FALL, SEASON OF TONIFING
Dr. "Cool" (Liang)
Professor of Herbal Sciences
School of Oriental Medicine, Edgewood College of Georgia
10/07/03

Georgia mountains of the southern Appalachian are changing their garments from green to yellow and even red. You are saying "Good by" to the summer and "Hello" to the fall this week. Most creatures in our planet are now accumulating energy (Qi) and nutrition (Blood*) in their body for struggling the survival against the coming cold winter. As a human being, or so called "Homo sapiens sapiens", having just spent a hot and exciting summer, you might be exhausted due to your overtime hard working (or loving) during the long summer nights and feel energy ("Qi" ) deficiency ( the "Yin" syndrome ); Or, you might absorb too much radiation of sun light (ultraviolet) and summer heat (infrared), and have toxin in your "Blood" to feel hyper-stress on your body ( the "Yang" syndrome). In either case you really need to be tonified, and keep the "Yin - Yang" balance, as well as the "Qi - Blood" harmony in your body. For starting a such kind of tonifying business, summer was too early, and winter will be too late; therefore, fall is the only right season of tonifing. (*In this article, "Blood" with the capital "B", refer to the TCM concept; although "blood" all in lower case means the fluid containing hemoglobin.)

According to the Traditional Chinese Medicine theory, deficiency syndromes should be treated by tonification, which can be classify into tonify Yang, tonifi Yin; tonify Qi, tonify Blood, tonify both Qi and Blood. "Yang" and "Yin" are mostly related to kidney; and associated to Reproduction and Excretory Systems. "Qi" is mostly linked to spleen, stomach and lung; and affected to Digestion and Respiratory Systems. "Blood" is mostly reflect to heart, liver and spleen; and influened to Circulation and Immune Systems. However, "Blood" is the bride of "Qi", and "Qi" is the groom of "Blood"; so the "Yin" and "Yang". "Blood" and "Qi" share the common source; while "Yin" and "Yang" have the joint roots. No matter how would one carry on the tonification to each different organ or system, only someone considering comprehensively can bring out the best treatment to each other.

1. Herbal Formulation Tonifying Yang
Formulations in this category are mainly indicated for syndrome of weakness of kidney-Yang, which is the root of Yang-Qi of the human body, and possesses the effect of energizing the viscera, and is the promotion power for functional and sexual activities of the body. Weakness of kidney-Yang occurs mostly in cases such as over-fatigue chronic illness, aging and infirm of deficient Yang constitution. When deficient Yang fails to "Warm" the body, there appears endogenous "Cold" syndrome marked by pallor, cold limbs, and lassitude. The lumbs is residence of the kidneys, insufficiency of kidney-Yang may lead to weakness and soreness in the waist and knees, aversion to cold in the back and waist. The kidney dominates water metabolism and transformative function of Qi, if Yang-Qi is deficient, all transformative functions of Qi may be abnormal, resulting in difficulty in urination, and edema. Failure of the bladder in control of opening or closing may lead to frequent urination. Since kidney stores essence and dominates reproduction, weakness of kidney-Yang may result in impotence, sterility due to cold uterus. Deficient Yang brings about a cold syndrome with symptoms of pale tongue with a white-thick coating, a deep, silky and powerless pulse. The following herbal formula is a typical classic Chinese therapy bolus of energizing (warming) kidney-Yang:

Dogwood Kidney-Yang Bolus:
Atlantian Dogwood fruit 250g
Dried Rehmannia root 250g
Dioscorea batata 120g
Oriental water plantain 100g
Poria cocos 100g
Moutan bark 100g
Cinnamon twig 30g
Prepared aconite root (stir-baked) 30g

DIRECTIONS: Grind all herbs into fine powder and mix them with honey to make into boluses weighing 10g each. After consult with your herbal specialists or TCMD, take one bolus with warm boiled water, twice a day. You may also decoct the herbs in to water, but each dosage should be correspondingly reduced into only 10%.

2. Herbal Formulation Tonifying Yin
Formulations in this category are generally applied for syndrome of Yin deficiency of liver and kidney. The liver generates the Blood and controls the tendon, while the kidney stores the Essence and dominates the bones. Deficiency of the liver and kidney is usually focused on two aspects: The first is insufficiency of the Essence and the Blood due to impairment of Genuine-Yin caused by chronic diseases and overstrain with symptoms of emaciation, vertigo, tinnitus, amnesia, insomnia, weakness and soreness in the waist and knees areas, red-thin tongue coating, and weak silky pulse. The therapy of nourishing the liver and kidney is needed. The second is internal disturbance of deficiency-Fire caused by failure of Yin to match Yang. The liver and the kidney manifested by tidal fever, night sweat, red lips, hectic cheek, dry mouth and throat, sputum with bloody, insomnia due to vexation, weakness and soreness in waist and knees, emission, yellow urine, dry stool, red-thin tongue, and rapid silky pulse.

Dogwood Kidney-Yin Pills:
Atlantian Dogwood fruit 120g
Prepared rhizome of rehmannia 250g
Dioscorea batata 120g
Oriental water plantain 100g
Poria cocos 120g
Moutan bark 90g
Wolfberry fruit 90g
Chrysanthemum 90g

DIRECTIONS: Grind all herbs into fine powder and mix them with honey to make into boluses weighing 10g each. After consult with your herbal specialists or TCMD, take one bolus with warm boiled water, three times a day, You may also decoct the herbs in to water, but each dosage should be correspondingly reduced into only 10%.

3. Herbal Formulation Tonifying Qi
Formulations in this category are usually suitable for syndrome of spleen and lung. Qi is an energy flow to empower a living body with many functional activities. It is mainly from external Qi inhaled by the lung from the nature of fresh air, as well as the Essence of food and drink transformed by the spleen. The spleen dominates both the transportation and the transformation, and is considered to be the foundation of acquired constitution and the source for growth and chemical reactions of Qi and Blood. The lung masters Qi respiration and all vessel meet in the lung. Deficiency of spleen-Qi may damage the energy and nutrition transporting function, and there may appear poor appetite, loose stools, lassitude. Sinking of the Central-Qi may cause chronic diarrhea, prolapse of rectum, and visceroptosis. Deficiency of lung-Qi may create shortness of breath, feeble speech, low voice, asthma on exertion, spontaneous sweating, and weak pulse. Therapy of tonifying Qi is indicated particularly tonifying the spleen and the lung.

Four Gentlemen Decoction:
Ginseng (Panax quinqueflium) 12g
Atractylodes rhizome 9g
Poria cocos 30g
Glycyrrhiza glabra 6g

DIRECTIONS: Decoct all herbs in to water for oral administration, after consult with your herbal specialists or TCMD.

4. Herbal Formulation Tonifying Blood
Formulations in this category are often used for syndrome of Blood deficiency. Blood parents moisture and nourishment. It is one of the basic substances to maintain a life. Insufficiency of Blood leads to deficiency syndrome, which is caused mainly by loss of blood, slow down blood generation, or blood stasis. The theories of Traditional Chinese Medicine believe that Blood dominated by heart, stored by liver, and controlled by spleen. Insufficiency of vascular blood may results in malnourished spirit, flat blood vessels, manifesting as palpitation, insomnia, pale complexion, pale lips and nails, silky and asthenic pulse. Deficiency of liver-blood brings malnourishing of the upper part of the body marked by dizziness, vertigo.

Four Mesdames Decoction
Tang-kuei (Angellica sinensis) 12g
Chuanxiong rhizome 9g
White peony root 12g
Prepared Rehmannia rhizome 12g

DIRECTIONS: Decoct all herbs in to water for oral administration, after consult with your herbal specialists or TCMD.

5. Herbal Formulation Tonifying Both Qi & Blood

In general speaking, Qi is more vital for men as long as Blood is more essential for women. However, formulations in this category are unisex and good for men and women with syndrome of both Qi and Blood manifested by dizziness, palpitation, short breath, fatigue, pallor, pale tongue with white-thin coating, silky and feeble with forceless pulse.

Ten Treasures Decoction:
Tang-kuei (Angellica sinensis) 12g
Chuanxiong rhizome 9g
White peony root 12g
Prepared Rehmannia rhizome 12g
Ginseng (Panax quinqueflium) 12g
Atractylodes rhizome 9g
Poria cocos 30g
Glycyrrhiza glabra 6g
Astragalus root 12g
Cinnamon bark 6g

DIRECTIONS: Decoct all herbs in to water for oral administration, after consult with your herbal specialists or TCMD.

 
     
 
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