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NOURISH THE SOIL BEFORE PLANTING THE SEED

This lecture and handouts contain general information about medical conditions and treatments. The information is not advice, and should not be treated as such.

Limitation of WarrantiesThe medical information in this lecture and handouts is provided “as is” without any representations or warranties, express or implied. The Integrative Fertility

Symposium/ Pro D Seminars / Healthy Seminars Inc makes no representations or warranties in relation to the medical information on this website/ symposium.

Without prejudice to the generality of the foregoing paragraph, the Integrative Fertility Symposium/ Pro D Seminars / Healthy Seminars Inc does not warrant that:The medical information in this lecture will be constantly available, or available at all; or

The medical information in this lecture is complete, true, accurate, up-to-date, or non-misleading.

Professional AssistanceYou must not rely on the information in this lecture as an alternative to medical advice from your doctor or other professional healthcare providers.

If you have any specific questions about any medical matter you should consult your doctor or other professional healthcare providers.

If you think you may be suffering from any medical condition you should seek immediate medical attention.You should never delay seeking medical advice, disregard medical advice, or discontinue medical treatment because of information in this lecture.

DISCLAIMER

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Wen Jing Tang温经汤

A Most Useful Classic Formula

Jin Gui Yao Lue

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Jin Gui Yao Lue: Line 22.9

Question: “When a woman of about fifty years of age suffers

from vaginal bleeding for several tens of days without stopping,

with heat effusion at dusk, lesser abdominal urgency, abdominal

fullness, vexing heat in the palms of the hands, and dry lips and

mouth, what is this?”

The Master says: “This disease is ascribed to Dai Xia 带下, How is this caused? The woman must have previously experienced a

miscarriage, as a result of which static blood is present in the lesser abdomen instead of having been eliminated. How can you know

this? You know this by the sign of dry lips and mouth. Use Wen

Jing Tang to govern it.”

Jin Gui Yao Lue: Line 22.9

Boil the above 12 ingredients in 1 dou of

water to get 3 sheng. Divide into 3 doses and take warm. This formula also governs women’s lesser abdominal cold and chronic failure to

conceive; it also helps eliminate blood from flooding or excessive

menstrual bleeding or failure of the menses to arrive at

their proper time.

Wen Jing Tang

Pin Yin Jin Gui dose F & S Arnaud

Wu Zhu Yu 3 liang 9 gm 9 gm

Dang Gui 2 liang 6 gm 6 gm

Chuan Xiong 2 liang 6 gm 6 gm

Bai Shao 2 liang 6 gm 6 gm

Ren Shen 2 liang 6 gm 6 gm

Gui Zhi 2 liang 6 gm 6 gm

Mu Dan Pi 2 liang 6 gm 6 gm

E Jiao 2 liang 6 gm 6 gm

Sheng Jiang 2 liang 6 gm 6 gm

Gan Cao 2 liang 6 gm 6 gm

Ban Xia ½ sheng 6 gm 12 gm

Mai Men Dong

1 sheng 9 gm 24 gm

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Architecture of the formula

Formulas within FormulasGui Zhi Tang

Gui Zhi Gan Cao Tang

Si Wu Tang

Shao Yao Gan Cao Tang

Gui Zhi Xin Jia Tang

Jiao Jiang Tang

Jiao Ai Tang

Xiao Ban Xia Tang

Mai Men Dong Tang

Wu Zhu Yu Tang

Zhi Gan Cao Tang

Li Zhong Wan

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Architecture of the formula

Gui Zhi Tang

Gui Zhi

Bai Shao

Sheng Jiang

Gan Cao

Da Zao

Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

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Architecture of the formula

Gui Zhi Tang

Gui Zhi

Bai Shao

Sheng Jiang

Gan Cao

Da Zao

Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Gui Zhi Gan Cao Tang

Gui Zhi

Gan Cao

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Gui Zhi Gan Cao Tang

2/1 ratio

Gui Zhi 4 liang

Gan Cao 2 liang

• 64: When copious sweating has been promoted

and the person’s hands are crossed over the

heart and there are palpitations below the

heart, with a desire for pressure, Gui Zhi

Gan jiang Tang governs.

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Sweet Sour

Bai ShaoPlus Sweet

Dang GuiE Jiao

Mai Men Dong

Pungent Cool

Mu Dan PiPungent Warm

Gui ZhiWu Zhu Yu

Chuan Xiong

Sweet Sour

Bai ShaoPlus Sweet

Dang GuiE Jiao

Mai Men Dong

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Architecture of the formula

Si Wu Tang

Dang Gui

Chuan Xiong

Shao Yao

Di Huang

Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Formulas within FormulasWen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Gui Zhi Tang

Gui Zhi Gan Cao Tang

Si Wu Tang

Shao Yao Gan Cao Tang

Gui Zhi Xin Jia Tang

Jiao Jiang Tang

Jiao Ai Tang

Xiao Ban Xia Tang

Mai Men Dong Tang

Wu Zhu Yu Tang

Zhi Gan Cao Tang

Li Zhong Wan

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Architecture of the formula Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Gui Zhi Xin Jia TangGui Zhi 3 liang 9 gm

Bai Shao 4 liang 12 gm

Zhi Gan Cao 2 liang 6 gm

Ren Shen 3 liang 9 gm

Sheng Jiang 4 liang 12 gm

Da Zao 12 dates 4 dates

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Body pain is a common symptom of Tai Yang illness. Generally after there has been sweating the illness is resolved as the sweat issues and the body pain is also resolved. If the body pain is not resolved after sweating then it was not caused by an exterior pattern and the sweating was too extreme and so the Ying was damaged. This causes the sinews and vessels to loose their nourishment. This is distinguished by the hesitant pulse. The Da Lun says, “When the pulse is floating and tight, the method should address the body pain and be one of inducing sweat. When the cun is hesitant sweating should not be induced. Why is this? When the Ying Qi is deficient this makes the blood scanty.” In this case, the treatment is Gui Zhi Tang as the foundation as it will harmonize the Ying and Wei. Bai Shao is increased because it will nourish the Ying and blood. Ren Shen is added as it with supplement the deficiency of Wei. Sheng Jiang is also ingeniously increased to take advantage of the pungent scattering to strengthen the movement to the exterior. Altogether this formula has the function to boost the Qi and nourish the blood and move this to the exterior of the body. When the exterior is supplemented, there will be no stagnation. Generally, when there is sweating, for example after giving birth, after a miscarriage or after menstruation, the Ying and Wei will be insufficient and there will be body pain.

Architecture of the formula Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Jiao Jiang Tang

Ginger and Ass-Hide Glue Decoction

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Architecture of the formula Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Jiao Ai Tang

Chuan Xiong 6 gm

E Jiao 6 gm

Gan Cao 6 gm

Dang Gui 9 gm

Bai Shao 12 gm

Gan Di Huang 18 gm

Ai Ye 9 gm

The Master says “If a woman experiences spotting, in some cases it is caused by continued and incessant vaginal bleeding after late miscarriage; in some cases it is vaginal bleeding in pregnancy. If it causes pain in the abdomen during pregnancy, this means uterine obstruction, Jiao Ai Tang governs.

Decoct the six ingredients in 5 sheng of water with 3 sheng of clear wine until 3 sheng remains. Discard the dregs and add the E Jiao.

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The Chong is the sea of blood and the Ren governs the fetal wrapper. When the Chong and Ren are deficient or damaged, they are unable to contain and absorb the blood vessels. The Yin and blood are guarded. This leads to dripping or heavy passing of blood water with continuous soaking through. There may be a late miscarriage with bleeding that does not stop. The pregnant woman has bleeding below with abdominal pain. This is called uterine obstruction. Due to deficiency and damage of the Chong and Ren, the Yin and blood drip downward and so are unable to enter the uterine vessels to nourish the fetus. This hinders the normal development of the fetus. This is uterine obstruction as described in the Yi Zong Jin Jian: “When there is uterine obstruction, the Qi and blood within the uterus is not harmonized and so the transformation and development is hindered.” The Mai Jing says: “Uterine dripping” means the same thing. E Jiao is used to nourish blood and stop bleeding.” The Ben Jing “When there is bleeding in women, calm the fetus.” The Bie Lu says: “when pregnant women drip blood, one must both regulate the channels and calm the fetus. One will want to use medicinals that treat flooding and stop dripping as the chief herbs. [E Jiao and Ai Ye]. Gan Di Huang, Dang Gui, Shao Yao and Chuan Xiong nourish the blood and regulate the channels. They transform stasis and generate the new, guarding against the blood stasis taking up residence. These are the assistant herbs. Blood is not generated spontaneously. It is generated from the Yang Ming sea of water and grains. Gan Cao supplements earth in the service of nourishing blood. In addition, it is able to harmonize the other herbs in the formula. When Gan Cao is combined with E Jiao, it is able to stop bleeding. When it is combined with Shao Yao, the sour and sweet generate Yin, moderate spasms and stop pain. Adding the clear alcohol stimulates the herbs to enter the blood vessels so that the stasis of blood does not reside. This is an envoy herb. This deals simultaneously with the root and branch. Staunching, flowing and settling the source are all achieved so that the nourishing blood regulates the channels, the fetus is calmed and the dripping is stopped.

Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Xiao Ban Xia Tang

Ban Xia 9 gm

Sheng Jiang 9 gm

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There are three clauses relating to Xiǎo Bàn Xià Tāng in the Jin Gui Yao Lue. Two of the clauses relate to vomiting. Generally speaking, vomiting is due to rebellious stomach Qi. The stomach follows a downward path, receiving and downbearing. When the stomach is without harmony or downbearing, the Qi rebels upward. This is why vomiting arises. This vomiting is the upward rebellion of the stomach Qi and is due to propping fluids in the epigastric area. When water and fluids stop in the epigastric area, the stomach is restricted and is unable to receive food. As Zhong Jing said, “When there is vomiting, grains cannot go downward.” These words describe this pattern. This refers to vomiting and hiccups as well. This can also be due to stomach Qi deficiency or phlegm blockage. Zhong Jing said, “When there is vomiting, Xiǎo Bàn Xià Tāng is the principle formula. It can move phlegm, downbear rebellion and harmonize the stomach Qi.Let us consider this formula: Shēng Bàn Xià is in an important position. It is pungent, warm and without toxin. It transforms phlegm, dispels fluids, downbears rebellion, stops vomiting and harmonizes the stomach. It is the chief herb. Shēng Jiāng assists the chief herb in dispelling phlegm and down bearing rebellion. It is also able to control an intense toxin. It is the assistant herb. These two herbs cooperate with each other and strengthen the effect of downbearing rebellion, stopping vomiting and stopping cough. This is a well-organized ancient and simple formula that is also very effective. When I use this formula I generally use prepared Bàn Xià. If the vomiting is severe, one can also use 4.5 – 6 gm of Shēng Bàn Xià cooked with 9 gm of Shēng Jiāng. This will ameliorate any worry of side effects. In addition, this formula is the foundational stop vomiting formula. It is in Zhong Jing’s formulas such as Bàn Xià Xiè Xīn Tāng, Xiǎo Chaí Hú Tāng and Huáng Qín Jiā Bàn Xià Shēng Jiāng Tāng. Later generation formulas include this combination as well such as Wēn Dàn Tāng and Èr Chén Tāng. These formulas all use Bàn Xià and Shēng Jiāng. It is just as Yin Li-Wen said in his classic医宗金鉴Golden

Mirror of the Medical Tradition says “The warmth of Bàn Xià and Shēng Jiāng are able to harmonize the stomach Qi. Their pungent nature is able to disperse rebellious Qi. It is the efficacious herb combination for habitual vomiting.” However, when all is said and done, this formula tends toward being warm and drying and so it is used for vomiting without thirst and with a white sticky tongue moss and a tendency to cold fluids. For this it is suitable.

Wen Jing Tang

Wu Zhu Yu 9 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

Wu Zhu Yu Tang

Wu Zhu Yu 9-12 gm

Sheng Jiang 18 gm

Ren Shen 9 gm

Da Zao 12 pieces

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Wu Zhu Yu Tang

Wu Zhu Yu 9-12 gm

Sheng Jiang 18 gm

Ren Shen 9 gm

Da Zao 12 pieces

Vomiting after eating, acid reflux, epigastric

pain, dry heaves or vomiting of clear fluids, vertex headache, cold hands and feet, feeling as if one wants to die.

Mai Men Dong Tang

Mai Men Dong

15-64 gm

Ren Shen 9 gm

Gan Cao 6 gm

Ban Xia 6-9 g

Da Zao 12 dates

Jing Mi 6-15

JGYL line 10: “Rebellious fire and ascending of Qi leading to obstruction of

the throat.”

• Lung atrophy due to heatStomach and Lung Yin deficiency.

• Chronic cough with phlegm

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Zhi Gan Cao Tang

Zhi Gan Cao 12 gm

Ren Shen 6 gm

Gui Zhi 9 gm

Mai Men Dong 9 gm

E Jiao 6 gm

Sheng Jiang 9 gm

Sheng Di Huang 48 gm

Huo Ma Ren 9 gm

Da Zao 30 pieces

SHL clause 177 “Shang Han, the pulse

is knotted and intermittent, there are

throbbing palpitations, ZGCT governs.

JGYL on deficiency taxation and heart

palpitations: indicated for deficiency

taxation and insufficiency that

manifests with sweating, oppression,

bound pulses, and palpitations.

Zhi Gan Cao Tang

Zhi Gan Cao 12 gm

Ren Shen 6 gm

Gui Zhi 9 gm

Mai Men Dong 9 gm

E Jiao 6 gm

Sheng Jiang 9 gm

Sheng Di Huang 48 gm

Huo Ma Ren 9 gm

Da Zao 30 pieces

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Li Zhong Wan

Zhi Gan Cao 9 gm

Ren Shen 9 gm

Gan Jiang 9 gm

Bai Zhu 9 gm

• Moistens Drynessscanty menses, dry skin, vaginal dryness, thirst, lung wilt

• Warms and nourishes the blood and channelsdysmenorrhea, cold blood/womb infertility

• Warms and vitalizes the blooddysmenorrhea, pain syndromes

• Stops bleeding• Harmonizes the Ying and Wei

feverish with or without sweatingachy bodyupsurge (flushing, cough, stomach rebellion, headache, anxiety, neck pain)

• Warms and nourishes the heartpalpitations, dark depression, anxiety, insomnia

• Downbears counterflowvomiting, reflux, headache, cough

• Stops painSpasmy pain, cold blood pain, lack of harmony of the Ying and Wei painHeadache, neck and shoulder pain, body aches, menstrual pain

Dispels cold phlegmThroat obstruction, cough

Supplements the SpleenDigestive difficulties due to cold dry spleen

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• From Big Book: A Rare Compendium of The Experience of our

Predecessors in Chinese Medicine – Case studies in Gynecology using

Illustrious Formulas from Illustrious Doctors

• Chronic Fallopian Tube Inflammation

• Uterine Myoma• Ovarian Cyst• Endometriosis• Late Menses• Irregular Menses• Heavy Menses• Scanty Menses• Bleeding at Ovulation• Painful Menstruation• Functional Uterine Bleeding• Amenorrhea• Menstrual Depression

• Menstrual Vomiting• Menopausal Syndrome• Infertility• PCOS• Post Partum Abdominal Pain• Post Ovarian Surgery Syndrome• Post D & C Difficulties

• From Sharon’s Practice• Habitual Miscarriage

• Phospholipid Antibodies

• MTHFR (methylene-

tetrahydrofolate

reductase)

• Hyperhomocysteinemia

• Infertility

• Painful Menstruation

• Dark Depression

• Insomnia

• Chronic Staph Infection

• IBS

• Vaginal Dryness

• Pre-Eclampsia

• Extreme Dryness and

Coldness

• Vulvodynia

• For more information about

my methods for preventing

eclampsia go to:

•http://whitepinehealingarts.org/topicsblog/?p=3

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Clinical Use

• For Pregnancy: Dang Gui Shao Yao San

• For Birthing: Gui Zhi Fu Ling Wan

• For Post Partum: Dang Gui Sheng Jiang Yang Rou

Tang

• For Fertility: Wen Jing Tang

Clinical Use

Dang Gui Shao

Yao San is for

beautiful

women

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Clinical Use

• Wen Jing Tang is for making women beautiful

Jue Yin Blood Pattern

• Crappy Blood = Systemic Crappy Blood

• Dry, cold, stagnant blood

• Some scorched blood (Mu Dan Pi, Sheng Di Huang)

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Key Signs and Symptoms to Determine the Formula Pattern

• Blood Stasis Signs

• Purplish Tongue

• Dusky, sallow complexion

• Fixed pain

• Knotted pulse

• Abdominal signs

• Cold Signs

• General coldness

• Pain better with warmth and worse with cold

• Cold abdomen, lower body, butt

Blood Stasis Areas

癒血點 Yu Xue Dian

Terasawa Okestu point – Tenderness around

the umbilicus

This area is crowded with micro-

circulation vessels such as small intestine,

mesentary and caul. Thus Saibo Atsu

suggests the existence of a morbid state of

blood occlusion due to deterioration of

micro-circulation such as hemostasis or

hyperemia. Even though, as caul has a

limited number of pain receptors, pain

could be from the small intestine or

mesentery due to a morbid state of blood

occlusion.

Fig.1

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Fig.2

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Blood Stasis Areas

癒血點 Yu Xue Dian

• Zhi Gan Cao Tang

• Wen Jing Tang

• Si Wu Tang

• Dang Gui Shao Yao San

• Zhe Chong Yin

Fig.1

43

Fig.2

Tongue Signs

• Pale tongue = Deficiency (Qi, Blood or Yang)

• Wen Jing Tang tongue can be red or even have cracks

or peeled areas. If it is red or reddish, it will be thin

or small indicating fluid deficiency/Yin Xu.

• Distended sublingual veins are not a sign of crappy

blood.

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Body Type

• Generally you will see a thin, dry, emaciated

type of person but not always.

• The key is crappy blood plus cold.

45

Symptoms that can be explained by a

Wen Jing Tang pattern

• Hot and Dry Symptoms: Burning palms, dry

mouth, lips, dry mucous membranes, flushed

cheeks, hot flashes, dry skin, itching, poor

healing of sores, digestive disorders,

depression, insomnia…..

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• Diseases that can be explained by a Wen

Jing Tang pattern

• Chronic Fallopian Tube Inflammation

• Uterine Myoma• Ovarian Cyst• Endometriosis• Late Menses• Irregular Menses• Heavy Menses• Scanty Menses• Bleeding at Ovulation• Painful Menstruation• Functional Uterine Bleeding• Amenorrhea• Menstrual Depression

• Menstrual Vomiting• Menopausal Syndrome• Infertility• PCOS• Post Partum Abdominal Pain• Post Ovarian Surgery Syndrome• Post D & C Difficulties

• Diseases that can be explained by a Wen Jing

Tang pattern

• From Sharon’s Practice• Habitual Miscarriage

• Phospholipid Antibodies

• MTHFR (methylene-

tetrahydrofolate

reductase)

• Hyperhomocysteinemia

• Infertility

• Painful Menstruation

• Dark Depression

• Insomnia

• Chronic Staph Infection

• IBS

• Vaginal Dryness

• Pre-Eclampsia

• Extreme Dryness and

Coldness

• Vulvodynia

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Many patent or powdered extract versions of Wen Jing Tang have higher dosages of Wu Zhu Yu than works for my patients.

I tend to use the following amounts of it.

• Warning about Wu Zhu Yu

Wen Jing Tang

Wu Zhu Yu 3-5 gm

Dang Gui 6 gm

Chuan Xiong 6 gm

Bai Shao 6 gm

Ren Shen 6 gm

Gui Zhi 6 gm

Mu Dan Pi 6 gm

E Jiao 6 gm

Sheng Jiang 6 gm

Gan Cao 6 gm

Ban Xia 12 gm

Mai Men Dong 24 gm

• Common and Helpful Modifications

• Adding Da Zao to further supplement the blood and integrate

formulas.

• Adding Fu Zi – Deeper cold and Kidney deficiency signs such as

empty lower abdomen or dark depression.

• Adding Lu Jiao Jiao, Xian Mao, Ba Jia Tian, Tu Si Zi type herbs –

Same as Fu Zi plus Jing deficiency signs such as under-development.

• Using Gui Zhi and Rou Gui – For cold both in the lower warmer and

surface of the body

• Using Gan Jiang instead of Sheng Jiang – for cold in the middle or

to make Fu Zi hotter

• Adding Sheng Di Huang – when heat has also scorched the blood or

the bleeding has heat aspects (crimson shinny blood)

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• Common and Helpful Modifications

• Adding Huang Lian – when there is epigastric fullness with a red

tipped tongue, agitation and a stronger pulse on the right guan

• Adding Shi Gao - when there is NO epigastric fullness with a red

tipped tongue, agitation and a stronger pulse on the right guan and

the subjective experience of heat.

• Switching out Gan Jiang for Sheng Jiang and adding Huang Lian

and Huang Qin to integrate the Ban Xia Xie Xin Tang pattern.

• Same as above but increasing the Gan Cao to integrate the Gan Cao

Xie Xin Tang pattern when there are mucous membrane dryness and

inflammation issues.

• Adding Fu Ling, Ze Xie and Bai Zhu to integrate Dang Gui Shao Yao

San when there are water signs showing that the water that should be

in the blood is outside of the vessels.

• Case 1: Chronic Staph InfectionAli came to me because she had suffered from recurrent staph infections over a

period of 1 year. This manifested as large boils on various parts of her body

including her lower legs, thighs, butt, arms and back. She had already undergone

5 courses of antibiotics and was at her wit’s end. At the time of our first visit she

had a large boil on her left thigh. The boil was red without any sign of

immanent rupture.

Ali, age 22, was very thin and pale. Her lips appeared red and dry. She felt cold

all the time and sweat very minimally. Her menstruation was scanty and often

late. She suffered from severe dysmenorrhea each month, wanting to stay warm,

use hot water bottles and take hot baths. Her appetite was poor and she was

someone constipated. Her spirit was depressed and anxious.

Palpation: Pulses were all thin and weak. Skin was very dry. Her abdomen was

dry with tight rectus muscles and a chopstick. There was tension around her

navel and pulsations on the CV line above her navel.

Tongue: Her tongue was pale and purplish

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• Case 1: Chronic Staph InfectionAfter 2 weeks on Wen Jing Tang (raw herbs) the current boil resolved with no

trace.

After 3 weeks Ali’s menstruation came and there was 70% less pain and a richer,

longer flow. Ali also reported feeling happier and warmer in general and her

appetite had improved.

We continued Wen Jing Tang for 2 months before concluding treatment.

A follow-up occurred when I ran into Ali a year or so later. There had been no

recurrence of boils.

• Case 2: Recurrent MiscarriagesWendi had suffered from 3 very early miscarriages. She was diagnosed with elevated

homocysteine levels and her doctors were recommending she begin taking aspirin. She

decided to pursue Chinese medicine first.

Wendi had a dusky complexion with freckles. She worked in the fish department of a

local grocery store so she was in and out of the refrigerated area all day, almost every

day. She complained of being cold and having to wear layers upon layers at work. She

suffered from intense dysmenorrhea that craved warmth and desired cold. Her tongue

was pale and purplish with depressive heat spots. Otherwise Wendi was in good health

though she suffered from bouts of insomnia and depression. She was very upset about

the miscarriages, fearing she would never be able to have a child. Her pulses were rough,

thin and wiry.

We decided to work for several months until she felt warmer and no longer had

dysmenorrhea. After 2 months, her menstruation came with no pain. Wendi felt

warmer and her cheeks got rosier. After the 3rd month I believed that the blood

circulation in her womb was open, flowing and warm. Wendi became pregnant right

away and had a successful full term son.

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• Case 3: Dark DepressionFiona was 38 when she came to see me. After a break up she had suffered a profound

and scary depression. Though she was not suicidal, she felt haunted by dark and

hateful thoughts toward herself. She was in therapy but nothing touched the depression

so she came to try Chinese medicine.

Fiona’s complexion was pale and lusterless. She had dark circles under her eyes and a

haunted look. She felt generally very cold and when I asked her if the negative

thoughts felt cold, she said yes, that they were “cold like death.” She described her

break up: Her husband, who is the father of her two kids, had been an accommodating

person and was obliging when she fell in love with a woman. Suddenly, when she

moved out to live with her new partner, he turned on her with hateful accusations and

then he completely cut her off emotionally. In other words, in my mind, she received

an attack from cold deep into her heart. Her body was vulnerable because the fire was

already low.

Fiona’s tongue was pale and purplish with a red tip. Her sleep was dream disturbed,

her menses were somewhat though not severely painful and she felt cold all the time

but worse during menstruation. Her abdomen was flacid and very empty below her

umbilicus.

• Case 3: Dark Depression

I treated Fiona with Wen Jing Tang with Gan Jiang

instead of Sheng Jiang and added Fu Zi.

After a 3 month course of treatment, Fiona felt fully

like herself again. Her menses were painless and she

felt generally warmer in spite of the weather turning

bitter cold.

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