These studies support my clinical experience, and are in line with others that have concluded many common herbs are safe to use with warfarin. There is a prevailing trend to over focus on in vitro studies and theoretical concerns about drug-herb interactions that do not account for the complex interactions found in Chinese herbal formulations.
Chinese medicine is based largely on scholarship and a literary tradition, with the requirement to study essential classical texts, quote and debate them. The foundations of Chinese medicine are based on principles (yin yang, five phase, six channels) that require a philosophical and philological approach to the body of knowledge. Traditionally, a physician-in-training needed to study such texts as the Su Wen/Simple Questions, Ling Shu/Divine Pivot, and Nan Jing/Classic of Difficulties to understand channel/connecting vessel theory, the Shang Han Za Bing Lun/Treatise on Cold Damage and Miscellaneous Diseases to diagnose progressions of disease parts and practice internal medicine.
This is particularly important when discussing ginseng since it helps explain why previous studies have yielded contradictory or inconclusive results when studying the affects of ginseng on a study group. Not only does American ginseng itself vary significantly based on its genetic lineage and environmental rearing, but the study subjects themselves have variant microbiomes that produce different, sometimes opposite, results. Undoubtedly this process is it play in other herbs and medicines as well.
Dr. Armour introduced the idea of functional “heart brain.” His research revealed that the heart has a complex intrinsic nervous system that is sufficiently refined to qualify as a “little brain” in its own right, due to its independent existence.
The heart’s nervous system contains around 40,000 neurons, called sensory neurites. The heart’s brain is an intricate network of several types of neurons, neurotransmitters, proteins and support cells similar to those found in the brain proper. Its elaborate circuitry enables it to act independently of the cranial brain to learn, remember, and even feel and sense.
The patient presented with a complex array of symptoms that could easily overwhelm a practitioner or confuse the diagnosis. However, the presentation painted a clear picture of weakened Center Qi and an accumulation of dampness and heat in the Liver and Gallbladder systems. The tongue color confirmed the illness and the pulse its location. When treating the Liver one cannot address it solely or directly – restoring the Spleen is paramount. Akin to growing a garden this process takes time, the efficacy of which is clearly portrayed in the case history.
In order to prevent one from becoming ill one of the goal’s is to not harbor wind, cold, heat, dry, or damp within the body. In TCM one gets sick when they possess an internal element that resonates with an external; if it’s not there then you don’t get sick. This is a principle of physics called Resonance, and it is the foundation for preventative medicine.
After 6 weeks of treatment amylase reduced from 197 to 165, lipase 156 to 83. Bowels are brown color, no mucus. As of 9/14/15 amylase at 136, lipase 65; both values considered normal depending on the lab range values utilized. CT scan of abdomen revealed no acute disease. Complete metabolic panel shows low sodium and chloride (danger of restricted salt intake). Gall bladder and biliary scan revealed normal gallbladder ejection fraction, gall bladder organ thin-walled, free of stones and sludge. Vitamin D in normal range (86), cholesterol in normal range. No abdominal pain or distress, bowels are well-formed with no abnormality.