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Herbs that open the orifices Herbs that open the orifices To open up the sensory orifices and awaken the spirit: patient To open up the sensory orifices and awaken the spirit: patient becomes delirious or even comatose, also treating turbid becomes delirious or even comatose, also treating turbid phlegm veling the sensory orifices phlegm veling the sensory orifices Hot closed disorders Niu Huang, bing pian, Cold closed disorders su he xiang, she xiang, shi chang pu Contraindications pregnancy Herbs that extinguish wind & stop Herbs that extinguish wind & stop tremors tremors Treat wind in the interior: headache, dizziness, vertigo, Treat wind in the interior: headache, dizziness, vertigo, blurred vision, tinnitus blurred vision, tinnitus Substances that extinguish wind and stop tremors: gou teng, tian ma, ci ji li, shi jue ming, di long, dai zhe shi, ling yang jiao, bai jiang can, quan xie, wu gong Contraindications

Herbs that open the orifices

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Herbs that open the orifices. Herbs that extinguish wind & stop tremors. Herbs that open the orifices. Aromatic substances that open the orifices: Niu Huang 牛黄 ------------------------------------------------ she xiang 麝香 , su he xiang 苏合香, bing pian 冰片 , shi chang pu 石菖蒲 ;. - PowerPoint PPT Presentation

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Page 1: Herbs that open the orifices

Herbs that open the orificesHerbs that open the orificesTo open up the sensory orifices and awaken the spirit: patient becomes delirious or To open up the sensory orifices and awaken the spirit: patient becomes delirious or even comatose, also treating turbid phlegm veling the sensory orificeseven comatose, also treating turbid phlegm veling the sensory orifices

Hot closed disorders Niu Huang, bing pian,

Cold closed disorders su he xiang, she xiang, shi chang puContraindications

pregnancy

Herbs that extinguish wind & stop tremors Herbs that extinguish wind & stop tremors

Treat wind in the interior: headache, dizziness, vertigo, blurred vision, tinnitusTreat wind in the interior: headache, dizziness, vertigo, blurred vision, tinnitus

Substances that extinguish wind and stop tremors:

gou teng, tian ma, ci ji li, shi jue ming, di long, dai zhe shi, ling yang jiao, bai jiang can, quan xie, wu gong

Contraindications

Page 2: Herbs that open the orifices

Herbs that open the orificesHerbs that open the orifices

Aromatic substances that open the orifices:

Niu Huang 牛黄------------------------------------------------

she xiang 麝香 ,

su he xiang 苏合香,bing pian 冰片 ,

shi chang pu 石菖蒲 ;

Page 3: Herbs that open the orifices

Niu Huang Niu Huang 牛黄牛黄

Page 4: Herbs that open the orifices

Pharmaceutical Name Bovis Calculus

Actions

1. Clears the heart, opens the orifices, awakens the spirit, and disloges phlegm

2. Clears the liver, resolves toxicity, extinguishes wind, and stops tremors

2. Drains heat and resolves fire toxicity

Indications

( Excess)

Delirium or coma due to warm-heat

Spasms, tremors, or convulsions with high fever

Sores, carbuncles, boils, and a wide variety of hot swelling

Dosage 0.2- 0.5 g

Cook

Toxic Sym. Overdosage can cause diarrhea, and in severe case, low blood pressure

Niu Huang Niu Huang 牛黄牛黄( cool )( cool )

Page 5: Herbs that open the orifices

Contraindications Pregnancy

Combinations

Indications Formular

Huang Lian 黄连Zhi Zi 栀子

Zhu Sha 朱砂

Delirium and irritability due to blazing heat affecting the

pericardium

Niu Huang Qing Xin Wan

牛黄清心丸Ru Xiang 乳香Mo Yao 没药 Abscess scrofula

Zhen Zhu 珍珠Yuan Zhi 远志

DanNan Xing 胆南星Grand mal seizures

Qian Xie 全蝎Dan Nan Xing 胆南星

Convulsions and impaired consciousness

Jin Yin Hua 金银花Gan Cao 甘草 Sores, carbuncles, and boils

Niu Huang Niu Huang 牛黄 牛黄 ( cool )( cool )

Page 6: Herbs that open the orifices

Pharmaceutical Name Moschus

Actions

1.Vigorously opens the orifices, revives the spirit, and unblocks closed disorders

2. Invigorates the blood, dissipates clumps, reduces swelling and alleviate pain

3. Hastens delivery and facilitates the downward passage of stillborns

Indications

( excess )

Treating variety of problems that impair the consciousness, irrespective of whether it is associated with heat or cold

Blood stasis including fixed palpable masses, toxin sores, and carbuncles

Used in cases where the dead fetus or placenta fails to descend

Dosage 0.03 – 0.1 g

Cook

Toxic Sym.Ingestion of musk can cause ulceration and erosion of the oral and pharyngeal mucosa, nausea, vomiting, abdominal pain

She Xiang She Xiang 麝香麝香( warm )( warm ) Aromatic

Page 7: Herbs that open the orifices

Pharmaceutical Name Styrax

Actions

1. Opens the orifices and penetrates through turbidity to awaken the spirit

2. Opens up areas of constraint and clears away filth

Indications

( excess )

Closed disorder, phlegm collapse and epidemic toxic disease

Stifling sensations, cold, fullness, and pain in the chest and abdomen

Coronary artery disease and biliary colic

Dosage 0.3 – 1 g

Cook

Toxic Sym. None noted

Contrainications Pregnancy

Shu He Xiang Shu He Xiang 苏合香 苏合香 ( warm )( warm )

Page 8: Herbs that open the orifices

Pharmaceutical Name Borneolum

Actions

1. Opens the orifices, awakens the spirit, and unblocks closed disorders

2. Clears heat, drains fire, resolves toxicity, clears the eyes, removes superficial visual obstructions, and stops pain

3. Clears heat, alleviates pain, dissipates nodules, and alleviates itching

Indications

( escess )

Impaired consciousness, various types of fainting & convulsions

For heat leading to headache, red & swollen eyes, and sores in the mouth

Pain and swelling of the throat, skin disease,

Dosage 0.01 – 0.3 g

Cook

Toxic Sym. Allergic reaction: burning sensation and pruritus, urticaria…

Bing Pian Bing Pian 冰片冰片( Mildly Cold )( Mildly Cold )

Page 9: Herbs that open the orifices

Pharmaceutical Name Acori tatarinowii Rhizoma

Actions

1. Opens the orifices, dislodges phlegm, removes filth, and quiets the spirit

2. Transforms turbid dampness, awakens the spleen, and promotes movement of qi

3. Promtes blood flow and reduces swelling

Indications

( def. )

Deafness, dizziness, dizziness, forgetfullness, a dulled sensorium, as well as seizures or stupor

Chest and epigastric fullness and abdominal distention and pain due to dampnesss & turbidity obstructing the milld Jiao

Topically for wind-cold-damp painful obstruction, trauma, and sores

Dosage 3 – 9 g

Toxic Sym.B-Asarone: carcinogenic, mutagenic, and chromosome damaging properties

Shi Chang Pu Shi Chang Pu 石菖蒲 石菖蒲 ( warm )( warm ) Aromatic

Page 10: Herbs that open the orifices

Substances that extinguish wind and stop tremors:

gou teng 钩藤 ,

tian ma 天麻 ,

ci ji li 刺蒺藜 ,

shi jue ming 石决明 ,

di long 地龙 ,

dai zhe shi 代赭石 ,

------------------------------------------------------

ling yang jiao 羚羊角 ,

bai jiang can 白僵蚕 ,

quan xie 全蝎 ,

wu gong 蜈蚣

Herbs that extinguish wind & stop tremors Herbs that extinguish wind & stop tremors

Page 11: Herbs that open the orifices

Gou Teng Gou Teng 钩藤钩藤

Page 12: Herbs that open the orifices

Pharmaceutical Name Uncariae Ramulus cum uncis

Actions

1. Extinguishes wind & alleviates spasms

1. Drains liver heat & pacifies liver yang

2. Releases the exterior

Indications

( Exc. & def. )

Patterns of liver heat with internal stirring of liver wind: tremors, seizures and eclampsia

Liver fire & ascendant liver yang patterns

Exterior wind-heat: fever, headache, red eyes

Dosage 6 – 15 g

Cook

Toxic Sym. None noted

Gou Teng Gou Teng 钩藤钩藤(( slightly cold )slightly cold )

Page 13: Herbs that open the orifices

Contraindications Uwe with caustion in the absence of wind-heat

Combinations

Indications Formular

Tian Ma 天麻Quan Xie 全蝎 Convulsion

Shi Jue Ming 石决明 Eclampsia due to liver wind

Tian Zhu Huang 天竺黄Huang Lian 黄连

Chan Tui 蝉蜕Seizures

Tian Ma 天麻Ju Hua 菊花

Shi Jue Ming 石决明

Dizziness & vertigo deu to liver wind

Tian Ma Gou Teng Yin 天麻钩藤饮

Xia Ku Cao 夏枯草Long Dan Cao 龙胆草

Headache & dizziness due to liver fire

Bo He 薄荷Chan Tui 蝉蜕 Wind heat disease

Gou Teng Gou Teng 钩藤(钩藤( slightly cold )slightly cold )

Page 14: Herbs that open the orifices

Tian Ma Tian Ma 天麻天麻

Page 15: Herbs that open the orifices

Pharmaceutical Name Gastrodiae Rhizoma

Actions

1. Calms the liver, extingishes wind, and controls spasms and tremors

2. Extingishes wind & alleviates pain

2. Disperses painful obstruction

Indications

( Exs. & Def. )

Very important herb to treat internal stirring of liver wind: headache, dizziness

Headache, dizziness, and migraine headache due to wind-phlegm

Wind-damp painful obstruction

Dosage 3 – 9 g

Cook

Toxic Sym.In very high dosage 80g: flushed & hot sensation , generalize weakness, headache

Tian Ma Tian Ma 天麻天麻( Neutral )( Neutral )

Page 16: Herbs that open the orifices

Contraindications None

Combinations

Indications Formular

Gou Teng 钩藤 Calm the liver & extinguish wind

Tian Ma Gou Teng Yin 天麻钩藤饮

Sang Zhi 桑枝Di Long 地龙 Wind-stroke

Quan Xie 全蝎Wu Gong 蜈蚣

Shi Chang Pu 石菖蒲Childhood convulsions

Ban Xia 半夏Bai Zhu 白术Chen Pi 陈皮

Headache & dizziness from wind-phlegm

Chuan Xiong 川芎 Migraines

Qin Jiao 秦艽Qiang Huo 羌活Sang Zhi 桑枝

Wind-damp painful obstruction

Tian Ma Tian Ma 天麻 天麻 ( Neutral )( Neutral )

Page 17: Herbs that open the orifices

Ci Ji Li Ci Ji Li 刺蒺藜刺蒺藜

Page 18: Herbs that open the orifices

Pharmaceutical Name Tribuli Fructus

Actions

1. Calms the liver & anchors the yang

2. Dreges the liver Qi to smooth its flow while dispersing constraint and clumbing

2. Dispels wind-heat & brightens the eyes

3. Dispels wind & stops itching

Indications

( Exc. & def.)

Headache, vertigo due to liver yang

Irregular menstruation, insufficient lactation from liver Qi Stag.

Red painful swollen eyes

Any kind of skin lesion

Dosage 6 – 15 g

Cook

Toxic Sym. Over dosage may cause general weakness, dizziness, nausea

Ci Ji Li Ci Ji Li 刺蒺藜刺蒺藜( Neutral )( Neutral )

Page 19: Herbs that open the orifices

Contraindications Pregnancy or blood def.

Combinations

Indications Formular

Bai Shao 白芍Ju Hua 菊花

Dizziness & unclear vision due to liver yang ascendant

Gou Teng 钩藤Niu Xi 牛膝

Zhen Zhu Mu 珍珠母

Dizziness & vertigo from hypertension

Chai Hu 柴胡Qing Pi 青皮

Xiang Fu 香附

Pain & distention in chest & rib-area

Ju Hua 菊花Jue ming Zi 决明子 Pain, red swelling eyes

Chan Tui 蝉蜕Fang Feng 防风 Itchy skin due to wind heat

Ci Ji Li Ci Ji Li 刺蒺藜刺蒺藜 ( Neutral )( Neutral )

Page 20: Herbs that open the orifices

Shi Jue Ming Shi Jue Ming 石决明石决明

Page 21: Herbs that open the orifices

Pharmaceutical Name Haliotidis Concha

Actions

1. Drains liver fire & anchors & sedates the liver yang

2. Improves the vision & causes superficial visual obstruction to recede

2. Increased gastric acidity

Indications

( Exc. & def. )

Headache, dizziness & red eyes due to liver fire

Photophobia,pterygium or other superficial visual obstruction

Gastric acidity

Dosage 15 – 30 g

Cook

Toxic Sym. None noted

Shi Jue Ming Shi Jue Ming 石决明石决明(cold )(cold )

Page 22: Herbs that open the orifices

Contraindications cold from Sp. Yang def.

Combinations

Indications Formular

Bai Shao 白芍Sheng Di 生地

Mu Li 牡蛎Liver yang rising

Xia Ku Cao 夏枯草HuangQi 黄芪Ju Hua 菊花

Liver fire with heat signs, dizziness

Ju Hua 菊花Xia Ku Cao 夏枯草Jue Ming Zi 决明子

Eye redness, swelling, & pain due to liver fire

Shu Di 熟地Shan Zhu Yu 山茱萸

Impaired vision due to kidney yin def.

Shi Jue Ming Shi Jue Ming 石决明石决明 (cold )(cold )

Page 23: Herbs that open the orifices

Di Long Di Long 地龙地龙

Page 24: Herbs that open the orifices

Pharmaceutical Name Pheretime

Actions

1. Drains heat, settles convulsions, extinguishes wind, & stops spasms

2. Clears heat & unblocks & promotes movement in the channels & collaterals

3. Clears heat & calms wheezing

3. Clears heat & promotes urination

3. Hypertention

Indications

( Exc & def. )

High fever leading to oncoherent speech, convulsions & seizures

Swollen & painful joints with reduced range of motion

Wheezing

Hot painful urination

Dosage 4.5- 15 g

Cook

Toxic Sym. Over dosage: headache, dizziness, palpitations, dyspnea

Di Long Di Long 地龙 地龙 ( cold )( cold )

Page 25: Herbs that open the orifices

Contraindications Weak spleen & stomach

Indications Formular

Gou Teng 钩藤Bai Jiang Can 白僵蚕

Childhood & adult convulsions & seizures

Fang Ji 防己Qin Jiao 秦艽

Ren Dong Teng 忍冬藤

Hot painful obstruction

Quan Xie 全蝎Chi Shao 赤芍

Niu Xi 牛膝Hemiplegia

Ma Huang 麻黄Xing Ren 杏仁 Wheezing

Che Qian Zi 车前子Mu Tong 木通 Painful urinary dribbling

Huang Qin 黄芩Xia Ku Cao 夏枯草

Shi Jue Ming 石决明hypertention

Di Long Di Long 地龙 地龙 ( cold )( cold )

Page 26: Herbs that open the orifices

Dai Zhe Shi Dai Zhe Shi 代赭石代赭石

Page 27: Herbs that open the orifices

Pharmaceutical Name Haematitum

Actions

1. Sedates & anchors the liver yang & clears liver fire

2. Strongly directs rebellious qi downward

3. Cools blood & stops bleeding

Indications

(Exs. & Def. )

Dizziness & headache, vertigo due to liver yang

Belching, vomiting, hiccough

Vomiting of blood and nosebleeds

Dosage9 – 30 g in decoctions ( crushed ); 1 – 3 g in pills & powders

Cook

Toxic Sym.Long-term administration over 20 days: bleeding of the gingiva and thrombopenic purpura

Dai Zhe Shi Dai Zhe Shi 代赭石代赭石 ( cold )( cold )

Page 28: Herbs that open the orifices

Contraindications pregency

Indications Formular

Niu Xi 牛膝Long Gu 龙骨

Mu Li 牡蛎

Dizziness due to liver yang rising

Zhen Zhu Mu 珍珠母Ci Shi 磁石

Hypertention due to liver yang or liver fire

Ban Xia 半夏Xuan Fu Hua 旋复花 Vomiting, hiccough

Zi Shi Ying 紫石英Chi Shi Zhi 赤石脂 Continuous uterine bleeding

Dai Zhe Shi Dai Zhe Shi 代赭石代赭石 ( cold )( cold )

Page 29: Herbs that open the orifices

Pharmaceutical Name Saigae tataricae Cornu

Actions

1. Drains liver heat, calms the liver, extinguishes wind & controls spasms & convulsions

2. Calms the liver & anchors the yang

2. Clears the liver & improves the vision

3. Drains heat & resolves fire toxicity

4. Clears damp-heat

Indications

(Exc. & Def. )

Childhood convulsion & seizures

Dizziness & vertigo

Swollen eyes, or photophobia due to blazing liver fire

Wind-damp-heat painful obstruction

Dosage1-3 g decocted by itself for at leat 2 hours; or 0.3-0.6 g ground into a powder

Cook

Toxic Sym. Allergic reactions: erythema, somnolence, tachypnae

Ling Yang Jiao Ling Yang Jiao 羚羊羚羊角角 ( cold )( cold )

Page 30: Herbs that open the orifices

Pharmaceutical Name Bombyx batryticatus

Actions

1. Extinguishes wind & stops spasms and convulsion

2. Dispels wind, disperses wind-heat, and stops itching & pain

2. Transforms phlegm, softens what is hard, & dissipates nodules

2. Expels wind & stops itching

Indications

(Exc. & Def. )

Childhood convulsions or facial paralysis

Headache, red eyes, sore & swollen throat due to wind-heat

Phlegm nodules

Dosage 3 – 9 g in decoction; 1 – 1.5 g in powder

Cook

Toxic Sym. None noted

Contraindications None noted

Bai Jiang Can Bai Jiang Can 白僵蚕白僵蚕( neutral )( neutral )

Page 31: Herbs that open the orifices

Pharmaceutical Name Scorpio

Actions

1. Extinguishes wind & stops tremors & convulsions

2. Tracks down wind, unblocks the collaterals, and stops pain

3. Attacks and resolves fire toxicity

Indications

(Excess )

Spasms, acute or chronic childhood convulsion

Stubborn headaches & painful obstruction

Toxic sores

Dosage 2 – 4.5 g in decoctions; 0.6-1 g in powder

Cook

Toxic Sym.Itching of the abal and genital areas, urinary pain & obstruction, headache, dizziness

Contraindications Pregnancy or blood def.

Quan Xi Quan Xi 全蝎 全蝎 ( neutral )( neutral ) Toxin

Page 32: Herbs that open the orifices

Pharmaceutical Name Scolopendra

Actions

1. Extinguishes wind & stops spasms & convulsion

2. Attacks toxin and dissipates noduls

3. Unblocks the collaterals & stops pain

Indications

(Excess)

Acute & chronic childhood convulsion

Sores, carbuncles, and neck lumps, snakebite

Stubbern headache

Dosage 1-3 g in decoctions; 0.6-1 g in powder

Cook

Toxic Sym. Nausea, vomiting, headache, dizziness

Contraindications Pregnancy or blood def.

Wu Gong Wu Gong 蜈蚣 蜈蚣 ( Warm )( Warm ) Toxin