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.
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.