LU+-+Ma+Huang+&+Gui+Zhi

=The combination to treat the failure of the Lung to predominate the skin due to wind-cold attack: Ma Huang & Gui Zhi=

= = ==**Ma Huang ( Ephedrae Herba, Ephedracea, Ephedra sinica, Intermidia, equisetina; Ephedra stem)** ==



**Category:**

 * Warm Release the Exterior

**Properties:**

 * Acrid, Slightly bitter (bitter not prominent), warm
 * Lung, Bladder
 * Induces sweating
 * Calms wheezing
 * Promotes urination
 * CONTRA: b/c strong diaphoretic use small dose, not for the debilitated or with spontaneous sweating from exterior deficiency, night sweats, or yin deficiency or with Kidney failing to accept qi

**Notes:**

 * "After using any medicine with ephedra one must avoid drafts for one day: - Li Shi Zhen
 * "Problem of red eyes arising from Ma Huang can be avoided by using Huang Qin (scutellariae radix) in combination

// Dr Liu says: //


 * preparation of Ma Huang
 * Never use alone
 * Always check constitution of patient (LV yang rising, High Blood Pressure, Palpitation, etc.)
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Cut out nodes
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">cook seperately and remove foam
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">smash internodes and only use fiber ("Ma Rong")
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Combine w/ Gan Cao


 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">SHL 35 is first mention of Ma Huang
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Combo Ma Huang with Xing ren it goes to Large Intesting
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Combo Ma Huang with Shi Gao goes to Bladder
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Use to tx obstruction of qi leading to wheeze
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">MUST differentiate rebelling lung qi and Lung qi obstruction, heat lodged in the Lung, and, Lung qi Deficiency! Different Tx!
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Tx: EPI, Skin issue, Lung probs
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Broad scope of function! NOT just for sweating, open pores.
 * <span style="margin-bottom: 0px; margin-left: 0px; margin-right: 0px; margin-top: 0.5em; padding-bottom: 0px; padding-left: 3em; padding-right: 0px; padding-top: 0px;">Limited sweating function without Gui Zhi that provides source of sweat from the blood/muscle layer

Category:

 * Warm Acrid Release Exterior

Properties:

 * Heart, Lung, Bladder, Spleen
 * acrid, sweet, warm
 * Light and warm
 * Releases the muscle layer
 * Un blocks yang qi
 * Warms the middle

The Combination of Ma Huang & Gui Zhi

 * Both strongly disperse wind cold b/c acrid and warm
 * Best in the winter
 * synergistically cause diaphoresis
 * Ma Huang disperses the Lung, good for cough and wheezing in excess conditions
 * Ma Huang transforms edema into Urination
 * Gui Zhi can treat deficiency conditions in combination with bai shao yao
 * Gui zhi moves yang qi
 * Gui zhi warms channels
 * Gui zhi unblocks to treat dysurea and edema
 * Both go to the Lung and bladder
 * Both treat water metabolism problems like edema and inhibited urination
 * Together they build Wei Qi to release the exterior by dispersing

Function:

 * Disperse
 * Warm
 * increase water metabolism
 * Build wei qi to release the exterior
 * Amount of sweating of Ma Huang Depends upon amount of gui zhi
 * Ma huang opens door...super ficial. Wei Qi mobilized
 * Gui zhi releases muscle layer and mobilizes Ying qi by acivating yang and by entering HEART
 * Heart pumps the blood
 * Blood intertransforms with ying qi + body fluids
 * Gui zhi & Ma Huang normalizes the cycle: Ying generates Wei and wei opens the pore and they expell the pathogen
 * BUT Gui Zhi & Bai Zhu the focus is on the Middle Jiao...both go to spleen!
 * Together: HMZ ying and wei
 * Theraputic sweating
 * BUT Sauna mechanism (not heart and lung...just surface is "bad" Open pores, induce sweat, then jump in cold and shut pores with fluid inside. This fluid then becomes trapped and transforms to damp. Risk of profuse sweating damaging wei qi.
 * Hot springs ok. Don't try to sweat. Little bit of warm
 * Must be sure of what is predominent of Wind-Cold Damp
 * HOW are ying and wei qi being obstructed (muscle pain, absence of sweat, chills(wei can't warm surface)/fever if goes deeper will get Joint bi
 * Example: Dry skin is a wei qi-Blood-ying qi-body fluid disharmony of interaction b/w skin and vessels in these spaces (often obstructed by damp heat....damp heat toxin)
 * Feeling of heat and cold might not be the pathogen....Extreme temperatures might feel the opposite...check the pulse
 * Cold hands and feet might be just anger

Combining Principals:

 * Movement of qi: dispersing & warming
 * Zang Fu: Lung and Bladder (one zang and one fu....water metabolism)
 * Both Acrid and warm
 * Sweet vs. Bitter
 * Work on Wei Qi
 * Need strong body constitution
 * External pathogens

Indications:

 * Wind cold invasion: Fever, Chills, no sweating, aversion to cold, cough/wheezing

Formulas:

 * Ma Huang Tang
 * Ma Huang, Gui zhi, xing ren, ZGC
 * Severe wind cold with Yang qi deficiency, lung is not descending and disseminating
 * Release ext and support the D/D of the lung and transform mucus
 * Xiao Qing Long Tang
 * Chronic Water Metabolism formula
 * Fever and chills
 * No sweating
 * Cough/wheeze
 * Phlegm caused by wind cold
 * Goal: Release the exterior and transform mucus in the interior
 * Da Qing Long Tang

//Dr. Liu's Notes://

 * With this combination we are addressing the symptoms of wind cold
 * Address lung-heart; skin-meridians; Ying-wei; in the vessels-out of the vessels;
 * Ma Huang: Lung is wei, skin, pores, dispersal
 * Gui Zhi: Heart, blood, meridians, ying + body fluids
 * Key is to get the Ying and Wei to communicate
 * Ma Huang: "Kai Men Yi Dao" Open the door to let the thief out (sweat)
 * Gui zhi: helps push the burglar gently out from the ying level