Far East Summit

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Two Immortals Formula Er Tang

Biomedical Presentations Essential hypertension, urinary tract infection, chronic glomerulonephritis, chronic pyelonephritis, polycystic kidneys, hypofunction of the anterior pituitary, hyperthyroidism, and menopausal syndrome . Clinical Presentation Hot flashes , cold lower extremities , night sweats , insomnia, headache, tinnitus, dizziness, low back and knee soreness and weakness , irritability , frequent urination , nocturia , decreased libido, impotence and irregular menstruation. Tongue Pale tongue with scant coat. Pulse Fine, wiry, rapid, and possibly floating pulse. Energetic Functions Enriches and supplements the liver and kidneys, warms yang while draining fire, regulates and harmonizes chong and ren. Chinese Medical Indications Liver blood and kidney vacuity. Loss of harmony of the chong and ren. Herbal Ingredients and Analysis Pharmaceutical Latin Binomial Pinyin English Rhizoma Curculiginis Orchoidis Curculigo orchioides xian mao Curculigo rhizome Herba Epimedii Epimedium xian pi Epimedium herb grandiflorum (yin yang huo ) Radix Morindae Officinalis Morinda officinalis ba ji Morinda root Cortex Phellodendri Phellodendron huang bai Phellodendron bark chinense or P. amurense Rhizoma Anemarrhenae Asphodeloidis Anemarrhena zhi mu Anemarrhena rhizome asphodeloides Radix Angelicae Sinensis Angelica sinensis dang gui Dong Quai root Two Immortals (cont.) Herbal Ingredients and Analysis (cont.) Cuculigo, Epimedium and Morinda warm and supplement the kidney. Epimedium supplements both kidney yin and yang and harnesses ascendant liver yang. Phellodendron and Anemarrhena nourish kidney yin and drain fire. Dong Quai root moistens, nourishes and quickens the blood and regulates the penetrating conception vessels . Formula Differentiation Anem-Phello & Rehmannia Formula and Two Immortals Formula both treat menopausal syndrome. While Anem-Phello & Rehmannia Formula treats yin vacuity-fire without yang vacuity, Two Immortals Formula treats dual yin and yang vacuity with vacuity-fire. The latter treats a more complex presentation where amenorrhea, hot flashes, and night sweat appear with the yang vacuity symptoms of fatigue, lassitude, depression, urinary frequency, and a perception of cold with vacuity-fire. The cold may be limited to the lower back or feet only, with heat rising to the upper burner in the form of hot flashes, night sweat, dry mouth and throat or malar flush. Anem-Phello & Rehmannia Formula contains medicinals that clear heat and dampness in the lower burner. For this reason, it is indicated for menopausal syndrome wherever symptoms of urinary difficulty, or low back pain from lower burner dampness occurs. Gastrodia & Uncaria Formula, Anem-Phello & Rehmannia Formula, Blood Mansion Formula, Pinellia, Atractylodes & Gastrodia Formula and Two Immortals Formula are all indicated for the treatment of hypertension. The differentiation of the application of these formulas for hypertension is dependent on the basic pattern differentiation. Anem-Phello & Rehmannia Formula and Two Immortals Formula are indicated for kidney vacuity patterns. Anem-Phello & Rehmannia Formula is indicated for kidney yin vacuity with vacuity-fire characterized by hot flashes, malar flush, and night sweats. Two Immortals Formula is indicated for a combination of kidney yin and yang vacuity and vacuity-fire characterized by hot flashes, cold lower extremities, night sweat, and malar flush. Dizziness may be present in the kidney vacuity patterns as well as the liver and kidney vacuity patterns. The use of Gastrodia & Uncaria Formula is for dizziness, vertigo, and liver yang rising patterns. For the treatment of dizziness in the presence of malar flush, hot flash or night sweat, Anem-Phello & Rehmannia Formula is indicated. For the treatment of dizziness, malar flush, hot flash, night sweat and cold extremities, Two Immortals Formula is indicated. Gastrodia & Uncaria Formula is indicated for liver yang rising with liver and kidney vacuity. Dizziness and vertigo would be critical to this pattern. Pinellia, Atractylodes & Gastrodia Formula is indicated for wind phelgm characterized by dizziness and vertigo with gastrointestinal complaints. Blood Mansion Formula is indicated for blood stasis. Fixed pain, purplish discoloration of the sclera, face or tongue, and depression with a sense of warmth in the chest would be critical to this pattern. Cautions and Contraindications Use cautiously with yin vacuity and without yang vacuity.