Page 8 - Acupuncture Times Feb. 2022

8 광고 Feb 1, 2022 Vol. 35 Hani Times
Herbal Medicine

Finding A Guiding Herb Makes Easier to Find the Most Efficient Formula ⑦ Huang Lian (黃連)

If a Patient Is Seemed to Be Easily Excited or Anger,

Consider Using Luang Lian Formulas.

By Hyunchang Cho, L.Ac., Ph.D (c0454445@gmail.com)

★Huang Lian heat stimulus, alcohol, and such.
Symptom Indicator Score+++
Frequency of Use+++ Possible Symptoms
② Fire signs such as redness of the
Main symptoms face and dermatographia ③ Heart pal-
①Huang Lian is used for Yang-natured pitations ④ Heartburn from spicy or
patients who display insomnia w/ dif- irritating food ⑤ Bleeding and such.
ficulty falling asleep that is triggered/
worsened by external stimulus. Upper CAPE
Heat is often accompanied. ⑥ Huang Lian patients are Yang-na-
- (even if the patient sleeps well un- tured people who are impatient, dy-
der normal circumstances) if there's an namic, outgoing, strong-willed, with
important event the following day, or high self-esteem, and always have to △Huang Lian is mainly used to take care of sleeping related
a change in sleeping place (such as be right. symptoms of Yang type persons. imageⓒAdobeStock_
sleeping in a hotel), tension, worry, or ⑦ Dominant emotions are excite- Photographee.eu
stress, the patient will have a hard time ment and anger, along with sensitivi-
falling asleep for at least 1 to 2 hours. ty, nervousness, and anxiety. Generally, 1) Huang Lian's insomnia insomnia is the combined
- Upper Heat will be triggered/wors- Huang Lian patients are easily excited, manifests as difficulty result of anger as the
ened by stress, tension, excitement, irritated, annoyed, and angered. falling asleep in situations main emotion with other
that make you nervous emotions of excitement,
1. Pharmacological Hypothesis of Huang Lian or anxious. Patients would rage, tension, sensitivity,
have difficulty falling asleep, anxiety, overthinking, and
Hyperactivity of sympathetic nerve functions & hypoactivity of parasym- tossing, and tumbling for such. Shortly, Huang Lian
pathetic nerve functions → the gap between two systems becomes a
wider → main problem is the hyperactivity of sympathetic nerve system → hours. Stress, anxiety, patients cannot sleep well
manifests as autonomic dysfunction tension, too much thinking, because they're emotionally
worry, a change in sleeping disturbed and anxious. As
↓ place (such as sleeping at a such, sleep is a reflection
hotel or a friend's house), an of a person's mental state.
Huang Lian is used for Yang-natured patients with insomnia w/ difficulty upcoming event (especially Sleep is the first thing I
to fall asleep. Upper Heat is also common. in the following morning), would check in my protocol
sound, and light will lead for psychological disorders.
Clinical Expressions to sleep disturbance. They But sleep is important in
will stay awake for at least 1 other disorders as well, as
*Quick-tempered, active, outgoing, strong-willed, high self-esteem, and not to 2 hours, sometimes even it is almost always closely
afraid to speak out. for 2-3 hours, before finally related to the chief and minor
*If there are important events the following day, environmental changes (i.e., getting some sleep. Sometimes complaints of the patients.
sleeping in a hotel), anxiety, worries, or stress, Huang Lian patients will
have difficulty falling asleep, even if they try. they won't get any sleep at Therefore, we must treat
*Upper Heat, or hot flushes, is commonly induced by stress, tension, ex- all. In other words, patients sleep disorders in order to
citement, heat stimulus, drinking, etc will experience severe forms relieve patients' problems.
of sleep disorder, mainly Difficulty to fall asleep and
manifested as difficulty other sleep disorders are
Dominant emotions are excitement and anger. Secondary emotions to fall asleep, in almost also present in Fu Ling,
are tension, sensitivity, and anxiety.
every condition that can 'Xiang Chi + Zhi Zi,' and
interfere with sound sleep. sometimes Long Gu and
In addition, Fire Signs such as heart palpitations or redness of the Many other forms of sleep Mu Li. Therefore, we must
face, skin hypersensitivity, and heartburns caused by spicy or pungent disorders may also appear. remember that when sleep
food may appear.
Huang Lian's insomnia is disorders with difficulty
2. Clinical Signs of Huang Lian the most important Main falling asleep are present,
Symptom almost always we can consider guiding
The two most widely used Huang Lian formulas are which means it's widely used all the time for various
present. In Shang Han Lun herbs of ① Huang Lian,
Huang Lian Tang and Xiao Xian Xiong Tang. Huang illnesses. It is often used for psychological disorders
and Jin Kui Yao Lue, Huang ② Fu Ling, ③ 'Xiang Chi
Lian formulas can be divided into two categories: but other disorders as well. Also, to correctly use
Lian's insomnia is almost + Zhi Zi' sometimes ④
1) Huang Lian formulas w/ soft/loose stools or Huang Lian, you must master the tacit knowledge
always present in all Huang Long Gu and Mu Li.
diarrhea, and Huang Lian's indicator score is high, of CAPE and recognize it in patients.
Lian formulas, except Wu 2) We can be certain of
(1) Main Symptoms Mei Wan and Huang Lian Huang Lian's insomnia w/
Fen. Below is a passage difficulty to fall asleep
① Huang Lian is used for Yang-na- or a change in sleeping place (such from recordings of my past in patients with ① Yang
tured patients who display insomnia as sleeping in a hotel), tension, wor- lecture about Huang Lian's Personality ② who show
w/ difficulty falling asleep that is trig- ry, or stress, the patient will have a insomnia. signs of Upper Heat.
gered/worsened by external stimulus. hard time falling asleep for at least 1 Huang Lian's insomnia Upper Heat is caused by
Upper Heat is often accompanied. to 2 hours. is caused by emotional sympathetic hyperactivity.
- (even if the patient sleeps well un- - Upper Heat will be triggered/wors- instability (mainly excited Other symptoms such as
der normal circumstances) if there's ened by stress, tension, excitement, emotions) due to sympathetic redness of the face and heart
an important event the following day, heat stimulus, alcohol, and such.
hyperactivity. Huang Lian's palpitations may also occur.