Transcript for:
Warm Acrid Herbs That Release the Exterior

hello friend and welcome to another video this time we're going we're reviewing single herbs we're specifically reviewing the category warm acrid herbs that release the exterior so we will go over some fundamentals about what it means to release the exterior we'll go over the basic properties of this category as a whole and then we'll go through each of the individual herbs there are about 12 to 15 herbs in this category so that's what we're doing today so before we get started just a note if you want to follow along you can go to the website tcmstudy.net if you want to follow along with the handouts if you click under herbology one there are some slides that you can download if you want to follow along there are two versions one is just black and white the other has some photos with each of the herb samples so if you want to follow along you can go to tcmstudy.net and download that also um i've been trying to make little flash cards so that this is in the link in the description below if you want to download it i've been making some flash cards basically it's the same thing as the slides but they're meant to be printed out on these blank four by six note cards so they look pretty much the same again there are a couple versions depending on how much printer ink you want to use some are just black and white some have the color photo and then there's one version that has some additional notes with some highlights and some underlines and some little emojis so those are some options too those are in the description below so you can click that link to download those uh one last thing uh uh basically this video is brought to you by viewers like you so i always like to say thank you to the patreon supporters for supporting the website the channel if you want to join them in supporting this website uh this channel if you're getting value out of this video there are some links in the description below about how you can uh support the channel and the website the other thing i wanted to say is when we go through this category this is kind of more of an in-depth review if you are taking a single herb class if you are studying for a year-end comprehensive exam if you're studying for a clinic entrance exam if you're studying for boards this might be a little bit too detailed so if you're like looking for more of a quick overview of all the herbs i do have a single herb review course there's a link to that in the description below and that is on teachable so that's a course there so this is going to be a little bit more in-depth as if you are taking an herbology one course so let's go ahead and get into it so we're starting off with the category warm acrid herbs that release the exterior this is actually a subcategory our first category is actually herbs that release the exterior and then we have two subcategories warm microderms that release the exterior and cool acrid herbs that release the exterior so we might start out by asking when would we use these herbs that release the exterior well no surprise these herbs are used when we have an exterior attack that that is when a pathogen is attacking the superficial levels of the body and we say exterior pathogen we mean one of the six evils uh heat cold wind dampness dryness and summer heat so when one or more of those six evils attacks the body from the outside it gets lodged in the superficial levels of the body so we use herbs that release the exterior to promote sweating and push the pathogen out and so that's kind of our treatment principle here is maybe you talked about this in fundamentals or maybe you talked about this in your intro to herbs class or maybe you didn't but at least with herbs classically we talk about eight different treatment strategies we can tonify we can drain we can harmonize we can induce vomiting we can purge or downward drain well one of our eight treatment principles is inducing sweating and so that's what we're doing here that's how we deal with these exterior pathogens is we induce sweating to release the exterior in biomedicine this is called diaphoresis so we could say that these herbs have a diaphoretic effect but basically that's how they're working is we are promoting sweating to release the exterior and push this pathogen out so the next question we might ask is how do we know that we have an external attack how what signs and symptoms should we be looking for well our two major ones are going to be fever and chills and a floating pulse let me explain this one so first with weaver and chills sometimes people get confused here because when you say fever and chills they're like how can you be hot and cold at the same time that sounds kind of contradictory it's like welcome to chinese medicine that's what we do but what do we mean when we say fever and chills well let's start with the fever so in in tcm we tend to use the analogy uh we tend to use military analogies uh we talk about the liver being a general commanding the troops and so within with the external invasion of one of these pathogens they treat it like an army that's invading and so we say oh it's the shiichi the evil qi from the outside is invading the body and it's the upright chi the gucci the righteous chi of the body is mounting a defense so when we have this external attack there's this battle between the good g and the evil qi and that battle creates heat and so that's why we see fever really i should be a little bit more specific when we say fever we don't necessarily mean the number on the thermometer we're saying does the patient feel feverish does the patient feel warm that's why nigel weissman uses the term heat effusion he says he diffusion is the subjective feeling of heat as felt by the patient and so sometimes this comes up like when you're in clinic you you might have a patient and say oh do you have a fever and they'll say no i took my temperature and it's normal that's not really what we mean what we mean is do you feel feverish sometimes you feel like you have a fever but then you stick a thermometer in your mouth and your temperature is normal as long as you feel feverish that's what we're looking for and that's why nigel weissman prefers the term heat effusion the other thing we have to look for is i say fever and chills this is a bit strange basically out of convenience i say fever and chills really what i should say is aversion to cold or aversion to wind either the chinese terms wuhan fear of cold and wufang fear of wind and so what's happening here is normally the body is diffusing yang chi over the surface so when you're normal and healthy the body is diffusing this yang chi over the surface and that yang chi warms the body and protects the body it's like you're wearing a coat or you have a blanket wrapped around you what happens is when you have an external attack that pathogen is blocking the body's diffusion of yangqi over the surface and so you're very susceptible to cold or to wind or to drafts so like instead of having that coat on you that warms and protects you you now you don't have that so as soon as you get hit by cold or hit by wind you immediately get chilled and so that's what we mean by fever and chills it's like you're feeling warm and feverish but you still want to stay bundled up because you don't have that yang chi diffusing over the surface of the body so that's what we mean when i say fever and chills really i probably should say he diffusion and aversion to cold but it's just easier for normal people to say fever and chills the second one for an external attack is a floating pulse the chinese term here is fumai this could be a floating pulse or a superficial pulse those are just different translations of the word fuman and so what's happening here is because the pathogen is attacking the surface the body she rises to the surface to the mean it and so we feel the pulse at the surface and this is just going to be our kind of our basic pulse diagnosis is when you feel the pulse superficially or floating that means there's the condition at the surface when you feel the pulse deeper that means it's more of an interior condition so superficial more exterior deep more interior so since we're dealing with a pathogen on the exterior we feel the pulse near the surface and so these are going to be our two main symptoms for an external attack whether talking about wind cold or wind heat whenever you see simultaneous fever and chills and a floating pulse we know that we're dealing with an external attack and so kind of from now to the end of school whenever you see those two symptoms it doesn't really matter what the chief complaint is if a person has headache with fever and chills and floating pulse it's probably an external attack if a person has rash with fever and chills and floating pulse it's probably an external attack if a person has dry itchy eyes with hearing chills in a floating post it's probably an external attack and then maybe i should point out when i say fever and chills we mean simultaneous fever and chills so you feel hot but you want to stay bundled up and those two things are happening at the same time we have a different condition of alternating fever and chills that's something else that's when the fever you have fever for a while you feel hot and feverish then it switches and you feel cold and chill then it switches again and you feel hot that's something else we'll talk about later for now with an external attack of either wind heat or when cold we mean simultaneous fever and chills and a floating pulse other things specific to wind cold that we might see are going to be things like headaches stiff neck and muscle lake sometimes you see this when people have the flu or something they see they feel tired and achy and stiff they feel like oh i feel like i got hit by a truck uh we'll talk about more about why that is specific specifically neck and shoulders and headache we'll talk about that more in a minute but headache stiff neck muscle ache we can also see nasal congestion um with wind cold we're going to expect that to be if we get some mucus we expect that to be more thin runny clear uh also if we have cough we might cough up phlegm we expect that phlegm to be thin clear and copious because we're dealing with wind cold if we had wind heat our phlegm might be more thick sticky scanty and yellow so that's what we're looking for in terms of an external attack of wind cold these are going to be our major signs and symptoms to tell us that we're dealing with an external attack of wind cold what we should also probably do here is kind of briefly review the idea of the shanghai loon and the one bing again this is probably something you covered in fundamentals class but basically when we're dealing with febrile diseases we have two schools of thought we have the cold damage school and the warm disease school we have the shanghain loon that says that febrile diseases are caused by cold and we have the wen bing school that says diseases are caused by heat so we're in the category warm accurate herbs that release the exterior we're dealing with wind cold attacks so it makes sense that we're going to be dealing with the shanghan loon the cold damage school so let's talk about that briefly so again when we say shanghai moon and cold damage this is the idea that febrile diseases are caused by cold pathogens these cold pathogens enter the body through the skin and muscle layer and then they penetrate the body through the six levels or the six channels in this order taiyon yang ming xiaoyong tai and shaolin zhuayin well so for herbs that release the exterior or for warm acrid herbs that release the exterior we're basically dealing with the tai yang level basically we could say that an external attack of wind cold is the same as an attack at the taiyong level so that's what we're dealing with here well it turns out when we talk about tai yang disorders or an attack at the taiyong level we have two types we have excess and deficiency so we can say taiyang excess or taiyong deficiency and so the signs and symptoms for these two are a little bit different but the two distinguishing factors are going to be sweating is their presence of sweating or absence of sweating and then we can also look at the pulse to determine whether we're dealing with ti on excess or tie-on deficiency so for taiong excess we have simultaneous simultaneous fever and chills without sweating so with taiong excess there is no sweating maybe a way we can explain this is we can say that there's an excess pathogen blocking the pores and so the sweat can't get out because that excess cold is is causing this blockage so the sweat can't get out the other thing we look for in the pulse we say there's a floating tight pulse floating because an exterior attack a tight pulse if you if you remember pulse diagnosis a tight pulse is kind of like a wiry pulse but it's also large in diameter so normally when we say wiry we kind of it's kind of implied that it's more of a thin pulse a tight pulse is wiry but also large and if we go look at our pulse diagnosis book it says a tight pulse usually indicates excess cold and so the idea here is we're dealing with tai yang excess and that excess is reflected in the pulse with an excess pulse for tongue deficiency we have fever and chills with sweating or fever and chills with a presence of sweating or sometimes we say fever and chills unrelieved by sweating meaning the sweating is happening but it's not pushing the pathogen out so a way we can kind of think about this this may not be 100 accurate but kind of the the beginner's way to think about this is we can say that because there's a deficiency on the exterior like normally the chi is supposed to be there and hold things in but because there's a deficiency on the exterior the chi isn't holding the fluids in and so the fluids leak out but they leak out in a way that's insufficient to expel the pathogen so we have the sweat leaking out but there's no oomph behind it to actually push the pathogen out because of where dealing with the deficiency condition and then when we look at the pulse uh knight it's a it's a floating pulse because an external attack nigel weissman says a floating moderate pulse i think bensky says a lacks or frail pulse but basically here we're dealing with a deficiency condition so we feel some deficiency in the pulse so that's a way we can differentiate between tai yang excess and taeyong deficiency taiyong excess is also called shanghan cold damage and is characterized by fever and chills without sweating and a floating tight pulse taiyong deficiency is also called drong fung wind strike and characterized by fever and chills with sweating because the sweat is leaking out and a floating weak or frail or lacks or moderate pulse so this is something that we're going to have to pay attention to especially in the first couple herbs a wind cold attack is an attack of the taiyong level we have two types and so we're going to use different herbs depending on whether we're dealing with taiong excess or taiyang deficiency so that's something that we want to review just quickly before we get into the actual herbs so if we take a look at the properties of these are of this category as a whole basically this is something helpful to think about that rather than going through each individual herb and memorizing the taste temperature entering channel and functions of each individual herb try to start out thinking more broadly about what are the properties that apply to all of the herbs in this category so that that way as long as you know an herb if you know its category you'll be able to say something about what's the taste what's the temperature what are the entering channels what are some possible cautions and contraindications that we need to look for so that's why we start out here with kind of an overview of the properties that apply to all of the herbs in this category so the name of this category is warm acrid herbs that release the exterior so of course these herbs are going to be warm and acrid we're dealing with wind cold so since we're dealing with a cold condition we use herbs that are warm in temperature remember this comes from the shanghain loon that in cases of heat use cooling herbs in cases of cold use warming herbs and so we're dealing with one cold we use herbs that are warm in temperature if you remember our five tastes remember we said the acrid flavor is moving and dispersing so sometimes this is good if we have chi stagnation or blood stagnation we'll use accurate herbs to move that stagnation break up that stagnation but here what we can say is we have this pathogen stuck on the surface so we're using the acrid flavor to disperse that pathogen so that's why these are warm acrid herbs that release the exterior entering channels most of these herbs are going to enter the lung channel remember the the lung governs the exterior it governs the opening and closing of the pores so if we're trying to release the exterior by promoting sweating it makes sense that we're going to enter the lung channel as well and you can also think that they say the the lung is the delicate organ and the lung is tends to be the first to get hit by these pathogens so most of these pathogens are going to affect the lung and we're going to see lung type symptoms like cough and coughing up phlegm in the lung difficulty breathing or shortness of breath in the lung nasal congestion because the lung opens to the nose so uh external attack of winds when cold tends to affect the lungs so it makes sense that these herbs are going to enter the lung channel some cautions and contraindications we should pay attention to is when these are warm and accurate and dispersing because that's what we want we want warm herbs to warm the cold we want accurate herbs to disperse the pathogen we just have to be careful that these might be too warm and too dispersing so if the person is very weak or very deficient it could be that using these herbs too much or for too long term could actually disperse the normal qi of the body so we have to use caution with patients with chi deficiency because we could be overly dispersing their qi yin deficiency because these herbs are warming and drying that could exacerbate the existing in deficiency or if the person is a sweaty person if they're already sweating we don't want to induce sweat even more or just with long-term use that the acrid flavor the warm acrid could disperse their upright chi or dry them out now that doesn't mean that these herbs are necessarily contraindicated it just means that we might want to take that into account that later when we get into our formulas we're going to see certain formulas where we kind of take that into account with our combination that we might if a person is qi deficient we might add in some chitonics if a person is yin deficient we might add in some yin tonics to balance that out or it also means that we just shouldn't use these long term that if a person has an attack of wind cold they've got fever and chills we're just going to give them enough to push that out and get rid of the pathogen expel the pathogen and then we're going to switch over our strategy we're going to stop dispersing and we're going to switch over to a strategy of building back up their upright shear building back up their fluid so we don't we don't really use these long term the way we might use che tonics for months or years we probably wouldn't do that with this category and again our main action is a warm accurate releasing the exterior the way we we release the exterior is by promoting sweating that that by promoting sweating that pushes the pathogen out so this is an overview of the category as a whole and so we'll kind of see these things come up as we go through these individual herbs so let's go ahead and get into the herbs take a little tea break daniel is here hi daniel um i have oriental mess and martial arts is stunning for boards but so yeah this this might be a little bit in depth but it but it's a good review and maybe we'll as we go along sometimes i like to mention some formulas so maybe that will be good for you as well that as we go through we can kind of mention some formulas and that might help you with as you're studying for boards rakesh hello rakesh from nairobi hello glad glad you all are here so let me make sure i don't lose my voice and let's get into the individual herbs so our first herb so our first herb is oh here's our list of herbs so we have about two four six eight ten twelve oh we have like fifteen or sixteen herbs so our first herb is ma huang ephedra herba has three main functions it like all herbs in this category it promotes sweating to release the exterior it's also good for coughing and wheezing and it promotes urination to treat edema so let's go through these one by one so number one mahuanga fedor herba promotes sweating to release the exterior this is actually one of our best herbs for promoting sweating and releasing exterior has a very strong diaphoretic action to release the exterior and mahwang ephedra herba is our representative herb for taiyang excess conditions remember when we say taiyong excess that's also called shanghan or cold damage and this is fever and chills without sweating there's an excess pathogen blocking the pores so the sweat can't get out our pulse is floating in tight a tight pulse indicates excess cold so mahwang ephedra herba is for taiyang excess with absence of sweating and later when we get into our herbs class and zhong jong jing our formula class jung jong jing was really into mah huang we have an entire family of formulas based on mah huang that treat different types of taeyang access conditions so when you get into formulas you're going to see ma hong tang gugentong is based on mah hong tong xiao qing long tong minor blue green dragon decoction so these are all formulas that use mah huang and they treat tae yang excess conditions that is fever and chills without sweating so we definitely want to remember that mahwang ephedra herba and releasing the exterior its specialty is taiyong excess conditions mahuang ephedra herba is also one of our best herbs for stopping coughing and wheezing basically mahuang is ephedra and we can isolate that the active ingredient which is ephedrine and it turns out we can make a synthetic form of that active ingredient called pseudoephedrine or sudafed so basically ma huang is so good at stopping coughing and wheezing we even put it in allergy medications and asthma medications and and cold medications this is usually at least in america this is behind the counter you have to give them your driver's license and show your id because ephedrine is can be made into meth but but the point here is mah huang is ephedra which contains ephedrine which is really good for coughing and wheezing so we can say that ma hwang has this acrid opening dispersing function that opens up the lungs so you can breathe uh i just say stops coughing and wheezing i think bensky says diffuses long qi or disseminates long g and what that means is the direction of the lung the lung is supposed to down bear the lung chi but it's also supposed to open and spread and move upward into the face so when we say disseminate long chi that just means we're spreading the lung chi so that we can take in the chi of the air so diffuses long chi is basically saying it stops cough and wheezing so mah hwang ephedra herbal one of our best herbs for stopping coughing and wheezing mahogany herba also promotes urination to treat edema and if you've ever taken high doses of sudafed you know that it does us and it makes you pee but we should be careful here when we say promotes urination to treat edema we're specifically talking about edema due to lung causes and so that's why we say wind water edema or edema in the upper body or edema that accompanies an external attack and so i just like to point this out because you might see edema in the clinic a lot but usually it's it's more often let me just say if a person has edema in their legs it's probably due to kidney deficiency kidney young deficiency kidneys not transforming the fluids if a person has edema in their lower body you're probably not going to use ma huang you're probably going to use herbs that enter the kidney channel and warm the kidney if a person has edema around the middle gel sometimes you call this drum distension that's probably due to a spleen deficiency the spleen is not transforming dampness we wouldn't use mahwang mahuang enters the lung channel so it's for edema in the upper body or edema that accompanies a wind cold attack before remember that the lung has a function of regulating the water passages so sometimes when we have an attack of wind cold and not only disrupts the qi movement in the lung causing coughing and wheezing it can also disrupt the chi movement to cause water metabolism issues and we get fluid accumulation so that's going to be sudden swelling in the arms or swelling in the face or edema that accompanies that simultaneous fever and chills and a floating pulse so you might see this when we go through acupuncture points when you look at some of the points on the lung channel we'll say the lung regulates the water passages and it's good for edema but it's going to say the same thing it's going to say edema in the upper body edema in the face or sudden swelling or sudden edema that accompanies an external attack so that's what we're talking about when we say that ma huang ephedra herba promotes your nation to treat edema if anything number four we can say ma huang disperses things from the channels to treat b syndrome this is something that's technically in bensky and technically it comes up in one formula there is one shanghai loon formula um i don't know if it's shanghan loon or jingwe yaluway there's one zhong jong jing formula where he uses ma hong to treat hot b so this comes up in one formula i wouldn't say that this is a major function of this herb sometimes when you look at uh didjals or external liniments sometimes they'll have mah huang in it just because it's really good at getting this wind cold damp pathogen out of the channels but i wouldn't necessarily say this is a major symptom i would say if you're if you're trying to memorize things about mah huang i would remember that ma huang ephedra herba promotes sweating to release the exterior for taiyon excess it stops coughing and wheezing and it promotes urination to treat edema for edema in the upper body then we also put this note on here i'm not sure if i can even read this but we're saying if ma huang ma huang even though it's warm in temperature we use it for when cold it's actually so good at what it does we'll even use it for warm conditions we'll even use it when the temperature doesn't match just because it's so good we just have to balance it out with other herbs that make it the correct temperature so herbs like huang chin which is a cold herb or sure gao which is a cold herb so basically what we're saying here is for example we said ma hwang is really good at treating coughing and wheezing but mah huang is a warm herb so we would expect we would use it for coughing and wheezing due to an external attack of when cold well it turns out the ma huang ephedra herba is so good at treating it coughing and wheezing we can even use it for coughing and wheezing due to heat so for example we have this formula called moshing shurgan tong ephedra apricot gypsum and licorice decoction moshing sure gone tom this is a formula for cough due to heat in the lung so normally if we have heat in the lung we would not use a warm herb like mahwang but turns out mah huang is so good at coughing and wheezing we can use it anyway and then we just had to have to add in sure gao to take care of the heat so those are some examples where ma huang is so good at releasing the exterior sometimes we'll use it even if it's the wrong temperature ma huang is so good at stopping coughing wheezing sometimes we'll use it even with it's the wrong temperature we just have to combine it with other herbs so we go back up here and look at the taste temperature entering channels this is warm across herbs it release the exterior so of course it's going to be warm and acrid we also say that ma huang is slightly bitter maybe a way we can think about this this is a little bit weird normally we say the bitter flavor dries dampness and it clears heat and drains fire mahuang's not really doing that here so why is it bitter so maybe one thing we could say is remember the bitter flavor tends to have a downward direction and mah huang what it's doing is it's stopping coughing and wheezing it's not only diffusing or spreading the lung chi it's also redirecting the lung chi back downwards to deal with that rebellious chi so maybe that's how we can remember that it's bitter is that it has a downward action to stop rebellious lung chi like coughing and wheezing we look at the entering channels like we said most of these channels enter the lung channel because the lung governs the exterior governs the opening and closing of the pores it also enters the ub channel because we said it treats tai yang syndrome we say taeyong we mean ub and si so this herb enters both the lung and ub channels we could also say that it's good for coughing and wheezing coughing and wheezing is a long thing so that's why it enters the lung channel we can also say ma huang ephedra herba promotes urination that's a urinary bladder thing so it enters the urinary bladder channel so those are the entering channels of ma huang ephedra herba dose is just the normal three to nine grams sorry two to nine grams when we look at dosages i wouldn't worry too much about like some of the bensky is really weird with his dosages sometimes he says two to nine sometimes he says three to nine sometimes he says five to nine really a normal range is three to nine grams we wanna pay attention is it beyond that range is it like 9 to 15 or 9 to 30 or is it below that range 1 to 3 0.1 half a gram to 1 gram so as long as i think as long as you remember it's in the normal range at 3 to 9 grams i wouldn't worry too much about whether it's those two to nine or three to nine or three to ten that's not really important normal range is one to three chin or three to nine grams so that is mahwang ephedra herba it's a representative herb for tai yang excess or fever and chills without sweating by contrast we have oh sorry let me let me go back let me talk about mahong sometimes i like to mention the name uh ma huang ma means hemp um and we're gonna see this come up a few times we have like uh in the next category we have shang ma which is ascending hemp later in the moist laxative category we're going to have huoma ren fire hemp seed well ma huang this is another hemp huang means yellow so it's one of our colors like the huang di neijing is the yellow emperor's inner classic so ma huang is hemp yellow or yellow hemp and again this is um ephedra this is specifically a chinese version of ephedra some sometimes people say oh we have ephedra in california it grows along the side of the road they call it mormon tea that's actually a different version of ephedra a frederick californicus or something that american version of fedra doesn't have that active ingredient ephedrine whereas we're dealing with ephedra cynica that does have the active ingredient so it's similar to mormon tea or what you see growing along the side of the road in california and that in utah but it's what's the chinese version so that is herba next we have wager cinnamon ramulus or cinnamon twig grey cinema ramulus wager cinnamon twig wager so we said mahuang was our our number one herb for taeyong excess guayur it also releases the exterior but this one is more for taiyang deficiency remember when you said taiyong deficiency that's also called zhongfeng wind strike taiyong deficiency is fever and chills with sweating with the presence of sweating or when you get into formulas we'll say fever and chills unrelieved by sweating that the sweating is happening but it's not pushing the pathogen out and again maybe a way we can think of this is um there's a deficiency on the exterior so the qi can't contain the fluids or hold the fluids in so the fluids leak out but because there's deficiency there's not enough oomph behind it to actually push the pathogen out so that's why i say guager for taiyong deficiency that's fever and chills with sweating and then notice here we not only say it releases the exterior we also say it releases the muscle layer so remember when we talked about our signs and symptoms of wind cold attack we said stiff neck stiff body muscle ache when we see those signs as a sign that the pathogen is is not just at this level the skin it's gone a little bit deeper into the muscle layer and that's why we can use wager cinnamony ramulus to release the muscle layer specifically to deal with those symptoms of stiff necks stiff shoulders stiff upper back things like that and the reason it tends to be neck and upper back remember we said this is a attack at the tai yong level remember our taiyong channels are urinary bladder and small intestine so think about where those channels go we have like ub10 is at the occiput right at the neck and the si channel zigzags around the shoulder and then it comes up to the neck so that's why we say we usually specifically stiff neck and shoulders because that's where those tai yang channels are going and so with wager we say it releases the exterior and releases the muscle layer to deal with those i feel like i got hit by a truck or i have a stiff neck sort of thing we also say it harmonizes the yin in the way that's just um i don't think we need to get into that too much we can save that for a shanghan loon class that when we talk about taiyong deficiency we that's another way to say is there's a disharmony of the yin and the whey and that just means that we have that deficiency and the sweat is leaking out though they have the wei chi that's supposed to hold things in you have the ying chi which is a little bit more yin and that's leaking out and technically that's a little gets a little bit complicated what i just said there was not one hundred percent correct but we don't have to get too scholarly right now just just know that wager cinema miramulus is for taeyong deficiency which is fever and chills with sweating besides releasing the exterior guayur cinema your amulets it's it's cinnamon twig it's it's cinnamon it's very warm so it has a very young nature it's warming and unblocking so it can warm and unblock the yangji at various places in the body so we say that wager cinnamon miranus warms the middle jowl so it's so by just by virtue of its warming nature it can warm the spleen stomach it's especially good for abdominal pain due to cold or for watery diarrhea when when there's cold the spleen stomach can't properly transform and digest the food so we get a diarrhea with loose stools so wager by virtue of its warming property can warm the middle gel and help with this condition wager cinnamony ramulus warms the chest notice that this enters the heart channel so it warms the chest treating things like a chest b chest b is kind of like a thing like angina pain so uh warming the chest treating chest pain during a shortness of breath i always i abbreviate shortness of breath as sob some people ask me about that sob means shortness of breath or palpitations like you can feel your heart pounding so by virtue of its warming and unblocking nature it can warm and unblock the chest it can warm and unblock the urinary bladder so if we have cold in the uv that can cause urinary retention the urinary bladder can't let the urine out so it gets retention and we get edema so by virtue of warming and unblocking can warm and unblock the urinary bladder so that the urine can flow it's actually so good at this we can even use it as an external compress on the lower jaw wager cinnamon muramulus also warms and unblocks the channels and indirectly moves blood so this is um we can say this is good for b syndrome i'm not sure i'm not sure if we've explained b syndrome b syndrome is translated as painful obstruction syndrome or impediment syndrome basically we have an external wind cold damp pathogen blocking the channels causing pain this is kind of like arthritis so what's happening here is wager by virtue of its warming and unblocking nature it can warm and unblock the channels to treat this b syndrome also it can cut we can kind of say it indirectly invigorates blood we won't really go so far as to say that wager actually invigorates blood by itself but just if we have blood stagnation due to coldness sometimes we'll use guager cinnamon regramulus to warm the vessels so that we can unblock and promote the movement of blood so just by being warming wager cinnamon twig has all of these functions and it turns out that all of them are important we actually have formulas for each of these conditions where wager shows up so for like warming the middle jaw and treating abdominal pain we have a formula cloud called xiaoshin shongtong minor construct the middle decoction it's based on wager and it's for abdominal pain due to deficiency cold abdominal pain that's better with warmth and pressure so we use guayur warms the chest we have a formula called dragon saotong prepared licorice decoction which is for palpitations and their guayur is there because it warms and unblocks the chest warms the warms the bladder to help with the flow of urine we have a formula called woolingsan which is for edema and water retention due to due to coldness and so their wager is there to warm and unblock the ub warms the channels we have a few or a few formulas that have wager in them that treat b syndrome and then we have a formula called wager fueling one which is for blood stagnation due to coldness and there wager is one of the main ingredients to help with blood stagnation so guajir does a lot of things and it turns out all of those things are important so when we look at the entering channels again we're in the category warm after herbs that release the exterior so it's going to be warm and acrid notice it's also sweet in flavor and again this is maybe a little bit weird because when we look at these functions usually we say the sweet flavor is tonifying we don't really see any function of tonifying deficiency so it might seem a little bit weird that wager is sweet in flavor one way i would think about it is even though we don't say it's tonifying deficiency we do say it's for tai young deficiency so since we're dealing with deficiency condition it kind of makes sense that we would want to use a sweet herb and then we can also say the sweet flavor is associated with the earth phase which is associated with spleen and stomach and guager is a very good herb for the spleen and stomach so maybe we can make the association that way but wager is not only warm and accurate it's also sweet in flavor when we look at its entering channels of course it enters the lung channel because we're promoting sweating and releasing the exterior it enters the uv channel because we're warming and unblocking the urinary bladder and enters the heart channel because we're warming the chest treating chest beat treating so all of those channels should make sense dosage is normal three to nine grams when we look at the name of this herb gue just means cinnamon so later we're going to learn rogue way or rogue way p which is cinnamon bark so guy just means cinnamon means twig so if you remember an intro class maybe you went over the chinese names for all the plant parts and so when we do that we have like gun means root jur means twig yi means leaf ren and z means seed here this is a twig so ger means twig wager is cinnamon twig so that's wager cinnamony ranulus basically we need to remember all these things it releases the exterior and the muscle layer for that stiff neck and muscle and body ache in releasing the exterior we tend to use a lot for taiyong deficiency conditions and with which is fever and chills with sweating and then we have all this warming and blocking warms warms the middle jowl warms the chest warms the ub warms the channels pretty much warms everything if we wanted to do a comparison between mah huang and gwajir we could say a couple things basically we could say that ma huang one is better for taiyang excess that is fever and chills without sweating wager is better for taeyang deficiency which is fever and chills with sweating i mean i kind of say that actually for taiyong excess we actually combine mahwang and wager together and they have a um a synergistic effect so we we still use wager for taiyong excess but by itself if we have way if we have taeyang deficiency then you use wager by itself to treat that taiyong deficiency harmonizing the yin and way so ma huang better for taeyong excess wager more for taiyong deficiency um we could say that mahwang is better at promoting sweating it's in terms of its accurateness it's better at promoting sweating and pushing things out but wager is actually warmer in temperature we saw it warms and unblocks all these things so even though it's not quite as good at pushing out the sweat it's actually warmer in temperature then we could also say the level that mah huang is working more at the level of the skin more superficial whereas with wager we said it works more at the level of the muscle layer taking care of those body aches so those are some differences between ma huang and guayur that we can just point out so those are probably our two biggest herbs for this category there are shanghan loon herbs so we're going to see them come up a lot so that's why we emphasize these a lot the rest of the category we might um not go into so much detail some of these are some of the herbs we'll get into are a little bit less important so our next one is this is uh in japanese i believe this is called shiso leaf this is if you get um if you get sushi at least if you get like supermarket sushi in america a lot of times they'll have the sushi and then they'll have the um ginger and the wasabi and between that they have a little divider that's a little green leafy thing uh modern times that's a piece of plastic just to keep the the two separate but i think traditionally that green that green piece of plastic is representing shiso leaf or zuzuier and so that's what it is we'll we'll kind of get into that later so this year perilla folium let's see a perilla leaf um like all herbs in this category it promotes sweating to release the exterior maybe what we can say about zuzier perillofolium and releasing the exterior it's a little bit more mild and actually that's a good thing that's kind of what we want because mahwang and wager are a little bit stronger so it's used for more serious conditions but sometimes if we just have like a common cold or we have the sniffles we don't need that major diaphoretic action of ephedra we just need to very gently release the exterior and so that's why we can go to something like zooye so later in formula class we'll learn um a formula called xiangsu-san we have one called xiangsu-san and one called jiawei shangsu-san augmented cypress and perilla leaf powder and basically this formula was created because they looked at ma some people looked at mah hong and guey jir and said that's way too strong for what we're dealing with here we don't need to promote that much sweating if we give this patient ma huang we're just going to disperse their upright chi and that's not going to be good if someone just has a common cold we don't need the strength of mah huang let's just give them zutsuye along with some herbs that regulate chi and so that's why they created hyeong susan cypress and perilla leaf powder and so that's kind of the advantage here that zutsuye is a little bit more mild the other specialty of zotsuye is that it regulates middle zhao chi so for things like nausea vomiting and morning sickness so this is good say you have uh something like a stomach flu where you have uh you're sick you have fever and chills and a floating pulse but you also have upset stomach well here we can use zitsuye because it does both at the same time and again later when we get into formula class we're going to learn a formula called huoshan jangchi-san patchouli uh rectified chi powder ho shang jang tisan is for that stomach flu it's fever and chills you're feeling sick but you also have an upset stomach you have nausea vomiting you might have vomiting and diarrhea at the same time you call that sudden turmoil and so the chief rub there is hua shang which it releases the exterior and calms the stomach but it also has a as an ingredient because zutsuye both releases the exterior but it also regulates qi in the middle jowl so we're doing both at once this next one is maybe a little bit controversial we say zitsuye calms the fetus for restless fetus due to middle jowl cheese stagnation so yeah we can also say it calms restless fetus so i guess first of all we should say what do we mean by restless fetus basically this is when we say restless fetus we can say excessive movement or excessive kicking of the fetus in a pregnant woman and some amount of movement some amount of kicking is normal that's that's completely fine but if it becomes excessive what we worry about is the possibility of a miscarriage and so when when there's a lot of movement and a lot of uh kicking and things like that they would say oh the fetus is getting restless there might be different reasons why it might be heat it might be cheese stagnation it might be cold the fetus is getting restless we need to we need to calm it down in order to deal with a miscarriage this can also mean things like sometimes we have patients that we can say um threaten miscarriage so we're worried that miscarriage might happen we can also say this is good for habitual miscarriage sometimes the patient just has a history of they they can get pregnant but then a few months in they they have a miscarriage and that's happened several times we can call that habitual miscarriage or we can also say bleeding during pregnancy would be uh would also fall in this category of restless fetus now i say with zitsuye this is a little bit controversial because technically in bensky he does say zuccier calms restless fetus it's not listed as a major action we have other herbs where columns restless he just gets its own bullet point it's really a major action with zitsuye it's not there it's kind of underneath uh regulates middle jaochi it kind of says oh yeah it also calls restless fetus and so i did have one chinese teacher who just outright disagreed with us he said no this is wrong zie does not call him wrestle cetus it's good for morning sickness if the patient is pregnant and they have a lot of nausea and bonding due to morning sickness zuzuiere works really well but it doesn't actually calm restless fetus and to be honest i'm inclined to agree basically we have when we get into formulas we i can think of two or three different formulas that are specifically used to calm russell's fetus we have like show taiwan fetal longevity pill we have taishan poncherson taishan bedrock pill and so we have several formulas that are used to calm restless fetus and it turns out to be a is not an ingredient in those formulas however when we look at the modifications of those formulas that will say oh if a person has restless fetus and they have morning sickness then add in some zutsuye and so i think maybe that's the thing is we we will still use it in cases of restless fetus if there's morning sickness does it actually calm russ's fetus by itself i don't really know bensky says yes other people say no if you get this question on a test or get a on a board exam i would definitely say yes zutsuye calms restless fetus because that's what it says in bensky but really if we wanted to treat morning sickness it turns out yeah means leaf yeah is the leaf if we want to um treat morning sickness nausea vomiting it might be better to use the stem tsugan in order to treat this and then if anything number three zotsuya we say detoxifies seafood poisoning so again maybe you can think about that this is shiso leaf it was usually served alongside sushi and so if you were like eating some raw fish and it turned out to be not good raw fish and you get some nausea vomiting you can take zitsuye perillofolium to help with that nausea and vomiting so kind of the things you want to remember is it's the aprilia folium it releases the exterior but it's a little bit more mild and then the second major thing is it regulates middle giaochi especially good for nausea vomiting and morning sickness so when we look at the taste and temperature of course it's warm and accurate we're in the category warm microderms it releases exterior so it's warm and accurate but then notice it's also aromatic remember we said the aromatic it transforms dampness but really aromatic property awakens the spleen so that it can perform its job of moving the chi and and doing digestion so the fact that this is good for nausea vomiting and morning sickness we can maybe relate that to the fact that it's aromatic in nature entering channels are the lung and the spleen of course it enters a lung because we're releasing the exterior lung governing the opening closing of pores but we also say it enters the spleen channel because it regulates middle gel it's good for nausea vomiting morning sickness so it makes sense that it enters the spleen channel as for the name of this herb means purple so this is a color so again when an intro class we usually go over the colors huang means yellow means purple means reviving and ye means leaf so ye is another plant part so yeah is purple reviving leaf so at least there are different there are different species of of this one but at least the one we have on our sample it's green on one side and purple on the other so that's why i call it [Music] purple reviving leaf and also brief uh chinese lesson lesson when we have the z the z sound z that's kind of it has a buzzing behind it so z so that color purple is pronounced uh so please don't say z su yi it's the the survey so i think that's kind of a fun one to say [Music] perilla fullium mildly releases the exterior and it's good for the middle jowl after that we get into jingjie schizo napeta herba i believe this one is some people call this japanese catnip i guess maybe um cats in japan prefer a different type of catnip but gingie skitzuna petta herba jingier like everything in this category it promotes sweating to release the exterior no surprise that's what everything does but we want to pay attention to here is its temperature we say its temperature is slightly warm technically slightly warm but it's really almost neutral in temperature and what that means is we can use it for both wind cold or wind heat depending on the combination so when we get into our formula class we're going to see jingjae show up in in formulas both for when cold and wind heat i think for when colbys and things like rain shine by dusan for wind heat it shows up in things like yin chao-san so jin jies gets on the peta herba because it's almost neutral in temperature we can use it for both wind cold and wind heat depending on how we combine it the other thing is jingji skitsuma petta herba is especially good for rashes we say rashes due to wind heat and so again this is something if we were doing like with like long-standing eczema or something like that or something that's been going on for a long time i wouldn't necessarily think to use i might use jingjae but but sometimes you get people that they have uh fever and chills and then but they also like broke out in a rash or broke out in hives that we can jingjie as part of its releasing and venting it's also good for rash and again rash is something that we normally associate with wind heat but jingji we can use it for both wind cold or wind heat so later when we get into the wind heat category we're going to have a couple herbs that are especially good for rash we just have to remember to add jingjie to that category so jinjei is for wind cold or wind heat and it's also good for rash the other thing jingjie can be used charred to stop bleeding so if you remember in either in the beginning or an intro class we talk about pau ger the methods of preparation that we can prepare the herbs in different ways in order to enhance or alter their effects we said oh we can stir fry it in honey to make it more tonifying we can stir fry it in wine to make it more invigorating another thing we can do to herbs that we can char them to create or enhance the ability to stop bleeding and so and so this is something that's going to be very common especially when we get into the clear heat category we're going to see a lot of herbs that are used charred to stop bleeding um and when we get to formula class i think we actually have a formula called sure hui san ten partially charred substances powder so we basically we took 10 different herbs and we charred them all and we put them together in the formula and that formula stops bleeding i actually i don't think jingjia is in that formula but that's just an example of using herbs charred to stop bleeding so when we recharge it's called jinjie tan tan just means charred so with girtsa when it's charged it becomes jertsa tan um da huang i think we can chart and becomes da huang tan so tan just means charge so we can use jingji chard to stop bleeding it's called jinjie pan so again when we look at um the taste and temperature we're in warm act release the exterior so of course it's warm and acrid but again it's only slightly warm or almost neutral in temperature so that's something we want to remember about ginger schizo nepeta erba when you look at the entering channels we can see it enters the lung and liver channels again it enters a lung channel because we're releasing the exterior also we said this is good for skin rash remember the lung governs the skin so things that affect the skin tend to enter the lung channel so it makes sense that ginger enters the lung channel and then we say the liver channel basically anytime an herb has anything to do with blood it usually enters the liver channel the liver stores the blood so if we're invigorating blood if we're tonifying blood if we're stopping bleeding those herbs tend to enter the liver channel so because jing jie can be used charred to stop bleeding we say it enters the liver channel so that is jinji schizo nepeta herba jinjie fong fung the poshnakovia radix fong fung fong fung saponico this also used to go by the name ledebrelia so if you have an older book it might call this letter borellia root but now we call it saposhnikovia radix so fong fung fung fong fung is another one that we say it's slightly warm but it's almost neutral in temperature so in releasing the exterior we can use it for both wind cold and wind heat depending on how we combine it so when we start using formulas you might see this pop up a lot fung fung dispels when cold damp from the channels to treat b syndrome so again we said b syndrome is painful obstruction syndrome or impediment syndrome there's an external wind cold damp pathogen blocking the channels creating arthritis like pain fong fung can dispel this wind cold damp to treat b syndrome and relieve that arthritis-like pain fong fung relieves spasm and contraction again we can maybe think of this as wind that wind can cause things to seize up wind can also cause tremor and things like that so for trembling hands and feet for lockjaw for tenesmus tenesmus is like a cramping of the intestines i had one teacher who would say that uh tenesmus you would describe it as tenesmus is like the dry heaves of the anus um i'm not sure that's entirely true i think if you look up tenesmus it's like uh urgent defecation but then you have to but then after you go you have to go again right away or something like that um basically in chinese we can there's a term we can use intestinal wind which sounds kind of weird but basically a fong fung is going to show up in cases of that painful contraction uh with defecation or painful diarrhea so later we're going to learn a formula called like special formula for a painful diarrhea tongshe and that's there and so when we say oh it's good for intestinal wind it's good for painful diarrhea that's what we mean here by tenesmus i think so but relief spasm and contraction detoxifies mercury and arsenic poisoning this one i'm not sure this is actually in bensky this might just come from my notes from my chinese teacher so maybe don't worry about that one if someone has mercury poisoning go to the hospital um but basically fong fung remember fung means wind like feng shui is wind water so fung fung the name means guard against wind or protect from wind so basically fong fung is good for all the types of wind it's good for wind cold it's good for wind heat it's good for internal wind it's good for external wind it's good for wind in the channels as in b syndrome it's good for wind as in spasm and contraction it's good for wind in the upper body it's good for wind in the lower body it's good for all the types of wind fong fung guard against wind protective wind this is the king of wind herbs it does all the wind the problem here is sometimes people will say well if it does all the things why don't we just always use fong fung and i think the answer to that is even though it does all the things it doesn't really have a specialty in any one of them so it's not especially strong in any one of them so it's very and it would be very unusual to see fong fung as a chief herb but it is used very often as an auxiliary auxiliary herb in our formulas for all types of wind when heat when cold b syndrome internal and external wind when in the upper body wind in the lower body fung fong is good for all the types of wind and again the name means guard against wind or protect from wind next is chiang huo noto-tarijii rhizoma su-radix chiang huo so whenever you see chiang huo think dampness chiang huo think dampness uh in addition to being warm and accurate it's also bitter and aromatic remember the bitter flavor dries dampness remember the aromatic flavor transforms dampness so chiang wool think dampness so chiang khul in releasing the exterior its specialty is it's good for releasing the exp exterior with accompanying signs of dampness so things like joint pain body heaviness sleepiness or lethargy it's basically like you got this dampness and it's weighing you down chiang khuo is good for the dampness so i think in in formula class our formula is called jio wei chiang kuo tong nine ingredient nototerium powder um so joey chiang husan is a is a formula for an external attack of wind cold with dampness the other thing we should know about it in releasing the exterior is especially good for headache specifically tai yang or occipital headache so you might remember when we talk about headache we talk about headache on different types of parts of the head so frontal headache is a yang ming headache a temporal headache is xiaoyong headache headache in the back of the head is a taiyong headache joyin is a vertex headache so chiang huo besides being really good for dampness it also treats tai young or occipital headache and again with dampness we say it dispels wind cold damp to treat b syndrome again i'm not sure if i explain this very well but when we say b syndrome b means uh bensky says painful obstruction syndrome nigel weissman says impediment syndrome and the idea here is we have an external environmental wind cold damp pathogen that invades the body and it obstructs or impedes the normal flow of chi through the channels because of that obstruction we get pain when the cheese not free flowing we get pain and so it's kind of like an arthritis pain so maybe one way you can think about this is you know some people they have they have this like arthritis in their knee and they can tell when it's going to rain or they they say they oh i have this arthritis in my knee and it gets worse when the weather is cold basically their pain is responding to the cold because they have this environmental wind cold damp going into the channels causing pain and so that's b syndrome and so it's because it's so good for dampness it's also good for wind cold dampness treats b syndrome especially b syndrome in the upper body so chiang huo is good for b syndrome in the upper body later we're going to learn another herb called do huo which is good for b syndrome in the lower body so chiang ho for the upper body do wool for the lower body but uh chiang huo i would think dampness again it's warm it's not only warm and accurate but it's bitter and aromatic to deal with the dampness kidney and yubi is a little bit weird um basically uh it enters the ub channel because we're again we're dealing with this occipital headache tie on headache that's where the ue channel goes kidney uh some books say this actually enters both the kidney and liver channels and that's because when we're dealing with b syndrome that's a condition of the tendon and bone so tendon and bone kidney governs the bone liver governs a tendon so that's why i say kidney and liver for tendon and bone and when you have b syndrome they say oh this wind cold damp pathogen it's hanging out between the tendons and the bones that's why that's kind of a long convoluted answer i wouldn't worry about it too much chiang hwa think dampness galban legustaki rhizoma gao ben gao ben we have two third tones in a row the first one changes into the second tone so let's see it would be gau ben not very good at chinese gal ben lagustique rhizoma this one i think is not a very common herb so you might not see this herb used very often but what we can say about this herb is its specialty in releasing the exterior notice that in its entering channel it enters the dew channel or the governing vessel and that's a little bit unusual when we look at herbs entering channels we usually talk about the 12 primary channels because when we say herbs enter channels we really mean they enter organs but anyway when it this is kind of unusual that it enters the do channel or the governing vessel remember the dew channel goes up the spine starts at the starts of the tailbone goes up the spine goes to the vertex and then comes back down the front so this one gao ben enters the dew channel so we say it's good for headache but especially for occipital headache and vertex headache because that's where the do channel goes think about like do 16 back here on the back of the neck think about do 20 at the vertex um do 16 i pointed to do 14. um that's where the dew channel goes and then we also say it dispels wind dampness and it's especially good for acute low back pain and so again this is where the do channel goes the dew channel goes up the spine so that's something we say about gal ben is it treats the do channel at both ends so it treats the do channel as in the low back it treats the do channel as in the the vertex and on occipital headache so gauben legustique rhizoma that's why i remember about this one as it enters the do channel we're going to especially see it for headache by dr angelica de huracai radix by juror by juror angelica de huraca radix we have a couple types of angelica later we'll learn an angelica sinensis by juror angelica uh bi means white juror i think is just the the name of the the or but george mean like angelica but bi means white so if you look at your herb sample it's white and this one i can remember if you smell it it smells kind of like maple syrup or smells kind of like pancakes now if you have a box of herb samples a lot of times i tell people to smell their herbs and it's like oh my herbs just smell like chinese herbs because i put like 50 herbs together in a box but if you're like in a clinic and you and you have jars of herbs if you want to take this out and smell it this one has a very distinctive smell i think it smells like pancakes but by germ it promotes sweating to release the exterior and here it has two specialties so all of all herbs in this category promote sweating to release the exterior to treat wind cold attacks by juror angelica the hurricane radix has two specialties one it relieves yang meng headache remember say yangming headache we mean frontal headache so yangming is yangming is stomach and large intestine so remember the stomach channel actually starts at li 20 but the stomach channel starts there stomach 1 is below the eye so the stomach channel is on the face remember stomach 8 is at the corner of the head a large intestine channel goes to the nose so maybe that's how you can remember yang ming stomach and large intestine is frontal headache because that's where those channels go remember the i think the li sinew channel wraps around the top of the head so yangming headache we mean frontal headache because that's where the stomach and large intestine channels go so biodura angelica to hurricane erratics in releasing the exterior it's especially good for a yangming headache it's also especially good for opening the nasal orifices so if you have stuffy nose or nasal congestion by juror can help open up the nasal orifices which i feel like those kind of go together because again yang ming means stomach and large intestine think about like li 20 right next to the nose the stomach channel actually starts at li 20 and then it goes up to the eye so yang ming you might also think of the nose as well so yangming headache and blockage of the nose kind of go together in my mind we also say that bhajira is good for swelling and pus for like sores carbuncles mastitis um yeah it also eliminates dampness for vaginal discharge and so for dampness in the lower jaw so good for dampness uh so that that kind of goes along with pus that comes up a couple times really i would if it's like if you were short on mental capacity and you could only remember one or two things about bigger i would say the important ones are it's good for yangming headache and opens nasal orifices this it's true it does that but i wouldn't worry about that so much and again bi just means white this is a white herb juror i think just means angelica i don't think it means anything special again it's warm and accurate because we're in the warm act release the exterior category it enters the lung because we're releasing the exterior also enters the spleen and stomach so we're dealing with yangming headache and nasal congestion so it makes sense that it enters the stomach channel because that's a yong ming channel also a lot of times when you see things with pus these herbs just enter the stomach channel as well because pus is like flesh that's been anyway but then also dampness you so it enters the spleen channel because it's good for dampness as well so those entering channels should make sense kind of shishin asaria asari radix at rhizoma means the name of this herb means thin acrid so um she means thin like we have a pulse called shimai the thin pulse or fine pulse or thready pulse so thin so she means thin sheen means acrid when we talk about the five tastes or the five flavors sheen means acrid or pungent or spicy spicy is not a good translation for spicy we would say la like lots of ding however i did have a chinese teacher named uh dr sheen and so we'd kind of make fun of him like oh dr sheen he's like dr spicy and he'd be like oh only my wife calls me that so she sheen means thin acrid if you look at your herb sample it looks very thin it's like the roots are really thin those roots almost kind of look like little channels shishin sheen means acrid so this this herb is very accurate we say it's piercingly accurate she sheen thin acrid um bench mo most books put this in the warm a could release the exterior category some books put it in the warm the interior category so i guess we'll get to that so shishin means thin accurate it promotes sweating to release the exterior and it's especially good for pain due to cold so for headache kind of any type of headache or body ache again we said we get that wind cold attack that can that can cause body aches shishine is especially good for pain due to cold either headache or body ache shishin asari radix that rhizoma also warms the lung also warms the lung and this is this is important because this is kind of an unusual function we don't have a lot of herbs in our materia medica with the specific function warms the lung and i think that's why some books put this in the warm the interior category and so when we say warms the lung it's especially for profuse thin white bubbly phlegm so we have a cold pathogen inside the lung that's going to congeal the fluids we could say it obstructs the water metabolism of the lung and it also congeals those fluids into phlegm so we end up with profuse thin white bubbly phlegm later when we get into formulas class we have a formula called xiao ching long tongue minor blue green dragon decoction and this is a formula that's uh it has mahwang in it so it's for a taiyon excess pattern but the besides fever and chills and absence of sweating besides a floating tight pulse one of our main symptoms for that formula is profuse white stringy phlegm and so that formula is for cold entering the lung congealing the fluids causing this this phlegm and it turns out she sheen is an ingredient in that formula because it warms the lung you can also say dispels when cold damp it says for painful obstruction due to cold basically b syndrome so again this is treating pain due to cold so again maybe you can look at your herb sample and see that these are very thin little roots they look like channels so they're good for cold in the channels so that's she sheen thin acrid i put this note down here that basically she sheen some books mark this not only warm and accurate but also toxic i think some books market toxic and some books don't but kind of the idea behind it is for a while we couldn't use shishin the people said it was toxic it contained aristolocic acid but it turns out that's only when you use the leaf that when you use the leaf and stems that's those parts are toxic in containeristilic acid but when we use the root sorry radix then it's those parts aren't toxic but we still there are still some books who mark this herb as toxic and notice that our dosage is smaller than normal one to three grams so i think up to now most of our herbs have been in the three to nine gram range this one is in the one to three gram range one just because it's so accurate it's so piercingly accurate but also because there's some possibility of toxicity but normally but really if we stay in that range if we use the roots we stay in the one to three gram range and we cook it we shouldn't have to worry about it so that's shishin thin acrid for this one think pain due to cold and think of warming the lung is ginger zingibarus rhizoma rescends this one i have to be very careful with my pronunciation because sometimes i'll get lazy and i'll say zhang and chinese my chinese teacher can understand me he'll be like what are you talking about so i have to say that's a gi jiang jiang not shang jang fresh ginger so shenzhong in like all herbs here it promotes waiting to release the exterior but again this one's kind of mild this would be more like if you're if you have an early stage attack or you're starting to get sick you're starting to get the sniffles you could drink some ginger tea or you could make a soup and make sure it has a lot of ginger in it you can make like a miso soup and put some extra ginger in there so in releasing the exterior it's a little bit more mild but it's good for those early stage attacks when you're just starting to feel the sniffles shenzhen's in dubais rhizoma fresh ginger also warms the middle jaw for nausea vomiting due to cold in the stomach so this is something that even people who don't study chinese medicine usually know that you can drink ginger tea for an upset stomach and so that's that still applies here we just need to be careful that when we say nausea and vomiting this is nausea and vomiting due to cold in the middle of jail shenzhen is a warm herb so we use it for nausea and vomiting due to cold later on we'll learn certain herbs that are good for nausea and vomiting due to heat so we need to differentiate between heat and cold so that's why in chinese medicine we look at the tongue we take the pulse and we make these differentiations we don't just say oh you have an upset tummy take ginger tea shangjiang is for a upset stomach due to cold shengjiang zengibaris rhizoma is another one that warms the lung for that profuse thin white bubbly phlegm i think normally we might prefer dried ginger in that case but shenzhen also does it shenzhen also has a detoxifying effect on other herbs so there are other herbs we might have talked about this in the intro class certain herbs are marked toxic and a lot of times we can either reduce or eliminate this toxicity using ginger sometimes this is a method of powder of preparation so we talked about like futsa aconite futsa aconite is toxic in its raw form when we prepare it with ginger it becomes ger futsa as toxicity is reduced same thing with bancha panelia rhizoma bancha is toxic in its raw form we prepare it with ginger and that it becomes gerbansha and that reduces its toxicity sometimes we'll just add ginger to the formula as well we don't necessarily have to stir fry the urban gender we'll just add ginger to the formula it can and it can help with um those so if so sometimes we'll see that used in formulas if the some of the herbs are slightly toxic or cause an upset stomach we can add ginger to the formula as well but really i for this one i would mostly remember it releases the exterior but it's mild we tend to use it for early stage and it's good for warming the middle jowl that nausea vomiting upset stomach due to cold uh means in this in this case it means raw shang this is the same when we talk about the five phases we talk about the shung cycle and the kuh cycle it turns out this is the same character so there it means generating or engendering or giving birth when we talk about uh yangshang nourishing life that's the same shang their shang means life so shang kind of means to give birth to engender life alive here this is like ginger that's still alive it's raw ginger so that's just means ginger and this actually comes up a couple times so um what am i thinking of jian huang turmeric is in the ginger family and so they call that yellow ginger so jiang is that's another word we'll see come up a few times in herbs but shenzhen is fresh ginger enters the lung channel because it's releasing the exterior enters the spleen and stomach channel because it warms the middle jowl also enters the lung channel because it warms the lung sometimes with our dosage we can't say five to nine grams sometimes it's not worth it to weigh it out we just say slices and i think usually we say two to four slices and our slices are about the thickness of a quarter or a thickness of a coin depending on where you are um so that's shenzhong fresh ginger oh yeah technically bensky says shenzhong p p means peel so shengjong p is ginger peel and technically bensky puts this in the warm he talks about this in the warm a could release the exterior category i wouldn't necessarily put it here because really the only time we use this is to promote urination to treat edema for what we call skin edema or edema just under the skin and so this is going to come up a lot that word um p in chinese when we talk about plant parts p means skin so we say the lung governs the skin that's a word we use is p in in herbs p just means the skin or the outer layer so sometimes it means bark sometimes it means peel but basically a lot of these things that it's like the skin of the plant so it's good for the skin of your body so it's a doctrine of signatures so this is the skin of fresh ginger so it's good for edema under the skin um but as far as i know i'm not sure people really use this to release the exterior harmonized middle jaw the only places i see this come up is specifically when we're dealing with edema and bensky will make the note that this is actually cool in temperature i'm not sure why the root is warm but the skin is cool but it's cool in temperature and its dosage is smaller so shenzhen p i would prefer that this would be in the drain dampness category later we're going to talk about herbs that drain dampness that promote urination let's talk about it more there but just know that technically bensky does talk about it in the warm a could release the exterior category so shenzhong is fresh ginger shenzhang p is the peel or the skin of fresh ginger tongbai sounds like a sounds like garlic i think onions and garlic are probably related in the same family chong is scallion which is also called green onion or in england i believe it's called spring onion so tong bai is a scallion and again it promotes weighing to release the exterior like everything in this category but this one again is mild it's more for early stage so this would be like if you're just starting to get sick you could take some ginger and songbar if you were like starting to catch a cold in america people say drink chicken noodle soup maybe in asia it would be more like take a miso soup with a lot of ginger and scallion in it because that will promote sweating to release the exterior so if you're gonna make chicken noodle soup just make sure you add in some ginger and scallion and onion and other acrid or pungent things to help release the exterior so this would be more like early stage when cold um when cold or when heat when you're just starting to feel sick you just have a tickle in your throat or if you're feeling a little congested congested you can make a soup of ginger and scallion it also warms the stomach think about like this is a type of onion onions are warm it can also be used externally as a poultice yes that's technically true you could take some song by and pound it until it's kind of pulpy and applied externally for sores and abscesses and um so that song by here someone is asking is that vietnamese onion i don't think so i think this is still like if you just go to a regular grocery store and get um green onion or spring onion or scallion that's just what it is i think it's actually the same as regular onion they just pick it before the bulb forms um so that's a scallion oh quick chinese whenever you see a c that has a ts sound so you say and you can tell you're doing it right because when you put your hand in front of your face you feel some air hitting your hand so when we when you say this herb this is please do not say kong ba so as a ts just means white shangru i can't do tones very well let's just say it's shangru shangri-mosla herba think when you see this one think summer heat maybe i shouldn't say that because technically it's not really for summer heat this is for wind cold that is contracted during the summer months so kind of the idea here is it's during the summer you're it's really hot outside and so you try to escape the heat and in so days of your this would be you go into dark cool caves you drink lots of cold water you bathe in the cold river and so it's really hot but you did all those cold things you end up with an external attack of wind cold even though it's hot outside more modern times this would be like it's really hot outside but you spend all your time in the air conditioning like when i went to school i had people who would set the thermostat at 65 degrees so people it was like 90 degrees outside but people were wearing jackets to class because it was 65 degrees inside so if you're if it's summertime outside and you're sitting underneath the air conditioning and you develop a wind cold attack during the summer we would use xiang ru it turns out we also do use it for summer heat especially when there's signs of dampness summer heat and remember summer heat is one of the six evils we have two types of summer heat we have summer heat heat and summer heat dampness so it's just heat in the summer with some dampness that's why we see things like urinary difficulty water retention because dampness is blocking the smooth flow of urine but basically for xiang roo i think we learned like two formulas like there are two formulas with xiangru in it i'm not sure we learned both of them we might only learn one of them but um for xiang roo it's uh either for wind cold that happens during the summer or for summer heat dampness so either one xiang roo i would think of summertime summer heat shiang roo muscle urba xiang ru summer time so it's slightly warm and acrid like everything aromatic again because we're dealing with some dampness when we got this summer heat dampness that aromatic is going to help with it when we got edema with dampness accompanying exterior attack that aromatic-ness is going to help with that i think we're getting to the end here tong artsa tsang artsa xanthia fructus the thing to know about this one releases the exterior especially good for opening the nasal orifice and so for this one if you look at your herb sample these are like little seeds and they have little spiky things so i think about like sticking this up your nose and kind of helping dig out that nasal congestion um sometimes in my classes i would tell this story about the time my brother stuck a rock up his nose um so i have a brother he's i think he's two years older than me he's uh he went to harvard he's he's a very a very smart rich person and i i can but i can always remember like remember that time you stuck a rock up your nose like why did you stick a rock up your nose i don't know we had to take them to the doctor and the doctor had to pull it out and so so for some reason with herb i think of sticking song arts up your nose to help dig out that stuff so song artsa is it's good for nasal congestion spells when damp to treat b syndrome yeah it does that treats wind related skin problems like eczema and rash yeah it does that the main thing i would think of for song artsa is disperses wind to open nasal orifice so song artsa xanthiafructus i think opens the nasal orifices it enters the lung channel because the lung opens to the nose we do say it's slightly toxic i think we say we get some symptoms like digestive problems nausea vomiting abdominal pain so we say toxic we don't mean you're going to die of kidney failure we just mean if you take too much you might get an upset stomach and um that's why we might our dosage is technically three to nine grams we might be a little bit more conservative with that but song artsa i would think of opening the nasal orifices means is a color song means green means ear and means seed so song artsa is green ear seed maybe the seed looks like an ear i don't know i think it's sticking it up your nose because of nasal orifices and again remember the c sound is pronounced with a ts so this is please do not say kang erzie if you say kang erzie i will make fun of you it is anti-fructose opens nasal orifices i think this is our last one shiny hua magnolia floss hua is magnolia flower and it's good for again just opening the nasal orifices so you can think of shini hua is a flower you can think about smelling the flowers when you smell the flower that opens up your nose so magnolia flower again hua is a plant part so hua means flower so we had um means seed jur means twig and hua means flower so shiny hua is magnolia flower the thing we have to be careful about here is if you get your herb sample and actually look at it this is a flower it's like a little flower bud but it's very fuzzy and so what can happen is if you cook this in decoction a lot of times those fuzzies can get stuck in your throat and cause throat irritation so that's why we say it's good to put this either wrap it in gauze or put it in a bag or put it in a tea bag or do something just so those fuzzies don't come out in the decoction so when you say put this in a cloth bag if you forget to do that you're not it's not like your patient's going to die it's just those fuzzies can come out in the decoction and irritate the throat so that's why we say shiny hua put it in the paper bag to help with the throat so again shiny hua opens to nasal orifices remember at this point we've learned a couple herbs so far that are good for opening nasal orifices one of them was by jur angelica de huraca radix one of them was sang artsa xanthia fructus and now we have shin yihua magnolia floss magnolia flower and so these three herbs are good for opening the nasal orifices it turns out we have a formula called song arts the song song artsasan is for a deep source nasal congestion in chinese is called bun deep source nasal congestion song artsasan has four ingredients song artsa by ger chini hua and then we throw in mint leaf so that's that's something good to know and if you want to go through and kind of group your herbs with similar functions maybe go through our list and see which ones are good for headache maybe go through our list and see which ones are good for our neutral and temperature that can be used for heat and cold you can also look at which ones are good for opening the nasal orifices so we can remember song artsa shini hua and bai jur are all good for opening the nasal orifices we have an exo one here ubu shirt sao ubu shirt cell this is kind of a fun one uh this one it looks funny just because this or at least when i was in school this herb was not on our syllabus i'm pretty sure this herb is not on the nccum list i would have to check to make sure but it's still a commonly used herb and it was an herb that we had in our school clinic even though we didn't learn it in class so i just like to mention this ubu shirt sao this is a fun one uh means geese boo means not sure means to eat sal is just a general term for herb so ubu shirt sal means geese don't eat herb this is the grass that geese won't eat so that's that's kind of a funny way to name a name a plant and say oh this is the one the geese don't eat and basically this also opens the nasal orifices this is just good for clearing out the face in general so we see like red and dry eyes especially when there's red and dry eyes and so this is something that when i was in kentucky we use this a lot because it was very common for people to have allergies and so even if you had just um an attack of wind cold where you have stuffy nose but also red eyes and blocked ears you might use ubu shirts al when we're dealing with allergies when a person has a blocked nose but they also have red itchy eyes you might use ubu shirt so just the um the thing to remember about this is large dosages of scherzel we say large we don't actually mean that large sometimes just even in the six to nine gram drains these dosages can cause upset stomach and i swear that this is something i did multiple times when i was like having a stuffy like i had allergies or something i had a stuffy nose and uh blue shirts out i would just make it as a tea i was basically i would go to our herb room and i was too lazy to weigh out the herbs it's like oh i'll just take a pinch of ubu shirts out and put it in tea and then it turned out i took too much and i got an upset stomach and you would think i would learn from that but i fee i swear i did that like two or three more times or i was like oh it'll be fine i'll just take a pinch and it'll be fine i end up with like not just like oh i feel a little bit nauseous but like cramping stomach pain if that happens uh take ginger tea ginger tea is kind of the antidote i found to that so if you take too much ubu shirts out and you get like cramping in your stomach take some ginger tea and that will clear it out so ubu shirts out the grass the geese don't eat so sometimes sometimes we do use that um but just be careful about your dosage so just to go back over these um two four six eight ten twelve fifteen herbs so our first two herbs are ma hwang and guay ger these were our shanghan loon herbs remember mahuang ephedra herba was for taiyang excess fever and chills without sweating guager more for taiyong deficiency fever and chills with sweating but we have to remember all those other things about these two herbs these are two very important herbs so mahong ephedra herba promotes sweating to release the exterior but it also stops cough and wheezing it diffuses longji to stop coughing and wheezing and also promotes urination to treat edema wager when we said it releases the exterior we specifically said it releases the muscle layer so it's good for a tight neck and shoulders body ache wager had also had all those warming and unblocking functions so it warms the middle jowl it warms the chest for to treat palpitations it warms the uv for urinary retention it warms the channels for b syndrome it warms to move blood so wager had all those warming and unblocking functions so those two herbs are very important we need to know everything about those two herbs yeah perilla foliums it's a yay means purple reviving leaves zitsuye mildly releases the exterior so we can use it for like more like common cold type symptoms tsutsuya is also good for regulating middle chao chi good for nausea vomiting morning sickness calming restless fetus so in addition to entering the lung channel it also enters the spleen stomach channel because it's good for that nausea vomiting morning sickness herba japanese catnip jingjie is one that it's more it's slightly warm but neutral in temperature so we can use it for both wind cold and when heat jingji is also especially good for rashes and jingjie is also um we can use it charred to stop bleeding and so this is japanese catnip maybe think about like a cat scratching you and now you're bleeding so you have to use jingjae to stop bleeding we have to use it charred i feel like i had something else like this like like cats they're like they're hot and they're cold they're yes and they're no they're in and they're out they're up and they're down so jingjie is good for both wind heat and wind cold feng phang saposh nakovio radix aka ledeborelia root fong fung the name means protect against wind or guard against wind so it's good for all types of wind when heat when cold when dampness internal and external wind when in the upper body when in the lower body intestinal wind whatever that means like painful diarrhea fong fung good for all the wind chiang huo think dampness chiang kuo whenever in the name of the formula it's because you have wind cold with dampness um jio chiang huo tong is good for wind cold with dampness there's another formula with chang-hoo in the name that i can't think of right now but it's good for dampness whenever you see chiang huo think dampness also good for b syndrome in the upper body chiang huo is good for b syndrome in the upper body dooho is be good for b syndrome in the lower body so chiang huo think dampness you know b syndrome has an element of dampness in it gal ben not a super common one this is the one that enters the dew channel it treats both ends of the do channel so it's good for a vertex headache occipital headache and low back pain because that's where the dew channel goes by jur uh good for yangming headache frontal headache and also opens the nasal orifices so when we talk about those three herbs open the nasal orifices song arthas chinese hua by juror was the other one opens the nasal orifices it does some stuff with dampness too but you only have so much space in your brain for now if you just want to remember opens nasal orifices and yangming headache i think that's totally fine means thin accurate it's piercingly accurate it's good for pain due to coldness pain anywhere in the body due to coldness also warms the lung i like to emphasize that warming the lung part i'm not sure anybody else cares about that i think more people care about pain in the body due to cold so this could be headache and body ache with a wind cold attack or this could be wind cold damp b syndrome causing pain shenzhen is fresh ginger it mildly releases the exterior so if you're starting to get sick make some make some ginger tea make some soup with ginger also warms the middle jaw for nausea vomiting morning sickness due to cold also warms the lung but i think we tend to use other we tend to use dried ginger more than fresh ginger but also warms the lung transforms um phlegm shenzhong releases each year so those are all good shenzhen is a really common ingredient a lot of times we'll add shenzhen fresh ginger at the end of every formula just to help with the middle gel help digest the herbs help harmonize shenzhen p is the skin of shenzhong so it's good for the skin of your body especially edema right under the skin tongbai is scallion or green onion or spring onion if you are if you're from the uk tongbai is another one it's just mildly releases the exterior it's good for early stage exterior attack so if you you're just starting to get sick you've got a tickle in your throat you're getting a little bit stuffy you can make a soup of just make a soup and make sure it includes ginger and green onion chiang roo thinks summer so when cold that happens during the summer or summer heat dampness we again we learn like two formulas with shangru and as good as primarily used for either wind cold that happens during the summer or for summer heat dampness tong artsa opens nasal orifices this looks like a little rock that you would stick up your nose it's got some nice little spiky things it's like using a pipe cleaner to clean out your nasal orifices shin hua is a flower so think about smelling the flowers opens up the nasal orifices this one remember it has some fuzzies to put it in the bag so so yeah our nasal orifice ones were shini hua song artsa and bai jir what were our headache ones um headache uh i especially think of by juror for yangming frontal headache gao then for occipital headache uh chiang khuo was i think for taiyong headache and shishin was good for headache in general so even so maybe go back through and think about what are headache herbs and i believe that is it for warm accurate herbs that release the exterior so those were all our herbs hopefully that was helpful again if you um if you want to get the slides you can download the slides if we go to tcmstudy.net go to herbology click on the herbology one tab this first section is warm accurate herbs that release the exterior i do have another video out that's only like half an hour long so if you don't want to sit through an hour and a half of me talking there's a shorter more concise video you can also listen to the audio then there's two versions of the slides you can download black and white where you can download color photos uh with color photos there's also a practice test you can take so you can say what are the entering channels of zutsuyen zuccier is purple reviving leaf it releases the exterior but it also harm regulates middle gel sheet to treat nausea vomiting and morning sickness so if it releases the exterior it probably enters the lung channel if it's good for nausea vomiting it's good for the middle jaw probably enters the spleen channel so we know that zucc enters the lung and spleen channel how should jingjie tsunapeta herb would be prepared in order to enhance its ability to stop bleeding this doesn't just apply to jingjae this applies to all the herbs that stop bleeding if we want to if we want to do that we should char it jingjie tan uh which one is this is a tong bai uh the song by strongly induced sweating no the song by open the nasal orifices no song by treats summer heat damn that's no that was xiang roo remember shangri is good for summer heat uh song by mildly releasing the exterior especially used for when early stage wind cold um so this is this is just a little practice test you can go through this each time you refresh it the um questions will be in a different order so that's something you can do again if you want to um if you don't like slides if you prefer flash cards there's a link to that in the description below where it's basically the slides but um on one side it's just the herb you flip it over it's got the functions again some of them some of them just have the picture some of them have some additional notes some of them are just in black and white so here i specifically said mahuang means hemp yellow and put some little emojis there so that's another thing you can do you can download those though that's in the link in the description below and like we said this was a very in-depth we spent almost two hours talking about warm acrid herbs that released the exterior if you're studying for finals if you're studying for your clinic entrance exam if you're studying for boards and you don't want to listen to an hour or two hours of each category of herbs i do have a single herb review course that you can um that's unteachable it's forty dollars uh i think i used to have a coupon code if you type in coupon code chai hoo all one word then um that will give you ten dollars off i think that one still works so if you type in chai who all one word that'll give you ten dollars off the course so if you're studying for those um that's a review course i have down there basically once you buy that you have access to it forever that goes through all of the herbs all of the single herbs and um you pay for it once and you have it forever so some people they they might use it to study for finals then they use it to study for their clinic uh year-end exams and then they use it to study for boards as well so once you buy that once you'll have access to it forever if you want to support this channel and the website and things you do if you got value out of this video and you want to give back there are a couple ways to do it there are some links in the description below you can join the patreon that's kind of like a monthly pledge that's like the pbs this video is brought to you thanks to the support of viewers like you that's like a monthly pledge if you don't want to do a monthly thing if you want to just do a one-time donation there's a buy me a coffee link you can do that i think it only lets you do in like five dollar increments because i guess that's how much coffee costs um you can do that also another thing you can do if you want to support the the website is if we go to if you go on the website click resources you can get the review courses or you can go to uh the books and basically these are amazon affiliate links if you click a link here and then buy something on amazon they give me some stupid small percent like four and a half percent so that's the way you can support the channel at no additional cost to you uh you can also get a free audible trial if you sign up for a free audible trial and get the spark in the machine there's a book about explaining chinese medicine in terms of uh western medicine if you sign you can get that through your free audible trial i think they they give me some uh affiliate referral link for that as well some people don't like to use don't like to use credit cards and they wanted to mail me a check so i got a p.o box so you can mail me mail me a halloween card um or some halloween candy i don't need halloween candy but you can mail me halloween candy we have shirts i'm not sure that the mandalorian is popular anymore but those are some ways you can support the website and the youtube channel if you want to i think that's about it this was a two-hour lecture on warm acroderm that released the exterior that's all for today thanks for being here we'll see you next time [Music]