Page 8 - Acupuncture Times Oct. 2021
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8        광고                                                                                              Oct 1, 2021  Vol. 31  Hani Times
                 Herbal Medicine

           Finding A Guiding Herb Makes Easier to Find the Most Efficient Formula ③ Fu Zi


             The Fu Zi Cures Severe Degree of Aversion to


                                              Cold and Cold Limbs.



         Fu Zi, Gui Zhi, and Wu Zhu Yu Share Similar Function, but its Indications are Different


                                                              of pain-inducing substances →  and paresthesia?        A. Decrease in body temperature
                                                              Stimulation of pain receptors  A. Decrease in body temperature  → Decrease in water solubility
                                                              → Chronic pain (slow pain)  → Decrease in neuronal  in neurotransmitter receptors
                                                              - Decreasing body temperature  membrane thickness (most  → Decrease in muscle activity,
                                                              causes tissue ischemia.     notably at 23°C to 30°C) →  alertness, and power
                                                              - Chemicals such as bradykinin  Increase in membrane potential
                                                              and proteolytic enzymes  difference → Decrease in  It seems the decline of body
                                                              produced by large amounts of  frequency of action potential  temperature in the Fu Zi
                                                              lactic acid or damage to cells  occurrence (dv/dx) → Decrease  pattern results from decreased
                                                              that have become ischemic  in neuroconductivity        thermogenesis due to diminished
                                                              in tissue stimulate the pain  - As the body temperature  systemic metabolism and
                                                              receptors.                  decreases, the thickness of  cardiovascular circulation failure.
                                                              - With slow pain, the exact  the neuronal cell membrane  The temperature of both the
        △ Fu Zi. image©godpdu.tistory.com                     site of the painful area is hard  decreases, and the membrane  body surface and the core is
                                                              to pinpoint.                potential difference increases,  reduced, resulting in an aversion
                                   Zi's pain seems to follow the                          which reduces the frequency  to cold (cold intolerance) and
        By Hyunchang Cho,
                                   chronic (slow) pain pathway  3) Decreased body temperature  of action potential occurrence.  coldness of the limbs. Cold
        L.Ac., Ph.D
                                   model.                     seen in Fu Zi pattern reduces  - This is most noticeable at  intolerance and coldness of the
                                                              nerve conductivity carried  body temperature between 23°C  limbs in the Fu Zi pattern are
        1.  Pharmacological  Q. Why does the pain occur  out by electrical signals in  and 30°C. If the temperature  usually worse than in Gui Zhi
        Hypothesis of Fu Zi        when the body temperature  neurons, resulting in numbness,  is below 8℃, the Na+ channel  and Wu Zhu Yu patterns. Fu Zi
        The underlying mechanism  drops?                      paresthesia, decreased muscle  becomes "sleepy."       patients would say things like,
        of the Fu Zi Pattern seems  A. If the body temperature drops,  movement, and muscle weakness.  Q. How does the body  'I am very sensitive to cold. My
                                                                                          temperature decline in  body is cold as ice. My hands,
           Poor blood circulation due to decreased metabolism and reduced cardi-          Fu Zi Pattern lead to the  feet, or other parts of the body
           ac output → decreased thermogenesis, → decreased surface, and core             heaviness of the limbs?    are very, very cold.'
           body temperatures
                                                                                          ○ Comparing Gui Zhi, Wu Zhu Yu, and Fu Zi
            ↓       ↓        ↓         ↓
                                                                                           Gui Zhi          Wu Zhu Yu        Fu Zi
          Cold intoler-     Cold pain         Decreased neural conduction
          ance,             due to poor                                                    aversion to      aversion to      aversion to
          coldness of       blood circu-                                                   cold and cold  cold and cold  cold and cold
          the limbs and     lation of the          ↓         ↓                             limbs com-       limbs com-       limbs which are
          other body        joints                                                         bined with       bined with       rarely combined
          parts             ☞Slow path-
                            way of chron-     Dullness and      Declined physical ability   Upper Heat      cold pain in     with numbness
                            ic pain           paresthe-         of the voluntary mus-                       the lower ab-    or heaviness in
                                              sia due to        cles due to decreased                       domen (Cold      certain parts of
                                              decreased         neural conduction of
                                              neural con-       the motor nerves                            Hernia)          the body
                                              duction of the
                                              somatosen-
                                              sory system                                  Cold Scale: 5    Cold Scale: 5    Cold Scale:
                                                                                           (more or less)  (more or less)    7,8,9 out of 10
            ↓       ↓        ↓         ↓                                                   out of 10        From 2,3,4 to
                                                                                                            6,7,8,9 out of 10
          cold intol-                         Dullness and
          erance and        Body aches        paresthesia       Heaviness                  aversion to cold  The degree of   The degree
          cold extrem-                                                                     and cold limbs  aversion to cold  of aversion to
          ities
                                                                                           are sometimes  and cold limbs     cold and cold
                                                                                           accompanied      can vary greatly  limbs are usu-
        to be decreased metabolism,  the circulation of the blood is  In some cases, cold intolerance   by body aches        ally severe
        and reduced cardiac output  impaired, which causes pain.  and coldness of the limbs
        → poor blood circulation →                            in the Fu Zi pattern may be
        decreased thermogenesis →  Q. What is the mechanism  accompanied by numbness of  (1) Main Symptoms           Score) of at least 3,4 out of
        decreased surface and core  of Fu Zi's body pain that  the sensory nerves and abnormal  The main Symptoms of Fu  10 or higher. The coldness
        body temperatures.         accompanies cold intolerance?  sensations resulting from poor  Zi are severe intolerance to  Score of Fu Zi is mostly high,
                                   A. Fu Zi's body pain seems to  conductivity of the sensory  cold and coldness of the limbs.  from 5 to 7 out of 10, and
        1) As a result, cold intolerance  follow a chronic pain pathway.  nervous system and impairment  To use Fu Zi, patients should  sometimes very high, from
        and coldness of the extremities                       in voluntary muscle movement  display cold intolerance (Cold  7 to 9 out of 10.
        occur.                     Mechanism of Chronic Pain  due to poor conductivity of the
                                   (Slow Pain)                motor nervous system.         ① Cold intolerance (severe) ☞ Body Tempera-
        2) Decreased body temperature  Chronic Pain (slow Pain)                             ture Score (Cold) of 5 to 10 (usually severe)
        will lead to the poor blood  Mechanism                Q. How does the body          ② Extreme coldness of hands and feet or
        circulation of the joints, which  Decreased body temperature →  temperature decline in Fu Zi   other body parts
        will induce cold body pains. Fu  Ischemia of tissues → Production  Pattern lead to numbness
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