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LEARN THE SCIENCE. PRACTICE THE ART. HEAL. www.eLotus.org Intro to Herb-Drug Interactions for the Collection Formulas, Part II By John K.Chen Pharm.D., Ph.D., O.M.D., L.Ac. Leading Acupuncture CE Provider For On Demand CEU/PDA in the office, at home or on the go. Choose from videos, audio, articles or streaming Live webinars. Lotus Institute of Integrative Medicine PO Box 92493, City of Industry, CA 91715 Tel: 626-780-7182 • Fax: 626-905-6887 Website: www.eLotus.org • Email: [email protected]

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  • LEARN THE SCIENCE. PRACTICE THE ART. HEAL.

    www.eLotus.org

    Intro to Herb-Drug Interactions for the Collection Formulas, Part II

    By

    John K.Chen Pharm.D., Ph.D., O.M.D., L.Ac.

    Leading Acupuncture CE Provider For On Demand CEU/PDA in the office, at home or on the go. Choose from videos, audio, articles or streaming Live webinars.

    Lotus Institute of Integrative Medicine PO Box 92493, City of Industry, CA 91715 Tel: 626-780-7182 Fax: 626-905-6887 Website: www.eLotus.org Email: [email protected]

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  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Intro to Herb-Drug Interactions for the Collection Formulas, Part II

    John K. ChenPharm.D., Ph.D., O.M.D., L.Ac.

    Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

    Tel: (626) 780-7182 Fax: (626) 609-2929Web: www.elotus.org Email: [email protected]

    Collection Formulas: Effects, Side Effects, Interactions

    John K. ChenL.Ac., O.M.D., Pharm.D., Ph.D.

    Lotus Institute Of Integrative MedicineTel: (626) 780-7182 Fax: (626) 609-2929

    Website: www.eLotus.org Email: [email protected]

    Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715Shall not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine

    Pathogen

    Acute Inflammation:RednessWarmthSwellingPain

    Chronic Inflammation: Cell lysis/apoptosis Tissues/organs destructionLoss of organs, functions

    wei (defensive) level

    qi (energy) level

    ying (nutritive) level

    Xue (blood) level

    Innate Immunity: Barrier (skin, mucous);

    Cellular (macrophage, NK cells)

    Acquired Immunity:T cells, B cells

    Wind, cold, heat, damp, etc.

    Autoimmune Diseases

    Acute Disseminated Encephalomyelitis (ADEM)

    Acute necrotizing hemorrhagic leukoencephalitis

    Addisons disease Agammaglobulinemia Alopecia areata Amyloidosis Ankylosing spondylitis Anti-GBM/Anti-TBM nephritis Antiphospholipid syndrome

    (APS) Autoimmune angioedema Autoimmune aplastic anemia Autoimmune dysautonomia Autoimmune hepatitis Autoimmune hyperlipidemia Autoimmune immunodeficiency Autoimmune inner ear disease

    (AIED) Autoimmune myocarditis Autoimmune oophoritis Autoimmune pancreatitis Autoimmune retinopathy

    Autoimmune thrombocytopenic purpura (ATP)

    Autoimmune thyroid disease Autoimmune urticaria Axonal & neuronal

    neuropathies Balo disease Behcets disease Bullous pemphigoid Cardiomyopathy Castleman disease Celiac disease Chagas disease Chronic fatigue syndrome** Chronic inflammatory

    demyelinating polyneuropathy(CIDP)

    Chronic recurrent multifocal ostomyelitis (CRMO)

    Churg-Strauss syndrome Cicatricial pemphigoid/benign

    mucosal pemphigoid Crohns disease Cogans syndrome Cold agglutinin disease Congenital heart block Coxsackie myocarditis CREST disease Essential mixed

    cryoglobulinemia Demyelinating neuropathies Dermatitis herpetiformis Dermatomyositis Devics disease (neuromyelitis

    optica) Discoid lupus Dresslers syndrome

    Autoimmune Diseases Endometriosis Eosinophilic esophagitis Eosinophilic fasciitis Erythema nodosum Experimental allergic

    encephalomyelitis Evans syndrome Fibromyalgia** Fibrosing alveolitis Giant cell arteritis (temporal

    arteritis) Giant cell myocarditis Glomerulonephritis Goodpastures syndrome Granulomatosis with

    Polyangiitis (GPA) Graves disease Guillain-Barre syndrome Hashimotos encephalitis Hashimotos thyroiditis Hemolytic anemia Henoch-Schonlein purpura Herpes gestationis

    Hypogammaglobulinemia Idiopathic thrombocytopenic

    purpura (ITP) IgA nephropathy IgG4-related sclerosing disease Immunoregulatory lipoproteins Inclusion body myositis Interstitial cystitis Juvenile arthritis Juvenile diabetes (Type 1

    diabetes) Juvenile myositis Kawasaki syndrome Lambert-Eaton syndrome Leukocytoclastic vasculitis Lichen planus Lichen sclerosus Ligneous conjunctivitis Linear IgA disease (LAD)

    Lupus (SLE) Lyme disease, chronic Menieres disease Microscopic polyangiitis Mixed connective tissue

    disease (MCTD) Moorens ulcer Mucha-Habermann disease Multiple sclerosis Myasthenia gravis Myositis Neuromyelitis optica (Devics) Neutropenia Ocular cicatricial pemphigoid Optic neuritis Palindromic rheumatism PANDAS Paraneoplastic cerebellar

    degeneration

    Autoimmune Diseases Paroxysmal nocturnal

    hemoglobinuria (PNH) Parry Romberg syndrome Parsonnage-Turner syndrome Pars planitis (peripheral uveitis) Pemphigus Peripheral neuropathy Perivenous encephalomyelitis Pernicious anemia POEMS syndrome Polyarteritis nodosa Type I, II, & III autoimmune

    polyglandular syndromes Polymyalgia rheumatica Polymyositis Postmyocardial infarction

    syndrome Postpericardiotomy syndrome Progesterone dermatitis Primary biliary cirrhosis Primary sclerosing cholangitis Psoriasis Psoriatic arthritis Idiopathic pulmonary fibrosis Pyoderma gangrenosum

    Pure red cell aplasia Raynauds phenomenon Reactive Arthritis Reflex sympathetic dystrophy Reiters syndrome Relapsing polychondritis Restless legs syndrome Retroperitoneal fibrosis Rheumatic fever Rheumatoid arthritis Sarcoidosis Schmidt syndrome Scleritis Scleroderma Sjogrens syndrome Sperm & testicular

    autoimmunity Stiff person syndrome Subacute bacterial endocarditis

    (SBE)

    Susacs syndrome Sympathetic ophthalmia Takayasus arteritis Temporal arteritis/Giant cell

    arteritis Thrombocytopenic purpura

    (TTP) Tolosa-Hunt syndrome Transverse myelitis Type 1 diabetes Ulcerative colitis Undifferentiated connective

    tissue disease (UCTD) Uveitis Vasculitis Vesiculobullous dermatosis Vitiligo Wegeners granulomatosis

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Gardenia Complex

    Any excess conditions characterized by heat, fire and toxins

    Excess fire in all three jiaos Infectious diseases with fever Inflammatory conditions with swelling,

    inflammation, burning sensations and pain Diseases with high blood pressure and fast

    heart rate

    Gardenia Complex

    Chinese Actions Clears heat Purges fire Eliminates toxins

    Western Actions Antibiotic effect to treat infection Anti-inflammatory and analgesic

    effects to reduce swelling and relieve pain

    Antihypertensive effect to reduce blood pressure

    Hepatoprotective effect to treat hepatitis and liver cirrhosis

    Cholagogic effect to treat jaundice Gastrointestinal effect to decrease

    production and secretion of stomach acid

    Antipyretic effect to reduce body temperature

    Gardenia Complex

    Bian Xu (Herba PolygoniAvicularis)

    Chai Hu (Radix Bupleuri) Che Qian Zi (Semen

    Plantaginis) Dang Gui (Radix Angelicae

    Sinensis) Di Huang (Radix Rehmanniae) Fu Ling (Poria) Gan Cao (Radix et Rhizoma

    Glycyrrhizae) Geng Mi (Semen Oryzae) Huang Bo (Cortex Phellodendri

    Chinensis) Huang Qin (Radix Scutellariae)

    Long Dan (Radix et RhizomaGentianae)

    Mu Dan Pi (Cortex Moutan) Shan Yao (Rhizoma

    Dioscoreae) Shan Zhu Yu (Fructus Corni) Shi Gao (Gypsum Fibrosum) Shu Di Huang (Radix

    Rehmanniae Praeparata) Ze Xie (Rhizoma Alismatis) Zhi Mu (Rhizoma

    Anemarrhenae) Zhi Zi (Fructus Gardeniae)

    Zhi Zi (Fructus Gardeniae)

    Immunosuppressive: significant inhibition of human peripheral blood T cells and IL-2 secretion.[i]

    [i] Chang WL, Wang HY, Shi LS, Lai JH, Lin HC. Immunosuppressive iridoids from the fruits of Gardenia jasminoides. School of Pharmacy, National Defense Medical Center, National Defense University, Taipei, Taiwan 114, Republic of China. J Nat Prod. 2005 Nov;68(11):1683-5.

    Anti-inflammatory: suppresses vascular inflammation via inhibition of tumor necrosis factor (TNF)-alpha.[i]

    [i] Hwang SM, Lee YJ, Yoon JJ, Lee SM, Kang DG, Lee HS. Gardenia jasminoidesinhibits tumor necrosis factor-alpha-induced vascular inflammation in endothelial cells. Professional Graduate School of Oriental Medicine, Wonkwang University, Chonbuk, Republic of Korea. Phytother Res. 2010 Jun;24 Suppl 2:S214-9.

    Gardenia Complex

    Lower jiaoZhi Bai Di Huang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill)

    Middle jiaoLong Dan Xie Gan Tang (GentianaDecoction to Drain the Liver)

    Upper jiaoBai Hu Tang (White Tiger Decoction)

    Supplementary Formulas

    With bacterial infections, add Herbal ABX. With lung infection, combine with Respitrol (Heat) or Pinellia

    XPT. With infection of the ear, nose and throat, add Herbal ENT. With stomach or duodenal ulcer, combine with GI Care. With stomach or intestinal infection, combine with GI Care II. With hypertension, combine with Gastrodia Complex or

    Gentiana Complex. With liver and gallbladder disorders, add Liver DTX. With re bi (heat painful obstruction), add Flex (Heat). With unknown swelling or hard lesions, add Resolve (AI).

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Clinical Notes

    Gardenia Complex and Herbal ABX are two formulas with strong and broad-spectrum heat-clearing effects. Gardenia Complex is designed to purge heat in the

    organs due to internal imbalances or improper dietary intake such as excessive spicy or greasy food or lifestyle (lack of sleep, excessive smoking, etc).

    Herbal ABX clears heat and detoxifies, and is best for infection that is contracted from outside sources, such as influenza or urinary tract infection.

    Therefore, although both formulas clear heat, their use should still be distinguished.

    Clinical Notes

    Gardenia Complex incorporates numerous antibiotic herbs for two important reasons. First, the use of multiple herbs within an herbal formula has been

    shown to increase the antibiotic effect more than ten-folds. Second, isolated use of single ingredients is often ineffective and

    increases the risk of development of bacterial and viral resistance.[i]

    Given these two reasons, it is necessary to combine herbs with appropriate properties to ensure effectiveness in treating the infection and minimizing the potential risk of the micro-organisms developing resistance and/or mutation.

    [i] Zhong Yao Xue (Chinese Herbology), 1988; 140:144

    Cautions & Contraindications

    This formula is contraindicated in patients who have generalized weakness and deficiency. It is also contraindicated during pregnancy and nursing.

    This herbal formula contains herbs that invigorates blood circulation, such as Dang Gui (Radix Angelicae Sinensis). Therefore, patients who are on anticoagulant or antiplatelet therapies, such as Coumadin (warfarin), should use this formula with caution, or not at all, as there may be a higher risk of bleeding and bruising.[i],[ii],[iii]

    [i] Chan K, Lo AC, Yeung JH, Woo KS. Journal of Pharmacy and Pharmacology 1995 May;47(5):402-6. [ii] Pharmacotherapy 1999 July;19(7):870-876. [iii] European Journal of Drug Metabolism and Pharmacokinetics 1995; 20(1):55-60.

    Case Studies

    K.B., a 62-year-old female, presented with constant daily fever for two weeks. There were no signs of infection; however, additional symptoms of slight anger, irritability, thirst, and slight red eyes were present. Her blood pressure was 132/72 mmHg. Though the fever was of unknown origin, the TCM diagnosis was Liver Fire. Gardenia Complex was administered four capsules three times daily. The fever cleared in two days and did not return. Her anger and irritability had also lessened. Submitted by A.I., Hilo, Hawaii.

    Additional Information

    Nutrition Lifestyle Instructions

    Traditional Points Balance Method by Dr. Richard Tan Master Tungs Points by Dr. Brad Whisnant Distal Needling Acupuncture by Robert Doane

    Ear Acupuncture Traditional Points Auricular Medicine by Dr. Li-Chun Huang

    LPS Support

    Systemic lupus erythematosus (SLE) Lupus with inflammation in joints, tendons, and

    other connective tissues and organs Lupus with arthritis, mouth sores, skin rash,

    facial rash, hair loss, depression, fever, sunlight sensitivity, extreme fatigue, joint pain, muscle pain and weakness, anemia, malarflush, headache, general malaise, and in severe cases, destruction of vital organs. Some people may show only a few symptoms, others may have them all.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: [email protected] not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 4

    LPS Support

    Chinese Actions Clears heat Eliminates toxins Nourishes yin, tonifies

    blood, and promotes generation of body fluids

    Western Actions Inhibits and

    suppresses the growth and multiplications of cells

    Anti-inflammatory effect to reduce swelling and inflammation

    LPS Support

    Bai Hua She She Cao (Herba Hedyotis) Ban Zhi Lian (Herba Scutellariae Barbatae) Chi Shao (Radix Paeoniae Rubrae) Di Huang (Radix Rehmanniae) Hong Hua (Flos Carthami) Hu Zhang (Rhizoma et Radix Polygoni Cuspidati) Ji Xiang Teng (Caulis Paederiae) Jin Yin Hua (Flos Lonicerae Japonicae) Lian Qiao (Fructus Forsythiae) Mo Han Lian (Herba Ecliptae) Mu Dan Pi (Cortex Moutan) Tao Ren (Semen Persicae) Xuan Shen (Radix Scrophulariae) Ye Ju Hua (Flos Chrysanthemi Indici) Zhi Mu (Rhizoma Anemarrhenae)

    Bai Hua She She Cao (Herba Hedyotis) Ban Zhi Lian (Herba Scutellariae Barbatae)

    Bai Hua She She Cao (Herba Hedyotis) and Ban Zhi Lian (Herba ScutellariaeBarbatae) inhibit and suppress the growth and multiplication of cells to address the autoimmune aspect of lupus.[i],[ii]

    [i] Zhong Yao Xue (Chinese Herbology), 1998; 204 [ii] Ren Min Wei Sheng Chu Ban She (Journal of People's Public Health), 1988; 302

    Jin Yin Hua (Flos Lonicerae Japonicae)Lian Qiao (Fructus Forsythiae) Jin Yin Hua (Flos Lonicerae

    Japonicae) has demonstrated a broad spectrum of inhibitory actions against Staphylococcus aureus, beta-hemolytic streptococcus, E. coli, Bacillus dysenteriae, Vibrio cholerae,Salmonella typhi, Diplococcuspneumoniae, Diplococcusmeningitidis, Pseudomonas aeruginosa, and Mycobacterium tuberculosis.[i],[ii]

    [i] Xin Yi Xue (New Medicine), 1975; 6(3):155 [ii] Jiang Xi Xin Yi Yao (Jiangxi New Medicine and

    Herbology); 1960;(1):34

    Lian Qiao (Fructus Forsythiae) has illustrated a broad spectrum of inhibitory effects against Staphylococcus aureus,Diplococcus pneumoniae,Bacillus dysenteriae, -hemolytic streptococcus, beta-hemolytic streptococcus, Neisseria catarrhalis,Salmonella typhi, E. coli,Mycobacterium tuberculosis,Bacillus proteus, Bordetellapertussis, Corynebacteriumdiphtheriae, leptospira, and some dermatophytes.[i]

    [i] Shan Xi Xin Yi Yao (New Medicine and Herbologyof Shanxi), 1980; 9(11):51

    Tao Ren (Semen Persicae) Hong Hua (Flos Carthami)

    Tao Ren (Semen Persicae) and Hong Hua (FlosCarthami) both have anti-inflammatory functions. Tao Ren (Semen Persicae) exerts its anti-inflammatory and antiallergic effects via reduction of histamine release from mast cells. Hong Hua(Flos Carthami) exerts its anti-inflammatory action via induction of heme oxygenase-1 expression.[i]

    [i] Jun MS, Ha YM, Kim HS, Jang HJ, Kim YM, Lee YS, Kim HJ, Seo HG, Lee JH, Lee SH, Chang KC. Anti-inflammatory action of methanol extract of Carthamus tinctorius involves in heme oxygenase-1 induction. Department of Pharmacology, School of Medicine, and Institute of Health Sciences, Gyeongsang National University, 92 Chilam-dong, Jinju 660-751, Republic of Korea. J Ethnopharmacol. 2010 Oct 20.

    Di Huang (Radix Rehmanniae)

    Di Huang (Radix Rehmanniae) has both anti-inflammatory and antiallergic effects by suppressing the expression of cytokines, chemokines, and adhesion molecules.[ii]

    [ii] Sung YY, Yoon T, Jang JY, Park SJ, Kim HK. Topical application of Rehmannia glutinosa extract inhibits mite allergen-induced atopic dermatitis in NC/Nga mice. Center of Herbal Resources Research, Korea Institute of Oriental Medicine, Daejeon 305-811, Republic of Korea. J Ethnopharmacol. 2011 Mar 8;134(1):37-44. Epub 2010 Dec 1.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: [email protected] not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 5

    Zhi Mu (Rhizoma Anemarrhenae)

    Zhi Mu (Rhizoma Anemarrhenae) showed significant analgesic and anti-inflammatory effect for the treatment of osteoarthritis. The antinociceptive and anti-inflammatory effect of the herbs were similar or better than celecoxib in the osteoarthritic animal models.[i]

    [i] Kang M, Jung I, Hur J, Kim SH, Lee JH, Kang JY, Jung KC, Kim KS, Yoo MC, Park DS, Lee JD, Cho YB. The analgesic and anti-inflammatory effect of WIN-34B, a new herbal formula for osteoarthritis composed of Lonicerajaponica Thunb and Anemarrhena asphodeloides BUNGE in vivo. Central Research Institute, WhanIn Pharm. Co., Ltd, Yeongtong-Gu, Suwon-si, Republic of Korea. J Ethnopharmacol. 2010 Sep 15;131(2):485-96. Epub 2010 Jul 17.

    Supplementary Formulas

    With facial or skin rash, combine with Dermatrol (PS). With arthritis, combine with Flex (Heat) or Flex (CD). With nerve dysfunction, combine with Flex (NP). With exterior wind-heat condition, add Lonicera

    Complex. With high fever, add Gardenia Complex. With thirst, add Nourish (Fluids). With Kidney yin deficiency manifesting chronic low-grade

    fever, flushed cheeks, body pain, purpura, add Nourish. With Kidney yin deficiency manifesting in organ or tissue

    destruction, add Kidney Tonic (Yin).

    Clinical Notes

    Lupus may develop after taking certain prescription medications. Symptoms generally disappear after the drug is discontinued. According to New England Journal of Medicine, up to 10% of lupus cases are related to drug reactions. Therefore, drugs that are most likely to cause lupus should be avoided, such as: Apresoline (hydralazine), Procan

    (procainamide), isoniazid and birth control pills.

    Cautions & Contraindications

    The main emphasis of this formula is to use herbs to clear heat, eliminate toxins, and control the autoimmune and inflammatory conditions of lupus. Therefore, it contains many bitter and cold herbs, which may consume qi and yin. If the patient shows more signs and symptoms of such deficiencies, additional herbs and formulas should be given to strengthen the underlying constitutions. See Supplementary Formula section for details.

    Cautions & Contraindications

    Systemic lupus erythematosus (SLE) is an autoimmune disorder. In theory, qi tonic herbs that stimulate the immune system should be used with caution. However, in clinical practice, these herbs may still be indicated based on differential diagnosis.

    Huang Qi (Radix Astragali): stimulates cellular and humoral immunity, increases lymphocytes

    and macrophages, promotes secretion of interferons. Use only at a low dosage and only with addition of heat-clearing

    and yin-nourishing herbs. Ren Shen (Radix et Rhizoma Ginseng) and Xi Yang Shen

    (Radix Panacis Quinquefolii) stimulates cellular and humoral immunity, activates production of

    antinuclear antibodies

    Additional Information

    Nutrition Lifestyle Instructions

    Traditional Points Balance Method by Dr. Richard Tan Master Tungs Points by Dr. Brad Whisnant Distal Needling Acupuncture by Robert Doane

    Ear Acupuncture Traditional Points Auricular Medicine by Dr. Li-Chun Huang

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: [email protected] not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 6

    Nourish

    Fu Ling (Poria) Gou Qi Zi (Fructus Lycii) Huang Bo (Cortex Phellodendri Chinensis) Ju Hua (Flos Chrysanthemi) Mu Dan Pi (Cortex Moutan) Shan Yao (Rhizoma Dioscoreae) Shan Zhu Yu (Fructus Corni) Shu Di Huang (Radix Rehmanniae Praeparata) Ze Xie (Rhizoma Alismatis) Zhi Mu (Rhizoma Anemarrhenae)

    Nourish (Fluids)

    Bai He (Bulbus Lilii) Bei Sha Shen (Radix Glehniae) Da Zao (Fructus Jujubae) Geng Mi (Semen Oryzae) Mai Dong (Radix Ophiopogonis) Nan Sha Shen (Radix Adenophorae) Tian Dong (Radix Asparagi) Xi Yang Shen (Radix Panacis Quinquefolii) Zhi Gan Cao (Radix et Rhizoma Glycyrrhizae

    Praeparata cum Melle)

    Flex (MLT)

    Bai Shao (Radix Paeoniae Alba) Chu Shi Zi (Fructus Broussonetiae) Chuan Niu Xi (Radix Cyathulae) Dang Gui (Radix Angelicae Sinensis) Dang Shen (Radix Codonopsis) Di Huang (Radix Rehmanniae) He Shou Wu (Radix Polygoni Multiflori) Qian Nian Jian (Rhizoma Homalomenae) Wu Jia Pi (Cortex Acanthopanacis) Xu Duan (Radix Dipsaci)

    Nourish

    Menopause: hot flashes, night sweats, fluctuation of body temperature

    Eyes and ears: blurry vision, dizziness, general visual disturbance, fatigue of the eyes, optic nerve atrophy, mild cases of glaucoma, and macular degeneration

    Kidneys: chronic nephritis, nephrotic syndrome, chronic renal failure

    Bladder: frequent urination, urinary incontinence Liver: chronic hepatitis Pancreas: diabetes mellitus Skin: dryness with lack of elasticity of the skin throughout

    the body

    Nourish

    Fu Ling (Poria) Gou Qi Zi (Fructus Lycii) Huang Bo (Cortex Phellodendri Chinensis) Ju Hua (Flos Chrysanthemi) Mu Dan Pi (Cortex Moutan) Shan Yao (Rhizoma Dioscoreae) Shan Zhu Yu (Fructus Corni) Shu Di Huang (Radix Rehmanniae Praeparata) Ze Xie (Rhizoma Alismatis) Zhi Mu (Rhizoma Anemarrhenae)

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    Nourish

    Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia)

    Zhi Bai Di Huang Wan (Anemarrhena, Phellodendron, and Rehmannia Pill)

    Qi Ju Di Huang Wan (Lycium Fruit, Chrysanthemum, and Rehmannia Pill).

    Effect on Kidney

    Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) has been shown to increase blood perfusion to the kidneys, improve kidney functions, and reduced protein and uric acid in the urine.[i] Clinically, it has been used effectively to treat 6 patients with edema and proteinuria due to nephrotic syndrome,[ii] 12 patients with chronic renal failure,[iii] and 30 patients with nephroticsyndrome.[iv]

    [i] Zhong Yi Fang Ji Xian Dai Yan Jiu (Modern Study of Medical Formulae in Traditional Chinese Medicine) 1997;710.

    [ii] Zhe Jiang Zhong Yi Za Zhi (Zhejiang Journal of Chinese Medicine) 1988;6:244. [iii] Shi Yong Zhong Yi Nei Ke Za Zhi (Journal of Practical Chinese Internal Medicine) 1993;3:142. [iv] Shi Yong Zhong Yi Za Zhi (Journal of Practical Chinese Medicine) 1995;6:10.

    Effect on Liver

    Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) illustrates hepatoprotective effect to protect the liver against damages induced by such substances as carbon tetrachloride, thioacetamide, and prednisolone.[i]

    Clinically, Liu Wei Di Huang Wan (Six-Ingredient Pill with Rehmannia) has been used effectively to treat 65 patients with chronic hepatitis.[ii]

    [i] Zhong Guo Yao Ke Da Xue Xue Bao (Journal of University of Chinese Herbology) 1989;6:951. [ii] Nei Meng Gu Zhong Yi Yao (Traditional Chinese Medicine and Medicinals of Inner Mongolia) 1998;1:4.

    Effect on Pancreas

    Clinically, herbs in this formula, such as Gou Qi Zi (Fructus Lycii), Shan Yao (RhizomaDioscoreae), Shan Zhu Yu (Fructus Corni) and Zhi Mu (Rhizoma Anemarrhenae), have been used successfully to treat adult-onset diabetes,[i],[ii] and non-insulin dependant diabetes,[iii],[iv] and diabetes with complications.[v]

    [i] Yun Nan Yi Yao (Yunan Medicine and Herbology) 1983;3:181. [ii] Hu Nan Zhong Yi Za Zhi (Hunan Journal of Chinese Medicine) 1997;6:7. [iii] He Bei Zhong Yi (Hebei Chinese Medicine) 1999;11:35. [iv] Hu Bei Zhong Yi Za Zhi (Hubei Journal of Chinese Medicine) 1992;2:20. [v] Shang Hai Zhong Yi Yao Za Zhi (Shanghai Journal of Chinese Medicine and Herbology) 1991;10:23.

    Herbal DTX

    Chemical poisoning (i.e., insecticide, pesticide, herbicide, artificial hormones and preservatives, chemical compounds, chemical solvents, plastics, cleaning products, pollutants, detergents, paint thinner, nail polish remover, new carpet fibers and any other products that may contain toxic fumes or fragrance)

    Heavy metal poisoning (i.e., arsenic, lead, mercury) in water, food and the environment

    Air pollution (i.e., gas exhaust, fumes, perfumes, air freshener, burned plastic, and other airborne toxins)

    Food poisoning (i.e., tetrodotoxin, snake, and mushrooms)

    Chronic use and accumulation of drugs and their metabolites

    Herbal DTX

    Chinese Actions Clears heat and

    eliminates toxins Expels toxins

    through urine and stool

    Nourishes yin Tonifies Kidney and

    Heart

    Western Actions General detoxification effect to treat

    chronic exposure to and accumulation of unwanted substances, such as toxic chemicals, herbicides and pesticides, allergens, heavy metals, drugs, and other industrial pollutants and contaminants

    Hepatoprotective effect to protect the liver

    Nephroprotective effect to protects the kidneys

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Herbal DTX

    Bai Mao Gen (Rhizoma Imperatae) Da Huang (Radix et Rhizoma Rhei) Dan Shen (Radix et Rhizoma Salviae

    Miltiorrhizae) Fang Feng (Radix Saposhnikoviae) Gan Cao (Radix et Rhizoma Glycyrrhizae) Gou Qi Zi (Fructus Lycii) Lian Qiao (Fructus Forsythiae) Lu Dou (Semen Phaseoli Radiati)

    Fang Feng (Radix Saposhnikoviae)Gan Cao (Radix et Rhizoma Glycyrrhizae)Lu Dou (Semen Phaseoli Radiati)

    Toxic foods and plants [i],[ii] food poisoning (tetrodotoxin, snake, and mushrooms) [iii]

    [iv] Mushroom poisoning [v] Pesticide poisoning [vi] Drug poisoning (chloral hydrate, urethane, cocaine,

    picrotoxin, caffeine, pilocarpine, nicotine, barbiturates, mercury and lead) [vii]

    Heavy metals [viii] [i] Shang Hai Zhong Yi Yao Za Zhi (Shanghai Journal of Chinese Medicine and Herbology), 1964; 8:22 [ii] Fu Jian Zhong Yi Yao (Fujian Chinese Medicine and Herbology), 1965; 4:44 [iii] Xin Zhong Yi (New Chinese Medicine), 1985; 2:34 [iv] Zhong Yao Tong Bao (Journal of Chinese Herbology), 1986; 11(10):55 [v] Xin Zhong Yi (New Chinese Medicine), 1978; 1:36 [vi] Zhe Jiang Zhong Yi Za Zhi (Zhejiang Journal of Chinese Medicine), 1965; 7:7 [vii] Zhong Yao Tong Bao (Journal of Chinese Herbology), 1986; 11(10):54 [viii] Xin Yi Xue (New Medicine), 1973; 7:6

    Heavy metal poisoning

    In one report, 278 patients were treated for arsenic poisoning with an herbal decoction twice daily consisting of Fang Feng (Radix Saposhnikoviae), Lu Dou (Semen PhaseoliRadiati), Gan Cao (Radix et RhizomaGlycyrrhizae) and sugar. At the end of the 28-day treatment, 155 patients (55.76%) reported a significant improvement in subjective signs and symptoms, with normal levels of arsenic found through urinalysis.[i][i] Xin Yi Xue (New Medicine), 1973; 7:6

    Supplementary Formulas

    For liver damage or hepatitis due to poisoning, or to enhance the immediate effect, add Liver DTX.

    For kidney damage or nephritis due to poisoning, add Kidney DTX.

    For mild nasal congestion and post-nasal drip, add Magnolia Clear Sinus.

    For severe nasal obstruction with yellow and sticky discharge, add Pueraria Clear Sinus.

    For difficulty breathing and feeling of chest tightness, add Respitrol (Heat) or Respitrol (Deficient).

    For unknown causes or strange symptoms of blood stagnation, add Circulation (SJ).

    Clinical Notes

    Because of its effect to eliminate the accumulation of toxins and enhance the functions of the liver and kidney, Herbal DTX is a good formula for individuals who have hypersensitivity to certain toxins, chemicals, and environmental factors. Herbal DTX contains herbs that will enhance the bodys natural ability to break down and eliminate the buildup of toxins in the body. Herbal DTX is a gentle formula that gradually and continuously remove toxins from the body. It should be taken persistently for 6 to 12 months for optimal effect.

    Cautions & Contraindications

    This formula is not recommended for the following conditions: Patients with an acute overdose or severe poisoning

    should be treated in an emergency room or urgent care center. Call 911 and send the patient to the nearest emergency room immediately.

    Patients with hematuria (blood in the urine) should be treated with extreme caution because this symptom may indicate the possibility of significant damage to the kidney.

    Patients who are disorientated or having a seizure/epilepsy/convulsion associated with poisoning should consult their medical doctor immediately.

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    Cautions & Contraindications

    The following warning statement is required by the State of California: This product contains DaHuang (Radix et Rhizoma Rhei). Read and follow directions carefully. Do not use if you have or develop diarrhea, loose stools, or abdominal pain because Da Huang (Radix et Rhizoma Rhei) may worsen these conditions and be harmful to your health. Consult your physician if you have frequent diarrhea or if you are pregnant, nursing, taking medication, or have a medical condition.

    Cautions & Contraindications

    This herbal formula contains herbs that invigorates blood circulation, such as Dan Shen (Radix et Rhizoma SalviaeMiltiorrhizae). Therefore, patients who are on anticoagulant or antiplatelet therapies, such as Coumadin (warfarin), should use this formula with caution, or not at all, as there may be a higher risk of bleeding and bruising.[i]

    [i] Chan K, Lo AC, Yeung JH, Woo KS. Journal of Pharmacy and Pharmacology 1995 May;47(5):402-406.

    Case Studies

    Herbal DTX has been used with great success in China for treatment of drug overdose (sedatives and hypnotics), accidental ingestion of rat poison, and other adverse reactions. This formula has been used with excellent results by itself, in combination with drug treatment, or following gastric lavage. Submitted by W.C., Shanxi, China.

    Case Studies

    W.G, 23-year old male presented with toxicity due to recreational drugs. TCM diagnosis was toxic heat in the Liver as well as throughout the entire body. For treatment, Liver DTX and Herbal DTX were prescribed. The patient noticed a significant detoxification in response to taking both formulas. In comparison, he had noticed the Liver DTX working more through the urine and the Herbal DTX working throughout the entire body. He was very in-tune with his body and testified that these formulas were very helpful to his condition. Submitted by B.S., Niceville, Florida.

    Additional Information

    Nutrition Lifestyle Instructions

    Traditional Points Balance Method by Dr. Richard Tan Master Tungs Points by Dr. Brad Whisnant Distal Needling Acupuncture by Robert Doane

    Ear Acupuncture Traditional Points Auricular Medicine by Dr. Li-Chun Huang

    Comparative Analysis

    In cases of chronic poisoning (from chemicals, heavy metals, and various environmental toxins), there are often many vague, non-specific, non-diagnostic signs and symptoms accompanied by normal laboratory tests. Under these circumstances, Western medicine struggles to determine the exact diagnosis and corresponding treatments.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Liver DTX

    Liver detoxification: enhances the normal metabolic and detoxification functions of the liver

    Liver damage with elevated liver enzymes Hepatitis with or without jaundice Liver cirrhosis caused by alcohol, drugs or

    other chemicals Addiction treatment: detoxifies liver from

    alcohol, drugs and other chemicals

    Liver DTX

    Chinese Actions Clears heat and

    eliminates toxins Spreads the Liver qi Drains dampness Tonifies deficiency

    Western Actions Enhances the liver function by

    increasing the regeneration of liver cells

    Protects the liver from damages caused by alcohol, drugs or other chemicals

    Treats liver cirrhosis by preventing and repairing liver damages

    Antioxidant effects to neutralize free radicals and prevent cell damages

    Lowers elevated levels of hepatic enzymes

    Liver DTX

    Bai Shao (Radix Paeoniae Alba) Chai Hu (Radix Bupleuri) Da Huang (Radix et Rhizoma Rhei) Fu Ling (Poria) Ge Hua (Flos Puerariae) Hu Zhang (Rhizoma et Radix Polygoni Cuspidati) Huang Qin (Radix Scutellariae) Ma Bian Cao (Herba Verbenae) Pu Tao Zi (Semen Vitis Vinifera) Qing Pi (Pericarpium Citri Reticulatae Viride) Shui Fei Ji (Fructus Silybi) Wu Wei Zi (Fructus Schisandrae Chinensis) Yin Chen (Herba Artemisiae Scopariae) Yu Jin (Radix Curcumae) Zhi Zi (Fructus Gardeniae)

    Wu Wei Zi (Fructus Schisandrae Chinensis)

    Studies have shown that administration of Wu Wei Zi (Fructus Schisandrae Chinensis) is associated with marked hepatoprotective effect against various types of drugs and/or chemical-induced toxicities.[i][i] Zhong Hua Yi Xue Za Zhi (Chinese Journal of Medicine), 1974; (5):275

    Wu Wei Zi (Fructus Schisandrae Chinensis)

    The mechanisms of hepatoprotectivefunction of Wu Wei Zi (Fructus SchisandraeChinensis) are attributed to alteration of liver cell-membrane permeability to prevent the entry of toxic substances, and increased blood flow to the liver and increased regeneration of liver cells.[i],[ii][i] Nagai, H. et al. Planta Medica. 55(1):13-17. 1989

    [ii] Takeda, S. et al. Nippon Yakurigaku Zasshi. 88(4):321-30. 1986

    Wu Wei Zi (Fructus Schisandrae Chinensis)

    One study reported 85.3% rate of effectiveness using 3g of powdered Wu Wei Zi (FructusSchisandrae Chinensis) three times daily to treat 102 cases of non-icteric infectious hepatitis. Furthermore, one study reported that oral ingestion of Wu Wei Zi (Fructus SchisandraeChinensis) in honey pills effectively lowered liver enzymes in 67 of 80 patients with chronic hepatitis.[i]

    [i] Zhong Yao Lin Chuan Xin Yong (New Clinical Applications of Chinese Medicine), 2001; 103

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Wu Wei Zi (Fructus Schisandrae Chinensis)

    An herbal formula with Wu Wei Zi (FructusSchisandrae Chinensis) was used with a 97% rate of effectiveness (33 out of 34 patients) in treatment of chronic hepatitis.[i][i] Shan Xi Zhong Yi (Shanxi Chinese Medicine), 1988; 3:106

    Shui Fei Ji (Fructus Silybi)

    The use of Shui Fei Ji (Fructus Silybi) can be traced back over 2,000 years to a Greek reference when Pliny the Elder (A.D. 23-79) first noted it had an excellent effect to carry off bile.[i][i] Foster, S. Milk Thistle-Silybum Marianum, Botanical Series No. 305, Am. Botanical Council, Austin TX 1991; 3-7

    Shui Fei Ji (Fructus Silybi)

    Today, Shui Fei Ji (Fructus Silybi) is well documented for having both hepatoprotective and nephroprotectiveagainst Tylenol (acetaminophen)-induced liver and kidney toxicities.[i][i] Gopi KS, Reddy AG, Jyothi K, Kumar BA. Acetaminophen-induced Hepato- and Nephrotoxicity and Amelioration by Silymarin and Terminalia chebula in Rats. Department of Pharmacology and Toxicology, College of Veterinary Science, Hyderabad - 500030, Andhra Pradesh, India. Toxicol Int. 2010 Jul;17(2):64-6.

    Shui Fei Ji (Fructus Silybi)

    Silymarin, one active compound from ShuiFei Ji (Fructus Silybi), protects the liver by changing the outer liver cell membrane and preventing the entrance of toxins into the liver cells.5,[i][i] Floersheim, GL. Medical Toxicology; 2:1. 1987

    Supplementary Formulas

    For heavy metal, chemical or environmental poisoning, add Herbal DTX.

    For compromised kidney function, use Kidney DTX. For cholecystitis or gallstones with elevated liver

    enzymes, combine with Dissolve GS. Gentiana Complex may be combined with Liver DTX for

    a synergistic effect to treat hepatic disorders. For fatty liver, add Cholisma (ES). With jaundice, add Yin Chen Hao Tang (Artemisia

    Scoparia Decoction). For dark complexion and blood stagnation, add

    Circulation (SJ).

    Clinical Notes

    Elevation of liver enzymes is common in hepatitis. Though Western medicine has treatments for lowering liver enzymes, the results are sometimes unsatisfactory, especially in chronic hepatitis B. Therefore, herbs that clear heat, remove damp, strengthen the Spleen and regulate the Liver are used to normalize liver enzyme levels. In addition, small dosages of blood-activating and stasis-removing herbs can be used together for their synergistic effect. Patients should continue to take herbs for a period of time after liver enzyme levels return to normal to prevent rebound increase of liver enzymes.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Clinical Notes

    Lab exams are extremely useful in diagnosis, treatment and prognosis assessment for patients with liver dysfunction. Understanding the implications of laboratory tests empowers health care practitioners to effectively treat hepatic and gallbladder disorders.

    Clinical Notes

    Liver cirrhosis is a common complication of chronic hepatitis infection. To reduce the risk of developing cirrhosis of the liver in chronic hepatitis, use large dosages of Dan Shen (Radix et Rhizoma Salviae Miltiorrhizae) with regular dosages of Hong Hua (Flos Carthami). Addition of Bie Jia (Carapax Trionycis) to the herbal formula will further reduce the risk of developing liver cirrhosis.

    Cautions & Contraindications

    Liver DTX is contraindicated during pregnancy and nursing. It should be used with caution in cases of qi and yang deficiencies.

    Do not use this formula to treat acute liver failure such conditions must be sent to the emergency room for immediate medical care.

    Cautions & Contraindications

    The following warning statement is required by the State of California: This product contains DaHuang (Radix et Rhizoma Rhei). Read and follow directions carefully. Do not use if you have or develop diarrhea, loose stools, or abdominal pain because Da Huang (Radix et Rhizoma Rhei) may worsen these conditions and be harmful to your health. Consult your physician if you have frequent diarrhea or if you are pregnant, nursing, taking medication, or have a medical condition.

    Decrease the dosage to two capsules twice a day if there is loose stool after taking the herbs.

    Case Studies

    A 41-year-old male complained of occasional bouts of irritability. He had elevated liver enzymes, elevated HCT and was positive for Hepatitis C. The practitioner diagnosed his condition as damp-heat in the Liver and Gallbladder. After taking Liver DTX, the liver enzyme levels tested within normal limits. The patients medical doctor, after recognizing all supporting evidence, encouraged the herbal treatment wholeheartedly. Submitted by P.C., Stanwood, Washington.

    Case Studies

    A 36-year-old female patient presented with severe hangover from excessive alcohol consumption. Clinical signs and symptoms included nausea, vomiting, anorexia, frontal headache, diarrhea, and extreme weakness and fatigue. Her tongue was pale and flabby, with a moist, greasy tongue coating. Her face was pale and puffy, with dark, sunken eyes. The Western diagnosis was acute alcohol intoxication; the TCM diagnosis was damp-heat in the Liver and Gallbladder, with qi deficiency. Liver DTX was prescribed at four capsules every four to six hours for one day. Within two hours after taking the first dose, the patient reported that she felt 98% improvement, and said that she had regained her strength and appetite. She stated that her headache, nausea, vomiting and diarrhea had all diminished. She took the second dose, ate a large meal, and recovered from alcohol intoxication. Submitted by C.L., Chino Hills, California.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: [email protected] not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 13

    Additional Information

    Nutrition Lifestyle Instructions

    Traditional Points Balance Method by Dr. Richard Tan Master Tungs Points by Dr. Brad Whisnant Distal Needling Acupuncture by Robert Doane

    Ear Acupuncture Traditional Points Auricular Medicine by Dr. Li-Chun Huang

    Comparative Analysis

    Liver diseases, such as hepatitis and liver cirrhosis, are serious and very complicated diseases. In Western medicine, these conditions are usually treated with interferon. These drugs, however, have limited success, but are extremely expensive and create significant number of serious side effects, including dizziness, confusion, coma, arrhythmia, heart failure, leukopenia, thrombocytopenia, and many others. In severe and life threatening cases, such as liver cirrhosis and liver cancer, surgery may be perform.

    Kidney DTX

    Chronic nephritic syndrome (nephritis, glomerulonephritis)

    Chronic nephrotic syndrome (nephropathy) Chronic kidney disease with such signs and

    symptoms as proteinuria, edema, soreness of the lower back, fatigue, emaciation, flabby tongue, greasy tongue coating, deep, thready or wiry pulse

    Note: This formula is not recommended for acute kidney disorders.

    Kidney DTX

    Chinese Actions Dispels dampness Tonifies Kidney yin Tonifies qi

    Western Actions Nephroprotective benefit to

    restore the normal filtration and excretion functions of the kidney

    Nephroprotective effect to reduce the presence of protein and blood in the urine

    Antifibrosis activity to improve ischemic microvasculature and attenuate interstitial fibrosis

    Diuretic effect to increase urine output and eliminate water accumulation

    Kidney DTX

    Bai Mao Gen (Rhizoma Imperatae) Du Zhong (Cortex Eucommiae) Fu Ling (Poria) Huang Bo (Cortex Phellodendri Chinensis) Huang Qi (Radix Astragali) Jin Ying Zi (Fructus Rosae Laevigatae) Lu Xian Cao (Herba Pyrolae) Mu Li (Concha Ostreae) Shan Zhu Yu (Fructus Corni) Shi Wei (Folium Pyrrosiae)

    Huang Qi (Radix Astragali)

    Huang Qi (Radix Astragali) has a remarkable effect to treat kidney-related disorders, such as proteinuria, nephritis, nephropathy and glomerulonephritis.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

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    Huang Qi (Radix Astragali)

    Pharmacologically, Huang Qi (Radix Astragali) exerts the nephroprotective effect to improve glomerular hyperfiltration state, and relieve pathological changes of early diabetic nephropathy.[i] Administration of Huang Qi (Radix Astragali) is associated with numerous benefits in patients with nephropathy by improving BUN, SCr, CCr and urine protein).[ii]

    [i] Zhang J, Xie X, Li C, Fu P. Systematic review of the renal protective effect of Astragalus membranaceus (root) on diabetic nephropathy in animal models. Department of Nephrology, West China Hospital of Sichuan University, Chengdu 610041, China. J Ethnopharmacol. 2009 Nov 12;126(2):189-96. Epub 2009 Sep 6.

    [ii] Li M, Wang W, Xue J, Gu Y, Lin S. Meta-analysis of the clinical value of Astragalus membranaceus in diabetic nephropathy. Division of Nephrology, Huashan Hospital, Fudan University, Shanghai, China. J Ethnopharmacol. 2010 Oct 13.

    Huang Qi (Radix Astragali)

    Clinically, use of Huang Qi (Radix Astragali) twice daily for 15 to 90 days was effective in treating 16 out of 20 patients with nephritis. Most patients also reported symptomatic improvement as well as a decrease of protein in the urine.[i][i] Hei Long Jiang Zhong Yi Yao (Heilongjiang Chinese Medicine and Herbology), 1982; 1:39

    Supplementary Formulas

    For accumulation of environmental pollutant, chemical compounds, and other toxins in the body, add Herbal DTX.

    For edema and water accumulation, add Herbal DRX. For unknown cause of symptoms with blood stagnation in

    patients with excess condition, add Circulation (SJ). For dry mouth, deficiency heat symptoms, tinnitus or

    dizziness, add Nourish or Nourish (Fluids). For high blood pressure, add Gastrodia Complex. For fever, headache, and nausea, add Herbal ABX. With compromised liver function, add Liver DTX.

    Clinical Notes

    To effectively treat kidney disorder, it is extremely important to identify and eliminate the cause(s). It is important to make sure disease conditions that are known to increase the risk and acceleration of kidney disorders are well controlled, such as diabetes and lupus. Furthermore, certain drugs, toxins and heavy metals are known to cause kidney damage, and must be avoided, such as certain antibiotics, analgesics, and antiepileptics. Examples of environmental toxins include chemical solvents, biological agents, herbicides and pesticides. Examples of heavy metals include lead and cadmium. Avoidance of such factors will significantly improve both short- and long-term prognosis.

    Clinical Notes

    Though the use of herbs can treat kidney disorders and restore the normal kidney functions, this formula is not recommended for acute renal diseases.

    Kidney DTX is not suitable for acute nephritis. Such conditions should be referred to a medical doctor for immediate treatment.

    Clinical Notes

    It is prudent to monitor progress objectively with urine analysis. Such laboratory tests will confirm the effectiveness of the treatment and assist in the long-term treatment strategy.

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: [email protected] not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 15

    Case Studies

    C.P., a 63- year-old female, presented with multiple symptoms including low energy, pain located in the areas of the elbow, hip, back, and neck. Additional symptoms included the face and other parts of the body being puffy. Objective findings wereBUN level of 53.0 mg/dL, creatinine level of 2.6 mg/dL, and calcium level of 12 mg/dL. The practitioner diagnosed this condition as Kidney yin deficiency with dampness, along with Kidney failure at stage three. She was prescribed Kidney DTXand was advised to change her diet to a low protein diet. After four months of taking the herbs, her BUN levels became normal, the creatinine levels dropped but were still slightly high, and the calcium levels became normal. The Western doctors involved with treating this patient were amazed at the change in values of BUN and creatinine as a result of the herbs. They had commented that they had never seen this happen before. Submitted by T. S. Tehachapi, California.

    Case Studies

    L.T., 64-year old female presented with the beginning of kidney declination due to long term taking of both her anti-inflammatories and high blood pressure medications for twenty years. Blood pressure was 130/80 mmHg and her heart beat was 72 beats per minute. TCM diagnosis was Kidney and Liver yin deficiencies; the Western diagnosis was kidney failure (beginning stage). Kidney DTX was prescribed and directed to take for 9 months. After going and seeing a Western doctor and being offered minimal help with a negative outlook, the patient lived an additional three years, which had been more than the Western doctor had predicted. Submitted by J.L., San Diego, California.

    Additional Information

    Nutrition Lifestyle Instructions

    Traditional Points Balance Method by Dr. Richard Tan Master Tungs Points by Dr. Brad Whisnant Distal Needling Acupuncture by Robert Doane

    Ear Acupuncture Traditional Points Auricular Medicine by Dr. Li-Chun Huang

    Comparative Analysis

    Kidney diseases, such as chronic nephritic syndrome, chronic nephrotic syndromes and kidney failure, are serious and extremely complicated diseases. There are many potential causes of kidney diseases, and therefore, treatments vary depending on the exact etiology and prognosis. If the conditions continue to deteriorate, kidney dialysis, and eventually kidney transplant may become necessary. Kidney dialysis and transplant are generally considered to be the last options, but they do prolong life and offer additional hope.

    To read articles by todays speaker, watch online videos, or to see his/her complete seminar/webinar schedule for this year, please visit www.elotus.org

    More information on the classic single herbs mentioned in this seminar/webinar can be found in the Chinese Medical Herbology and Pharmacology

    More information on the classic formulas can be found in the Chinese Herbal Formulas and Applications

    Collection formulas can be found in the eLotus Clinical Manual of Oriental Medicine

    All the above texts are available through www.elotus.org

  • Lotus Institute of Integrative Medicine, PO Box 92493, City of Industry, CA 91715

    Tel: 626-780-7182 Fax: 626-609-2929 Website: www.eLotus.org Email: [email protected] not be copied, duplicated, or distributed in any format or be used for teaching without prior written consent from Lotus Institute of Integrative Medicine. 16

    Herbs mentioned in this seminar/webinar, are available through our sponsor Evergreen Herbs & Medical Supplies. Please contact them for a catalog and see how they can help your practice. This webinar is sponsored by:

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    Evergreen is a family business that is run by professionals like you who care about Chinese medicine. And as a family business, we have the well-being and satisfaction of our customers at the top of our list. We care about the quality of our herbs, because we care about our consumers, and have your best interest at heart.Our goal is to support you in improving your clinical skills, and enhancing the well-being of your patients.

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