Page 8 - Acupuncture Times Nov. 2021
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8        광고                                                                                             Nov 1, 2021  Vol. 32  Hani Times
                 Herbal Medicine

           Finding A Guiding Herb Makes Easier to Find the Most Efficient Formula ④ Shi Gao(石膏)


           Shi Gao Could Be Used for Inflammation, Thirst


                                          and Psychotic Symptoms


                                                                                                                  By Hyunchang Cho, L.Ac., Ph.D




          ★Shi Gao
          Symptom Indicator Score+
          Frequency of Use++

          Possible Symptoms
          ①Localized redness and heat due to acute inflammation
          ②Thirst
          ③Psychotic symptoms due to elevated body temperature and ex-
          citement of cranial nerves
                                                                                          △ Shi Gao. image©blog.naver.com/dongmu61.
          ④Excessive Heat Pattern: energetic, with a reddish face and an
          aversion to heat (heat intolerance)                                            1) Shi Gao's main ingredients are  and other minerals.
           TIP ⑤Only Possible symptoms exist. Shi Gao's Indicator Score is               calcium compounds (CaSO4/2H2O,
          low, which means its clinical tips are obscure and hard to find.
                                                                                         95% or more) and are thought to  Shi Gao's therapeutic effects can
                                                                                         have therapeutic effects on selective  also be explained with hyperactive
                                                                                         symptoms of hypocalcemia.   body and thermal mechanisms for
        1. Pharmacological Hypothesis of Shi Gao                                         -Hyperthermia: polyuria, polydipsia,  symptoms such as Excessive Heat
                                                                                         polyphagia                  patterns, febrile coma, and acute
                                                                                         -Neuromuscular symptoms: whole  inflammation, other than just the
                                          Hypocalcemia model: Shi Gao's main in-         body seizures (local, minor and major  hypocalcemia model.
          Hyperactive body mecha-         gredients are calcium compounds                seizures)
          nism leading to increased       (CaSO4/2H2O, 95% or more)                      -Neurological symptoms and  Shi Gao's pattern seems to be caused
          thermogenesis                   →Some hypocalcemia symptoms are
                                          treatable with Shi Gao                         signs: mental instability, anxiety,  by hyperactive body mechanisms
                                                                                         aggressiveness              and resulting hyperactive thermal
                                                                                         -Mental issues: mental changes,  mechanisms. This is especially true
                ↓                   ↓                                                    disorientation, stupor, confusion,  for Bai Hu Tang, which is comprised
                                                                                         and such                    of Shi Gao, Zhi Mu, Jing Mi, Gan Cao,
                                                                                                                     with Shi Gao as the main ingredient.
          -Excessive Heat Type:                                                          2) Shi Gao's pattern seems to be  Bai Hu Tang patients are Excessive
          strong-built, with a reddish                                                   caused by hyperactive body and  Heat Types who are strong, reddish
          complexion, aversion to                                                        thermal mechanisms. This is how  complexion, aversion to heat (heat
          heat (heat intolerance), pref-  -Hyperthermia: polyuria, polydipsia, polyphagia
          erence for cold food and        -Neuromuscular symptoms: whole body sei-       Bai Hu Tang is used for people who  intolerance), thirst, and preference
          water, thirst                   zures (local, minor and major seizures)        are Excessive Heat Types: strong-  for cold/cool food and water.
          -Acute inflammation: local-     -Neurological symptoms and signs: mental       built, energetic, aversion to heat
          ized redness                    instability, anxiety, aggressiveness           (heat intolerance), with a reddish  An increase in body temperature
          and heat                        -Mental issues: mental changes, disorientation,   face, thirst, and preference for cold/  seems to cause excitement of the
          -Febrile coma: Yang-type        stupor, confusion, and such                    cool food and water.        cranial nerves, just as in a febrile
          psychological symptoms                                                                                     coma. This is why Shi Gao patients
          due to increased body                                                          3) Febrile coma: the excitement of  can show signs of Yang-type
          temperature and excitement                                                     cranial nerves due to increased body  psychological symptoms such as
          of cranial nerves                                                              temperature seems to cause Yang-  delirium and psychotic tantrums.
                                                                                         type psychological symptoms such
                ↓                   ↓                                                    as delirium and psychotic tantrums.  Five major symptoms of acute
                                                                                                                     inflammation are pain, redness,
                                                                                         4) Shi Gao may treat acute inflammation.  immobility, swelling, and heat
                                          Disagreement: Shi Gao decoctions only con-     When the patient shows signs of  (PRISH). When the patient shows
                                          tain a small amount of calcium, much less      acute inflammation such as redness  signs of acute inflammation such as
                                          than the RDA (Recommended Daily Allow-         and heat in clinical practice, we can  redness and heat, we can consider
          -Excessive Heat Types           ance)
          who are strong-built, with      ☞ Therapeutic effects of Shi Gao are from      consider Heat Clearing herbs such  Heat Clearing herbs such as Shi Gao,
          reddish complexion and          combined effects of main ingredients and oth-  as Shi Gao, Zhi Zi, Huang Lian, Chai  Zhi Zi, Huang Lian, Chai Hu, Huang
          aversion to heat (heat          er minerals contained in Shi Gao rather than   Hu, Huang Qin, Gan Sui, and such.  Qin, Gan Sui, etc. Shi Gao seems to
          intolerance)                    the single effect of calcium compounds alone.                              have therapeutic effects of treating
          -Thirst                                                                        Some say that the hypocalcemia model  acute inflammation.
          -Localized redness and          Some say the hypocalcemia model does not       does not offer enough explanation
          heat due to acute inflam-       offer enough explanation for the therapeutic   for the therapeutic effects of Shi  Shi Gao's therapeutic effects are
          mation                          effects of Shi Gao. Although Shi Gao's main    Gao. Although Shi Gao's main  on the opposite end of Fu Zi's,
          -Delirium and psychotic         ingredients are calcium compounds, Shi Gao     ingredients are calcium compounds,  summarized as a hypoactive body
          tantrums due to increased       decoctions contain minuscule calcium, much     Shi Gao decoctions will only contain  and thermal mechanism. But this
          body temperature and ex-         less than the RDA (Recommended Daily          miniscule amount of calcium, much  model is insufficient to explain the
          citement of cranial nerves
                                          Allowance). Therefore, I would like to suggest   less than the RDA (Recommended  therapeutic effects of Shi Gao formulas
                                          that the therapeutic effects of Shi Gao, Long   Daily Allowance). Therefore I suggest  such as Zhu Ye Shi Gao Tang and
                                          Gu, and Mu Li may come from combined           that the therapeutic effects of Shi  Mu Fang Yi Tang, in which patients
                                          effects of main ingredients and other minerals.  Gao, Long Gu, and Mu Li come from  are not that strong-built and don't

                                                                                         combined effects of main ingredients  show strong aversions to heat.
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