringing in a couple of other herbs that
we're gonna get into it just a little bit, but
not quite yet. Our next one, finally is the title
herb ginsing rate ex ren Shen wren Shen. It is
again thirty grams is used in this formula, and it's
from the tonified Chi category of herbs. So ren shed
(37:15):
very very famous Chinese medical herb. When I was first
studying Chinese mess even before I was in Chinese medical skull,
wrens Sheen was the herb of the moment, so I.
And while it's gone down in how many people are
using it, it's still right up there. So according to
Benski and his team, again Benski is one of our
(37:35):
major texts for looking at individual herbs rather than formulas.
So Renschen has the following actions. It powerfully tonifies the
primal chi, strengthens the spleen, and tonifies the stomach, tonifies
the lungs and aments, augments the chi, generates fluids and
(37:56):
fluids and stops thirst, benefits the hearts, and calms the spirit.
The ton and according to shide At all the tonifying
herbs in this formula, including Gensen redix r and shen
Poria fu ling and glycerisrae redix gonsal, those are the
(38:17):
tinyfying herbs. These three, these are three of the four herbs,
and four gentlemen to coxnosens tongue. So gens in tongue
is sort of the classic formula for tonifying chi. It
is it is, It is like a nice it's a
four herbs, sigens the tongue, four gentlemen, four herb little
formula that is great, a tonified chet, incredibly balanced within itself.
(38:42):
And so that's what we're talking about here. Ginsing redix
r and shen an assistant serves three functions.
Speaker 1 (38:49):
Here.
Speaker 2 (38:49):
It strengthens the normal chi to expel the pathogenic influences,
generates fluid so that sweating becomes possible, and strengthens the
body's resistance to invasion.
Speaker 1 (39:00):
Which prevents a relapse.
Speaker 2 (39:05):
Codonopsis redex dong chen is usually substituted for Gensen redex
Renschen at two to three times. It's dosage. Chen Chen say.
That's because, by the way, that's because renchen can be
very expensive to get good quality dung she has become
sort of the go to substitution. However, dong Sheen's price
(39:26):
has gone up quite a bit since I've been a
herbalist and is not much less than renschen at this point,
especially not if you're using two to three times.
Speaker 1 (39:34):
It's dosage. So just something to keep in mind.
Speaker 2 (39:38):
Ten Chen say Renchen redix at Riisoma gencing is used
to tonify yuan source chi, which strengthens the body to
help expel the exterior factors. More more Over, wrenschen radix
at rosoma gensing balances and prevents the acrid and strong
properties of the exterior releasing herbs from damaging the weak body. Lastly,
(40:02):
by tonifying chi, this herb prevents future reinfections and reduces
the susceptibility of the body to exterior pathogens. Our next
herb is one of those uh those three of four herbs,
Pooria fulling again thirty grams, and this is from the
(40:22):
category of herbs that drain dampness. Traditionally, it promotes urination
and leaches out damness, strengthens this spen and harmonizes the
middle burner strengthens this sphen and transforms phlegm and quiets
the heart and calms the spirit. Another assistant, pooria fooling,
leeches out damness, promotes urination, transforms phlegm, and strengthens the spleen,
(40:45):
tonifies without causing stagnation or retention of pathogenic influences. Unlike
the tonic herb attracted lotus macrocephalae rhizoma or baiju transchence fooling,
Pooria dispels damness through diarrhasis and tonifies the.
Speaker 1 (41:02):
Middle jow middle burner.
Speaker 2 (41:06):
Our next herb is glycerusra, redix gonsal licorice, and here
instead of thirty gramnds, we're using fifteen grams. So this
is the only difference in the dosing of these so far,
and in general, herbs that tonify the chi is the
category this is from. So another chi tonic tanifies the
spleen and augments the chi, moistens the lungs, and stops coughs,
(41:28):
moderates spasms, and alleviates pain. And moderates and harmonizes the characteristics.
Speaker 1 (41:33):
Of other herbs.
Speaker 2 (41:35):
The envoy Glycius radix, gonsal assists, ginsen, redis rand, shin
and tanifying the chi and also harmonizes the actions of
the other ingredients according to shite at all.
Speaker 1 (41:50):
And then our.
Speaker 2 (41:51):
Next herbs, so this is a little bit different. So
all the herbs that we talked about so far as
that are to be powdered, as we're gonna mention preparation
just a minute now, we're talking about two herbs that
are supposed to be part of the tea that we
drink when we take the powder. So the first of
these is Zingibarius rhizoma recens shenjiong, or fresh ginger. And
(42:11):
it's just the quote is a small amount and it's
from the warm acrid herbs that release the exterior, so
small amount is dosed. Basically, it releases the exterior, disperses cold,
warms the middle burner and alleviates vomiting, warms the lungs,
and stops cough, and resolves toxicity. Zingebarous rhizoma reasons shenjiong
(42:34):
also helps release the exterior. All of these herbs serve
as assistance. And finally we have Mentha haplo calisis herba boha.
Again small amount is used as part of the tea
that you drink with the powder traditionally, and it's from
the cool acrid herbs that release the exterior so traditionally
(42:57):
it clears and benefits the head, eyes and throat, vnce
rashes and courses the liver.
Speaker 1 (43:03):
And moves chi.
Speaker 2 (43:06):
And chen say boha urbamente and shenjiong razoma'singeberous reasons helps
relieve help relieve exterior symptoms. And that's it for our ingredients.
Let's talk about the preparation we've been referring to as
we've been going along here, try out all discusses preparation
of this formula. The source text advises us to grind
(43:29):
the ingredients into a fine powder and cook six grams
together with a small amount of zingebarius rozoma reasons, shen
jiong and Mentha have local sis herba boha. At present,
this formula is often prepared as a decoction with the
doses of the ingredients reduced by about eighty percent, so
(43:49):
instead of thirty grams for most of these you're only
using six grams and the licorice the gonsa, you'd only
be using three grams for that, which is, you know,
a typical dose of jurgau of gonsole can be anywhere
from one point five grams to nine grams, so three
grams is right in the ballpark there.
Speaker 1 (44:10):
Commentary as usual.
Speaker 2 (44:12):
Shite at All has an excellent commentary about this formula.
This formula was originally devised for children suffering from externally
contracted wind cold damnness. Because the source CHI in children
is not fully developed, a strategy was required that would
toonify the chi in order to expel the pathogenic influences. Later,
(44:32):
the application of this formula was expanded to include all
cases of wind cold damness in patients with underlying cheat
efficiency and flim dampness obstructing the CHI dynamic, including the elderly,
postpartum women and those recovering from a debilitating illness.
Speaker 1 (44:50):
Most of the.
Speaker 2 (44:50):
Debate surrounding this formula has focused on the precise precise
function of Gensen ridix or ren shed. Its use in
formulas designed to expel external pathogens can be traced back
to several formulas and discussion on cold damage. Remember that's
the original book on herb formulas in Chinese medicine, including
cinnamon twig and ginseng decoction, gwaiter renschen tog and minor
(45:12):
bu plurium decoction Shao Chai Hutang. However, whereas the role
of jinsing, redics are and sheen in these formulas is
generally regarded as merely strengthening the source Chi and the
middle burner, influential Qing era physicians like Yu Chang, Xiang
Lu and Jiang bing Ching extended its role here to
(45:33):
include the active enhancement of the function of the chief
ingredients in pushing pathogens.
Speaker 1 (45:37):
Back to the outside. Wuju Tang, the.
Speaker 2 (45:42):
Famous systematizer of warm pathogen disease therapeutics, even went so
far as to designate ginsing red x R and sheen
as the chief herb in this formula. However, these interpretations
were criticized by Feibo Chiang, who generally favored ordering the
Chi dynamic and all disorders of you jinsen radix ren
shen as addressing any deficiency.
Speaker 1 (46:05):
A clear and useful.
Speaker 2 (46:06):
Understanding of the formulas provided by Shao yu Huang. A
discussion of famous physicians formulas past and present, or the
ming Yi fong Lun written in sixteen seventy five. If
you're looking at my thing, it says by low may
you find that a lot of the ancients had multiple names,
(46:27):
so it's the same person, but it was written in
sixteen seventy five. You thought of this formula as a
compliment to nine herb decoction with no top durigium jio
hue Chang Chiang hoo Tang. Both formulas were composed during
the same period, have the safe same chief herb and
treat an invasion of wind, cold, damnus, or unseasonable chi
(46:49):
that relies on sweating in order to expel the pathogen.
Shao yu Huang notes that such sweating can only be
produced if the body has sufficient fluids Chi nine herb
decoctum no top turigium jiohuei Chiang Hoo Tang uses romania
retic shengdi wang to increase the fluids where they are deficient.
(47:11):
The present formula similarly similarly employs jinsen ridicks ranschen to
tonify the chi. The Qing physician Yu Chang extended the
indication of this formula to treat early stage wind cold
damp dysenteric disorders with exterior symptoms, which he believed were
caused by sinking of the pathogenic influences into the intestines.
(47:36):
This approach, known as hauling the boat upstream or nilio
wan zhou, remains popular today, but at the time represented
a major departure from standard practice. Unlike diarrhea, which is
a pathology of middleburner chi transformation, dysenteric disorders are thought
to be due to pathogens, mainly damp heat toxin, obstructing
(47:57):
the flow of chi in the intestines. The preferred treatment
strategy for resolving this pathology is to follow the inherent
dynamic of the disorder, where pathogens move inward and downward,
and the physiology of the organ systems evolved that chie
of the bowel moves downward by draining the damp heat
and regulating the chi and blood. Uchung's approach moves in
(48:20):
the opposite direction, employing herbs that are ascending and that
dispel pathogens from the surface. The s asceti movement is
what hauling the boat upstream refers to examined more closely. However,
Yu Chung's treatment strategy also facilitates the physiological movement of
chi and the intestines by removing obstruction from both the
(48:41):
lungs tied to the large intestiny in an interior extra relationship.
Speaker 1 (48:45):
And the chi dynamic.
Speaker 2 (48:48):
It represents a further development an approach to the treatment
of early stage dysenteric disorders already embodied in kudzu decoction
of gugantong, which stops diarrhea by dispelling pathogens from the
exterior of the greater young and young brightness channels. Both
formulas treat early stage dysentery characterized by fever and chills, however,
(49:10):
cuts you. Decauction gugan tong supplements the fluids and stops
spasms in the bowels, and is thus indicated where wind
symptoms predominate. Jingxing and powdered overcome pathogenic influences or in Chenbidison,
on the other hand, opens the cheat dynamic and promotes
water metabolism and is thus indicated where dampness predominates. The
principal formula is also used for very early stage measles
(49:34):
before the rash has begun to surface, characterized by moderate
fever and chills, no significant thirst, loose stools, a white
tongue coating in a thin weak pulse. The modern physician
way Meijong has extended this application and uses the formula
in the treatment. So that was shite at All's commentaration.
(49:56):
Chen have a little commentary as well. They say bidies
was originally designed for children whose yuon or source chi
is still insufficient. A small amount of wrenching rate except
rhizoma gensing is added to boost the yuan chi to
help push out the exterior pathogenic factors. Today, however, the
clinical applications of bidison have been vastly expanded. In addition
(50:19):
to the traditional indications, this formula is now commonly used
for various types of patients, children, the elderly, and patients
who are convalescent, postpartum nursing or with deficiency, and for
various conditions common colds, bronchitis, allergic dermatitis, herticaria, eczema, and
other disorders with the itching of the skin characterized by wind,
cold dampness modifications. So there are many modifications of this
(50:47):
forme we'll go over them briefly here. Shden his team
discussed many modifications. If the normal chi is not weak
and exterior cold symptoms are very pronounced remove gensen radix
wrench and adds gets nipday herba jing j and sepassion
of kovia, redex fung fong or use the associated formula
gets nipodae and sepassion of kovia of powder to overcome
(51:08):
pathogenic influences jing fong bai dousan. If chi deficiency is severe,
increase the dosage of gin senritics ran chen, or add
a straglai redex huang chi and another very good tany
fine herb if damnus, that's a stragalis, by the way,
if you're familiar with that. If damnus obstructs the musclayer
with pronounced aching soreness and pain in the muscles and
(51:31):
joints a climatidis, redex wailing chian mari ramulus song zur gentiana, macrocephale,
redex chin Jiao or redix aristolo ki fung chi or
fung gi if coffee and severe, adds siemen prunei armanasier
(51:51):
shing renu and that cyprocot pit and sinachi stot tony i,
rhizoma by chien for wind tox en dorment papules, add
cicada periosticum chwan tea, chon twei and Sephora flavacentis redex
kushen for early stage stores, remove Gensen redix rind Chen,
(52:13):
and add Forcythia fruitus, lean chaos, lenissere fhlass ginian Hua
chen Chen also has several modifications. If there is itching
or exzema, add kushen, redex Sephora flavacentes and chon twi
periosticum cicada for rash are incomplete. Eruption of dermatological disorders
(52:36):
caused by wind heat toxins at Chiao funk san Eliminate
wind powder for the initial stages of skin lesions such
as sores and carbuncles.
Speaker 1 (52:44):
Remove wrench and raizoma and rhizoma.
Speaker 2 (52:45):
Gensing, and add ginyan Hua flas nisra japonica and lean
Chao frucitus for Scythia, getting very similar to what she'd said.
For febrile disorders with thirst but no version of wind
or cold, add huang chin redex goodle area. If there
is no sign of damnus at the exterior, remove chiang
Huo razon radex. On the top two turigii do whole
(53:09):
radix angelic compupacentas and fuling porea. There's no sign of
coffin or sputum removed, Jing jaygong redix platyconis, and chian
Hu redex pucidoni. That's our modifications. Let's get into comparisons,
So shout out At does not compare this formula with
(53:29):
any others. However, Chen Chen discusses one bide U san
and jing fung bi do you san. It's gets nepotas
a passion of covia powder to overcome pathogenic influences. Both
treat beginning stages of superation characterized by sores and ulcerations,
with fever, aversion to cold, absence of sweating, a thin
(53:51):
white tongue coating, and a superficial pulse. The differences between
these two formulas are as follows. Bid dou San primarily
treats wind cold with damness attacking a constitutionally deficient body.
Treating superation sores and ulceration is its secondary function, and
this secondary function may not be listed in some texts.
(54:13):
Bidy Soon contains rens sheen rate accept riisoma gensing to
treat skin disorders characterized by the presence of wind and cold,
with underlying weakness and deficiency. Jingfong bidy Son primarily treats
initial stages of dermatological disorders with wind, cold, and damness
accumulating in the muscle layer. Localized redness and swelling, along
(54:35):
with extra signs of cough, body aches, headache, and absence
of sweating are present. Jingfong bidy Soon does not contain
renschen ratex at rhizoma gensing and primarily treats skin disorders characterized.
Speaker 1 (54:47):
By wind and cold without.
Speaker 2 (54:50):
Underlying weakness and deficiency. So that's the main difference between
these two and that's their comparisons. Let's talk about biomes indications.
Shide and his teams say, with the appropriate presentations for them,
may be used to treat a variety of biomedically defined disorders,
primarily acute infections, including the common cold, influenza, mumps, bronchitis,
(55:14):
dysentery in the early stages of boils. It has also
been used for allergic dermatitis, urticaria and exima chen Chen say.
This formula has many clinical applications influenza, common cold, respiratory
tract infection, infection with fever, cough, hoarseness of voice, nasal congestion,
(55:37):
paratitis which is inflammation of the prodded glands or to
carry our hives, ecima, supersuperative infection, rheumatism, dizziness, and acute
viral hepatitis.
Speaker 1 (55:52):
Let's look at the science.
Speaker 2 (55:55):
Chen Chen lists several clinical sides with positive findings involved
in this formula, treating and action with fever in children
in one hundred and thirty six patients, treating viral upper
respiratory tract infections or ierties in thirty seven infants and
young children. A modified version was studied for treating acute
viral hepatitis in one hundred and fifty two patients, and
(56:17):
another study of thirty six patients used a modified version
of this formula for treating para paratitis, which is that
inflammation of.
Speaker 1 (56:23):
The product lands.
Speaker 2 (56:25):
No systematic reviews of Wrench and Bidy. Some were found
on a literature search. I love my systematic reviews, couldn't
find any. Let's talk about Drugger interactions. A few words
in this formula may present some risks for Drugger interactions.
Cytochrome P four fifty interactions may include glaciers, redix gonsile
may induce cytochrome P four fifty two C nineteen in
(56:46):
three A four that's licorice, zinger bearos hozoma resent shinjong
that's fresh ginger may inhibit two C nineteen and Gensen
redix wrench and may inhibit two C nine two C
nineteen and three four. We're particularly worried about three A four,
and we have a couple herbs here that may affect
three A four. A large epidemiological study an equals one thousand,
(57:11):
seven and ninety five, so a big one showed increased
adverse effects and patients taking chaihu jurdza, wu weiza shu
and shungdi wang mutong and che cienza with clazepine, quiatia
pin and a lanzapine. So that's Chai who's the one
that's in this formula as well. A case was a
(57:33):
report of congestive hardfare and hypoclemi are too little potassium
in the blood and a patient taking gon cell licorice
ferusamide into joxin. Goncell may increase blood pressure and fluid
retention when used with oral contraceptives. Shown in two case
studies and an uncontrolled human study. Renchin increased this serum
(57:54):
concentration of to joxin in a single case study and
one case study, rention was thought to decrease I n
r A and a patient stabilized on warfaring a case
that he showed raised plasma levels of ralph tegravier thirty
days after starting wrench in supplementation, which tapered off after
stopping supplementation. So there are definitely some potential drug of
(58:18):
interactions here.
Speaker 1 (58:19):
To be aware of.
Speaker 2 (58:22):
Concerns overall, more traditional concerns. Shinea at All says because
of the warm drying properties of many of the ingredients,
it is important to remember that this formula is indicated
only for externally contracted wind, cold damnness and is contraindicated
for cases due to heat or damp heat ence, The
dose of wrench and rate except raisoma gensing should be
(58:43):
carefully adjusted according to each patient's condition. It should not
constitute more than ten percent of the entire formula. BiDi
SUNG was originally designed for children. For adults who do
not have significant cheat efficiency, the dose of wrench and
rid accept roisoma gencing should be Decreasedon is a warm
acuid formula that is contraindicated in cases of exterior wind,
(59:04):
heat invasion, interior heat, or indeficiency.
Speaker 1 (59:08):
With exterior invasion. And there we go.
Speaker 2 (59:13):
That was our superbserves of the day, and that was
our today's formula. Wrench and BiDi sun our Jensen power
to overcome pathogenic influences, A useful formula for treating colds
or exterior external attacks with underlying deficiency. Started as the
children's formula but became an important formula.
Speaker 1 (59:32):
For all patients.
Speaker 2 (59:34):
We got straight into today's formula because there was so
much to cover, including its ingredients, commentary, the science, our
concerns and cautions, as well as its potential drug interactions.
All in all, this was another spacewalk exploring a fascinating
and useful Chinese formula. In two weeks we're going to
(59:56):
be looking at another single Chinese herb ou Ben Lagusta
chi raizoma or Chinese lovage route. This herb is in
the Chinese medical subcategory of warm acrid herbs that release
the exterior. Besides helping you treat external attacks or colds,
it can be helpful in treating pain.
Speaker 1 (01:00:15):
And wind dampness.
Speaker 2 (01:00:17):
As usual, we will explore all the intricacies of the
herb as well as an explanation of its category, and
as always we will look at something a little different.
Join us in two weeks for another interesting episode. I
want to thank you very much for listening today. If
you'd like this podcast, please do us a huge favorite.
(01:00:38):
Subscribe to our podcast in your favorite podcast app. That
helps us immensely, and thank you for even considering it.
Don't forget our absolutely amazing continuing education deal at www
dot Integrative Medicine Council co U ncil dot org slash
CU's ce U S one and you can get just
(01:00:59):
an amazing deal on continuing education and a free book signed.
And you can always get in touch with me at
doctor Greg at sperbserbs dot com, a s s p
E r B s h E r b s dot
com or at our website www dot sperbserbs dot com. Again,
thank you very much, and we have our usual bibliography.
Speaker 1 (01:01:23):
Thank you, Spurs Serves. The preceding was presented by doctor
Greg Sperber.
Speaker 2 (01:01:29):
We would like to thank Janelle for allers support and
everybody else who contributed to this program.
Speaker 1 (01:01:35):
Rogercamble
That Angelica.
Speaker 2 (00:08):
Sperver, Welcome to Sperbs Herbs, Episode ninety four. We're rapidly
coming up to episode one hundred and today we're going
to be talking about wrench and bidusan ginsen powder to
overcome pathogenic influences. As always, I'm your presenter, doctor Greg Sperber.
We have a lot to cover with this. This is
(00:29):
a important, relatively important formula, but there's lots of information
on it, so we have a lot to cover, so
let's get into it. Today we'll be looking at another
Chinese herbal formula, Wrenchen. Let me try and get the
Tellmrkcent Wrenschen, Bye, du so on. Sorry with my as
(00:51):
I always do, I apologize for my Chinese pronunciation.
Speaker 1 (00:53):
I've had several years of Chinese. I'm still not a
good not good at pronunciation.
Speaker 2 (00:58):
Or gensing power to overcome pathogenic influences. And right off
the bat, it has gensing, which is probably one of
the most well known Chinese herbs out there, so that
puts it right up there, which is interesting. Jensing's in
the name.
Speaker 1 (01:13):
But is it a chief herb. We're gonna find out it.
Speaker 2 (01:17):
Is under the subcategory of formulas that release exterior disorders
with interior deficiency and is useful for treating external attacks
or colds with underlying deficiency. We will do in our
deep dive into this formula as we always do, and
while we usually do a little something different, today there's
just so much to discuss about this important formula. There
(01:41):
isn't time to add anything else, so we don't have
a little something different. I've done this a couple times
in the past, but rarely, so we don't have a
little something different today. Are a little some different is
not having a little something different, So please join us
as we don our space suits, do a space walk
and enter the unexplored space of medicinal herbs in this
(02:02):
exciting episode. Before we get going, I wanted to tell
you something. We are starting an amazing special for our
courses if you use them for continuing educational excuse me,
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want to check it out sooner rather than later. Okay,
so let's get into our formula today. Wrench and bidy
song or jensenpowder to overcome pathogenic influences.
Speaker 1 (03:56):
There are lots of other names for this as well.
Speaker 2 (03:59):
Most of them are kind of in the Chinese tradition.
Let's see what we've got here, overcome pathogenic influences powdered
by song. So they actually you can actually eliminate rench
sheen from the name and just call it baidu. Soon
we're gonna talk a little bit more about that as
we get into this. Another name for this is no
top to turigium decoction or chiang hung. We're gonna see
(04:22):
chiang Ho is one of our chief ingredients, is one
of the sometimes it's called chief ingredients, sometimes are called
emperor ingredients. And then we have ten season decoction, our
sure shirt, tong gen sing and pucidanum powder or wrench
and chiang hu son gens sheen by Bai dousan. So
(04:44):
this is actually j e n, which is interesting, schn
and P instead of B and T instead of d.
This is more of the way Giles approach to this.
So genshen paiduce on, it's actually pronounced the same wrenching
bidus on, genseng detoxifying formula, gensing antiphlogistic powder. I love
(05:06):
that name, even though I'm not even sure what antifligistic means.
Gensing and mentha formula is another one. So that's interesting
because Mentha is referring to boha, which is field mint,
and it's actually a relatively minor, very minor ingredient to
this formula, so to call it gensing and mentha is
(05:27):
interesting as a formula. But most typically it's renschen body
son or bidy son. So let's talk about this word
do in here renshen by do son. The word do
in the name of this formula, although generally rendered as toxin,
refers here to externally contracted pathogenic influences. The name suggests
(05:50):
the ability of this formula strengthen the normal chi and
thereby enable the body to overcome pathogenic influences. And that's
from one of our major tech books. We have two
major textbooks that we look at for herbal formulas, and
this is from Shide and his team.
Speaker 1 (06:07):
And we'll get into that was from them. The formula.
Speaker 2 (06:13):
This formula is in the subcarriy of formulas that release
exterior disorders with interior deficiency, under the category of formulas
that release six terier. Now we've been covering a lot
of formulas that release the exterior UH, and so we're
gonna go over those that category again. In just a
little bit, but that's a pretty big category. This is
(06:34):
a subcategory over this. I think this is the first
time we've covered well, maybe not. There may be one
other formula that we've covered that's in this subcategory of
extra release the exterior disorders with interior deficiency Our other
usual Formulas. Textbook Chinese Medical Herbal Formulas and Applications, Pharmacological
Effects and Clinical Research by Chen and Chen says it
(06:59):
is the supporting the upright and releasing the exterior formulas
subcategory under the exterior releasing Formulas category. So basically the
same thing with maybe some slight translational differences there, but
basically supporting the upright and releasing the exterior formulas subcategory. Okay, so,
(07:25):
Chen and Chen says Bi Dousan Overcome Pathogenic Influences powder
and renschen Baidu san Gensen powdered to Overcome Pathogenic Influences
are essentially the same formulas with the same indications. The
minor differences between these two formulas are preparation of some
of the ingredients and the dose of gonzo riddicx, aut
(07:45):
rhizoma glycerusra or licorice. Because of their overwhelming similarities. The
names Bidusan and Renschen. Bidusan are sometimes used interchangeably in
their book by Doson is the main formula and ren
Sheen Bidisan is a small related formula with minimal information.
(08:07):
Because of all this, we will be using the main
monograph of Bidsgan from Chen and Chen and compare it
to the Renschen Baidusan monograph and Shide at All. This
seems reasonable as the source for these two formulas is
the same. Well, Rench and bidisign and Chen and Chen
have a different original source, as we will discuss under history,
(08:30):
So we really are looking at the same formula. As
Tenshin says, it's bide Sign, shied at All says Renchen
BiDi Sign. Most of my undergrad most of my graduate
training in this was from an earlier version of Shide,
which was still written by Benski, who wrote or individual
or book textbook, but he also wrote the formula's book,
(08:52):
and I always learned it as Wrenschend biders On. So
I'm continuing that trend here. So, as we've discussed in
several previous episodes, Shine at All describe the overall category
of formulas that released the exterior in the following way.
When a pathogenic influence first penetrates the body, it tends
(09:13):
to cause a disorder of the exterior. In this context,
the term exterior biao denotes the superficial layers of the body,
comprised of the skin and muscles. These are perfused by
the body's protective chi, which is fierce and hot in nature,
whose task it is to warm and defend against penetration
(09:36):
into the body by external pathogens of a pathogenic influence
lodges in this aspect of the body and not only
obstructs the normal physiological diffusion of chi and fluids there
but encourages the body to move more protective chi towards
the exterior in an attempt to push out the invading pathogen.
(09:58):
For this reason, your disorders are characterized by fever and chills,
indicating obstruction of normal physiological warming, even as protective young
in the exterior tends toward excess head and body aches
indicating obstruction of chi and fluids in the most young
ie exterior portions of the body, and a floating pulse
(10:18):
indicating the movement of protective young toward the exterior. Since
wind is the vehicle by which other external pathogenic influences
enter the body. View of the exterior excuse me. It
is involved in most exterior disorders, especially those involving cold
and heat. Thus, it is said that wind is the
(10:40):
leader of the one hundred diseases fung Wi by being Churchhong.
The symptoms associated with an exterior disorder indicate that the
body is actively trying to overcome obstruction of the Chi
dynamic by one or more of the six pathogenic influences.
Treatment in China medicine seeks to support these physiological reactions
(11:03):
through strategies that release the pathogenic influence from the exterior
or GBL. For this purpose, one deploys light acrid moving
herbs that unblock obstruction, diffuse the protective g and disseminate
fluids to vent pathogenic influences back toward the outside. No
other strategy will prevent the pathogenic influence from penetrating more
(11:26):
deeply into the body. Often, but not always, this results
in sweating. This type of sweating indicates that an obstruction
has been overcome and that the g fluids can once
again stream to the surface of the body, like the
(11:47):
flow of water that breaks through a dam. The sweating
may initially be pronounced, especially if a very acrid and
warming formula is used. However, the profuse sweating should quickly
abate as the body finds its physiological balance. For this reason,
releasing the exterior is often equated with inducing sweating, Yet
(12:09):
in many contexts or formulas to release the exterior are used,
the sweating may hardly be noticeable, or strong pathological sweating
may evolve into a mild physiological sweat. This is because
the ultimate goal of these formulas is not to promote sweating,
but to unblock and restore order to the flow of
(12:30):
chi and fluids. The term released from the exterior was
first described in chapter five of Basic Questions. So the
Basic Questions refers to the Hoangdi Najing Siu Win, which
is the Yellow Emperor's Classic Basic Questions. And this is
the oldest existing book on Chinese medsine. It's sort of,
(12:53):
I use this word a little bit advisedly, it's sort
of the Bible of Chinese medicine. It came out about
twenty two hundred years ago. It is one of the
oldest existing books on Chinese medicine around, and probably medicine
in general. There's a few books in the Greek tradition
(13:13):
that may be around from that period of time, so
this is an old book and foundational for Chinese medicine.
So first, this term released from the exter was first
described in chapter five of Basic Questions. If a person
harbors a pathogen, the body becomes soaked has the movement
of protective chie to the exterior transforms fluids into sweat. Hence,
(13:36):
when the pathogen is at the level of the skin,
used sweating to discharge it. The first known text to
list herbal formulas that embody this strategy is the early
third century work Discussion of Cold Damage or the shot
on Lung, which provides some of the most influential formulas
in this category, such as the Federi decoction, mahwog tong
(14:00):
in twig decoction, guader tongue, and their variants. So this
book Discussion of Discussion of Cold dossor Shakuo Lung is
probably the oldest existing book on Chinese herbal formulas. So
we're in about twenty two two hundred and twenty CE,
so about four one hundred years after the Long Ding aging,
(14:23):
but very foundational for verbal formulas. Its focus on acrid
warming herbs to overcome obstruction from wind, cold, and damnness
dominated medical practice until the Genuan dynasties of the twelfth
to fourteenth centuries. Innovation until then consisted of extending the
range of substances used to promote sweating rather than in sinking.
Speaker 1 (14:46):
New areas of application.
Speaker 2 (14:51):
Is changed in the twelfth century with Leo Wan SU's
focus on heat pathogens, which led to the idea that
heat in the exterior can occur there directly, rather than
being due to constraint caused by cold venting. Such heat
requires the use of acrid cooling substances, which do not
necessarily promote noticeable sweating. The treatment strategies and formulas composed
(15:14):
by seventeenth and eighteenth century physicians like Ya Tianshure and
Wujutang Are, who are associated with the warm pathogen Current
or School, are most emblematic of this approach. Other innovations
stemming from the Genuine era are the combination of exterior
venting with tonifying herbs to treat exterior access combined with
(15:36):
deficiency of cheap blood or fluids in the interior, and
the use of herbs to dispel pathogens from specific channels
and their associated surface regions. Sweating is the first of
the eight methods of treatment formulated by the eighteenth century
physician Chunguo punk, underlining its importance in clinical practice. Yet
(15:59):
many practitioners can tinue to underrate this method. This is
unfortunate because the odds of preventing the development of a
serious condition are always better when intervention occurs at the
early stage of an illness. It is best to treat illness.
Excuse me, is best to treat diseases at the level
of the skin and hair. The next best is to
treat them at the level of the muscles and flesh.
(16:20):
The next best is to treat them at the level
of the sinews and vessels. The next best is to
treat them at the level of the six young organs.
The next best is to.
Speaker 1 (16:29):
Treat them at the level of the five yin organs.
Speaker 2 (16:32):
When treating at the level of the five yen organs,
half the patients die and the other half survive. This
is a quote again from that chapter five of the
wangd Ajing su Win or the Basic Questions the Yellow
Emperors Classic of Internal Messes Medicine. Basic questions, by the way,
when I say basic questions. There's two halves to the
wand and aging. One is the sou win and the
(16:55):
other one I totally went out of my head. But
there's two parts to it. The suit went is what we're.
Speaker 1 (17:01):
Talking about here.
Speaker 2 (17:03):
Successful use of the formulas discussed in this category will
be aided by paying attention to the following principles. First,
accurate diagnosis is essential. If an interior disorder develops before
the exterior has been released, the practitioner must choose between
releasing the exterior first or treating the exterior and interior simultaneously.
(17:25):
The formulas in this chapter are inappropriate for treating disorders
solely of the anterior expressed rashes or a dima due
to deficiency. Likewise, it is important to be clear about
the precise nature of the pathogenic influence to be released,
as this determines the choice of formula. One must be
cognizant of the type of wedding to expect from a
(17:46):
particular formula. Second, most of these formulas should be cooked. Briefly,
They treat acute disorders and are prepared as decoctions or powders.
They contain substances that are light and volatile in nature,
which if subjected to too much heat, lose their efficacy.
And I just want to add when they say volatile
(18:07):
in nature, here they're talking about volatile oils which can
boil off. And so just think of like mint as
a great example. There's a lot of other in this category,
but min is a great example. If you boil mint,
the mint oils will boil off and.
Speaker 1 (18:21):
It will not be used very It will not be
very effective.
Speaker 2 (18:27):
Third, formulas taken hot after meals will provide the best results.
Sweating is further encouraged by instructing the patient to bundle
up up after taking the medicine. As the goal is
sweating is not sweating itself, but to assist the function
of the protective chi. Only a slight sweat over the
entire body is needed to release the exterior Excessive sweating
(18:51):
dissipates the chi and fluids. And Fourth, the formula and
dosage should be adjusted to the individual constitution, local climate,
and season. For example, a person who sweats easily lives
in a warm climate and contracts in illness during the
spring or summer requires only mild treatment. On the other hand,
(19:14):
a person who does not sweat easily lives in a
cold climate and contracts in illness in the autumn or
winter requires stronger treatment. So that is Schide's book explaining
the category of formulas that release the exterior. Let's see
what he says specifically about the subcategory of formulas that
(19:35):
release exterior disorders with interior deficiency, So sh ite at
all continue to describe the subcategory. The formulas in this
subcategory address those cases in which a person suffering from
interior deficiency contracts the disease of external origin, and where
the ensuing disorder is characterized by symptoms of both excess
(19:56):
and deficiency. The complexity of these diseases patterns requires the
use of formulas that are themselves complex, and that they
combine herbs that release the excess from the exterior with
herbs that toonify the deficiency in the interior. This is
one example of using the method of supporting the normal
(20:18):
while dispelling the pathogen or fujong to shi. With the
exception of the patterns discussed here, these two classes of
herbs would rarely be used together. Tonifying herbs are ordinarily
contraindicated for exterior conditions, as are exterior releasing herbs. In
(20:39):
cases of interior deficiency, they make each other worse.
Speaker 1 (20:44):
Like we have a saying that if this is.
Speaker 2 (20:47):
Me talking to schite, we have a saying that says,
if you toonify an external pathogen, you toonify during an
external pathogen. You toonify the external pathogen, not the person.
And so that's why we don't generally do tonifying herbs.
And by the same token, if you're releasing the exterior
with someone who has an interior deficiency, you're gonna push
(21:08):
all what's left of the stuff that they're deficient to
the act to the outside, and the deficiency is gonna
get worse. So they should not be used together. Okay,
back to Shite. The particular formulation of herbs and these
prescriptions is based on whether the underlying deficiency is one
of chi, blood yin, or young, which are known as
(21:28):
the four substances.
Speaker 1 (21:30):
She and young.
Speaker 2 (21:31):
Deficient patients will tend to be those invaded by wind, cold,
and dampness. For this reason, formulas that treat these conditions
combine acrid warming herbs that disperse pathogens from the exteriors,
such as the Federa Herba ma huang no top Turiji turgii, riizomasu,
radix chiang kuo se passion of kvia, radix fung fung
(21:53):
i love saying some passional covid I don't know why.
Speaker 1 (21:56):
Maybe it's my Russian background.
Speaker 2 (21:58):
Or perrilla Folium zisuie with chi. Tonics such as astragulai,
redis huang chi and ginsen redix renshen are herbs that
warm the interior, such as achonide, redex lateralis, preparata fudza
and asari redex at Rhizoma chi shin. Blood and yin
(22:19):
deficient patients, on the other hand, are more prone to
invasion by wind, heat or if wind cold invades, require
strategies that do not emphasize sweating, as this would further
damage the essences. For that reason, the formulas used to
treat such patterns combined herbs that enrich the yin and
(22:40):
nourish the blood, such as Redix romania glunenose or shund
wang ophiopagonus, redix mamandong and polygonaate odorati, Rhizoma yuzu with
acrid cooling or slightly warming herbs that gently vent pathogens
from the exterior, such as metha haplocalsis herba or boha
(23:00):
that's field mint, SoJ semen preparatum don docci or prepared
swabeing or alii, ficile, ficilosi, bulbous sungbai.
Speaker 1 (23:11):
Which is green onion. So there you got. You kind
of know all those herbs if you don't know herbs.
Speaker 2 (23:18):
And that's it for an overview of formulas that release
the exterior as well as formulas that release sixterior disorders
with interior deficiency.
Speaker 1 (23:26):
So that's the overview.
Speaker 2 (23:27):
Let's get back into specifics about this formula and let's
talk about as Chinese medical actions. So Shide and his
team say this formula releases the exterior, dispels wind and damness,
and augments the chi chen Chen say it releases the
exterior through diaphoresis sweating, dispels wind, cold and damnness, and
(23:49):
tonifies the chi tanofies chi, not the chi tnofhies Chi.
That's a subtle difference, and it's just a translational difference.
But I want to make sure I'm saying the right thing.
So those are the actions, shines mental collections, what are
the indications?
Speaker 1 (24:03):
So why would you use these?
Speaker 2 (24:05):
So shine it all so This FOREMLA can be used
for quote high fever accompanied by severe chills and shivering,
absence of sweating, pain and stiffness of the head and neck,
soreness and pain of the extremities, focal distension, distension and
fullness of the chest, nasal congestion, with sonorous breathing, a
(24:28):
productive cough, a greasy white tongue coating, and a floating,
soggy pulse. This is externally contracted wind cold damness battling
the body's deficient normal CHI, which is unable to expel
the pathogenic influences. This produces a high fever, severe chills
(24:51):
and shivering, an absence of sweating and pain, and stiffness
of the head and neck. Lingering damness causes local distension
and fullness in the chest. The deficiency of CHI allows
damness to penetrate rather quickly, producing a greasy white tongue coating.
(25:12):
If the chie were strong, the tongue coating would remain
thin and white. The attack of wind cold on the
lungs disrupts the circulation of CHI, causing nasal congestion, sonorous
breathing in a productive cough. Presence of wind cold and
damnness at the level of the muscles, produces generalized soreness
and pain and a floating pulse. The floating soggy quality
(25:35):
of the pulse reflects the deficiency of chi, which is
the salient aspect of this disorder. So chanan Chen say,
bidy song. Remember changen causes BiDi sign shay cause it
wrenchd bodyes on. So Chan Chen say, bidy son treats
exterior wind, cold and damness with chee deficiency a version
(25:58):
of cold fever, headache, next stiffness, joint pain, body ache,
absence of perspiration, nasal obstruction and cough with sputum, a
feeling of distension and fullness in the chest and diaphragm,
a pale tongue with a white greasy tongue coating, and
a superficial soggy or superficial rapid pulse that is forceless
(26:18):
upon pressure. So that is how Chen Chen explains the
indication Chinese medical indications. So what's the history of this formula?
So both Hide and his team and Chin and Chen
both agree on the source for this formula, though they
do translate the Chinese name Shao er Yao jiang jer
(26:41):
Jui differently. So shide at All translate this as craft
of Medicines and Patterns for Children. Chen Chen translated as
Craft of Medicinal Treatment for childhood disease Patterns. So what
we get here with both of these is this is
a pediatric formula. We're gonna talk about that minute.
Speaker 1 (27:01):
Both agree it was written in.
Speaker 2 (27:05):
Nineteen by Chian Yi. So i'd like to bring out
when these are. You know, sometimes chen Chen and Hide agree,
sometimes they don't agree with where these first come out.
So I think it's really interesting. When they do first agree,
that means there's there's a pretty strong consensus. When they
don't agree, it's it's just as interesting. And I try
to figure out why they don't agree. But I'm not
(27:28):
a historian of ancient Chinese medicine, so unfortunately I can
only kind of go with what the books say. At
this point, let's get into the ingredient surrend up by Son.
There's there's quite a few. So according to Shide at All,
the rbs in this formula reflect the twin strategies of
expelling the pathogenic influences and strengthening the deficient CHI. Because
(27:52):
the formula is designed for acute externally contracted disorders. The
emphasis is on expelling the pathogenic influences. So there you go,
and we can tell which herbs are doing that. We'll
see things like it released the exterior herbs, and we'll
see coffeing herbs, and we know that's going to be
for the explaining the pathogenic influence. And then we're gonna
(28:13):
have the tana phi chi herbs. So it's gonna be
clear what is what as we talk about these individual ingredients.
So let's start off with no top tiergy of Rhizoma suadix,
Chiang Kuo chiang huo. All of these except for Gansau
are using thirty grams. Uh, and that may seem odd Uh.
(28:33):
First of all, that's a fairly high dose of herbs
in general. But this this formally as we're gonna see,
is it's prepared, it's supposed to be powdered, and then
you take a small amount of it with some particular
tea which we're going to get into. So you're not
really doing thirty grams in like a decoction as we
would do in normal times here. So kind of keep
(28:55):
that in mind with these with these doses of thirty grams,
no top tier.
Speaker 1 (29:00):
G raizomas su retix. Chiang quo is a warm acrid
herb that.
Speaker 2 (29:03):
Releas releases the exterior. Its functions are it releases the exterior,
dispersus cold, unblocks painful obstruction, and alleviates pain, guides chie
to the greater young channel and governing vessel. And here's
its explanation for why it's in this formula. The chief
herbs no top tiergy raizomas who redix chiang quo and
(29:27):
Angelica pubcentis pubcentis radix duho dispell wing cold from the exterior,
dispell dampness, and alleviate pain. These herbs address the primary
symptoms of fever and chills without sweating, headache, and generalized
pain and soreness. By the way, this combination of chiang
(29:51):
quo and duho is a combination we call the two holes,
and they're often used together.
Speaker 1 (29:57):
They're very good for pain.
Speaker 2 (30:00):
Our next herb is angelic Ca pubicentis radix are du
ho again thirty grams and this actually comes from the
category herbs that dispel wind damnness. So again when say
this is more of a dispersing sort of herb, and
its functions include dispels wind, damness and alleviates pain, disperses wind, cold, damp,
(30:21):
and releases the exterior, also used for lesser yin stage,
headache and toothache. This is the other chief herb of
this formula, and chen Chen say chang Ho radix no
top tiergy and du Ho redex angelica pub centis act
as the chief herbs to dispel wind, cold.
Speaker 1 (30:42):
And damness from the whole body.
Speaker 2 (30:43):
So, in other words, it says pretty much the same
thing that Shita it All says about these two herbs.
Our next herb is chang Chuang Chiang rhizoma or chuang
chong thirty grams herbs that regulate the blood, so this
is an interesting one in this category. Invigorates the blood,
promotes the movement of chi, expels wind, and alleviates pain,
(31:08):
and Schid explains its use here. Chwang shang riisoma. Chuangshang,
one of the deputies, helps the chief verbs release the exterior,
moves the blood blood, and dispels wind, which enhances the
pain relieving action of the formula, especially in the head
and neck. Chuang Shang, according to this is chen Chen
(31:30):
now saying Chwang Shang raizoma Chuangshang activates blood circulation to
relieve pain. It also dispels exterior wind and cold. There
you go, yeah, very similar between the two books. Our
next urbs bupleuri radix or chai whu again thirty grams,
and this is from the category of cool acrid herbs
(31:51):
that release the exterior. Its normal Its traditional functions are
resolves lesser young disorders and reduces fever, spreads liver chi,
and relieves constraint, and raises and lifts the young chi,
specifically the clear chi of the stomach and gall bladder,
and Chaishai says it's used in this formula. The other
(32:13):
deputies bupluri, radix, chai whu and mentha haplo, calisius herba
boha release the exterior, reduce the fever, and expel the
pathogenic influences. Together, they are particularly effective in releasing pathogenic
influences from the muscle lair. According to chen Chin, chaihu
redis buplury helps the chief herbs release the exterior. Our
(32:41):
next herb is platycode radix jagung jagung thirty grams, and
it's a warm herb that transforms cold phlegm. Its traditional
functions are opens up and disseminates the lung chi, dispels phlegm,
and benefits the throat, pushes out puss and opens up
(33:02):
and raises the lung chi while also directing the actions
of other herbs to the upper regions of the body
as assistants. This is according to Shia again for this
formula as assistants, the ascending action of platycho redix jaygung
and the descending action of erranti i frucus or jurika
(33:23):
is a very effective combination for regulating the flow of
chi in the chest, thereby relieving the symptoms of discomfort
in the chest. These two herbs also interact with pusidani
redix chian who to improve the circulation of lung chi,
expel phlegm and stop the coughing chanchense jaegong Redix platicona
(33:44):
platiconis and chian Hu redix pusidani relieve coughing and dispel phlegm.
Speaker 1 (33:53):
And let's go to our.
Speaker 2 (33:54):
Next ingredient, which is brand fried aurantii fructus or foo
chow which means bran fried jerika again thirty grams. And
this is in the form the category of herbs that
regulate the chi, and its sole function is to traditional
function is to promote the flow of chi. And you
(34:15):
might be wondering, like, we're not talking about any stagnations here,
why are we moving chi in this? And the reason
why you'll often see chi movers in formulas that are
tonifying is tonifying stagnates, and so it's we say that
most tonifying herbs are clin and can stagnate, so we
will push in herbs that help move either blood or
(34:37):
chie or whatever to kind of counteract that that stagnating
sort of.
Speaker 1 (34:45):
Action that can.
Speaker 2 (34:45):
Happen with tonification. Okay, so why are we dry frying this?
This is again from uh shy at all. Dry frying,
usually with brand makes its actions more moderate and reduces
the slight digestive irritation that the sour flavor can cause,
(35:05):
and it's thus more appropriate for elderly or weak patients
or for inclusion in tonifying formulas to aid digestion.
Speaker 1 (35:13):
It's also and it says, so.
Speaker 2 (35:15):
You're looking at this and you're like, Okay, this is interesting,
but remember this was a pediatric formula at the beginning,
so that would fall under this category potentially weak patients
so and they usually have trouble with digestion. Kids usually
have trouble with digestion. We have to keep support their digestion.
So it makes sense that this could this would be
in a pediatric formula. But this isn't just a pediatric formula.
(35:38):
It is an actual formula that's used adults now. But
it's a gentle formula.
Speaker 1 (35:42):
So that's good.
Speaker 2 (35:44):
Chen Chen say your chow fruitus or anti your chow.
We said your cu your chow is the same thing.
It's just they're the same herbs with slightly different names.
Regulates the sourka. Your chow regulates the she flows the
lung to relieve chest distension and fullness. In this formula,
(36:07):
our next herb we meted earlier is Pusidani redix Chian,
who again thirty grams has the dosage and herbs that
it's from the category herbs that cool and transform phlem heat,
directs chi downward and dispels phlegm and disperses and scatters
wind heat. And for this formula, the phlegm that collects
(36:28):
and the lungs is produced in the spleen. For this reason,
Pusidani redex Chian, who is used with poria fu ling,
which transforms phlegm and strengthens the spleen as zingibaris forezoma
reasons shengiog that's fresh ginger to treat both the branch
and root of this disorder.
Speaker 1 (36:50):
So there you go.
Speaker 2 (36:51):
That's pusidani bringing in a couple of other herbs that
we're gonna get into it just a little bit, but
not quite yet. Our next one, finally is the title
herb ginsing rate ex ren Shen wren Shen. It is
again thirty grams is used in this formula, and it's
from the tonified Chi category of herbs. So ren shed
(37:15):
very very famous Chinese medical herb. When I was first
studying Chinese mess even before I was in Chinese medical skull,
wrens Sheen was the herb of the moment, so I.
And while it's gone down in how many people are
using it, it's still right up there. So according to
Benski and his team, again Benski is one of our
(37:35):
major texts for looking at individual herbs rather than formulas.
So Renschen has the following actions. It powerfully tonifies the
primal chi, strengthens the spleen, and tonifies the stomach, tonifies
the lungs and aments, augments the chi, generates fluids and
(37:56):
fluids and stops thirst, benefits the hearts, and calms the spirit.
The ton and according to shide At all the tonifying
herbs in this formula, including Gensen redix r and shen
Poria fu ling and glycerisrae redix gonsal, those are the
(38:17):
tinyfying herbs. These three, these are three of the four herbs,
and four gentlemen to coxnosens tongue. So gens in tongue
is sort of the classic formula for tonifying chi. It
is it is, It is like a nice it's a
four herbs, sigens the tongue, four gentlemen, four herb little
formula that is great, a tonified chet, incredibly balanced within itself.
(38:42):
And so that's what we're talking about here. Ginsing redix
r and shen an assistant serves three functions.
Speaker 1 (38:49):
Here.
Speaker 2 (38:49):
It strengthens the normal chi to expel the pathogenic influences,
generates fluid so that sweating becomes possible, and strengthens the
body's resistance to invasion.
Speaker 1 (39:00):
Which prevents a relapse.
Speaker 2 (39:05):
Codonopsis redex dong chen is usually substituted for Gensen redex
Renschen at two to three times. It's dosage. Chen Chen say.
That's because, by the way, that's because renchen can be
very expensive to get good quality dung she has become
sort of the go to substitution. However, dong Sheen's price
(39:26):
has gone up quite a bit since I've been a
herbalist and is not much less than renschen at this point,
especially not if you're using two to three times.
Speaker 1 (39:34):
It's dosage. So just something to keep in mind.
Speaker 2 (39:38):
Ten Chen say Renchen redix at Riisoma gencing is used
to tonify yuan source chi, which strengthens the body to
help expel the exterior factors. More more Over, wrenschen radix
at rosoma gensing balances and prevents the acrid and strong
properties of the exterior releasing herbs from damaging the weak body. Lastly,
(40:02):
by tonifying chi, this herb prevents future reinfections and reduces
the susceptibility of the body to exterior pathogens. Our next
herb is one of those uh those three of four herbs,
Pooria fulling again thirty grams, and this is from the
(40:22):
category of herbs that drain dampness. Traditionally, it promotes urination
and leaches out damness, strengthens this spen and harmonizes the
middle burner strengthens this sphen and transforms phlegm and quiets
the heart and calms the spirit. Another assistant, pooria fooling,
leeches out damness, promotes urination, transforms phlegm, and strengthens the spleen,
(40:45):
tonifies without causing stagnation or retention of pathogenic influences. Unlike
the tonic herb attracted lotus macrocephalae rhizoma or baiju transchence fooling,
Pooria dispels damness through diarrhasis and tonifies the.
Speaker 1 (41:02):
Middle jow middle burner.
Speaker 2 (41:06):
Our next herb is glycerusra, redix gonsal licorice, and here
instead of thirty gramnds, we're using fifteen grams. So this
is the only difference in the dosing of these so far,
and in general, herbs that tonify the chi is the
category this is from. So another chi tonic tanifies the
spleen and augments the chi, moistens the lungs, and stops coughs,
(41:28):
moderates spasms, and alleviates pain. And moderates and harmonizes the characteristics.
Speaker 1 (41:33):
Of other herbs.
Speaker 2 (41:35):
The envoy Glycius radix, gonsal assists, ginsen, redis rand, shin
and tanifying the chi and also harmonizes the actions of
the other ingredients according to shite at all.
Speaker 1 (41:50):
And then our.
Speaker 2 (41:51):
Next herbs, so this is a little bit different. So
all the herbs that we talked about so far as
that are to be powdered, as we're gonna mention preparation
just a minute now, we're talking about two herbs that
are supposed to be part of the tea that we
drink when we take the powder. So the first of
these is Zingibarius rhizoma recens shenjiong, or fresh ginger. And
(42:11):
it's just the quote is a small amount and it's
from the warm acrid herbs that release the exterior, so
small amount is dosed. Basically, it releases the exterior, disperses cold,
warms the middle burner and alleviates vomiting, warms the lungs,
and stops cough, and resolves toxicity. Zingebarous rhizoma reasons shenjiong
(42:34):
also helps release the exterior. All of these herbs serve
as assistance. And finally we have Mentha haplo calisis herba boha.
Again small amount is used as part of the tea
that you drink with the powder traditionally, and it's from
the cool acrid herbs that release the exterior so traditionally
(42:57):
it clears and benefits the head, eyes and throat, vnce
rashes and courses the liver.
Speaker 1 (43:03):
And moves chi.
Speaker 2 (43:06):
And chen say boha urbamente and shenjiong razoma'singeberous reasons helps
relieve help relieve exterior symptoms. And that's it for our ingredients.
Let's talk about the preparation we've been referring to as
we've been going along here, try out all discusses preparation
of this formula. The source text advises us to grind
(43:29):
the ingredients into a fine powder and cook six grams
together with a small amount of zingebarius rozoma reasons, shen
jiong and Mentha have local sis herba boha. At present,
this formula is often prepared as a decoction with the
doses of the ingredients reduced by about eighty percent, so
(43:49):
instead of thirty grams for most of these you're only
using six grams and the licorice the gonsa, you'd only
be using three grams for that, which is, you know,
a typical dose of jurgau of gonsole can be anywhere
from one point five grams to nine grams, so three
grams is right in the ballpark there.
Speaker 1 (44:10):
Commentary as usual.
Speaker 2 (44:12):
Shite at All has an excellent commentary about this formula.
This formula was originally devised for children suffering from externally
contracted wind cold damnness. Because the source CHI in children
is not fully developed, a strategy was required that would
toonify the chi in order to expel the pathogenic influences. Later,
(44:32):
the application of this formula was expanded to include all
cases of wind cold damness in patients with underlying cheat
efficiency and flim dampness obstructing the CHI dynamic, including the elderly,
postpartum women and those recovering from a debilitating illness.
Speaker 1 (44:50):
Most of the.
Speaker 2 (44:50):
Debate surrounding this formula has focused on the precise precise
function of Gensen ridix or ren shed. Its use in
formulas designed to expel external pathogens can be traced back
to several formulas and discussion on cold damage. Remember that's
the original book on herb formulas in Chinese medicine, including
cinnamon twig and ginseng decoction, gwaiter renschen tog and minor
(45:12):
bu plurium decoction Shao Chai Hutang. However, whereas the role
of jinsing, redics are and sheen in these formulas is
generally regarded as merely strengthening the source Chi and the
middle burner, influential Qing era physicians like Yu Chang, Xiang
Lu and Jiang bing Ching extended its role here to
(45:33):
include the active enhancement of the function of the chief
ingredients in pushing pathogens.
Speaker 1 (45:37):
Back to the outside. Wuju Tang, the.
Speaker 2 (45:42):
Famous systematizer of warm pathogen disease therapeutics, even went so
far as to designate ginsing red x R and sheen
as the chief herb in this formula. However, these interpretations
were criticized by Feibo Chiang, who generally favored ordering the
Chi dynamic and all disorders of you jinsen radix ren
shen as addressing any deficiency.
Speaker 1 (46:05):
A clear and useful.
Speaker 2 (46:06):
Understanding of the formulas provided by Shao yu Huang. A
discussion of famous physicians formulas past and present, or the
ming Yi fong Lun written in sixteen seventy five. If
you're looking at my thing, it says by low may
you find that a lot of the ancients had multiple names,
(46:27):
so it's the same person, but it was written in
sixteen seventy five. You thought of this formula as a
compliment to nine herb decoction with no top durigium jio
hue Chang Chiang hoo Tang. Both formulas were composed during
the same period, have the safe same chief herb and
treat an invasion of wind, cold, damnus, or unseasonable chi
(46:49):
that relies on sweating in order to expel the pathogen.
Shao yu Huang notes that such sweating can only be
produced if the body has sufficient fluids Chi nine herb
decoctum no top turigium jiohuei Chiang Hoo Tang uses romania
retic shengdi wang to increase the fluids where they are deficient.
(47:11):
The present formula similarly similarly employs jinsen ridicks ranschen to
tonify the chi. The Qing physician Yu Chang extended the
indication of this formula to treat early stage wind cold
damp dysenteric disorders with exterior symptoms, which he believed were
caused by sinking of the pathogenic influences into the intestines.
(47:36):
This approach, known as hauling the boat upstream or nilio
wan zhou, remains popular today, but at the time represented
a major departure from standard practice. Unlike diarrhea, which is
a pathology of middleburner chi transformation, dysenteric disorders are thought
to be due to pathogens, mainly damp heat toxin, obstructing
(47:57):
the flow of chi in the intestines. The preferred treatment
strategy for resolving this pathology is to follow the inherent
dynamic of the disorder, where pathogens move inward and downward,
and the physiology of the organ systems evolved that chie
of the bowel moves downward by draining the damp heat
and regulating the chi and blood. Uchung's approach moves in
(48:20):
the opposite direction, employing herbs that are ascending and that
dispel pathogens from the surface. The s asceti movement is
what hauling the boat upstream refers to examined more closely. However,
Yu Chung's treatment strategy also facilitates the physiological movement of
chi and the intestines by removing obstruction from both the
(48:41):
lungs tied to the large intestiny in an interior extra relationship.
Speaker 1 (48:45):
And the chi dynamic.
Speaker 2 (48:48):
It represents a further development an approach to the treatment
of early stage dysenteric disorders already embodied in kudzu decoction
of gugantong, which stops diarrhea by dispelling pathogens from the
exterior of the greater young and young brightness channels. Both
formulas treat early stage dysentery characterized by fever and chills, however,
(49:10):
cuts you. Decauction gugan tong supplements the fluids and stops
spasms in the bowels, and is thus indicated where wind
symptoms predominate. Jingxing and powdered overcome pathogenic influences or in Chenbidison,
on the other hand, opens the cheat dynamic and promotes
water metabolism and is thus indicated where dampness predominates. The
principal formula is also used for very early stage measles
(49:34):
before the rash has begun to surface, characterized by moderate
fever and chills, no significant thirst, loose stools, a white
tongue coating in a thin weak pulse. The modern physician
way Meijong has extended this application and uses the formula
in the treatment. So that was shite at All's commentaration.
(49:56):
Chen have a little commentary as well. They say bidies
was originally designed for children whose yuon or source chi
is still insufficient. A small amount of wrenching rate except
rhizoma gensing is added to boost the yuan chi to
help push out the exterior pathogenic factors. Today, however, the
clinical applications of bidison have been vastly expanded. In addition
(50:19):
to the traditional indications, this formula is now commonly used
for various types of patients, children, the elderly, and patients
who are convalescent, postpartum nursing or with deficiency, and for
various conditions common colds, bronchitis, allergic dermatitis, herticaria, eczema, and
other disorders with the itching of the skin characterized by wind,
cold dampness modifications. So there are many modifications of this
(50:47):
forme we'll go over them briefly here. Shden his team
discussed many modifications. If the normal chi is not weak
and exterior cold symptoms are very pronounced remove gensen radix
wrench and adds gets nipday herba jing j and sepassion
of kovia, redex fung fong or use the associated formula
gets nipodae and sepassion of kovia of powder to overcome
(51:08):
pathogenic influences jing fong bai dousan. If chi deficiency is severe,
increase the dosage of gin senritics ran chen, or add
a straglai redex huang chi and another very good tany
fine herb if damnus, that's a stragalis, by the way,
if you're familiar with that. If damnus obstructs the musclayer
with pronounced aching soreness and pain in the muscles and
(51:31):
joints a climatidis, redex wailing chian mari ramulus song zur gentiana, macrocephale,
redex chin Jiao or redix aristolo ki fung chi or
fung gi if coffee and severe, adds siemen prunei armanasier
(51:51):
shing renu and that cyprocot pit and sinachi stot tony i,
rhizoma by chien for wind tox en dorment papules, add
cicada periosticum chwan tea, chon twei and Sephora flavacentis redex
kushen for early stage stores, remove Gensen redix rind Chen,
(52:13):
and add Forcythia fruitus, lean chaos, lenissere fhlass ginian Hua
chen Chen also has several modifications. If there is itching
or exzema, add kushen, redex Sephora flavacentes and chon twi
periosticum cicada for rash are incomplete. Eruption of dermatological disorders
(52:36):
caused by wind heat toxins at Chiao funk san Eliminate
wind powder for the initial stages of skin lesions such
as sores and carbuncles.
Speaker 1 (52:44):
Remove wrench and raizoma and rhizoma.
Speaker 2 (52:45):
Gensing, and add ginyan Hua flas nisra japonica and lean
Chao frucitus for Scythia, getting very similar to what she'd said.
For febrile disorders with thirst but no version of wind
or cold, add huang chin redex goodle area. If there
is no sign of damnus at the exterior, remove chiang
Huo razon radex. On the top two turigii do whole
(53:09):
radix angelic compupacentas and fuling porea. There's no sign of
coffin or sputum removed, Jing jaygong redix platyconis, and chian
Hu redex pucidoni. That's our modifications. Let's get into comparisons,
So shout out At does not compare this formula with
(53:29):
any others. However, Chen Chen discusses one bide U san
and jing fung bi do you san. It's gets nepotas
a passion of covia powder to overcome pathogenic influences. Both
treat beginning stages of superation characterized by sores and ulcerations,
with fever, aversion to cold, absence of sweating, a thin
(53:51):
white tongue coating, and a superficial pulse. The differences between
these two formulas are as follows. Bid dou San primarily
treats wind cold with damness attacking a constitutionally deficient body.
Treating superation sores and ulceration is its secondary function, and
this secondary function may not be listed in some texts.
(54:13):
Bidy Soon contains rens sheen rate accept riisoma gensing to
treat skin disorders characterized by the presence of wind and cold,
with underlying weakness and deficiency. Jingfong bidy Son primarily treats
initial stages of dermatological disorders with wind, cold, and damness
accumulating in the muscle layer. Localized redness and swelling, along
(54:35):
with extra signs of cough, body aches, headache, and absence
of sweating are present. Jingfong bidy Soon does not contain
renschen ratex at rhizoma gensing and primarily treats skin disorders characterized.
Speaker 1 (54:47):
By wind and cold without.
Speaker 2 (54:50):
Underlying weakness and deficiency. So that's the main difference between
these two and that's their comparisons. Let's talk about biomes indications.
Shide and his teams say, with the appropriate presentations for them,
may be used to treat a variety of biomedically defined disorders,
primarily acute infections, including the common cold, influenza, mumps, bronchitis,
(55:14):
dysentery in the early stages of boils. It has also
been used for allergic dermatitis, urticaria and exima chen Chen say.
This formula has many clinical applications influenza, common cold, respiratory
tract infection, infection with fever, cough, hoarseness of voice, nasal congestion,
(55:37):
paratitis which is inflammation of the prodded glands or to
carry our hives, ecima, supersuperative infection, rheumatism, dizziness, and acute
viral hepatitis.
Speaker 1 (55:52):
Let's look at the science.
Speaker 2 (55:55):
Chen Chen lists several clinical sides with positive findings involved
in this formula, treating and action with fever in children
in one hundred and thirty six patients, treating viral upper
respiratory tract infections or ierties in thirty seven infants and
young children. A modified version was studied for treating acute
viral hepatitis in one hundred and fifty two patients, and
(56:17):
another study of thirty six patients used a modified version
of this formula for treating para paratitis, which is that
inflammation of.
Speaker 1 (56:23):
The product lands.
Speaker 2 (56:25):
No systematic reviews of Wrench and Bidy. Some were found
on a literature search. I love my systematic reviews, couldn't
find any. Let's talk about Drugger interactions. A few words
in this formula may present some risks for Drugger interactions.
Cytochrome P four fifty interactions may include glaciers, redix gonsile
may induce cytochrome P four fifty two C nineteen in
(56:46):
three A four that's licorice, zinger bearos hozoma resent shinjong
that's fresh ginger may inhibit two C nineteen and Gensen
redix wrench and may inhibit two C nine two C
nineteen and three four. We're particularly worried about three A four,
and we have a couple herbs here that may affect
three A four. A large epidemiological study an equals one thousand,
(57:11):
seven and ninety five, so a big one showed increased
adverse effects and patients taking chaihu jurdza, wu weiza shu
and shungdi wang mutong and che cienza with clazepine, quiatia
pin and a lanzapine. So that's Chai who's the one
that's in this formula as well. A case was a
(57:33):
report of congestive hardfare and hypoclemi are too little potassium
in the blood and a patient taking gon cell licorice
ferusamide into joxin. Goncell may increase blood pressure and fluid
retention when used with oral contraceptives. Shown in two case
studies and an uncontrolled human study. Renchin increased this serum
(57:54):
concentration of to joxin in a single case study and
one case study, rention was thought to decrease I n
r A and a patient stabilized on warfaring a case
that he showed raised plasma levels of ralph tegravier thirty
days after starting wrench in supplementation, which tapered off after
stopping supplementation. So there are definitely some potential drug of
(58:18):
interactions here.
Speaker 1 (58:19):
To be aware of.
Speaker 2 (58:22):
Concerns overall, more traditional concerns. Shinea at All says because
of the warm drying properties of many of the ingredients,
it is important to remember that this formula is indicated
only for externally contracted wind, cold damnness and is contraindicated
for cases due to heat or damp heat ence, The
dose of wrench and rate except raisoma gensing should be
(58:43):
carefully adjusted according to each patient's condition. It should not
constitute more than ten percent of the entire formula. BiDi
SUNG was originally designed for children. For adults who do
not have significant cheat efficiency, the dose of wrench and
rid accept roisoma gencing should be Decreasedon is a warm
acuid formula that is contraindicated in cases of exterior wind,
(59:04):
heat invasion, interior heat, or indeficiency.
Speaker 1 (59:08):
With exterior invasion. And there we go.
Speaker 2 (59:13):
That was our superbserves of the day, and that was
our today's formula. Wrench and BiDi sun our Jensen power
to overcome pathogenic influences, A useful formula for treating colds
or exterior external attacks with underlying deficiency. Started as the
children's formula but became an important formula.
Speaker 1 (59:32):
For all patients.
Speaker 2 (59:34):
We got straight into today's formula because there was so
much to cover, including its ingredients, commentary, the science, our
concerns and cautions, as well as its potential drug interactions.
All in all, this was another spacewalk exploring a fascinating
and useful Chinese formula. In two weeks we're going to
(59:56):
be looking at another single Chinese herb ou Ben Lagusta
chi raizoma or Chinese lovage route. This herb is in
the Chinese medical subcategory of warm acrid herbs that release
the exterior. Besides helping you treat external attacks or colds,
it can be helpful in treating pain.
Speaker 1 (01:00:15):
And wind dampness.
Speaker 2 (01:00:17):
As usual, we will explore all the intricacies of the
herb as well as an explanation of its category, and
as always we will look at something a little different.
Join us in two weeks for another interesting episode. I
want to thank you very much for listening today. If
you'd like this podcast, please do us a huge favorite.
(01:00:38):
Subscribe to our podcast in your favorite podcast app. That
helps us immensely, and thank you for even considering it.
Don't forget our absolutely amazing continuing education deal at www
dot Integrative Medicine Council co U ncil dot org slash
CU's ce U S one and you can get just
(01:00:59):
an amazing deal on continuing education and a free book signed.
And you can always get in touch with me at
doctor Greg at sperbserbs dot com, a s s p
E r B s h E r b s dot
com or at our website www dot sperbserbs dot com. Again,
thank you very much, and we have our usual bibliography.
Speaker 1 (01:01:23):
Thank you, Spurs Serves. The preceding was presented by doctor
Greg Sperber.
Speaker 2 (01:01:29):
We would like to thank Janelle for allers support and
everybody else who contributed to this program.
Speaker 1 (01:01:35):
Rogercamble
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