Berlin Pulse Advanced Workshop

Jesper

Notes

no kidney problem (adrenal def.), heart problem (bright eyes)needs to sleep a lotparasitic infection (amoebiasis) (tinidazole or metrodonidazole);partner needs to take it too; 2 rounds (2g/day, 3days)no milk - sinusescannot tell from pulse about parasites; tell from herbs and travelhistory; facial complexion

Dxleft cun: scattered + constrictedleft guan: homeleft chi: turtle, Du-----------right cun: scatteredright guan: deep and pounding (slippery)right chi: Du

Strategy

unblock heartunblock sinusesuse acu for pains

Rx (80 heart/20 Stomach)

Dan Shen 20 (blood mover/thinner/tonic)Si Ni Tang 20 (heat up cold in heart) Alt: Gua Lou Xie Bai Ban XiaTang

Sheng Ma 10 (vasodilators for coronary arteries)Dang Gui 10Xue Fu Zhu Yu Tang 20Yan Hu Suo 20 (blood mover, tranquilizer - anxiety due to heartblood flow problems)Huang Lian Jie Du Tang 203g/3x/d

Tx Course

1st: Anti-parasitic (if first herbs, the patient will get adverse reactionswith the herbs)2nd visit:

clear defined pulse coming up in left cuninsomnia, anxiety, fatigue 50% betterRx: same (2 weeks)

3rd visit:Rx:

Dan Shen 30He Zi 15Wu Bei Zi 15Tian Hua Fen 15Ba Wei 15Huang Lian Jie Du Tang 20Jia Wei Xiao Yao San 20

4th visitheart better

Rx: Heart herbs 50%/ stomach herbs 50%5th visit

sinusesRx:

Wu Wei Xiao Du Yin 15He Zi 8Wu Bei Zi 8Huang Lian Shang Qing Wan 15Jin Yin Hua 15

Zhen Ren Huo Ming Yin 40 (breaks up ‘slime')

Susanne

Dxright cun: too thin, weak, middle (sinus congestion, tired, wind-coldallergy - nose cold, cheeks cold, maybe thyroid problem- tired)right guan: home, wiry, too thin (stomach pain; check temperature elbowarea -LI11- hot; )right chi: Du (whip-lash)-----------left cun: scattered + constricted (circulation affected)left guan: home - sl. deep, too poundingleft chi: birds-beak (knee or hip soft-tissue damage or ovarian cysts); Ren(PCO, endometriosis)

Strat

need to warm up stomach (stomach cold)liver invading stomach

Ns

if left chi is too pounding and deep; hands hot for men - injuressperm health (count/motility)had a misscarrige due to bad circulation into reprod. organsget ovulation kiteasy to get post-partum depressionrelax more, take tonics, be happyone can add Dan Shen for the scattered heart pulse (tonify-ing heartblockage could be dangerous)has to use strong blood movers into the uterus

90% of infertility patients are too cold

Sx

wants to get pregnant

Rx 1 (2months) (improve blood flow)

San Leng 10 (cold breakers)E Zhu 10 (cold breakers)Wang Bu Lu Xing 10 (cold breaker)Che Chong Yin 20Shao Fu Zhu Yu Tang 50 or Wen Jing Tang 50

Rx 2 (tonics to promote uterine lining); 1 year maybe

You Gui Wan 40Zuo Gui Wan 40Yin Yang Huo 10Bu Gu Zhi 10or Gui Pi Tang 100or Shi Quan Da Bu Tang 100Zi Shi Ying (special herb for warming the uterus)

Rx3 (once pregnant)

Bu Zhong Yi Qi Tang 100 (risk headache bc of Huang Qi) -prevent miscarriage

Rx4 allergy

Xin Yi San 30 (warming)Feng Fang 10Chan Tui 10Jing Jie 10

Ju Hua 10Bai Ji Li 10Sang Ye 10Gui Zhi Tang 20 (warming the cold)Yu Ping Feng San (tonic for weak pulse/ immune compromised)

or Dang Shen

Rx5 unblock heart (scattered+ constricted)Si Ni Tang 20Dan Shen 20Yan Hu Suo 20Gua Lou Xie Bai Ban Xia Tang 20Sheng Ma 10Dang Gui 10San Qi 10 (chest pain/ angina pec)Pu Huang 10 (chest pain/ angina pec)

Tom

Dx too strong generallyright cun: right guan:right chi:-----------left cun:left guan:left chi:

Ns

hands too hot, body too hot

Rx

Ba Zheng San Long Dan Xie Gan TangBai Hu Tang or Huang Lian, Long Dan Cao

Alex

Dxright cun: scattered (clogged up, snoring or got hit in the head at one timereally hard - trauma; poor circulation to the entire head; could be in thefrontal sinuses: muddled thinking, postnasal drip; no yang wei butcomplains of asthma; might really be allergies; fluid getsinto Eustachian tube - gets dizzyright guan: homeright chi: turtle (soft tissue damage in shoulder); dead fish du pulse upthe arm (bad circulation upper back n neck); -----------left cun: scattered (can get atrium fibrillation easy)left guan: home but pounding (don’t treat) ; roof-top pulse (thin at top andgets wider as going deep - liver damaged)left chi: Tai Yang Pulse all along the arm (lower back pain, inflamed soft-tissue pain); prostate enlargement (prostatitis symptoms); if just a back-pain problem then it would be du pulse, because the prostate is involvedit will make the pulse more inflamed - Tai Yang

Ns

above- below: sinus issue leads to reproductive organ issueif Alex does not feel better in a week, switch over to Rx Heart fromRx Sinusesno sweats, no fruits, no simple sugars, no alcoholprobably has amoebiasisif Alex does not react to herbs, very likely he has the entamoebahistolytica (cyclical fatigue before it may causes abscesses after

many years)amoebiasis tests might be useless if stool sample test was done(hard to recognize)

Strat

antiparasiticsclear heart clear sinuses (dizziness, fuzziness)cool prostate

Rx 1 SinusesShi Chang Pu 10 Yuan Zhi 10 (combo is clearing phlegm out of head)Wu Wei Xiao Du Yin 15He Zi 10Wu Bei Zi 10Huang Lian Shang Qing Wan 15Huang Bo (Bai) 20 (UT inflammation)

Rx 2 DizzinessBai Zhu 20Ban Xia 20Fu Ling 20Ze Xie 20Tian Ma 20

Rx3 Hearte.g.:Dan Shen Gua Lou Xie Bai Ban Xia TangXue Fu Zhu Yu TangMao Dong Qing

Yan Hu SuoShan ZhaSan Qi

Yoki

Dxright cun: too pounding, convex, all depths; yangwei pulse (beginning ofcold - so immune system is fighting - tiredness bc body fights cold)right guan: too pounding, wiry, superficial (gastritis)right chi: du pulse, turtle (soft tissue damage shoulder) -----------left cun: home (maybe due to coffee - vasodialation), mitral valve(palpitation)left guan: superficialleft chi: a little too superficial (middle depth), turtle, all pulses are pounding (body is fighting)

Rx

no treatmentif pulses stay aggravated (hot), then cool down

Susanne 2

Dxright cun: wiry, too strong (nose cold)(postnasal drip), hard/firm(peristalsis problem)right guan: wiry, thin (tight) (pain - cold), home, right chi: thin du pulse (neck pain)-----------left cun: very scattered (classic), constricted (sleep probs,anxious, fatigue), circulation problems

left guan: too thin, homeleft chi: du and ren pulse (old gymnastics injury, IUD), thin and weakpulse

Sx

cold handshot flashes at nighttiredemotionally instable

Ns

maybe chest oppressionTx 1-2 monthsno Mao Dong Qing/ Gua Lou Xie Bai Ban Xia Tang bc no waterretention in chest

Strategies

heart blood stasis, warm up/vasodialate kidney yang defliver invading stomachcold in stomach

Rx HeartYou Gui Wan 20Si Ni Tang 20 (cold in heart/ stomach)Chuan Xiong/ Sheng Ma 10Dang Gui 10Dan Shen 20Yan Hu Suo 15 (anxiety)San Qi 10 (blood mover)Ping Wei San/ An Zhong San (Digestion) 15

Beatrice

Dxright cun: scattered, constricted/wiry thin pulse, hardened - LIproblem (allergies, sinus congestion, eye- allergies - red allergies), noyang weiright guan: wiry, too deep but not that pronounced (still strongest inhome) (maybe gastritis)right chi: scattered (stiff upper back)-----------left cun: mitral valve, scattered (restricted blood flow thru heart)left guan: homeleft chi: scattered, du pulse (lower back pain going down legs) -acupuncture

Sx

cold hands due to heart problembackpainedema in legs (beginning of congestive heart)insomniahot flush/anxiety

Rx HeartXue Fu Zhu Yu Tang 20Dan Shen 30Gua Lou Xie Bai Ban Xia Tang 30Mao Dong Qing 20

Rx AllergiesSang Ye 10Bai Ji Li 10Ju Hua 10

Bo He 10 (burning eyes herbs)Xin Yi San 30 (wind-cold)(Chan Tui 10) (itchiness of eyes)Cang Er Zi San 30(wind-heat)

Ns

IBS will most likely become better by taking the heart herbs

Maya

Dxright cun: thin, weak, wiry (seasonal allergies); the wiry pulse in themiddle of scatterednessright guan: thin, weak right chi: very thin du mai (old neck injury), turtle (shoulder inflamed)-----------left cun: scattered, constrictedleft guan: home, too thinleft chi: turtle (distal to chi- hip injury), wiry, thin pulse “line"; scatteredpulse up the arm (abortion/ miscarriage - scar tissue/blood stasis)

Sx

fatigue seasonal allergy

Rx Heart/Liver (80/20)Xue Fu Zhu Yu Tang 20Dan Shen 20Mao Dong Qing 20 (water retention, puffiness)Gua Lou Xie Bai Ban Xia Tang 20Jia Wei Xiao Yao San (for liver) 20

Rx Shoulder Pain (if no hbp)Bu Yang Huan Wu Tang (Huang Qi will break it up)E Zhu Tang

Ns

if liver pulse is aggravated along with scattered heart, one needs touse roughly 20% of formula for it, otherwise blood movers “congest”the liver

Christine

Dxright cun: deep, wiry, pounding (sinus infection - cold), also yang weipulse pounding, nose cold (wind cold), right guan: wiry, too strong, a little deepright chi: turtle (shoulder infl), scattered tail (neck problems), du pulse(gapped- body healed it partially) -----------left cun: good shape in middle, around scatterednessleft guan: convex, left chi: turtle, du, (deep) pounding but thin ren with bird’s beak - 2 cysts,(thinness indicates cold stagnation)

Rx (female organ blood stasis)Wen Jing Tang 50E Zhu 15San Leng 15Wang Bu Lu Xing 20

Rx ColdPu Ji Xiao Du Yin 20 (throat)Jin Yin Hua 15 (sinuses)

Yin Qiao San 20 (wind-heat)Ge Gen Tang 10 (nose cold so still a bit of wind cold)Ning Sou San/ Ma Xing Gan Xi Tang 20 (lung)

Ns

keep an eye on heart pulse

Dani

Dxright cun:right guan:right chi:-----------left cun:left guan:left chi:

Naser

Dxright cun: home, too strong (hbp)right guan: home, too strongright chi: du pulse-----------left cun: yin wei pulse, scatteredleft guan: wiry, home, too strongleft chi: du pulse, (tight lower back)

Strategy

clear heatunblock heartlower bp

Rx HeartXue Fu Zhu Yu Tang 20Dan Shen 20Mao Dong Qing 20Gua Lou Xie Bai Ban Xia Tang 20San Qi 20

Rx HBpDu Zhong 50Yu Jin 50

Ns

excess heat causing HBPAngiotensin 2 inhibitor better than ACE inhibitor for excess heat pxsno herbs for pregnant ladies, (esp blood movers) except lifting herbs(Bu Zhong Yi Qi Tang) for women with propensity to miscarriages

Elisabeth

Dxright cun: too strong, convex, (fighting cold), superficial (home) - windheatright guan: home, but too strong (upset stomach)right chi: du pulse (neck tightness), turtle with a tail (du) (shoulder pain), -----------left cun: scattered/constricted(sympathetic activation due to fighting cold - better blood flow thru heart,but then it changed to a pathological pulse)

left guan: home but little too strongleft chi: turtle but smaller (birds beak-ish) (ovarian cysts), du pulse(lower back pain)

Sxhands coldinsomnia

Rx HeartXue Fu Zhu Yu Tang 20Dan Shen 20Gua Lou Xie Bai Ban Xia Tang 20Yan Hu Suo 40

Sven

Dxright cun: deep, convex, too strong (it’s not wiry (so usually foodallergies, bc not wiry), susceptible to sinus infections due to chronicinflammation in sinuses; also styloid pulse - throat problem/ post nasaldripright guan: home, but wiry slightlyright chi: scattered-----------left cun: Mitral Valve pulse; deep, slightly short, too strong, slightlyslipperyleft guan: deep, too strong, convex even, staring to become short (risk ofgallstone - congestion)left chi: turtle (varicoceles)

Strategy

clear damp-heat systemicallybreak up liver stagnationclear heat in heart/ pericardium

Rx1 SinusHuang Lian Shang Qing Wan 15Wu Wei Xiao Du Yin 15Yin Jin Hua 15He Zi 8Wu Bei Zi 8Zhen Ren Huo Ming Yin 40Long Dan Xie Gan Tang 20 (liver affecting the lung/ sinuses)

Rx 2 Heart/Liver Damp-HeatZhu Ru Wen Dan Tang 32Huan Lian 8Long Dan Xie Gan Tang 20Yin Chen Hao Tang 20Ge Xia Zhu Yu Tang 20

Rx3 Systemic Heat ClearingBa Zheng San 25Long Dan Xie Gan Tang 25Bai Hu Tang 25Zhi Bai Di Huang Tang 25

Rx Skin RashHe Zi 50Wu Bei Zi 50

Rx Psoriasis Mu Dan Pi 40Sheng Di 30Xuen Shen 30

Ns

restrict simple carbs/sugar, sugar, hot foods, alcohol - would feedthe chronic systemic subclinical inflammation

use netti-pot (nose-shower)hands are damp-hotsusceptible to hbp and diabetesAuto-immune disease/ alternatives to prednisolone/ all kinds of fireconditions:

Damp-heat RxSheng DiXuan ShenMu Dan PiSeattle 13 Yellows

Excess Heat RxLiver Fire Rx (strong)

Salty 40%: Zhen Zhu Mu 17Ci Shi 17Di Long 17

Bitter, Acrid 30%:Xia Ku Cao 15Yin Chen Hao 15

Sour 20%:Bai Shao 10Wu Bei Zi 10

Bitter 10%:Long Dan Cao 10

Liver Heat (less strong)Salty 40%:

Zhen Zhu Mu 17Ci Shi 17Di Long 17

Bitter, Sweet 30%:Xuan Shen 15Sheng Di Huang 15

Sour 20%:Bai Shao 10Wu Bei Zi 10

Bitter 10%:Long Dan Cao 10

Lung Fire (sinus infection; pounding, convex pulse)40% Salty:

Fu Hai Shi 17Ge Qiao 17Di Long 17

30%Acrid Bitter:Shi Gao 30

20% Sour:He Zi 10Wu Bei Zi 10 or Tian Hua Fen

Bitter 10%:Huang Qin 10

Fire in StomachSalty 40%:

Bai Wei 13Ge Gen 13Xuan Shen 13

Acrid Bitter 30%:Shi Gao 30

Sour 20%:He Zi 10Tian Hua Fen 10

Bitter 10%:Huang Lian 10

Food poisoning:ge gen huan qin huang lian tang 80%+ 20% astringents

Fire conditions:

Heat/ Fire in Lungs: Bai Hu Tang Gall Bladder heat is same as LiverLI heat: (auto-immune): Ge Gen Huang Lian Huang Qin TangUse this way (Nei Jing approach), it’s better than using the bitter

only approachCould replace bitter herb with Huang Bai (bitter and diuretic)because it makes you pee out the heat, perhaps quicker thanwithoutConstipation: Da Huang, Meng Xiao 10 each

Thin pulses everywhere esp. in left guan patients (easy angry,unhappy, frustrated, non-cooperative, perfectionists) - most difficultpatients (cannot be too strong in your herbal approach, so no strongblood movers, nothing too heat clearing either):

Dang Gui 15Chuan Xiong 15Jia Wei Xiao Yao San 40Shao Yao Gan Cao Tang/ Gan Mao Da Cao Tang 30

Paul

Dx

right cun: right guan: NAright chi: NA

general: reversed hookleft cun: left guan: superficial, strongleft chi:

Rx (fight or flight due to smoking)Long Dan Xie Gan Tang 40/50Zhi Bai Di Huang Tang 60/50

or Rx2Chai Hu Jia Long Gu Mu Li Tang 30Long Dan Xie Gan Tang 30Wu Wei Zi 15Xuan Shen 10Sheng Di Huang 10Long Dan Cao 10

Alexandra

Dxright cun: thin, weak (thyroid maybe)right guan: home but thinright chi: du pulse (neck)-----------left cun: weak, thin left guan: home, but thinleft chi: weak and thin

RxShi Quan Da Bu Tang 50 (tonify kidney and everything, slightly anemic)Jia Wei Xiao Yao San 50 (to keep the liver from congesting)He Huan Pi + Suan Zao Ren (anxiety combo)

or Rx2Yang Xin Tang 50Si Ni San 50

or Rx3Shi Quan Da Bu Tang 25Huang Qi 15Dang Shen 10Bai Shao 15

Wu Wei Zi 15Jia Wei Xiao Yao San 20

Ns

vegetarian pulsethe liver needs to be kept “open” when tonifying a patient withtonifying herbsmight be very anxiousany tonic will dodo not give Long Dan Xie Gan Tang (too strongly cooling)

Dermatological problemsIf itching

Ku Shen 15Bai Ji Li 15(Fang Feng)

either damp heat or excess heattoo high - dry heat (excess)too low - damp-heat

Usually need to use: Psoriasis comboSheng DiXuan Shen Mu Dan Pi

Anxiety herbs:

Anxiety due to blood stasis in heart (90% of pxs):He Huan PiSuan Zao Ren Bai Zi Ren

“hot” patients are your easiest patients

Pxs need to loose weight/ diabetic pxs:put them on a Paleo Diet (high fat/ medium protein/ low carb)usually 3 months to get off the diabetes pxs“Protein on plate needs to be more than vegetables. No grains,no sugar, no fruit."Tomatoes, but no tomato sauce. No blended fruits, no alcohol.This diet does not work for testosterone excess women."If it had a face and a momma, eat it!" Turn the food pyramid around for obese patients. “The recommendation of replacing grain for meat in the 60shas perhaps been the worst mistake done by the medicalcommunity."