Page 6 - Hani Times June 2020
P. 6

6        Herbal Medicine                                                                               June 1, 2020  Vol. 15  Hani Times
                 광고


           The Dynamics of Shang Han Lun ⑫ Particulars-Part 1

                                                   Herbs: Chaihu (柴胡)


                     Ex. Formula: Shao Caihu Decoction (小柴胡湯)






                                                                                          Commentary (2) On ‘Shao  liver mobilizes to the region of
        By Jubong Kang K.M.D.
                                                                                          Caihu Decoction’           the throat instead of into the
                                                                             Hard         ‘Fullness in the chest and rib-  bronchi.
        Sentence                                                           glomus         side’ presents in the ‘summer  And it’s necessary to understand
                                                                          below the
        When cold damage that has                                            heart        type person’ due to ‘four  that the state of mobilized blood
        lasted for five days, wind                                                        constitutions theory’. Even  from the liver to the vessels is
        strikes, there is alternating                                                     though the ‘spring type person’  not thin but condensed.
        aversion to cold and heat                                                         also has a ‘bigger spleen’, his  The region of the throat is
        effusion, the person suffers   Fullness                                           other organs are different from  governed not only by the lungs
                                     in the chest
        from fullness in the chest and   and rib-side                                     the ‘summer type person’.  but also by the gallbladder
        rib-side, taciturnity with no                                  Sometimes          Therefore, the ‘spring type  through ‘shao yang gallbladder
        desire for food or drink, heart                             rumbling sounds       person’ has no relation to this  channel.’
        vexation and frequent retching,                                                   sentence.                  When ‘wind cold’ attacks
        or possibly there is vexation in   △ ‘Abdominal Diagnosis’ of ‘Shao Caihu Decoction’. Image  ‘Guizhi Decoction’ is a formula  and provokes the region of
        the chest and no retching, or   ⓒBy Jubong Kang.                                  for the ‘winter type person’ and  the throat, if ‘gallbladder
        thirst or pain in the abdomen,                                                    the ‘autumn type person’, while  channel’ or ‘the gallbladder’ is
        or hard glomus under the rib-  quantity of ‘liquid’ is smaller  the contracted bronchi.  for the ‘summer type person’,  overstimulated, but the ‘heart
        side, or palpitations below the  than that of other types.  To treat these ‘wind cold’   ‘shao Caihu Decoction’ si  beating’ is not weak, then the
        heart with inhibited urination,  In this type person was affected  symtoms, ‘Shaoyao’ and ‘Gegen’   available. In 『Dong Yi Su Se Bo  condensed blood from the liver
        or absence of thirst wit mild  by ‘wind cold’, ‘liquid’ – the  expand capillaries of the   Won』, ‘Shao Caihu Decoction’  will not move into bronchi of
        generalized heat, or cough, ‘Shao  blood and the lymph – in the  bronchi and neighbor muscles   belongs to formulas for the  the lung but into the ‘gallbladder
        Caihu Decoction’ governs. (ibid.  ‘middle burner’ would move  around the lungs to increase   ‘summer type person’.  channel.’ The lymph liquid is
        Line 96, p.410, PPV)       to the superficial level to help  the volume of the blood flowing   The ‘summer type person’ has  now drawn into gallbladder
                                   ‘normal yang qi’ confront the  through neighboring vessels.   a bigger spleen and a small  channel.’ Then this reaction
        Commentary (on ‘Guizhi  ‘exterior evil factor’. Therefore,  And ‘Mahuang’ expands bronchi   kidney, so that he has much  creates ‘fullness in the chest
        Decoction’, ‘Gegen  the digestive organs cannot hold  to cause more oxygen to be   more volume of ‘liquid’ in his  and rib-side’ in the region of
        Decoction’ and ‘Shao  enough ‘liquid’, because the  absorbed in the blood stream   body than other types, and has  ‘gallbladder channel(『Huang
        Caihu Decoction’)          quantities of liquid stored in the  to produce more combustion   a smaller volume of urination:  Han Yi Xue(皇漢醫學)』, in the
        The reason for ‘fullness in the  organs have become distributed  to warm both the contracted   therefore, hos blood density is  second volume, p52)’.
        chest and rib-side’ can be  unproportionately.        bronchi and the box.        already thin.              If both gallbladder channel and
        interpreted by constitutional  To treat this, ‘Guizhi’ in ‘Guizhi  Furthermore, ‘Guizhi’ and   If the ‘summer type person’  heart beating are weak, then
        ‘organ theory’.            Decoction’ is used to warm  ‘Mahuang’ promote ‘heart   was affected by ‘wind cold’,  a pattern emerges that unifies
        When the body is influenced by  the superficial level and  beating’ to increase the force   then two kinds of patterns  one of two decoctions – ‘Gegen
        ‘cold damage’ there are three  attack ‘exterior evils’ to expel  of the heart pumping blood   can occur, one is of ‘Gegen  Decoction’ and ‘Minor Caihu
        symptoms to this pattern of  them and ‘Shaoyao’ in ‘Guizhi  into capillaries of bronchi and   Decoction’, another is of ‘small  Decoction’ appears, the the
        disease. And for these three  Decoction’ draws ‘liquid’ back  superficial muscles to bring   Caihu Decoction’.  combined formula is called ‘Cai
        symptoms, three basic formals  into the superficial muscles  warmth and relaxation.  The pattern of ‘Gegen  Ge Jie Ji Decoction(柴葛解肌湯)’
        are used in “Shang Han Lun”.  and digestive organs with the  Above is an explanation of the   Decoction’ appears when  A ‘Bigger spleen’ of the ‘summer
        The  first  on  is  ‘Guizhi  extra liquid generated through  functions of ‘Guizhi Decoction’   the heart and the lungs are  type’ sends much more
        Decoction’, the second one is  support from ‘Gancao’.  and ‘Gegen Decoction’, which   weak and vulnerable due to  lymph liquid to the region of
        ‘Gegen Decoction’, and the third  The second case, ‘Gegen  become a foundation to interpret   stress or overwork, and the  ‘gallbladder channel’ around
        one is ‘Shao Caihu Decoction’.  Decoction’ is available for  ‘sign symptom’ – ‘fullness in   weekend ‘heart beating’ cannot  the throat including the chest
        First ‘Guizhi Decoction’ is  a person whose respiratory  the chest and – rib side’ – of   push enough blood to the  where the condensed blood
        useful for a person whose  organs are weak. The bronchi  ‘Small Caihu Decoction’. In ‘four   lungs as written in the above  was coming from the liver. This
        constitution belongs to ‘autumn  in the lungs are contracted from  constitutions theory’, ‘Green   interpretation.  lymph liquid can dilute the
        type’ or ‘winter type’. This type  coldness, thus the ‘heart beating’  Decoction’ can be used good   When ‘heart beating’ is not  condensed blood to increase
        of person has ‘smaller spleen’  – heart rate – increase to  results for all constitutional   weak and the liquid in the lung  immunity of tonsils and tissues
        and ‘bigger kidney’, so that the  warm up the lungs to expand  type.’             is not in want, the blood in the  of inner throat.




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