July 29, 2025 • 60 mins
This episode will be looking at another Chinese herbal formula: Sāng Jú Yǐn or Mulberry Leaf and Chrysanthemum Drink. This is from the formulas that release exterior wind-heat subcategory. It is a useful formula for treating early stage colds with a cough. As always, we will do our deep dive into this herb formula and look at its traditional uses, and its preparation, interactions, and cautions. And, as usual, we will be adding something a little different…we are going to introduce the concept of mandatory reporting. 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, it is going to be another interesting vacation into the exciting continent of herbs as we look at Sāng Jú Yǐn or Mulberry Leaf and Chrysanthemum Drink!
Mark as Played
Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:03):
Angelic.
Speaker 2 (00:10):
Welcome to Sperbs Herbs, Episode ninety. Today we're gonna be
talking about a Chinese erble formula song ju yin mulberry
leaf and chrysanthemum drink. So let's get there's a lot
to cover, let's get into it. As I mentioned today,
we will be looking at another.
Speaker 1 (00:27):
Chinese zerble formula, song ju yen that song ju yin
or mulberry leaf and chrysanthemum drink.
Speaker 2 (00:35):
So if that sounds weird as I'm pronouncing song juan,
it's because I'm using the tones and I'm not a
native speaker, so while I've had several years of Chinese,
I'm not a good speaker of it. So i may
be exaggerating the tones a little bit, but that's why
we do that with the Chinese anyways. Song ju Yin
is from the formulas that release exterior wind heat subcategory
(00:59):
of the formulas that release the exterior category. We've been
doing a lot of these lately because I want to
put some packages together on these sort of things on
the exterior herbs, and so we do a few and
then we go somewhere else we come back.
Speaker 1 (01:14):
It is a useful.
Speaker 2 (01:15):
Formula for treating early stage colds with a cough that
is sort of its rissoldetre.
Speaker 1 (01:22):
That cough is really important.
Speaker 2 (01:25):
As always, we'll do our deep dive into this herb
formula and look at its traditional uses and its preparation
interactions and cautions, and as usual, we.
Speaker 1 (01:37):
Will be adding something a little different.
Speaker 2 (01:39):
We're going to introduce the concept of mandatory reporting.
Speaker 1 (01:43):
So that's an interesting one. We haven't done that before.
Speaker 2 (01:46):
It's going to be another interesting vacation into the exciting
continent of herbs.
Speaker 1 (01:51):
Please join us.
Speaker 2 (01:55):
Before we get into that, I just wanted to mention
that I've been teaching for quite a while now on
a wide variety of topics. If you like this podcast, Honestly,
if you don't like this podcast, then you still want
to explore more of my courses. They are available at
www dot Integrative Medicinecouncil dot org. That's Integrative Medicine Council
(02:16):
Council dot org and include a ton of different topics,
including my Drug Herb series looking at drugs and how
they interact with herbs and vice versa. Several ethics and
safety courses. We're going to talk about those in just
a minute. Chinese Medical research, several treatment of condition courses
such as arthritis, neck and backpain, COVID and depression and anxiety.
(02:40):
One of my favorite courses the Chinese Herbal First Aid Kit,
and they are all at a reasonable cost, and you
can get an additional twenty percent off with the code
sh two zero off off. That's SHS and Sperbs herbs
twenty off.
Speaker 1 (02:59):
So that is is how you can.
Speaker 2 (03:01):
Get twenty percent off of all those courses, and they're
already reasonably priced.
Speaker 1 (03:06):
So let's talk a little bit about ethics.
Speaker 2 (03:08):
So a few weeks ago, as I'm preparing this podcast,
the California Action Acupuncture Board, so all of you who
are California acupuncturist, this pertains to you, started requiring four
hours of law and ethics continuing education every two years.
The National Certification Commission for Acupuncture Oriental Medicine, the NCCOM
(03:31):
or quote unquote national boards, requires two hours of ethics
professional development activities every four years. So, in other words,
ethics are required pretty much across the US. In light
of this, I thought I would look at a one
hour course I developed to help satisfy these requirements. Protecting
your patients. Mandatory reporting for what we were doing today
(03:56):
discussing mandatory reporting. We are violating some core ethical principles
while supporting others. The underlying principle underscoring mandatory reporting is
the idea that there are certain members of our society
that are more vulnerable and they need to be protected
by society, and this protection of the vulnerable is more
(04:17):
important than other potential ethical concerns.
Speaker 1 (04:23):
Privacy.
Speaker 2 (04:25):
Privacy is the main ethical principle we are violating when
we report something to authorities. Privacy is a fundamental right
of patients. It is crucial for building trust. If a
patient does not believe what he or she is saying
is private, they will not divulge adequate information to diagnose
(04:45):
and treat. So therefore we can't do our job when
we end, or we can't do our job effectively. Autonomy
is a different ethical principle and is the right of
an individual to make their own decisions. This principle principle
refers to an individual's ability to decide what treatments.
Speaker 1 (05:04):
To undergo and which ones to avoid.
Speaker 2 (05:07):
Autonomy is the principle that allows a person of a
particular religious faith or other reason to refuse a blood
transfusion of medication or any medical interventions whatsoever. And informed
consent is a cornerstone to a patient's autonomy. If the
patient doesn't know, in other words, they're not informed, how
can they make an informed decision, so they can't actually
(05:28):
practice their autonomy.
Speaker 1 (05:31):
And the third.
Speaker 2 (05:31):
Ethical principle that we want to mention here is beneficence.
Beneficence is the principle of doing good, demonstrating kindness, and
showing compassion. Basically, it means helping others. And many medical
controversies are based on a conflict between beneficence and other
(05:52):
ethical principles. So now we can talk about monetary reporting
with those under our belt a little bit. So mandatory
reporting violates a patient's right to privacy in order to
be beneficient to a vulnerable member of our society. So
that's the key here. We're violating someone's privacy. That's key
(06:14):
because if we're going to do mandatory reporting, we are
going to be violating some of their own their own
uh uh, you know, they're there there, the requirements, they
they're their own. We're going to be violating our ethics
of privacy and violating their privacy, their own, their own
ability to be private. But in order to be beneficent
(06:36):
to a vulnerable member of our society. And this is
obvious in the case of abuse, that if someone is
coming to us and reporting abuse, or so they're saying
they're being abused, then they are intending that to be
private between the person being abused and us as a professional. However,
(07:00):
that is we are mandated more often we'll talk about
that in just a second, to violate that privacy in
order to help them. So part of the abuse, of
course is that you know, they want to keep it quiet,
they don't want it to know, and that actually extends
the abuse. So that's why it's important in this scenario.
(07:21):
There's another major area of mandatory reporting. There's a couple others,
but this is another one is in the case of
a communicable disease, we're protecting someone who is still vulnerable
in that they are ignorant of the risk and are
not able to properly exercise their autonomy and act with
informed consent. So I think an obvious way this can
(07:41):
happen as in sexually transmitted infections or diseases, where they're
not being given.
Speaker 1 (07:47):
The choice to not have sex or to have sex.
Speaker 2 (07:49):
They're not being told that there's a communicable disease involved,
but it also is in a lot of other communicable diseases.
Speaker 1 (07:57):
What's interesting is.
Speaker 2 (07:58):
One of those communical disease has sort of a special category,
which is HIV human immunovirus. In some ways you cannot
you cannot report that.
Speaker 1 (08:11):
Again, we're going to get into the.
Speaker 2 (08:13):
Broad terms some of the laws around us, but a
lot of communical diseases you you are necessary to report
if you're the one diagnosing it, which as acupuncturists and
herbalists were probably not.
Speaker 1 (08:26):
The ones to diagnose these things, but.
Speaker 2 (08:29):
If we were, we have to report them if we're
a mandatory reporter.
Speaker 1 (08:33):
So let's get to that.
Speaker 2 (08:35):
The first question a practitioner needs to ask is whether
they are mandatory reporters.
Speaker 1 (08:40):
And even if you're.
Speaker 2 (08:41):
Not a practitioner, this information is useful to you because
it explains like if you say something to your practitioner,
there are certain things that practitioner must report. So the
first question is is a practition protection a practitioner a
mandatory reporter And states in countries may and even count
to a certain extent, may have different laws on this matter.
Speaker 1 (09:04):
In California, where I'm at, we are.
Speaker 2 (09:06):
Considered medical practitioners and therefore mandatory reporters. Absolutely, we are
mandatory reporters in California. Other states may or may not
have similar laws. A lot of them do, but they
may not have similar laws, or they may say we
are reporters for certain situations but not others. So in
other words, in the case of abuse, we might be
a mandatory report, but the case of communical diseases, we
(09:28):
might not be a mandatory reporter. Again, this is a
state by state sort of scenario, and I know in
California even some of the communical diseases can change from
county to county that we need to report, So it's
very specific to where you're at.
Speaker 1 (09:42):
And of course just a few minutes here is not
enough time to get into all of that. However, whether or.
Speaker 2 (09:48):
Not it is mandatory, it may still be ethical and
a practitioner should consider reporting any cases that would fall
under our discussion today, and we're going to.
Speaker 1 (09:59):
Talk about just a second.
Speaker 2 (10:00):
So first, what should be mandatory report? So many diseases
must be reported in order to protect population safety. These
are generally communicable and or have an unusual risk for society.
We talked about communical diseases, but there are other diseases.
So for example, certain types of cancer are are reportable,
and the reason why is because there are environmental hazards
(10:22):
that might cause those cancers. And if they if they
didn't know that these cancers are happening, they wouldn't know
to investigate the environmental hazards.
Speaker 1 (10:31):
So it's it's important to report those.
Speaker 2 (10:34):
So that's so it can be communicable or unusual risk
for society. In most states, both elder abuse and child
abuse must be reported to authorities, and other vulnerable populations
may also have mandatory reporting requirements. This may include the
abuse and the collect of mentally or physically disabled individuals,
(10:58):
and it is all Also, in most places, it is
mandatory to report a patient who is in imminent danger
of harm to self or others. And often domestic violence
is reportable. So again that's the state.
Speaker 1 (11:13):
I say.
Speaker 2 (11:13):
Think in California, when I first wrote this course, domestic
violence was not reportable. Then they did a law, and
now it's mandated reporting. So depending on where you're at,
you may have to do these report any of these
things that may happen. And I'm sure there may be
other issues too, but those are the common ones. So
(11:35):
this was a brief introduction to mandatory reporting. That's all
we can do here and then, like I said, I
have a whole one hour on this course, so there's
a lot more to get into. But in general, most
localities will protect reporters from any liabilities of reporting that
were done with good faith, and that's the key component.
If you report with good faith, then you should be protected.
Speaker 1 (11:57):
And what does that mean. That means not bad fail.
Speaker 2 (12:00):
So if let's say one of your your patients doesn't
pay you and you're gonna get them back, that would
be bad faith. That would not be in if you
reported something uh because of that as revenge, then you
would not be protected from any liabilities.
Speaker 1 (12:16):
But if you truly believe.
Speaker 2 (12:17):
That what's happening is happening, or even if you just
suspect it and believe me, I've done.
Speaker 1 (12:23):
This multiple times now.
Speaker 2 (12:24):
I used to run one of the largest uh the yard,
the largest clinics acupuncture clinics in the in the country,
and I've had I've been involved in several mandatory reporting.
Speaker 1 (12:35):
It's it's not bad, They're not out there, you know,
it's not hard at all.
Speaker 2 (12:39):
It's you know, of course, always a little bit of
a you know, a little bit jingly as you as
you call in, But they're very nice.
Speaker 1 (12:46):
Everyone I've ever talked to you has been very nice.
They do not have a presumption of guilt, you know.
Speaker 2 (12:51):
They they ask questions, they make their own determinations as
to whether they're.
Speaker 1 (12:56):
Going to pursue it or not. You may or may.
Speaker 2 (12:58):
Usually they try to to prevent your name from coming out,
but that isn't always the case. Sometimes, especially if it
goes to a quarter or something, you might be called
on as a witness or what have you. And I
can tell you I'm really really really happy. I mean,
one time I did it, I was, you know, as
early in my career. It was I overstepped and they
(13:18):
just told me that it was fine. The other one
was I wasn't even sure I should call he or
not because it was just a suspicion and it was
for elder abuse. And it turns out there was elder
abuse and the person doing it was prosecuted and actually
had lots of prompts when we protected the person, the
elderly person that was involved with that.
Speaker 1 (13:39):
So I feel really good about that.
Speaker 2 (13:41):
Mandatory reporting the end was quite a positive result. For
the person or patient, not the person who was abusing,
of course, so there are If you do a good
faith there aren't any liabilities, but there can be consequences
of not reporting when mandated and clinding being sued in
sanctions against one's license. So if you think you should report, report,
(14:05):
they will tell you whether or not it should be
followed up or not. They're the ones who will be
doing the following up, not you. But you've done your
job as reporting. But if you don't report when you
should report, there can be consequences, again depending on where
you're at. And of course there is a lot more
to know, and if you are interested, please check out
my course protecting your Patients Mandatory Reporting at www. Integrammedicine
(14:31):
Council dot organ And as we mentioned earlier, if you
use that SAH twenty off code, you get.
Speaker 1 (14:35):
Twenty percent off this course.
Speaker 2 (14:37):
So that's a good good thing, a lot of good
information and relatively inexpensive, very inexpensive. With that little something
different under our belts, let's talk about today's formula.
Speaker 1 (14:51):
Today we're talking.
Speaker 2 (14:51):
About Song Juan or mulberry leaf and chrysanthemum drink. Other
names include Song Chuwi in so with a chu than
a ju Morris leaves in chrysanthemum drink mulbar and chrysanthemum
decoction rather than drink and Morris and chrysanthemum combination. It's
all kind of themes on the same I mean variations
(15:14):
on the same theme. This formula is in the subcategory
of formulas that released the exterior wind heat, under the
category of formulas that release the exterior This is from
one of our textbooks, Shide we have when we when
we talk about formulas.
Speaker 1 (15:28):
We have two major textbooks that we look at.
Speaker 2 (15:31):
One is Shide in His Team, which I don't have here,
but there's I know Benski's involved in that one as well,
Shide in His Team, and then our other usual formula's textbook,
Chinese Medical Herbal Formulas and Applications, Pharmacological Effects and Clinical
Research by Chen and Chen Say says it is in
the acrid and cold exterior releasing formulas subcategory under the
(15:56):
exterior releasing formulas category. They basically say the same thing,
but from slightly different perspectives. One is from the perspective of.
Speaker 1 (16:03):
The herbs, so the herbs.
Speaker 2 (16:04):
Are releasing wind heat, and the other one is the
I don't know how the perspective. One is acrid and
cold releasing, and one is oh interesting. I think that's
where they release exterior wind cold under the character they
(16:24):
let it go. Anyways, I'm actually I'm actually confusing it
with the when it comes to their individual herbs in
the in the two textbooks that are a little bit different.
Speaker 1 (16:35):
But these are all the same. So this is release
exterior wind.
Speaker 2 (16:39):
Cold from That's what it is. It's or it is
acrid and cold exterra releasing formulas. So it helps cold
and it helps.
Speaker 1 (16:49):
Wind, is the bottom line.
Speaker 2 (16:51):
So let's talk about these formulas that release the exterior.
As we discussed in several previous episodes, Shine at All
describe the overall category the following way. When a pathogenic
influence first penetrates the body, it tends to cause a
disorder of the exterior. In its context, the term exterior
bio denotes the superficial layers of the body, comprised of
(17:14):
the skin and muscles. These are perfused by the body's
protective chi, which is fierce and hot in nature and
whose task it is to warm and defend against penetration
into the body by external pathogens of a pathogenic influence
lodges in the aspect of the body.
Speaker 1 (17:34):
It not only obstructs.
Speaker 2 (17:36):
The normal physiological diffusion of CH and fluids there, but
encourages the body to move more protective CHI towards the
exterior in an attempt to push out the invading pathogen.
For this reason, exterior disorders are characterized by fever and chills,
(17:56):
indicating obstruction of normal physiological warming, even as protective young
in the exterior tends towards excess head and body aches
indicating obstruction of CHI influids in the most young ie
exterior portions of the body, and a floating pulse indicating
the movement of protective young toward the exterior. Since wind
(18:22):
is the vehicle by which other external pathogenic influences enter
the body via the exterior, it is involved in most
exterior disorders, especially those involving cold and heat. Thus it
is said that wind is the leader of the one
(18:42):
hundred diseases fong wi by being jur chong. The symptoms
of 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 influence and says.
(19:05):
Treatment in Chinese medicine seeks to support these physiological reactions
through strategies that release the pathogenic influence from the exterior,
are also known as jabiah for this purpose. When deploys light,
acrid moving herbs that on block obstruction to fuse the
protective chi and decimate fluids to vent pathogenic influences back
(19:30):
toward the outside, no other strategy will prevent the pathogenic
influence from penetrating more 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
(19:51):
g influids can once again stream to the surface of
the body, like the 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
(20:14):
equated with inducing sweating, Yet in many contexts where formulas
to release the exterior are used, the sweating may hardly
be noticeable, or strong pathological sweating may evolve into a
milder physiological sweat. This is because the ultimate goal of
these formulas is not to promote sweating, but to unblock
(20:37):
and restore the order to the flow of cheat and fluids.
The term release from the exterior was first described in
chapter five of Basic Questions. It's Basic Questions them is
referring to the Huangdi na Jing So when the Yellow
Emperor's Classic of Internal Medicine Basic Questions. This is a
(21:00):
part of that book, the oldest existing book on Chinese
herbal medicine, and it was written about.
Speaker 1 (21:06):
Two hundred years BCE.
Speaker 2 (21:10):
So chapter five says, if a person harbors a pathogen,
the body becomes soaked as the movement of protective cheat
of the exterior transforms fluids into sweat. Hence, when the
pathogen is at the level of the skin, use sweating
to discharge it. The first known text list herbal formula
(21:30):
is that Embody This strategy is the early third century
work Discussion of Cold Damage, which provides some of the
most influential formulas in this category, such as a federa decoction,
pahwong tong, cinnamon twig decoction, guager tongue and their variants
it's focused on acrid warming herbs to overcome obstruction from wind,
(21:51):
cold in dampness dominated medical practice until the Genuine Dynasties
of the twelfth to fourteenth centuries. Innovation until then consisted
of extending the range of substances used to promote sweating,
rather than seeking seeking.
Speaker 1 (22:07):
New areas of application.
Speaker 2 (22:11):
This changed in the twelfth century with Lawn Theowan 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 the cold.
Speaker 1 (22:25):
This is called the when being or the warm disease.
Speaker 2 (22:31):
The school of school or theory venting such heat requires
the use of acrid cooling substances, which do not necessarily
promote noticeable sweating. The treatment strategies and formulas composed by
seventeenth and eighteenth century physicians like yatn Sure and word
wu Ju Tang are associated with the warm pathogen current
(22:53):
our most emblematic of this approach. Other innovations stemming from
the Genuine Area era are the combination of exterior venting
with tonifying herbs to treat exterior excess, combined with deficiency
of chie leood or fluids in the interior, and the
use of herbs to spell pathogens from specific channels and
(23:14):
their associated surface regions. Sweating is the first of the
eight methods of treatment formulated by the eighteenth century physician
Chunguo Pong, underlying its importance in clinical practice. Yet many
practitioners continue to underrate this method. This is unfortunate because
(23:34):
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 diseases at
the level of the skin and hair. The next best
is to treat them at the level of the muscles
and flesh. The next best is to treat them at
the level of the sinews and vessels. The next best
(23:56):
is to treat them at the level of the six
young organs. The next best to treat them at the
level of the five yin organs. When treating at the
level of the five yin organs, half the patients die
and the other half survive.
Speaker 1 (24:10):
And this is also from Basic Questions, Chapter five the
long Ding Agings. When chapter five.
Speaker 2 (24:19):
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.
(24:39):
The formulas in this chapter are inappropriate for treating disorder
solely of the interior, express rashes or a dema 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.
Speaker 1 (24:56):
One must also be cognizant of the type of sweating
to expect from a particul formula, so that was the
first principle. Second, most of these formulas should be cooked.
Speaker 2 (25:07):
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. Third, formulas taken hot after meals will provide
the best results. Sweating is further encouraged by instructing the
(25:28):
patient to bundle up after taking the medicine as the
goal of 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 dissipates the chi and fluids.
Speaker 1 (25:48):
Fourth, the formula in.
Speaker 2 (25:50):
Dosage should be adjusted to the individual's constitution, local climate,
and season. For example, a person who sweats easily lives
in a warm climate and contracts an illness during the
spring or summer requires only mild treatment. On the other hand,
a person who does not sweat easily lives in a
cold climate and contracts an illness in the autumn or
winter requires stronger treatment. So let's talk about formulas that
(26:16):
release exterior wind heat. So shid continue to describe this subcategory.
Externally contracted wind heat disorders are characterized by fever, sweating,
a slighter version to wind or slight chills, headache, thirst.
Speaker 1 (26:31):
And sore throat.
Speaker 2 (26:33):
There may also be a cough or redness of the eyes.
The tongue coating is white or slightly yellow, indicating that
the heat has not penetrated deeply enough to cause of
purely yellow coating, and the tip of the tongue might
be maybe slightly red, indicating that heat is already entering
and damaging the fluids. The pulse tends to be floating
(26:54):
and rapid. Among the four level differentiation of the patterns
of disease, which is from that warm disease theory that
we were talking about, So the four level differentiation the
patterns of disease, this presentation corresponds to the protective level,
which is the most superficial.
Speaker 1 (27:13):
The core ingredients for these.
Speaker 2 (27:14):
Formulas are light acrid and cooling herbs that release the
exterior such as marifolium sanger rysanthemy floss chuhui. Both of
those are inner formula, including their next one menthae haplocalsis
herba or boha that's field mint and Arcti fructus neo banza.
(27:35):
Because warm heat pathogen diseases can develop suddenly and quickly
enter the deeper levels of the body, these formulas commonly
include herbs that clear heat such as lenissere floss orgini
and wi Forcythia fructus the chow that's in our formula today,
and lofo they herba donjuliet to interrupt this process. These
(27:59):
diseases first attack the lungs and disrupt its disseminating and
descending functions. So the formulas often contain herbs that treat
these problems, such as platychote, radix jagung and armory nossier
siemen shing red and our formula does as well.
Speaker 1 (28:14):
Here.
Speaker 2 (28:17):
Warm pathogens also have a tendency to injure the fluids,
and herbs that generate fluids and also clear heats such
as Trickisanthus redix, ten hui fen and Phragmitis rhizoma lou gent,
which is in our formula today, are therefore frequently used.
Speaker 1 (28:32):
In formulas to release extra wind heat. So there you go.
Speaker 2 (28:37):
That's a good overview of the category and you can
see that already a lot of what this talks about
in general we're going to be looking at specifically for
this formula.
Speaker 1 (28:49):
So what are the Chinese medical actions of this formula?
Speaker 2 (28:52):
Try to it all, say, this formula disperses wind and
clears heat, stops coughing by facilitating flow of lung Chi's
that coughing symptom. That sets this formula apart from other
dispersed wind heat, clear heat, dispersed wind and clear heat formulas.
Speaker 1 (29:11):
So that is sort of the key symptom for this
formula chan Chen.
Speaker 2 (29:16):
Say it dispels wind and clears heat and ventilates the
lung and arrests coughing. I love the word trices sometimes.
So what are the Chinese medical indications for this formula?
So shine it all say, this formula can be used
for slight fever, cough slight thirst, a thin white tongue coating,
(29:36):
and a floating rapid pulse. This is the early superficial
stage of a warm pathogen disease. This type of disorder
enters through the nose and mouth and thus must most
readily damages the lungs, and the initial stages of the
pathogen penetrates and obstructs the collaterals of the lungs, inhibiting
its clarifying and descending function. Is thus the main symptom.
(30:03):
Mild fever and slight thirst reflect the presence of mild
exterior heat.
Speaker 1 (30:07):
The floating rapid pulse also reflects exterior heat.
Speaker 2 (30:12):
The normal tongue coating indicates that the condition is still
in the exterior So for me, in the past, I've
used this formula.
Speaker 1 (30:20):
This is one of those formulas.
Speaker 2 (30:22):
There's like three or four formulas you use when someone
is just getting a cold to kind of prevent the
cold from getting any worse and to treat it. This
is one of those formulas. And again that key symptom
is that cough. So if you have someone who's starting
to come down with a cold and they have a cough,
this is definitely one of those choices. You do want
to check that it's a bit on the heat side
(30:44):
of things rather than the cold side of things, because
that would be a totally different formula. But in general,
this is a really good early stage formula.
Speaker 1 (30:52):
For a cold with a cough.
Speaker 2 (30:56):
So sticking with the transmitical indications, chen Chen Say sung
Ju mulberry leaf and chrysanthemum drink is a relatively mild
formula that treats the early stage or mild case of
wind warmth syndrome, a condition that is similar to or
less severe than wind heat syndrome. So again both of
these are kind of emphasizing in early stages chang continues coughing.
(31:20):
The prominent symptom of this syndrome arises when the wind
warmth factor affects the normal lung chief flow. Since this
wind warmth syndrome is mild, in nature, the fever and
thirst will be slight, so again everything's kind of slight.
Speaker 1 (31:39):
History of this formula, so.
Speaker 2 (31:44):
Both Shine at All and Chang Sha both agree the
source for this formula is when Being Tiaobien or the
Systematic Differentiation of warm pathogen Disease by Wu Tong or
Woojoo Tong, written in seventeen ninety eight. And if that
sounds a little bit familiar, we just mentioned Juton when
we were talking about the wem being theory or school
(32:04):
of thought, and so he was a major player, major
doctor in that school of thought. So this comes directly
out of the web being theory basically form pathogen disease.
Speaker 1 (32:19):
Let's talk about the ingredients of this formula.
Speaker 2 (32:20):
So the first ingredient that we're going to talk about
is mariam fola mari folium or sane yea meaning flower,
foliuo meaning flowers.
Speaker 1 (32:30):
This is the flowers or the leaves actually, excuse me,
leaves of the maury tree. So we're using seven point
five grams in this formula. I gotta be honestly, the
weights of these herbs are not very standard.
Speaker 2 (32:48):
They're they're a little bit off from most of our
most of the formulas that we look at, but I
think that's that's to deal with that, it's using kind
of Usually a lot of the formulas are trans from
some of the ancient measurements into more modern measurements, and
I kind of feel like they did that here, but
they did it more exactly than they usually do. And
(33:09):
what's interesting is both books did the exact same thing.
So this is so normally we look at nine grams
or six grams, and here's seven point five grams. So
I don't know what that's about, but that's that's this formula.
So sonya comes from the cool acroderbs that release the
exterior category. They disperse and scatter wind heat, calm the
(33:30):
liver and clear the eyes, clear the lungs and moisten
dryness and cool the blood and stop bleeding. For this formula,
Moriam Folium sanya and chrysanthemy floss to hua. Our next
ingredient that we're going to talk about are the chief herbs,
and they are cool and light and can clear heat
from the exterior. Marifolium sangye has a sweet and bitter flavor.
Speaker 1 (33:57):
It clears heat from the lungs and stops coffee chen
chen say.
Speaker 2 (34:04):
Sang yay folding more and juhua flas chrysanthemy expel the
wind war factor in clear lung heat.
Speaker 1 (34:10):
So basically the same thing for the rolls of these herbs.
Speaker 2 (34:15):
So the second verb, which we've already said is the
chief verb is chrysanthemy floss or jiuhua. This is chrysanthemum flower.
In fact, I was just talking about chrysanthemum flower to
my friends last night because it seemed like when I
went over to China, everyone, every elderly person you saw
was drinking chrysanthemum tea. At least that's what it seemed
(34:37):
to me when I was over there when it was
two thousand and seven and eight.
Speaker 1 (34:42):
Something around there. So here were you're using three grams.
Speaker 2 (34:46):
Of juhua, the chrysanthemum, the Kysanthoma flowers, and those are
also from the cool ecaderbs that released the exterior and
they disperse wind in clear heat, calm the liver and
clear the eyes, calm the liver burn and extinguishes wind,
extinguish wind, and resolve toxicity. According to Shide at all,
(35:07):
chrysanthemy floss yu hua disperses upper burner wind heat, including
that which affects the eyes. Our third herb is Forcythia
fructous lyon chow, and here we're using four point five grams,
And this is from a different category of verbs. This
is from the category of verbs that clear heat and
(35:28):
resolve toxicity. Clears heat and resolves toxicity and reduces abscesses
and dissipates clumps. Two of the deputies this is a
quote from Shaid about this formula. Two of the deputies
Forcythia frucitusly in choo and mentha half localesis herba boja
strengthen the formula's exterior releasing properties lean chow fructous Forcythia
(35:54):
clears heat and eliminates toxins in the upper jaw. According
to Chen and Chen, our next herb is menthae half
localeesis herba or boha.
Speaker 1 (36:07):
This is field mint.
Speaker 2 (36:08):
I always learned it was peppermint, but then as I
did one of these sperbserves on it, I found out
it was not peppermint.
Speaker 1 (36:15):
It is field mint, which is a different species of mint.
We're using two point four grams here.
Speaker 2 (36:20):
Added near the end of the cooking process, there's a
lot of volatile oils in this so you do not
want to cook them off. And it also comes from
the cool acrid herbs that release the exterior category of herbs. Traditionally,
it clears and benefits the head, eyes, and throat, vents rashes,
and courses the liver and moves chi. We already mentioned
(36:43):
that it's a deputy herb with and talked about it
with from Shi, but Chen Chen says, Boha herba meentthe
helps clear the wind warmth from the upper jaw, so
we remember the upper jow. The upper burner is going
to be the upper part including the lungs, is really
what we're talking about here. We talked about the three
burners previously and we won't get into.
Speaker 1 (37:04):
That too much here.
Speaker 2 (37:06):
Our next urb is platychodi radix or ja gong. This
is from the warm herb that transforms cold flem category,
so a very different category than we've covered so far.
Opens up and disseminates the lung Chi, dispels flem and
benefits the throat, pushes out pus and opens up and
(37:29):
raises the lung. Chi will also directing the actions of
other herbs to the upper regions of the body.
Speaker 1 (37:35):
So this is really considered very helpful for coughs and
flems and flem basically.
Speaker 2 (37:42):
So here we have two other deputies from shine at all.
Two other deputies Platychodi redix j Gong, which has an
a sending action an armor, the ossier Siemens shing Rn.
This is a peach pit kernel. Maybe it's apricoccheronel, sorry, apricoconnel,
which has a descending act, assists the chief herbs by
facilitating the flow of lung chi to stop the coughing.
(38:08):
And that brings us to that armor Nasier Stephen shing Ren,
where you're using six grams. And it is in the
herbs that we lave coughing and coughing and wheezing category,
and it stops cough and calms wheezing and moistens the
intestines and unblocks the bowels. So it's considered a seed,
so on all seeds. Most seeds anyways, moisten the intestines,
(38:31):
unblocked the bowels, so that's what's happening here. Our next
herb is Phragmitis rizoma or lougen, and this is six grams,
and this is from the category herbs that drain fire,
clears heat, generates fluids, clears he promotes urination, and encourages.
Speaker 1 (38:52):
Rashes to surface and shine.
Speaker 2 (38:55):
It all says the assistant Phragmitis Rhizoma Lugain clears he
generates fluids and thereby reducing thirst. And Chen say Lougan
Rhizomophrogmitis clears heat and promotes the generation of body fluids
to relieve thirst. It's almost sort for the same thing,
so very very similar. Anyways, they all have very similar
(39:16):
functions here and our last herb in this formula is
glycerus or a radix gonsal, which is licorice. And oh
and I forgot to change the picture on here. It's
picturing jergon sal honey fried rather than rag asal, So
I'm gonna change that picture on this slide later.
Speaker 1 (39:35):
We're only using two point.
Speaker 2 (39:36):
Four grams of this herb, and it's from the herbs
that tnify the chi. Certainly, this in this formula may
help with the chi. But you're gonna see one of
the other functions of licoriction, and one of the reasons
why it's in.
Speaker 1 (39:49):
Most formulas is coming up.
Speaker 2 (39:51):
So the functions of this include tanofhyesiplin, and augments. The
chi moistens the lungs and stops cough. So that's good
for our formula today. Moderatesasms and alleviates pain, moderates and
harmonizes the characteristics of other herbs. That's the function that
it makes it so commonly used. Glaciers redix, gonsal, the
(40:12):
envoy helps clear the heat and harmonizes the actions of
the other herbs. Chen Chen say gonsal, radix at rhizoma
glycirous ray harmonizes the herbs.
Speaker 1 (40:25):
And I just want to say, you know, if you
are pain really close attention to this, you will find
that Shide has this listens.
Speaker 2 (40:39):
Glaciers say radix, while Chen and Chen will say redix
at riizoma, which means root and rhizomes glyceras. In other words,
the radix is before the species, while Shy does the
species before the part of the.
Speaker 1 (40:58):
Plant, the radix.
Speaker 2 (41:00):
And there was a time where you know, all the
herb books had them the parts before the name of
the plant. So the radix clicis array. In fact, the
previous version of the formula's book.
Speaker 1 (41:14):
Had them that way.
Speaker 2 (41:16):
Uh, and then they kind of shifted over and we've
realized that the proper way to do it is to
have the part of the plant after the plant name,
so it should be gli radix. That is the more
proper way to go. However, chan Chen has it the
other way. I'm quoting them, so I leave it the way.
Speaker 1 (41:36):
They do it, and it's not necessarily wrong to do
it the other way.
Speaker 2 (41:41):
It's just not as proper. So I just kind of
want to mention out that they will put them on
opposite ends. But the way it should be is gl
gli radix rather than radix glycirous array.
Speaker 1 (41:54):
Okay, let's talk about preparation of this formula.
Speaker 2 (41:57):
According to Shida at All, discuss preparation of this formula
is decoction.
Speaker 1 (42:03):
That's that's the first word they say is just decoction. Period.
Speaker 2 (42:08):
Do not cook for more than twenty minutes, as the
source text says, to cook down to one cup from
two because at present, drinks yin are thought to be
most effective when transparent followers of the warm pathogen Disease
school commonly cook this formula for only ten minutes.
Speaker 1 (42:27):
Again, you're adding that boha towards the end of that.
So commentary as usual.
Speaker 2 (42:36):
Shine at All has an excellent commentary about this formula
and here we go quote. This is the classic formula
for early stage warm pathogen diseases or other mild exterior
heat disorders in which coughing is the main symptom. It
is also used for eye disorders due to wind heat
and hacking cough due to exterior dryness. According to its author,
(43:00):
Wuju Tang, the famous systematizer of warm pathogen disorder therapeutics,
it can address these different disorders because they all require
a dispersing formula that releases obstruction in the exterior without
injuring the fluids. For this reason, Wu selected as chief
verbs Morifolium sange and chrysanthemy floss juhua, a synergistic combination
(43:23):
that relies on subtle manipulation of the chi dynamic rather
than merely on acrid opening. Morifolium songe specifically acts on
the lung collaterals, which are complicated in the superficial penetration
of pathogens into an organ. Both of the chief herbs
(43:44):
enter the liver and lung channels, while heat pathogens obstruct
the clarifying and downward directing function of the lung chi.
The fire of liver young as sends uncontrolled by clearing
heat from both channels. This formula treats root and branch simultaneously.
(44:04):
In addition, both of the chief herbs combine sweet moistening
with their clearing and dispersing actions. Chrysanthemy floss to hua
in particular protects the fluids, and by gently nourishing the yin,
helps to control the excess of.
Speaker 1 (44:22):
Yong that is the root of this pathology.
Speaker 2 (44:27):
This formula may also be used in treating the transitional
stage between acute and chronic rhinitis or sinusitis, characterized by
mucosal swelling, congestion, and sensitivity to dust and cold drafts.
For this reason, some practitioners use the formula as a
foundation in formulas that treat allergic rhinitis. Tung Shao Hin,
(44:48):
a prominent modern physician from chung Dhu, uses this decoction
for chronic pediatric diarrhea with considerable success. Is also very
effective for a cute stiff neck. Ten Chen say In
as commentary in this formula, Sangya folon maury and Juhua
(45:11):
philoskrasantheme are used as chief herbs to gently disperse early
stage wind warmth that is beginning to affect the lung.
Although Boha herbamenta is colder and has a stronger exterra
releasing effect, it is not suitable as the chief herb
for two main reasons. First, its exteri releasing effect is
(45:34):
too strong and may further damage body fluids, create heat, phlegm,
and aggravate cough. Second, it does not clear lung heat
nor arrest the cough. Therefore, Boha herbamenta is not suitable
as the chief ingredient, but is used as the deputy
herb to help Sangya foling Moore and Juhua philosophys anthemy
(45:55):
release wind warmth. Ten also say a song Jugien is
one of the most essential and effective formulas for treating
mild cases of cough caused by wind warmth invasion. This
formula is also effective in treating dry cough with scanty
or noseputum during the autumn. Because this formula is mild
(46:16):
in nature, it is necessary to modify it to increase
its potency and or address associated complications. So speaking of that,
let's talk about some modifications of this formula. Should I
discuss many modifications, including for chi level dryness, adds, add
gypsum fibrosum sugao and ana morena Rhizoma germou. Both are
(46:39):
very cooling for nutritive level heat with a dark red tongue.
Adscropularia ratix schwan sheen and Rhinoceotis corneo shigio that is
rhinoceros horn that is not something we should be that's
endangered at this point, not easy to get, very expensive
and probably shouldn't use for a heat entering the blood.
(47:00):
Remove frog minus Risoma lugen and mentha apolokalisis Herba boha
and add ophiopagonis redex maman dong romania, redex hungdi wang
polygonnadi adorati, rizoma yu ju and mouton cortex moot moodon.
Speaker 1 (47:18):
P for severe lung heat.
Speaker 2 (47:21):
Add Scutlaria redex huang chin or pronounced thirst at, trichisanthis
redex tin huaffen for viscous yellow sputum that is difficult
to expectorate. Add trickisanthis pericarpium or gualop and Fritillaria thumburgie
bulbous jabe MoU for labor breathing or slight wheezing. Add
(47:42):
gypsum fibrosum sugal and ana marina raisoma germu. We already
actually had that combination for previously for chi level dryness,
so interesting. That's quite an interesting combination. Add in here
for blood streaked sputum, add mu utan cortex moudon, p imperiate,
(48:02):
raizoma by malgan and columbanus notice raisomatis. Oh yeah, oh
u jeah oh yeah for sore throat, and add lacios
ferra cal slash calvatia or malbo and rti fructus know
bangza wind heat affecting the eyes. Add trivially fructus, siggily, cascio,
(48:29):
sieman juemnza and Prunella prunelle spika shao sha ku su
tan Chin also has several modifications for severe cough with
yellow sputum, cosway, lunk heat at huang qin rate excutellaria,
and sung by p cortex mouri. For cough with sticky
(48:50):
sputum that is difficult to expect rate add gualo pi Paracarpia,
trick as aantheus, don gal don guad ZiU, siemen benen
case and jerbemu bulbous fritillaria.
Speaker 1 (49:05):
Than bergee.
Speaker 2 (49:08):
For cough with blood streaked Spiedo mad Bai malgan Raisoma
imperiate noticed in Lumbanus rhizomatis and chiensao radix at Raisoma rubia.
If there is labor breathing or dystnia troubled breathing characterized
by more heat and dryness in the chi energy level,
(49:28):
add sugar al gypsum, fibrosim and germu raa and marina
to clear the lungs. Again, that combination is very common
for in dryness. Continuing when there is more thirst at
Tianwa fen radis tric issantheist and germou rhizoma and a marina.
If accompanied by a sore throat, adds shagon Rhizoma bell
(49:49):
and conde sean Dogan, redix at Raizoma sefhoi, tonkenansis and
neo bangza fructus rcti. Where I disorders caused by wind
warmth invasion ad chon tweet Periostracum cicada, which we're going
to be talking about in our next episode, is for
observes for eye disorders caused by liver heat at Jue Mingsa, Siemen,
(50:10):
Cassier and Jili Fruittus tribuli.
Speaker 1 (50:16):
All right.
Speaker 2 (50:17):
Comparison, Shide and his team have has two formulas. It
compares to today's from have two formulas. Honey stuckcorn for
cynthia powder, yin Chiao son.
Speaker 1 (50:30):
This is one of those. As I said, there's like
three or four formulas. If someone's coming down with a cold.
Speaker 2 (50:35):
This is another very very commonly used formula for that.
Yin chow soon so honeysucklem for cynthia powder. While these
formulas share many of the same ingredients mulberry leaf and
chrysanthemum drinks, sung ju y in is lighter in nature
and through its effect on the chi dynamic of the lungs,
more effective than treating cough honey stuckm for cynthia powder.
(50:55):
Yin chao soon is a stronger formula for releasing the
exterior and clearing heat. Is therefore more suitable for the
early stage of warm pathogen disorders presenting with fever and
sore throat. The other formula is mulberry leaf an apricot
kernel decoction are song shing tong. Both formulas are based
(51:18):
on light acrid and sweet moistening herbs.
Speaker 1 (51:22):
Mulbury leaf and chrysanthem of drinks.
Speaker 2 (51:23):
Song Gunien is used to treat early stage wind heat disorders,
inventing the lung collaterals that present with fever, headaches, and coughing.
Compared to a mulberry leaf and apricoc kernel decoction song
shing Tong pattern, the fever and other heat symptoms will
tend to be more pronounced and the development more rapid
due to the presence of wind. For this reason, the
(51:45):
formula combines sweet moistening nerves with a large number of
light acrid and cooling nerves that clear heat.
Speaker 1 (51:52):
And disperse wind.
Speaker 2 (51:57):
Chan Chin also compare these two formulas. This song juy
in so exact same two formulas. They say Yin chaw
san honeysuckle for cynthia pattern and song Juan are cool
acrid formulas used for the initial stages of warm feb
all disorders. Both contain leon and chal fruits for Ccythia gagong, redix, platiconus,
gonsal redix at, Raizoma glysira, boha herbamentha and lugan Raizoma
(52:23):
phrogmitis in chaos son has stronger heat clearing extra releasing effects.
Song Juan more effectively ventilates the lung to arrest coughing.
They continue with san ching tongu mulberry leaf and apricot
colonel decoction.
Speaker 1 (52:40):
In song ju y in.
Speaker 2 (52:41):
Both contain kusching ren or semen armer nasier amarum.
Speaker 1 (52:49):
And song ye folding a more.
Speaker 2 (52:51):
To clear the heat, relieve cough, and expel exterior factors.
Song sching tong is indicated for dryness and heat attacking
the lung. This formula contains moistening nerves such as shashen
redex glen glennea, su dentifa and jabemu bulbous fritillaria thunbergie
to treat dryness symptoms.
Speaker 1 (53:11):
Song junian is.
Speaker 2 (53:11):
Indicated for wind warmth attacking the lung. Contains heat clearing
nerves such as boha herbamente, lou gen Rhizoma phrogmitis and
LeAnn chow fructus for scythia to clear heat. What are
the biomedical indications for these formula.
Speaker 1 (53:31):
Shide and his teams say.
Speaker 2 (53:33):
With the appropriate presentation, this formula may be used to
treat a variety of biomedically defined disorders, primarily involving acute
respiratory tract infections. Including the common cold, influenza, bronchitis, pneumonia, tonsilitis,
and conjunctivitis. Chen Chen say this formula has many pharmacological effects,
including being antipyritics so reduces fever and anti inflammatory. Based
(53:58):
on rabbit and mice study, let's talk about the science.
Chun Chen lists several clinical studies with positive findings involving
in this formula, treating upper respiratory tract infections or irties
in three hundred and seventy five patients, so that's a
fairly well powered study. Treating coffin eighty pediatric patients with
(54:18):
modifications the based formula, adding mahwang or epheda, which we
really can't get in the US anymore in most developed countries,
and ganjiang raizomas in jibaris, as well as specific modifications
based on certain signs and symptoms. Another modified version was
studied for treating influenza and fifty patients. So remember we're
(54:40):
looking when we look at the number of patients, thirty
to forty are necessary in order to be able to
apply population statistics to a study, So fifty is is there.
It's over that thirty to forty, but it's not much
above this, so it's still relatively low powered, but it's
definitely enough to do some statistics.
Speaker 1 (55:00):
And same with this.
Speaker 2 (55:01):
Another study of sixty patients used a modified version of
this formula for treating epistaxis, which is nose bleeding, so that's.
Speaker 1 (55:09):
An interesting use of this formula.
Speaker 2 (55:12):
There were a couple of clinical review studies involving Song
ju in discussed and discussed the combination of Song Juan
and you ping funks on jade windscreen powder and helping
resistance to COVID nineteen. So that's an interesting I think
they were actually using that prophylactically to build resistance to
COVID nineteen. Another study show the efficacy of Song Juan
(55:37):
treating micaelplasma pneumonier infection in a retrospective study with one
hundred and fifty patients.
Speaker 1 (55:43):
So let me use so.
Speaker 2 (55:45):
Michael plasmas are generally a little bit more difficult to
treat bacteria, and first of all, retrospective studies are not
We generally want prospective studies rather than retrospective studies. Not
that we can't learn from retrospective studies, but they're not
as strong as prospective studies. And one hundred and fifty patients. Well,
(56:07):
that sounds like a lot more than that thirty to
forty that I was talking about. When you're talking about
a retrospective study, that's not many. I mean, most retrospective
studies I see, even in Chinese medicine, are using thousands
of patients. So one hundred and fifty patients is not
a lot for retrospective study. And so generally I would
say this is not a very strong study, but it's
(56:28):
an interesting one. Let's look at Druger herb interactions. A
few herbs in this FOM may present some risks for
drug urb interactions. Glisteners a radix consal may induce cyachrome
P for fifty two C nineteen and three A four
three A four being the most common.
Speaker 1 (56:47):
Yochrome P for fifty utilized by drugs.
Speaker 2 (56:50):
What this does is increase the risk of drug erb interactions.
And if you want to know more about cychroone pre
for fifties, I have courses for that, but this is
a main risk factor for it a rat study. So
I generally don't like talking about rat studies. It should
be clinical studies. But when all we have are animal
studies or even benries for research, we should know about
(57:11):
it when for increased risk of drug urb interaction. So
a rat study showed induction of cytochrome P for fifty
one A two and two C six and an inhibition
of two A three and three A one when given
herbs and song Juan, mulberry leaf and chrysanthemum drink, So
one A two.
Speaker 1 (57:29):
Is fairly common of those. The other three are not
very commonly used. Cy Chrome P for fifties.
Speaker 2 (57:38):
Talk about some concerns about this formula, So Shine at
all did not have any cautions or concerns about this
formula at all.
Speaker 1 (57:44):
That's a rarity. However, Chen and Chen do under the.
Speaker 2 (57:48):
Heading of cautions contraindications, they say Song Junian is an
accurate and cold formula that treats wind warmth condition. It
is inappropriate for cough caused by wind cold. This formula
has only mild potency to treat cough caused by wind
warmth invasion. Cases of severe cough caused by lung heat,
(58:09):
the use of this formula Loan will.
Speaker 1 (58:11):
Not be sufficient.
Speaker 2 (58:13):
Modification with additional herbs and doses or selection of another
formula is necessary for proper treatment. And that's it for
our formula today that was or today's that was today's
formula song guniene or mulberry leaf and chrysanthemum drink, a
useful formula for treating colds or external attacks with a cough.
(58:34):
Sorry by introducing the necessity for mandatory reporting, and then
we got into the formula including its ingredients, commentary, the science,
our concerns and cautions, as well as its potential drug interactions.
All in all, another exploration of a fascinating and useful
Chinese formula. Good quite well you commonly used formula. In
(59:00):
two weeks, we are going to be looking at another
single Chinese herb chn tweet. I kind of hinted at
that earlier Cicada periostra come or cicada molting. This herb
is in the Chinese medical subcategory of herbs that cool
acrid uh a cool and release. The exterior has several
(59:20):
interesting functions such as venting rashes, clearing the eyes, and
stopping spasms. As usual, we explore all the intricacies of
this herb as well as an explanation of its category,
and as always, we will look at something a little different.
Speaker 1 (59:38):
Join us in two.
Speaker 2 (59:38):
Weeks for another interesting episode. And I like to say
thank you very much for listening. If you like this podcast,
please do us a favor, a huge favor, subscribe to
our podcast and your favorite podcast app.
Speaker 1 (59:51):
We thank you for even considering doing that.
Speaker 2 (59:55):
Remember you can get cused Continuing Education Units and National
Certification Commission of Acupunction Medicine Professional Development activities at www
dot Integrativemedicinecouncil dot org. That's Integrated Medicine Council coun Cil
dot org. And don't forget that twenty percent off with
the code sh twenty off. That's all of the courses
(01:00:15):
that you buy at one time can get twenty percent off,
so sh tow zero off. And you can always get
in touch with me at doctor Greg at sperbserbs dot
com or at our website www.
Speaker 1 (01:00:27):
Sperbserbs dot com. And as usual we have quite bibliography.
Thank you, Spurs RBS. The precedium was presented by doctor
Greg Sperber. We would like to thank Janelle for all
our support and everybody else who contributed to this program.
(01:00:47):
Rogercamble
Angelic.
Speaker 2 (00:10):
Welcome to Sperbs Herbs, Episode ninety. Today we're gonna be
talking about a Chinese erble formula song ju yin mulberry
leaf and chrysanthemum drink. So let's get there's a lot
to cover, let's get into it. As I mentioned today,
we will be looking at another.
Speaker 1 (00:27):
Chinese zerble formula, song ju yen that song ju yin
or mulberry leaf and chrysanthemum drink.
Speaker 2 (00:35):
So if that sounds weird as I'm pronouncing song juan,
it's because I'm using the tones and I'm not a
native speaker, so while I've had several years of Chinese,
I'm not a good speaker of it. So i may
be exaggerating the tones a little bit, but that's why
we do that with the Chinese anyways. Song ju Yin
is from the formulas that release exterior wind heat subcategory
(00:59):
of the formulas that release the exterior category. We've been
doing a lot of these lately because I want to
put some packages together on these sort of things on
the exterior herbs, and so we do a few and
then we go somewhere else we come back.
Speaker 1 (01:14):
It is a useful.
Speaker 2 (01:15):
Formula for treating early stage colds with a cough that
is sort of its rissoldetre.
Speaker 1 (01:22):
That cough is really important.
Speaker 2 (01:25):
As always, we'll do our deep dive into this herb
formula and look at its traditional uses and its preparation
interactions and cautions, and as usual, we.
Speaker 1 (01:37):
Will be adding something a little different.
Speaker 2 (01:39):
We're going to introduce the concept of mandatory reporting.
Speaker 1 (01:43):
So that's an interesting one. We haven't done that before.
Speaker 2 (01:46):
It's going to be another interesting vacation into the exciting
continent of herbs.
Speaker 1 (01:51):
Please join us.
Speaker 2 (01:55):
Before we get into that, I just wanted to mention
that I've been teaching for quite a while now on
a wide variety of topics. If you like this podcast, Honestly,
if you don't like this podcast, then you still want
to explore more of my courses. They are available at
www dot Integrative Medicinecouncil dot org. That's Integrative Medicine Council
(02:16):
Council dot org and include a ton of different topics,
including my Drug Herb series looking at drugs and how
they interact with herbs and vice versa. Several ethics and
safety courses. We're going to talk about those in just
a minute. Chinese Medical research, several treatment of condition courses
such as arthritis, neck and backpain, COVID and depression and anxiety.
(02:40):
One of my favorite courses the Chinese Herbal First Aid Kit,
and they are all at a reasonable cost, and you
can get an additional twenty percent off with the code
sh two zero off off. That's SHS and Sperbs herbs
twenty off.
Speaker 1 (02:59):
So that is is how you can.
Speaker 2 (03:01):
Get twenty percent off of all those courses, and they're
already reasonably priced.
Speaker 1 (03:06):
So let's talk a little bit about ethics.
Speaker 2 (03:08):
So a few weeks ago, as I'm preparing this podcast,
the California Action Acupuncture Board, so all of you who
are California acupuncturist, this pertains to you, started requiring four
hours of law and ethics continuing education every two years.
The National Certification Commission for Acupuncture Oriental Medicine, the NCCOM
(03:31):
or quote unquote national boards, requires two hours of ethics
professional development activities every four years. So, in other words,
ethics are required pretty much across the US. In light
of this, I thought I would look at a one
hour course I developed to help satisfy these requirements. Protecting
your patients. Mandatory reporting for what we were doing today
(03:56):
discussing mandatory reporting. We are violating some core ethical principles
while supporting others. The underlying principle underscoring mandatory reporting is
the idea that there are certain members of our society
that are more vulnerable and they need to be protected
by society, and this protection of the vulnerable is more
(04:17):
important than other potential ethical concerns.
Speaker 1 (04:23):
Privacy.
Speaker 2 (04:25):
Privacy is the main ethical principle we are violating when
we report something to authorities. Privacy is a fundamental right
of patients. It is crucial for building trust. If a
patient does not believe what he or she is saying
is private, they will not divulge adequate information to diagnose
(04:45):
and treat. So therefore we can't do our job when
we end, or we can't do our job effectively. Autonomy
is a different ethical principle and is the right of
an individual to make their own decisions. This principle principle
refers to an individual's ability to decide what treatments.
Speaker 1 (05:04):
To undergo and which ones to avoid.
Speaker 2 (05:07):
Autonomy is the principle that allows a person of a
particular religious faith or other reason to refuse a blood
transfusion of medication or any medical interventions whatsoever. And informed
consent is a cornerstone to a patient's autonomy. If the
patient doesn't know, in other words, they're not informed, how
can they make an informed decision, so they can't actually
(05:28):
practice their autonomy.
Speaker 1 (05:31):
And the third.
Speaker 2 (05:31):
Ethical principle that we want to mention here is beneficence.
Beneficence is the principle of doing good, demonstrating kindness, and
showing compassion. Basically, it means helping others. And many medical
controversies are based on a conflict between beneficence and other
(05:52):
ethical principles. So now we can talk about monetary reporting
with those under our belt a little bit. So mandatory
reporting violates a patient's right to privacy in order to
be beneficient to a vulnerable member of our society. So
that's the key here. We're violating someone's privacy. That's key
(06:14):
because if we're going to do mandatory reporting, we are
going to be violating some of their own their own
uh uh, you know, they're there there, the requirements, they
they're their own. We're going to be violating our ethics
of privacy and violating their privacy, their own, their own
ability to be private. But in order to be beneficent
(06:36):
to a vulnerable member of our society. And this is
obvious in the case of abuse, that if someone is
coming to us and reporting abuse, or so they're saying
they're being abused, then they are intending that to be
private between the person being abused and us as a professional. However,
(07:00):
that is we are mandated more often we'll talk about
that in just a second, to violate that privacy in
order to help them. So part of the abuse, of
course is that you know, they want to keep it quiet,
they don't want it to know, and that actually extends
the abuse. So that's why it's important in this scenario.
(07:21):
There's another major area of mandatory reporting. There's a couple others,
but this is another one is in the case of
a communicable disease, we're protecting someone who is still vulnerable
in that they are ignorant of the risk and are
not able to properly exercise their autonomy and act with
informed consent. So I think an obvious way this can
(07:41):
happen as in sexually transmitted infections or diseases, where they're
not being given.
Speaker 1 (07:47):
The choice to not have sex or to have sex.
Speaker 2 (07:49):
They're not being told that there's a communicable disease involved,
but it also is in a lot of other communicable diseases.
Speaker 1 (07:57):
What's interesting is.
Speaker 2 (07:58):
One of those communical disease has sort of a special category,
which is HIV human immunovirus. In some ways you cannot
you cannot report that.
Speaker 1 (08:11):
Again, we're going to get into the.
Speaker 2 (08:13):
Broad terms some of the laws around us, but a
lot of communical diseases you you are necessary to report
if you're the one diagnosing it, which as acupuncturists and
herbalists were probably not.
Speaker 1 (08:26):
The ones to diagnose these things, but.
Speaker 2 (08:29):
If we were, we have to report them if we're
a mandatory reporter.
Speaker 1 (08:33):
So let's get to that.
Speaker 2 (08:35):
The first question a practitioner needs to ask is whether
they are mandatory reporters.
Speaker 1 (08:40):
And even if you're.
Speaker 2 (08:41):
Not a practitioner, this information is useful to you because
it explains like if you say something to your practitioner,
there are certain things that practitioner must report. So the
first question is is a practition protection a practitioner a
mandatory reporter And states in countries may and even count
to a certain extent, may have different laws on this matter.
Speaker 1 (09:04):
In California, where I'm at, we are.
Speaker 2 (09:06):
Considered medical practitioners and therefore mandatory reporters. Absolutely, we are
mandatory reporters in California. Other states may or may not
have similar laws. A lot of them do, but they
may not have similar laws, or they may say we
are reporters for certain situations but not others. So in
other words, in the case of abuse, we might be
a mandatory report, but the case of communical diseases, we
(09:28):
might not be a mandatory reporter. Again, this is a
state by state sort of scenario, and I know in
California even some of the communical diseases can change from
county to county that we need to report, So it's
very specific to where you're at.
Speaker 1 (09:42):
And of course just a few minutes here is not
enough time to get into all of that. However, whether or.
Speaker 2 (09:48):
Not it is mandatory, it may still be ethical and
a practitioner should consider reporting any cases that would fall
under our discussion today, and we're going to.
Speaker 1 (09:59):
Talk about just a second.
Speaker 2 (10:00):
So first, what should be mandatory report? So many diseases
must be reported in order to protect population safety. These
are generally communicable and or have an unusual risk for society.
We talked about communical diseases, but there are other diseases.
So for example, certain types of cancer are are reportable,
and the reason why is because there are environmental hazards
(10:22):
that might cause those cancers. And if they if they
didn't know that these cancers are happening, they wouldn't know
to investigate the environmental hazards.
Speaker 1 (10:31):
So it's it's important to report those.
Speaker 2 (10:34):
So that's so it can be communicable or unusual risk
for society. In most states, both elder abuse and child
abuse must be reported to authorities, and other vulnerable populations
may also have mandatory reporting requirements. This may include the
abuse and the collect of mentally or physically disabled individuals,
(10:58):
and it is all Also, in most places, it is
mandatory to report a patient who is in imminent danger
of harm to self or others. And often domestic violence
is reportable. So again that's the state.
Speaker 1 (11:13):
I say.
Speaker 2 (11:13):
Think in California, when I first wrote this course, domestic
violence was not reportable. Then they did a law, and
now it's mandated reporting. So depending on where you're at,
you may have to do these report any of these
things that may happen. And I'm sure there may be
other issues too, but those are the common ones. So
(11:35):
this was a brief introduction to mandatory reporting. That's all
we can do here and then, like I said, I
have a whole one hour on this course, so there's
a lot more to get into. But in general, most
localities will protect reporters from any liabilities of reporting that
were done with good faith, and that's the key component.
If you report with good faith, then you should be protected.
Speaker 1 (11:57):
And what does that mean. That means not bad fail.
Speaker 2 (12:00):
So if let's say one of your your patients doesn't
pay you and you're gonna get them back, that would
be bad faith. That would not be in if you
reported something uh because of that as revenge, then you
would not be protected from any liabilities.
Speaker 1 (12:16):
But if you truly believe.
Speaker 2 (12:17):
That what's happening is happening, or even if you just
suspect it and believe me, I've done.
Speaker 1 (12:23):
This multiple times now.
Speaker 2 (12:24):
I used to run one of the largest uh the yard,
the largest clinics acupuncture clinics in the in the country,
and I've had I've been involved in several mandatory reporting.
Speaker 1 (12:35):
It's it's not bad, They're not out there, you know,
it's not hard at all.
Speaker 2 (12:39):
It's you know, of course, always a little bit of
a you know, a little bit jingly as you as
you call in, But they're very nice.
Speaker 1 (12:46):
Everyone I've ever talked to you has been very nice.
They do not have a presumption of guilt, you know.
Speaker 2 (12:51):
They they ask questions, they make their own determinations as
to whether they're.
Speaker 1 (12:56):
Going to pursue it or not. You may or may.
Speaker 2 (12:58):
Usually they try to to prevent your name from coming out,
but that isn't always the case. Sometimes, especially if it
goes to a quarter or something, you might be called
on as a witness or what have you. And I
can tell you I'm really really really happy. I mean,
one time I did it, I was, you know, as
early in my career. It was I overstepped and they
(13:18):
just told me that it was fine. The other one
was I wasn't even sure I should call he or
not because it was just a suspicion and it was
for elder abuse. And it turns out there was elder
abuse and the person doing it was prosecuted and actually
had lots of prompts when we protected the person, the
elderly person that was involved with that.
Speaker 1 (13:39):
So I feel really good about that.
Speaker 2 (13:41):
Mandatory reporting the end was quite a positive result. For
the person or patient, not the person who was abusing,
of course, so there are If you do a good
faith there aren't any liabilities, but there can be consequences
of not reporting when mandated and clinding being sued in
sanctions against one's license. So if you think you should report, report,
(14:05):
they will tell you whether or not it should be
followed up or not. They're the ones who will be
doing the following up, not you. But you've done your
job as reporting. But if you don't report when you
should report, there can be consequences, again depending on where
you're at. And of course there is a lot more
to know, and if you are interested, please check out
my course protecting your Patients Mandatory Reporting at www. Integrammedicine
(14:31):
Council dot organ And as we mentioned earlier, if you
use that SAH twenty off code, you get.
Speaker 1 (14:35):
Twenty percent off this course.
Speaker 2 (14:37):
So that's a good good thing, a lot of good
information and relatively inexpensive, very inexpensive. With that little something
different under our belts, let's talk about today's formula.
Speaker 1 (14:51):
Today we're talking.
Speaker 2 (14:51):
About Song Juan or mulberry leaf and chrysanthemum drink. Other
names include Song Chuwi in so with a chu than
a ju Morris leaves in chrysanthemum drink mulbar and chrysanthemum
decoction rather than drink and Morris and chrysanthemum combination. It's
all kind of themes on the same I mean variations
(15:14):
on the same theme. This formula is in the subcategory
of formulas that released the exterior wind heat, under the
category of formulas that release the exterior This is from
one of our textbooks, Shide we have when we when
we talk about formulas.
Speaker 1 (15:28):
We have two major textbooks that we look at.
Speaker 2 (15:31):
One is Shide in His Team, which I don't have here,
but there's I know Benski's involved in that one as well,
Shide in His Team, and then our other usual formula's textbook,
Chinese Medical Herbal Formulas and Applications, Pharmacological Effects and Clinical
Research by Chen and Chen Say says it is in
the acrid and cold exterior releasing formulas subcategory under the
(15:56):
exterior releasing formulas category. They basically say the same thing,
but from slightly different perspectives. One is from the perspective of.
Speaker 1 (16:03):
The herbs, so the herbs.
Speaker 2 (16:04):
Are releasing wind heat, and the other one is the
I don't know how the perspective. One is acrid and
cold releasing, and one is oh interesting. I think that's
where they release exterior wind cold under the character they
(16:24):
let it go. Anyways, I'm actually I'm actually confusing it
with the when it comes to their individual herbs in
the in the two textbooks that are a little bit different.
Speaker 1 (16:35):
But these are all the same. So this is release
exterior wind.
Speaker 2 (16:39):
Cold from That's what it is. It's or it is
acrid and cold exterra releasing formulas. So it helps cold
and it helps.
Speaker 1 (16:49):
Wind, is the bottom line.
Speaker 2 (16:51):
So let's talk about these formulas that release the exterior.
As we discussed in several previous episodes, Shine at All
describe the overall category the following way. When a pathogenic
influence first penetrates the body, it tends to cause a
disorder of the exterior. In its context, the term exterior
bio denotes the superficial layers of the body, comprised of
(17:14):
the skin and muscles. These are perfused by the body's
protective chi, which is fierce and hot in nature and
whose task it is to warm and defend against penetration
into the body by external pathogens of a pathogenic influence
lodges in the aspect of the body.
Speaker 1 (17:34):
It not only obstructs.
Speaker 2 (17:36):
The normal physiological diffusion of CH and fluids there, but
encourages the body to move more protective CHI towards the
exterior in an attempt to push out the invading pathogen.
For this reason, exterior disorders are characterized by fever and chills,
(17:56):
indicating obstruction of normal physiological warming, even as protective young
in the exterior tends towards excess head and body aches
indicating obstruction of CHI influids in the most young ie
exterior portions of the body, and a floating pulse indicating
the movement of protective young toward the exterior. Since wind
(18:22):
is the vehicle by which other external pathogenic influences enter
the body via the exterior, it is involved in most
exterior disorders, especially those involving cold and heat. Thus it
is said that wind is the leader of the one
(18:42):
hundred diseases fong wi by being jur chong. The symptoms
of 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 influence and says.
(19:05):
Treatment in Chinese medicine seeks to support these physiological reactions
through strategies that release the pathogenic influence from the exterior,
are also known as jabiah for this purpose. When deploys light,
acrid moving herbs that on block obstruction to fuse the
protective chi and decimate fluids to vent pathogenic influences back
(19:30):
toward the outside, no other strategy will prevent the pathogenic
influence from penetrating more 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
(19:51):
g influids can once again stream to the surface of
the body, like the 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
(20:14):
equated with inducing sweating, Yet in many contexts where formulas
to release the exterior are used, the sweating may hardly
be noticeable, or strong pathological sweating may evolve into a
milder physiological sweat. This is because the ultimate goal of
these formulas is not to promote sweating, but to unblock
(20:37):
and restore the order to the flow of cheat and fluids.
The term release from the exterior was first described in
chapter five of Basic Questions. It's Basic Questions them is
referring to the Huangdi na Jing So when the Yellow
Emperor's Classic of Internal Medicine Basic Questions. This is a
(21:00):
part of that book, the oldest existing book on Chinese
herbal medicine, and it was written about.
Speaker 1 (21:06):
Two hundred years BCE.
Speaker 2 (21:10):
So chapter five says, if a person harbors a pathogen,
the body becomes soaked as the movement of protective cheat
of the exterior transforms fluids into sweat. Hence, when the
pathogen is at the level of the skin, use sweating
to discharge it. The first known text list herbal formula
(21:30):
is that Embody This strategy is the early third century
work Discussion of Cold Damage, which provides some of the
most influential formulas in this category, such as a federa decoction,
pahwong tong, cinnamon twig decoction, guager tongue and their variants
it's focused on acrid warming herbs to overcome obstruction from wind,
(21:51):
cold in dampness dominated medical practice until the Genuine Dynasties
of the twelfth to fourteenth centuries. Innovation until then consisted
of extending the range of substances used to promote sweating,
rather than seeking seeking.
Speaker 1 (22:07):
New areas of application.
Speaker 2 (22:11):
This changed in the twelfth century with Lawn Theowan 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 the cold.
Speaker 1 (22:25):
This is called the when being or the warm disease.
Speaker 2 (22:31):
The school of school or theory venting such heat requires
the use of acrid cooling substances, which do not necessarily
promote noticeable sweating. The treatment strategies and formulas composed by
seventeenth and eighteenth century physicians like yatn Sure and word
wu Ju Tang are associated with the warm pathogen current
(22:53):
our most emblematic of this approach. Other innovations stemming from
the Genuine Area era are the combination of exterior venting
with tonifying herbs to treat exterior excess, combined with deficiency
of chie leood or fluids in the interior, and the
use of herbs to spell pathogens from specific channels and
(23:14):
their associated surface regions. Sweating is the first of the
eight methods of treatment formulated by the eighteenth century physician
Chunguo Pong, underlying its importance in clinical practice. Yet many
practitioners continue to underrate this method. This is unfortunate because
(23:34):
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 diseases at
the level of the skin and hair. The next best
is to treat them at the level of the muscles
and flesh. The next best is to treat them at
the level of the sinews and vessels. The next best
(23:56):
is to treat them at the level of the six
young organs. The next best to treat them at the
level of the five yin organs. When treating at the
level of the five yin organs, half the patients die
and the other half survive.
Speaker 1 (24:10):
And this is also from Basic Questions, Chapter five the
long Ding Agings. When chapter five.
Speaker 2 (24:19):
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.
(24:39):
The formulas in this chapter are inappropriate for treating disorder
solely of the interior, express rashes or a dema 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.
Speaker 1 (24:56):
One must also be cognizant of the type of sweating
to expect from a particul formula, so that was the
first principle. Second, most of these formulas should be cooked.
Speaker 2 (25:07):
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. Third, formulas taken hot after meals will provide
the best results. Sweating is further encouraged by instructing the
(25:28):
patient to bundle up after taking the medicine as the
goal of 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 dissipates the chi and fluids.
Speaker 1 (25:48):
Fourth, the formula in.
Speaker 2 (25:50):
Dosage should be adjusted to the individual's constitution, local climate,
and season. For example, a person who sweats easily lives
in a warm climate and contracts an illness during the
spring or summer requires only mild treatment. On the other hand,
a person who does not sweat easily lives in a
cold climate and contracts an illness in the autumn or
winter requires stronger treatment. So let's talk about formulas that
(26:16):
release exterior wind heat. So shid continue to describe this subcategory.
Externally contracted wind heat disorders are characterized by fever, sweating,
a slighter version to wind or slight chills, headache, thirst.
Speaker 1 (26:31):
And sore throat.
Speaker 2 (26:33):
There may also be a cough or redness of the eyes.
The tongue coating is white or slightly yellow, indicating that
the heat has not penetrated deeply enough to cause of
purely yellow coating, and the tip of the tongue might
be maybe slightly red, indicating that heat is already entering
and damaging the fluids. The pulse tends to be floating
(26:54):
and rapid. Among the four level differentiation of the patterns
of disease, which is from that warm disease theory that
we were talking about, So the four level differentiation the
patterns of disease, this presentation corresponds to the protective level,
which is the most superficial.
Speaker 1 (27:13):
The core ingredients for these.
Speaker 2 (27:14):
Formulas are light acrid and cooling herbs that release the
exterior such as marifolium sanger rysanthemy floss chuhui. Both of
those are inner formula, including their next one menthae haplocalsis
herba or boha that's field mint and Arcti fructus neo banza.
(27:35):
Because warm heat pathogen diseases can develop suddenly and quickly
enter the deeper levels of the body, these formulas commonly
include herbs that clear heat such as lenissere floss orgini
and wi Forcythia fructus the chow that's in our formula today,
and lofo they herba donjuliet to interrupt this process. These
(27:59):
diseases first attack the lungs and disrupt its disseminating and
descending functions. So the formulas often contain herbs that treat
these problems, such as platychote, radix jagung and armory nossier
siemen shing red and our formula does as well.
Speaker 1 (28:14):
Here.
Speaker 2 (28:17):
Warm pathogens also have a tendency to injure the fluids,
and herbs that generate fluids and also clear heats such
as Trickisanthus redix, ten hui fen and Phragmitis rhizoma lou gent,
which is in our formula today, are therefore frequently used.
Speaker 1 (28:32):
In formulas to release extra wind heat. So there you go.
Speaker 2 (28:37):
That's a good overview of the category and you can
see that already a lot of what this talks about
in general we're going to be looking at specifically for
this formula.
Speaker 1 (28:49):
So what are the Chinese medical actions of this formula?
Speaker 2 (28:52):
Try to it all, say, this formula disperses wind and
clears heat, stops coughing by facilitating flow of lung Chi's
that coughing symptom. That sets this formula apart from other
dispersed wind heat, clear heat, dispersed wind and clear heat formulas.
Speaker 1 (29:11):
So that is sort of the key symptom for this
formula chan Chen.
Speaker 2 (29:16):
Say it dispels wind and clears heat and ventilates the
lung and arrests coughing. I love the word trices sometimes.
So what are the Chinese medical indications for this formula?
So shine it all say, this formula can be used
for slight fever, cough slight thirst, a thin white tongue coating,
(29:36):
and a floating rapid pulse. This is the early superficial
stage of a warm pathogen disease. This type of disorder
enters through the nose and mouth and thus must most
readily damages the lungs, and the initial stages of the
pathogen penetrates and obstructs the collaterals of the lungs, inhibiting
its clarifying and descending function. Is thus the main symptom.
(30:03):
Mild fever and slight thirst reflect the presence of mild
exterior heat.
Speaker 1 (30:07):
The floating rapid pulse also reflects exterior heat.
Speaker 2 (30:12):
The normal tongue coating indicates that the condition is still
in the exterior So for me, in the past, I've
used this formula.
Speaker 1 (30:20):
This is one of those formulas.
Speaker 2 (30:22):
There's like three or four formulas you use when someone
is just getting a cold to kind of prevent the
cold from getting any worse and to treat it. This
is one of those formulas. And again that key symptom
is that cough. So if you have someone who's starting
to come down with a cold and they have a cough,
this is definitely one of those choices. You do want
to check that it's a bit on the heat side
(30:44):
of things rather than the cold side of things, because
that would be a totally different formula. But in general,
this is a really good early stage formula.
Speaker 1 (30:52):
For a cold with a cough.
Speaker 2 (30:56):
So sticking with the transmitical indications, chen Chen Say sung
Ju mulberry leaf and chrysanthemum drink is a relatively mild
formula that treats the early stage or mild case of
wind warmth syndrome, a condition that is similar to or
less severe than wind heat syndrome. So again both of
these are kind of emphasizing in early stages chang continues coughing.
(31:20):
The prominent symptom of this syndrome arises when the wind
warmth factor affects the normal lung chief flow. Since this
wind warmth syndrome is mild, in nature, the fever and
thirst will be slight, so again everything's kind of slight.
Speaker 1 (31:39):
History of this formula, so.
Speaker 2 (31:44):
Both Shine at All and Chang Sha both agree the
source for this formula is when Being Tiaobien or the
Systematic Differentiation of warm pathogen Disease by Wu Tong or
Woojoo Tong, written in seventeen ninety eight. And if that
sounds a little bit familiar, we just mentioned Juton when
we were talking about the wem being theory or school
(32:04):
of thought, and so he was a major player, major
doctor in that school of thought. So this comes directly
out of the web being theory basically form pathogen disease.
Speaker 1 (32:19):
Let's talk about the ingredients of this formula.
Speaker 2 (32:20):
So the first ingredient that we're going to talk about
is mariam fola mari folium or sane yea meaning flower,
foliuo meaning flowers.
Speaker 1 (32:30):
This is the flowers or the leaves actually, excuse me,
leaves of the maury tree. So we're using seven point
five grams in this formula. I gotta be honestly, the
weights of these herbs are not very standard.
Speaker 2 (32:48):
They're they're a little bit off from most of our
most of the formulas that we look at, but I
think that's that's to deal with that, it's using kind
of Usually a lot of the formulas are trans from
some of the ancient measurements into more modern measurements, and
I kind of feel like they did that here, but
they did it more exactly than they usually do. And
(33:09):
what's interesting is both books did the exact same thing.
So this is so normally we look at nine grams
or six grams, and here's seven point five grams. So
I don't know what that's about, but that's that's this formula.
So sonya comes from the cool acroderbs that release the
exterior category. They disperse and scatter wind heat, calm the
(33:30):
liver and clear the eyes, clear the lungs and moisten
dryness and cool the blood and stop bleeding. For this formula,
Moriam Folium sanya and chrysanthemy floss to hua. Our next
ingredient that we're going to talk about are the chief herbs,
and they are cool and light and can clear heat
from the exterior. Marifolium sangye has a sweet and bitter flavor.
Speaker 1 (33:57):
It clears heat from the lungs and stops coffee chen
chen say.
Speaker 2 (34:04):
Sang yay folding more and juhua flas chrysanthemy expel the
wind war factor in clear lung heat.
Speaker 1 (34:10):
So basically the same thing for the rolls of these herbs.
Speaker 2 (34:15):
So the second verb, which we've already said is the
chief verb is chrysanthemy floss or jiuhua. This is chrysanthemum flower.
In fact, I was just talking about chrysanthemum flower to
my friends last night because it seemed like when I
went over to China, everyone, every elderly person you saw
was drinking chrysanthemum tea. At least that's what it seemed
(34:37):
to me when I was over there when it was
two thousand and seven and eight.
Speaker 1 (34:42):
Something around there. So here were you're using three grams.
Speaker 2 (34:46):
Of juhua, the chrysanthemum, the Kysanthoma flowers, and those are
also from the cool ecaderbs that released the exterior and
they disperse wind in clear heat, calm the liver and
clear the eyes, calm the liver burn and extinguishes wind,
extinguish wind, and resolve toxicity. According to Shide at all,
(35:07):
chrysanthemy floss yu hua disperses upper burner wind heat, including
that which affects the eyes. Our third herb is Forcythia
fructous lyon chow, and here we're using four point five grams,
And this is from a different category of verbs. This
is from the category of verbs that clear heat and
(35:28):
resolve toxicity. Clears heat and resolves toxicity and reduces abscesses
and dissipates clumps. Two of the deputies this is a
quote from Shaid about this formula. Two of the deputies
Forcythia frucitusly in choo and mentha half localesis herba boja
strengthen the formula's exterior releasing properties lean chow fructous Forcythia
(35:54):
clears heat and eliminates toxins in the upper jaw. According
to Chen and Chen, our next herb is menthae half
localeesis herba or boha.
Speaker 1 (36:07):
This is field mint.
Speaker 2 (36:08):
I always learned it was peppermint, but then as I
did one of these sperbserves on it, I found out
it was not peppermint.
Speaker 1 (36:15):
It is field mint, which is a different species of mint.
We're using two point four grams here.
Speaker 2 (36:20):
Added near the end of the cooking process, there's a
lot of volatile oils in this so you do not
want to cook them off. And it also comes from
the cool acrid herbs that release the exterior category of herbs. Traditionally,
it clears and benefits the head, eyes, and throat, vents rashes,
and courses the liver and moves chi. We already mentioned
(36:43):
that it's a deputy herb with and talked about it
with from Shi, but Chen Chen says, Boha herba meentthe
helps clear the wind warmth from the upper jaw, so
we remember the upper jow. The upper burner is going
to be the upper part including the lungs, is really
what we're talking about here. We talked about the three
burners previously and we won't get into.
Speaker 1 (37:04):
That too much here.
Speaker 2 (37:06):
Our next urb is platychodi radix or ja gong. This
is from the warm herb that transforms cold flem category,
so a very different category than we've covered so far.
Opens up and disseminates the lung Chi, dispels flem and
benefits the throat, pushes out pus and opens up and
(37:29):
raises the lung. Chi will also directing the actions of
other herbs to the upper regions of the body.
Speaker 1 (37:35):
So this is really considered very helpful for coughs and
flems and flem basically.
Speaker 2 (37:42):
So here we have two other deputies from shine at all.
Two other deputies Platychodi redix j Gong, which has an
a sending action an armor, the ossier Siemens shing Rn.
This is a peach pit kernel. Maybe it's apricoccheronel, sorry, apricoconnel,
which has a descending act, assists the chief herbs by
facilitating the flow of lung chi to stop the coughing.
(38:08):
And that brings us to that armor Nasier Stephen shing Ren,
where you're using six grams. And it is in the
herbs that we lave coughing and coughing and wheezing category,
and it stops cough and calms wheezing and moistens the
intestines and unblocks the bowels. So it's considered a seed,
so on all seeds. Most seeds anyways, moisten the intestines,
(38:31):
unblocked the bowels, so that's what's happening here. Our next
herb is Phragmitis rizoma or lougen, and this is six grams,
and this is from the category herbs that drain fire,
clears heat, generates fluids, clears he promotes urination, and encourages.
Speaker 1 (38:52):
Rashes to surface and shine.
Speaker 2 (38:55):
It all says the assistant Phragmitis Rhizoma Lugain clears he
generates fluids and thereby reducing thirst. And Chen say Lougan
Rhizomophrogmitis clears heat and promotes the generation of body fluids
to relieve thirst. It's almost sort for the same thing,
so very very similar. Anyways, they all have very similar
(39:16):
functions here and our last herb in this formula is
glycerus or a radix gonsal, which is licorice. And oh
and I forgot to change the picture on here. It's
picturing jergon sal honey fried rather than rag asal, So
I'm gonna change that picture on this slide later.
Speaker 1 (39:35):
We're only using two point.
Speaker 2 (39:36):
Four grams of this herb, and it's from the herbs
that tnify the chi. Certainly, this in this formula may
help with the chi. But you're gonna see one of
the other functions of licoriction, and one of the reasons
why it's in.
Speaker 1 (39:49):
Most formulas is coming up.
Speaker 2 (39:51):
So the functions of this include tanofhyesiplin, and augments. The
chi moistens the lungs and stops cough. So that's good
for our formula today. Moderatesasms and alleviates pain, moderates and
harmonizes the characteristics of other herbs. That's the function that
it makes it so commonly used. Glaciers redix, gonsal, the
(40:12):
envoy helps clear the heat and harmonizes the actions of
the other herbs. Chen Chen say gonsal, radix at rhizoma
glycirous ray harmonizes the herbs.
Speaker 1 (40:25):
And I just want to say, you know, if you
are pain really close attention to this, you will find
that Shide has this listens.
Speaker 2 (40:39):
Glaciers say radix, while Chen and Chen will say redix
at riizoma, which means root and rhizomes glyceras. In other words,
the radix is before the species, while Shy does the
species before the part of the.
Speaker 1 (40:58):
Plant, the radix.
Speaker 2 (41:00):
And there was a time where you know, all the
herb books had them the parts before the name of
the plant. So the radix clicis array. In fact, the
previous version of the formula's book.
Speaker 1 (41:14):
Had them that way.
Speaker 2 (41:16):
Uh, and then they kind of shifted over and we've
realized that the proper way to do it is to
have the part of the plant after the plant name,
so it should be gli radix. That is the more
proper way to go. However, chan Chen has it the
other way. I'm quoting them, so I leave it the way.
Speaker 1 (41:36):
They do it, and it's not necessarily wrong to do
it the other way.
Speaker 2 (41:41):
It's just not as proper. So I just kind of
want to mention out that they will put them on
opposite ends. But the way it should be is gl
gli radix rather than radix glycirous array.
Speaker 1 (41:54):
Okay, let's talk about preparation of this formula.
Speaker 2 (41:57):
According to Shida at All, discuss preparation of this formula
is decoction.
Speaker 1 (42:03):
That's that's the first word they say is just decoction. Period.
Speaker 2 (42:08):
Do not cook for more than twenty minutes, as the
source text says, to cook down to one cup from
two because at present, drinks yin are thought to be
most effective when transparent followers of the warm pathogen Disease
school commonly cook this formula for only ten minutes.
Speaker 1 (42:27):
Again, you're adding that boha towards the end of that.
So commentary as usual.
Speaker 2 (42:36):
Shine at All has an excellent commentary about this formula
and here we go quote. This is the classic formula
for early stage warm pathogen diseases or other mild exterior
heat disorders in which coughing is the main symptom. It
is also used for eye disorders due to wind heat
and hacking cough due to exterior dryness. According to its author,
(43:00):
Wuju Tang, the famous systematizer of warm pathogen disorder therapeutics,
it can address these different disorders because they all require
a dispersing formula that releases obstruction in the exterior without
injuring the fluids. For this reason, Wu selected as chief
verbs Morifolium sange and chrysanthemy floss juhua, a synergistic combination
(43:23):
that relies on subtle manipulation of the chi dynamic rather
than merely on acrid opening. Morifolium songe specifically acts on
the lung collaterals, which are complicated in the superficial penetration
of pathogens into an organ. Both of the chief herbs
(43:44):
enter the liver and lung channels, while heat pathogens obstruct
the clarifying and downward directing function of the lung chi.
The fire of liver young as sends uncontrolled by clearing
heat from both channels. This formula treats root and branch simultaneously.
(44:04):
In addition, both of the chief herbs combine sweet moistening
with their clearing and dispersing actions. Chrysanthemy floss to hua
in particular protects the fluids, and by gently nourishing the yin,
helps to control the excess of.
Speaker 1 (44:22):
Yong that is the root of this pathology.
Speaker 2 (44:27):
This formula may also be used in treating the transitional
stage between acute and chronic rhinitis or sinusitis, characterized by
mucosal swelling, congestion, and sensitivity to dust and cold drafts.
For this reason, some practitioners use the formula as a
foundation in formulas that treat allergic rhinitis. Tung Shao Hin,
(44:48):
a prominent modern physician from chung Dhu, uses this decoction
for chronic pediatric diarrhea with considerable success. Is also very
effective for a cute stiff neck. Ten Chen say In
as commentary in this formula, Sangya folon maury and Juhua
(45:11):
philoskrasantheme are used as chief herbs to gently disperse early
stage wind warmth that is beginning to affect the lung.
Although Boha herbamenta is colder and has a stronger exterra
releasing effect, it is not suitable as the chief herb
for two main reasons. First, its exteri releasing effect is
(45:34):
too strong and may further damage body fluids, create heat, phlegm,
and aggravate cough. Second, it does not clear lung heat
nor arrest the cough. Therefore, Boha herbamenta is not suitable
as the chief ingredient, but is used as the deputy
herb to help Sangya foling Moore and Juhua philosophys anthemy
(45:55):
release wind warmth. Ten also say a song Jugien is
one of the most essential and effective formulas for treating
mild cases of cough caused by wind warmth invasion. This
formula is also effective in treating dry cough with scanty
or noseputum during the autumn. Because this formula is mild
(46:16):
in nature, it is necessary to modify it to increase
its potency and or address associated complications. So speaking of that,
let's talk about some modifications of this formula. Should I
discuss many modifications, including for chi level dryness, adds, add
gypsum fibrosum sugao and ana morena Rhizoma germou. Both are
(46:39):
very cooling for nutritive level heat with a dark red tongue.
Adscropularia ratix schwan sheen and Rhinoceotis corneo shigio that is
rhinoceros horn that is not something we should be that's
endangered at this point, not easy to get, very expensive
and probably shouldn't use for a heat entering the blood.
(47:00):
Remove frog minus Risoma lugen and mentha apolokalisis Herba boha
and add ophiopagonis redex maman dong romania, redex hungdi wang
polygonnadi adorati, rizoma yu ju and mouton cortex moot moodon.
Speaker 1 (47:18):
P for severe lung heat.
Speaker 2 (47:21):
Add Scutlaria redex huang chin or pronounced thirst at, trichisanthis
redex tin huaffen for viscous yellow sputum that is difficult
to expectorate. Add trickisanthis pericarpium or gualop and Fritillaria thumburgie
bulbous jabe MoU for labor breathing or slight wheezing. Add
(47:42):
gypsum fibrosum sugal and ana marina raisoma germu. We already
actually had that combination for previously for chi level dryness,
so interesting. That's quite an interesting combination. Add in here
for blood streaked sputum, add mu utan cortex moudon, p imperiate,
(48:02):
raizoma by malgan and columbanus notice raisomatis. Oh yeah, oh
u jeah oh yeah for sore throat, and add lacios
ferra cal slash calvatia or malbo and rti fructus know
bangza wind heat affecting the eyes. Add trivially fructus, siggily, cascio,
(48:29):
sieman juemnza and Prunella prunelle spika shao sha ku su
tan Chin also has several modifications for severe cough with
yellow sputum, cosway, lunk heat at huang qin rate excutellaria,
and sung by p cortex mouri. For cough with sticky
(48:50):
sputum that is difficult to expect rate add gualo pi Paracarpia,
trick as aantheus, don gal don guad ZiU, siemen benen
case and jerbemu bulbous fritillaria.
Speaker 1 (49:05):
Than bergee.
Speaker 2 (49:08):
For cough with blood streaked Spiedo mad Bai malgan Raisoma
imperiate noticed in Lumbanus rhizomatis and chiensao radix at Raisoma rubia.
If there is labor breathing or dystnia troubled breathing characterized
by more heat and dryness in the chi energy level,
(49:28):
add sugar al gypsum, fibrosim and germu raa and marina
to clear the lungs. Again, that combination is very common
for in dryness. Continuing when there is more thirst at
Tianwa fen radis tric issantheist and germou rhizoma and a marina.
If accompanied by a sore throat, adds shagon Rhizoma bell
(49:49):
and conde sean Dogan, redix at Raizoma sefhoi, tonkenansis and
neo bangza fructus rcti. Where I disorders caused by wind
warmth invasion ad chon tweet Periostracum cicada, which we're going
to be talking about in our next episode, is for
observes for eye disorders caused by liver heat at Jue Mingsa, Siemen,
(50:10):
Cassier and Jili Fruittus tribuli.
Speaker 1 (50:16):
All right.
Speaker 2 (50:17):
Comparison, Shide and his team have has two formulas. It
compares to today's from have two formulas. Honey stuckcorn for
cynthia powder, yin Chiao son.
Speaker 1 (50:30):
This is one of those. As I said, there's like
three or four formulas. If someone's coming down with a cold.
Speaker 2 (50:35):
This is another very very commonly used formula for that.
Yin chow soon so honeysucklem for cynthia powder. While these
formulas share many of the same ingredients mulberry leaf and
chrysanthemum drinks, sung ju y in is lighter in nature
and through its effect on the chi dynamic of the lungs,
more effective than treating cough honey stuckm for cynthia powder.
(50:55):
Yin chao soon is a stronger formula for releasing the
exterior and clearing heat. Is therefore more suitable for the
early stage of warm pathogen disorders presenting with fever and
sore throat. The other formula is mulberry leaf an apricot
kernel decoction are song shing tong. Both formulas are based
(51:18):
on light acrid and sweet moistening herbs.
Speaker 1 (51:22):
Mulbury leaf and chrysanthem of drinks.
Speaker 2 (51:23):
Song Gunien is used to treat early stage wind heat disorders,
inventing the lung collaterals that present with fever, headaches, and coughing.
Compared to a mulberry leaf and apricoc kernel decoction song
shing Tong pattern, the fever and other heat symptoms will
tend to be more pronounced and the development more rapid
due to the presence of wind. For this reason, the
(51:45):
formula combines sweet moistening nerves with a large number of
light acrid and cooling nerves that clear heat.
Speaker 1 (51:52):
And disperse wind.
Speaker 2 (51:57):
Chan Chin also compare these two formulas. This song juy
in so exact same two formulas. They say Yin chaw
san honeysuckle for cynthia pattern and song Juan are cool
acrid formulas used for the initial stages of warm feb
all disorders. Both contain leon and chal fruits for Ccythia gagong, redix, platiconus,
gonsal redix at, Raizoma glysira, boha herbamentha and lugan Raizoma
(52:23):
phrogmitis in chaos son has stronger heat clearing extra releasing effects.
Song Juan more effectively ventilates the lung to arrest coughing.
They continue with san ching tongu mulberry leaf and apricot
colonel decoction.
Speaker 1 (52:40):
In song ju y in.
Speaker 2 (52:41):
Both contain kusching ren or semen armer nasier amarum.
Speaker 1 (52:49):
And song ye folding a more.
Speaker 2 (52:51):
To clear the heat, relieve cough, and expel exterior factors.
Song sching tong is indicated for dryness and heat attacking
the lung. This formula contains moistening nerves such as shashen
redex glen glennea, su dentifa and jabemu bulbous fritillaria thunbergie
to treat dryness symptoms.
Speaker 1 (53:11):
Song junian is.
Speaker 2 (53:11):
Indicated for wind warmth attacking the lung. Contains heat clearing
nerves such as boha herbamente, lou gen Rhizoma phrogmitis and
LeAnn chow fructus for scythia to clear heat. What are
the biomedical indications for these formula.
Speaker 1 (53:31):
Shide and his teams say.
Speaker 2 (53:33):
With the appropriate presentation, this formula may be used to
treat a variety of biomedically defined disorders, primarily involving acute
respiratory tract infections. Including the common cold, influenza, bronchitis, pneumonia, tonsilitis,
and conjunctivitis. Chen Chen say this formula has many pharmacological effects,
including being antipyritics so reduces fever and anti inflammatory. Based
(53:58):
on rabbit and mice study, let's talk about the science.
Chun Chen lists several clinical studies with positive findings involving
in this formula, treating upper respiratory tract infections or irties
in three hundred and seventy five patients, so that's a
fairly well powered study. Treating coffin eighty pediatric patients with
(54:18):
modifications the based formula, adding mahwang or epheda, which we
really can't get in the US anymore in most developed countries,
and ganjiang raizomas in jibaris, as well as specific modifications
based on certain signs and symptoms. Another modified version was
studied for treating influenza and fifty patients. So remember we're
(54:40):
looking when we look at the number of patients, thirty
to forty are necessary in order to be able to
apply population statistics to a study, So fifty is is there.
It's over that thirty to forty, but it's not much
above this, so it's still relatively low powered, but it's
definitely enough to do some statistics.
Speaker 1 (55:00):
And same with this.
Speaker 2 (55:01):
Another study of sixty patients used a modified version of
this formula for treating epistaxis, which is nose bleeding, so that's.
Speaker 1 (55:09):
An interesting use of this formula.
Speaker 2 (55:12):
There were a couple of clinical review studies involving Song
ju in discussed and discussed the combination of Song Juan
and you ping funks on jade windscreen powder and helping
resistance to COVID nineteen. So that's an interesting I think
they were actually using that prophylactically to build resistance to
COVID nineteen. Another study show the efficacy of Song Juan
(55:37):
treating micaelplasma pneumonier infection in a retrospective study with one
hundred and fifty patients.
Speaker 1 (55:43):
So let me use so.
Speaker 2 (55:45):
Michael plasmas are generally a little bit more difficult to
treat bacteria, and first of all, retrospective studies are not
We generally want prospective studies rather than retrospective studies. Not
that we can't learn from retrospective studies, but they're not
as strong as prospective studies. And one hundred and fifty patients. Well,
(56:07):
that sounds like a lot more than that thirty to
forty that I was talking about. When you're talking about
a retrospective study, that's not many. I mean, most retrospective
studies I see, even in Chinese medicine, are using thousands
of patients. So one hundred and fifty patients is not
a lot for retrospective study. And so generally I would
say this is not a very strong study, but it's
(56:28):
an interesting one. Let's look at Druger herb interactions. A
few herbs in this FOM may present some risks for
drug urb interactions. Glisteners a radix consal may induce cyachrome
P for fifty two C nineteen and three A four
three A four being the most common.
Speaker 1 (56:47):
Yochrome P for fifty utilized by drugs.
Speaker 2 (56:50):
What this does is increase the risk of drug erb interactions.
And if you want to know more about cychroone pre
for fifties, I have courses for that, but this is
a main risk factor for it a rat study. So
I generally don't like talking about rat studies. It should
be clinical studies. But when all we have are animal
studies or even benries for research, we should know about
(57:11):
it when for increased risk of drug urb interaction. So
a rat study showed induction of cytochrome P for fifty
one A two and two C six and an inhibition
of two A three and three A one when given
herbs and song Juan, mulberry leaf and chrysanthemum drink, So
one A two.
Speaker 1 (57:29):
Is fairly common of those. The other three are not
very commonly used. Cy Chrome P for fifties.
Speaker 2 (57:38):
Talk about some concerns about this formula, So Shine at
all did not have any cautions or concerns about this
formula at all.
Speaker 1 (57:44):
That's a rarity. However, Chen and Chen do under the.
Speaker 2 (57:48):
Heading of cautions contraindications, they say Song Junian is an
accurate and cold formula that treats wind warmth condition. It
is inappropriate for cough caused by wind cold. This formula
has only mild potency to treat cough caused by wind
warmth invasion. Cases of severe cough caused by lung heat,
(58:09):
the use of this formula Loan will.
Speaker 1 (58:11):
Not be sufficient.
Speaker 2 (58:13):
Modification with additional herbs and doses or selection of another
formula is necessary for proper treatment. And that's it for
our formula today that was or today's that was today's
formula song guniene or mulberry leaf and chrysanthemum drink, a
useful formula for treating colds or external attacks with a cough.
(58:34):
Sorry by introducing the necessity for mandatory reporting, and then
we got into the formula including its ingredients, commentary, the science,
our concerns and cautions, as well as its potential drug interactions.
All in all, another exploration of a fascinating and useful
Chinese formula. Good quite well you commonly used formula. In
(59:00):
two weeks, we are going to be looking at another
single Chinese herb chn tweet. I kind of hinted at
that earlier Cicada periostra come or cicada molting. This herb
is in the Chinese medical subcategory of herbs that cool
acrid uh a cool and release. The exterior has several
(59:20):
interesting functions such as venting rashes, clearing the eyes, and
stopping spasms. As usual, we explore all the intricacies of
this herb as well as an explanation of its category,
and as always, we will look at something a little different.
Speaker 1 (59:38):
Join us in two.
Speaker 2 (59:38):
Weeks for another interesting episode. And I like to say
thank you very much for listening. If you like this podcast,
please do us a favor, a huge favor, subscribe to
our podcast and your favorite podcast app.
Speaker 1 (59:51):
We thank you for even considering doing that.
Speaker 2 (59:55):
Remember you can get cused Continuing Education Units and National
Certification Commission of Acupunction Medicine Professional Development activities at www
dot Integrativemedicinecouncil dot org. That's Integrated Medicine Council coun Cil
dot org. And don't forget that twenty percent off with
the code sh twenty off. That's all of the courses
(01:00:15):
that you buy at one time can get twenty percent off,
so sh tow zero off. And you can always get
in touch with me at doctor Greg at sperbserbs dot
com or at our website www.
Speaker 1 (01:00:27):
Sperbserbs dot com. And as usual we have quite bibliography.
Thank you, Spurs RBS. The precedium was presented by doctor
Greg Sperber. We would like to thank Janelle for all
our support and everybody else who contributed to this program.
(01:00:47):
Rogercamble
Popular Podcasts
Fudd Around And Find Out
UConn basketball star Azzi Fudd brings her championship swag to iHeart Women’s Sports with Fudd Around and Find Out, a weekly podcast that takes fans along for the ride as Azzi spends her final year of college trying to reclaim the National Championship and prepare to be a first round WNBA draft pick. Ever wonder what it’s like to be a world-class athlete in the public spotlight while still managing schoolwork, friendships and family time? It’s time to Fudd Around and Find Out!
Crime Junkie
Does hearing about a true crime case always leave you scouring the internet for the truth behind the story? Dive into your next mystery with Crime Junkie. Every Monday, join your host Ashley Flowers as she unravels all the details of infamous and underreported true crime cases with her best friend Brit Prawat. From cold cases to missing persons and heroes in our community who seek justice, Crime Junkie is your destination for theories and stories you won’t hear anywhere else. Whether you're a seasoned true crime enthusiast or new to the genre, you'll find yourself on the edge of your seat awaiting a new episode every Monday. If you can never get enough true crime... Congratulations, you’ve found your people. Follow to join a community of Crime Junkies! Crime Junkie is presented by audiochuck Media Company.
The Breakfast Club
The World's Most Dangerous Morning Show, The Breakfast Club, With DJ Envy, Jess Hilarious, And Charlamagne Tha God!