Calm Spirit Healthcare

Internal and External Application of Chinese Herbal Medicinals






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The information found on this website and the uses and functions of any products on this web site are meant for educational purposes only and not intended to diagnose, treat, or cure any diseases. The uses and descriptions of these products are based on the Traditional Herbal Medicine of China. They have not been evaluated by the United States Food and Drug Administration. Please see a qualified healthcare professional if you have any questions regarding your health.
 
Although there are other ways to use herbal medicinals, this article will focus on the below mentioned methods.

Internal Application of Chinese Herbs

Methods of application

(1) Ingesting Medicinal Herbal Powders

(2) Ingesting Medicinal Herbal Wines

Ingesting herbal powders

The convenience of ingesting herbal powders is one major reason for their popular usage among Chinese and now in the West. Powdering of crude herbs has a very long history in China, with a popularity cycle that peaked in 1080 CE and again in the present.

The herbal powders are taken in one of three ways: (1) swallowing directly followed with water, tea or rice wine, (2) pouring hot water over the powder or boiling it, then stirring until cool enough to drink, or (3) placing the powder into capsules (or making it into pills / tablets). This last form of placing the powdered herbs into capsules or compressing them into tablets is the form most likely seen here in the United States.

Herbal Powders (Internal)

Traditional method of preparation and administration:
The crude herbs were traditionally ground by hand using assistants that would pound and crush the herbs in a very large mortar and then grind the herbs between stones. One method would be to place the herbs into a long trough type device and an assistant would push and pull a stone wheel back and forth over the herbs until ground. This type of grinding does not make for very fine powders, but is still used in parts of China and Tibet. Then the powder was stored for future use to be taken with a liquid or boiled. Another method mixed other substances into the powder such as yellow rice powder and a small amount of water or vinegar to make a thick paste. This paste would be formed into small round pills and dried. These pills would then be taken with water or rice wine.

Ingesting Medicinal Herbal Wines (Yao Jiu)

Traditional and modern method of preparation and administration:
The Chinese word "jiu" refers to any type of alcoholic beverage. It can refer to wines, sherry, brandy or distilled liquors such as vodka. In modern times, medicinal herbs are soaked in a grain alcohol for a specific period to make the herbal wines. Traditionally the medicinal substances would be put into the mash and fermented along with the wine or "white alcohol" (bai jiu). Two basic types of alcohol are traditionally use in making the wine. Rice wine or sake, is used to tincture herbs or a distilled grain alcohol (Bai Jiu), such as vodka, can be used. Some recipes for herbal wine called for the herbs to be crushed into pieces and placed into a porcelain container. Next the alcohol would be added to the herbs and the lid secured with yellow earth. The container was placed into the ground about 1 to 1.5 meters deep for anywhere from 30 to 100 days after which the container was unburied and the liquid was strained out. In other more simple recipes, one would just shake or stir the mixture daily until it was done soaking. The herbal wine either was taken as needed or on a daily basis. Typically, the patient was instructed to take a small amount of the wine. The dose is usually a small teacup size, about the size of what is known as a shot glass. The amount taken, .5 to 1 oz. each time, was such that the Qi of the alcohol was noticed, but was not to be taken and become drunk.

Contraindications for use

One should be aware of the cautions against usage of internal medicinal herbal wines if a person has candida, immune deficiency or an autoimmune disorder.
 

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External Application of Chinese Herbs

Methods of Application

(1) Applying Herbal Powders / Soft Plasters

(2) Massaging in Herbs

(3) Washes, soaks and compress

Applying Herbal Powders

Method of preparation and application

External powders are traditionally used for various skin problems that involve such symptoms as inflammation, itching, swelling and pain. They also can be applied directly to the skin for open wounds or cuts to stop bleeding. The powder can be mixed with an appropriate amount of cold, boiled water and made into a thin paste and applied to the affected area. By mixing the herbal powder with bees' wax, sesame oil or petroleum jelly, an herbal paste or soft plaster can be made. This paste can be used with such diseases as eczema and dermatitis when the production of serous fluid is absent.

Massaging in Herbs

External Herbal Wines: (Liniments)

Method of preparation and application

The external wines are made in the same way as the internal wines. But, because these are formulated with medicinals that are intended for the external body, they are not to be ingested unless directly stated.

Andy Ellis has instructed:  "Liniments should be rubbed in a very lightly, in a circular motion, into the affected area. To achieve best results keep the spot moist with liniment as you rub for 20-30 minutes."

Many of these preparations are associated with soreness, stiffness and soft tissue damage. They typically address swelling, pain and bruising of the soft tissue. Use of liniments along with acupuncture and soft plasters are used during the first stages of an injury. This type of treatment, along with internal ingestion of herbal medicine, acupuncture and /or massage, is necessary for the complete recovery from an injury. By allowing the correct flow of Qi through the injured area and also to the internal organs that are nourished by the meridian Qi that pass through these areas, there will be a minimum impact to long term health. Some medicinal herbal wines were traditionally developed for use before and after martial arts practice to prepare the body for the free flow of Qi and afterwards for the proper recovery of any hits and strikes associated with physical contact. These are called "Hit Wines" or "Training Wines". They are rubbed on any affected body part, usually arms, hands, feet or legs but may be used on any body part that suffers trauma. I have used these preventatively at the beginning of my day by placing a tablespoon or so in one hand and rubbing it into my other hand and forearm, repeating it with the other. Then, again at the end of the day I repeat the process. I also follow the application with gentle rubbing and stretching of the joints.

Contraindications and cautions:

Do not apply external liniments to any open wound. For external use only.

Washes, soaks and compress

Washes and Soaks
Method of preparation and application: Washes/Soak

Method of preparation and application:

The herbal formula is decocted in water and allowed to cool down. The affected area is then dipped into the liquid or the liquid is poured over the area repeatedly. Another method would be to place a cloth into the liquid and the soaked cloth lightly held onto the skin. Washing with an herbal decoction is used for dermatological conditions such as poison oak/ivy, scabies, scratches, erosion, wheals, sebborreric dermatitis, chronic eczema, and infected / fungal nails.

Compress Method of preparation and application

The herbal compress is used in situations of soft tissue trauma. They are used a few days after then initial trauma when the swelling and inflammation have subsided. This can be anywhere from 2 to 7 days. The herbs are placed inside of a cloth bag and cooked in water, thereby decocting the herbs into the water. When the water cools sufficiently, the bag of herbs is pressed against the body part. One may also use a cloth or towel used soaked in the liquid. I have used two towels at once during a treatment. Both towels are soaked in the herbal decoction and one is placed on the affected body part, while the other is left in the herbs to remain hot. When the first towel has cooled, it is placed back into the herbs to warm and the second towel is placed on the affected body part. The towels are alternated until the treatment is finished. 
The herbal liquid can be kept warm by keeping the container on a hot plate or similar device during the treatment. I have also used an electric frying pan or wok with a cover to keep a soaked towel warm. This is handy to have in the treatment room for multiple soaked towels to be available and keep the herbal container out of the treatment room. I have seen microwaves used for this also, but is not my choice of heating devices. They can be useful if kept away from the patients treatment room.