9/5/17 HOW TO COMPOSE A HERBAL COMPOUND Cardiovascular System John Redden RH Medical Herbalist STEP ONE: THE INTAKE Select the Primary conditions that can be treated and any related conditions that will be affected as a subsequent result of the program. Write these down on a sheet of paper in a column on the left side of the page. Column 1. 1 9/5/17 STEP ONE: THE INTAKE Select the Primary conditions that can be treated and any related conditions that will be affected as a subsequent result of the program. Write these down on a sheet of paper in a column on the left side of the page. Column 1. Example 1 BP taken 3X during session elevated Pt. complains of sleep apnea Shortness of breath post exercise Smokes 1 pack/week Stress at work & home Moderately overweight & Diet high in animal fats Sympathetic nervous system dominant Pt. is observed to be oedematous STEP TWO: Therapeutic Goal Write down the opposite of the complaint as a Therapeutic outcome/goal. This will be Column 2. Example 2 Lower blood pressure at rest and during exercise and stress, help the heart muscle work better Relax airway, bring restful sleep, soothe irritated throat Restore CV system, Bring more O2 blood to heart, Improve heart function Repair vascular tissues, Bring blood to extremeties Reduce effects of stress on sleep, nerves & heart Increase fire in digestive system and reduce cravings at the same time Shift towards Parasympathetic actions in the CVS Increase removal of fluids through urine & sweat 2 9/5/17 Example 1 Example 2 Lower blood pressure at rest and during exercise BP taken 3X during session elevated and stress, help the heart muscle work better Relax airway, bring restful sleep, soothe irritated Pt. complains of sleep apnea throat Restore CV system, Bring more O2 blood to heart, Shortness of breath post exercise Improve heart function Smokes 1 pack/week Repair vascular tissues, Bring blood to extremeties Stress at work & home Reduce effects of stress on sleep, nerves & heart Increase fire in digestive system and reduce Moderately overweight & Diet high in animal fats cravings at the same time Sympathetic nervous system dominant Shift towards Parasympathetic actions in the CVS Pt. is observed to be oedematous Increase removal of fluids through urine & sweat STEP THREE: Action Category Select a Body System from the list of filters then select an Action category that physiologically matches the therapeutic goal. Write it down in the next column across from the therapeutic goal. Continue matching each goal with the Action category. Column 3. 3 9/5/17 Example 3 Hypotensive Cardiotonic Antispasmodic Nervine sedative Demulcent Cardiovascular trophorestorative Coronary artery dilation Cardiotonic Vascular tonic Peripheral vasodilator Circulatory stimulant Nervine sedative Hypotensive Cardiotonic Carminative Digestive stimulant Hypotensive Nervine sedative Coronary artery dilation Antispasmodic Peripheral vasodilator Diuretic Diaphoretic Example 1 Example 2 Example 3 Lower blood pressure at rest and Hypotensive during exercise and stress BP taken 3X during session elevated Help the heart muscle work better Cardiotonic Relax airway Antispasmodic Pt. complains of sleep apnea bring restful sleep Nervine sedative soothe irritated throat Demulcent Restore CV system Cardiovascular trophorestorative Shortness of breath post exercise Bring more O2 blood to heart Coronary artery dilation Improve heart function Cardiotonic Repair vascular tissues Vascular tonic Smokes 1 pack/week Bring blood to extremeties Peripheral vasodilator Circulatory stimulant Reduce effects of stress on sleep Nervine sedative Stress at work & home Nerves Hypotensive & heart Cardiotonic Increase fire in digestive system Carminative Moderately overweight & Diet high in Reduce cravings at the same time Digestive stimulant animal fats Shift towards Parasympathetic actions Hypotensive in the CVS Sympathetic nervous system Nervine sedative dominant Coronary artery dilation Antispasmodic Peripheral vasodilator Increase removal of fluids Diuretic Pt. is observed to be oedematous through urine & sweat Diaphoretic 4 9/5/17 STEP FOUR: Herb Choices List a few good herb choices for each action group on the next column across from the action term. Use the choices from the list. We have already preselected herbs with an affinity for the body system selected. Column 4. Example 4 Achillea, Crataegus, Leonurus, Rauwolfia, Tilia, Viscum Crataegus, Tilia, Alpinia, Terminalia, Borago, Achillea Viscum, Ammi, Leonurus, Viburnum opulus, Lobelia Aster, Leonurus, Piper, Tilia Tilia Crataegus, Terminalia Crataegus, Panax notoginseng, Salvia miltiorrhiza, Ammi Achillea, Crataegus, Tilia Achillea, Ammi, Capsicum, Zanthoxylem Capsicum, Alpinia, Zanthoxylem Capsicum, Alpinia, Zanthoxylem Tilia, Viscum, Aster, Piper Achillea, Crataegus, Tilia, Viscum Crataegus, Borago, Tilia, Terminalia Alpinia, Capsicum, Zingiber Angelica archangelica, Artemesia absinthium, Gentiana Achillea, Tilia, Crataegus, Viscum, Viburnum opulus Aster, Tilia, Piper, Valerian Crataegus, Salvia miltiorrhiza, P. notoginseng Viscum, Ammi, Valerian, Lobelia Achillea, Capsicum, Ammi, Zanthoxylem Achillea, Taraxicum fol Achillea, Mentha, Sambuccas fol. 5 9/5/17 Example 1 Example 2 Example 3 Example 4 Lower blood pressure at rest and during exercise Achillea, Crataegus, Leonurus, Rauwolfia, Tilia, Hypotensive and stress Viscum BP taken 3X during session elevated Crataegus, Tilia, Alpinia, Terminalia, Borago, Help the heart muscle work better Cardiotonic Achillea Viscum, Ammi, Leonurus, Viburnum opulus, Relax airway Antispasmodic Lobelia Pt. complains of sleep apnea bring restful sleep Nervine sedative Aster, Leonurus, Piper, Tilia soothe irritated throat Demulcent Tilia Restore CV system Cardiovascular trophorestorative Crataegus, Terminalia Shortness of breath post exercise Crataegus, Panax notoginseng, Salvia Bring more O2 blood to heart Coronary artery dilation miltiorrhiza, Ammi Improve heart function Cardiotonic Achillea, Crataegus, Tilia Repair vascular tissues Vascular tonic Achillea, Ammi, Capsicum, Zanthoxylem Smokes 1 pack/week Bring blood to extremeties Peripheral vasodilator Capsicum, Alpinia, Zanthoxylem Circulatory stimulant Capsicum, Alpinia, Zanthoxylem Reduce effects of stress on sleep Nervine sedative Tilia, Viscum, Aster, Piper Stress at work & home Nerves Hypotensive Achillea, Crataegus, Tilia, Viscum & heart Cardiotonic Crataegus, Borago, Tilia, Terminalia Increase fire in digestive system Carminative Alpinia, Capsicum, Zingiber Moderately overweight & Diet high in animal Angelica archangelica, Artemesia absinthium, fats Reduce cravings at the same time Digestive stimulant Gentiana Achillea, Tilia, Crataegus, Viscum, Viburnum Shift towards Parasympathetic actions in the CVS Hypotensive opulus Nervine sedative Aster, Tilia, Piper, Valerian Sympathetic nervous system dominant Coronary artery dilation Crataegus, Salvia miltiorrhiza, P. notoginseng Antispasmodic Viscum, Ammi, Valerian, Lobelia Peripheral vasodilator Achillea, Capsicum, Ammi, Zanthoxylem Increase removal of fluids Diuretic Achillea, Taraxicum fol Pt. is observed to be oedematous through urine & sweat Diaphoretic Achillea, Mentha, Sambuccas fol. STEP FIVE: Group Herbs Look for herbs that repeat in multiple action groups and select them by writing them in the next column. Put the number of times a herb appears in the actions list next to the herb. Column 5. We now select our final herbs based on action energetics +Herbs that are multitasking in primary & secondary actions + Important biochemical constituents + Intuition and cumulative experience + Taste + Environmental considerations (local, organic, endangered) + Economics (patient pocket book & cost of product) 6 9/5/17 Parts to percent Percent to mL and final dosing 9/37 = 24% Crataegus 9 150 mL *adjust to 30% Tilia 10 10/37 = 27% 135 mL Achillea 9 9/37 = 24% 120 mL Viscum album 5 5/37 = 13% 65 mL 4/37 = 12% Capsicum annuum 4 30 mL *adjust to 6% TOTAL = 37 parts 100 = 100%= 100 mL Total = 500 mL Adding up the numbers we get 37 parts. Divide the part by the toal we get a %. We need a little more Craetagus and less Capsicum (too hot!) Shift 6% of Capsicum to Crataegus to adjust heat level and to tonify the heart muscle more. % Herb=mL/week at dosage of 5 mL TID equals 100 mL bottle /week 5 weeks = 500 mL bottle Example 1 Example 2 Example 3 Example 4 Example 5 Lower blood pressure at rest and Achillea, Crataegus, Leonurus, Hypotensive during exercise and stress Rauwolfia, Tilia, Viscum BP taken 3X during session 9/37 = 24% Crataegus 9 150 mL elevated Help the heart muscle work Crataegus, Tilia, Alpinia, Cardiotonic better Terminalia, Borago, Achillea adjust to 30% Viscum, Ammi, Leonurus, Relax airway Antispasmodic Viburnum opulus, Lobelia Pt. complains of sleep apnea Tilia 10 10/37 = 27% 135 mL bring restful sleep Nervine sedative Aster, Leonurus, Piper, Tilia soothe irritated throat Demulcent Tilia Cardiovascular Restore CV system Crataegus, Terminalia trophorestorative Crataegus, Panax notoginseng, Shortness of breath post exercise Bring more O2 blood to heart Coronary artery dilation Achillea 9 9/37 = 24% 120 mL Salvia miltiorrhiza, Ammi Improve heart function Cardiotonic Achillea, Crataegus, Tilia Achillea, Ammi, Capsicum, Repair vascular tissues Vascular tonic Zanthoxylem Smokes 1 pack/week Bring blood to extremeties Peripheral vasodilator Capsicum, Alpinia, Zanthoxylem Viscum album 5 5/37 = 13% 65 mL Circulatory stimulant Capsicum, Alpinia, Zanthoxylem Reduce effects of stress on sleep Nervine sedative Tilia,