Guest guest Posted August 18, 2006 Report Share Posted August 18, 2006 This is a post for the TCM students and healthcare professionals on the board: The two main ways toxins are metabolized and eliminated from the body are by the liver (bile) and the bowel movements and through the kidneys and urination. It's well-known that attention is paid to the primary way drugs and metabolized and eliminated from the body. For example, in the case of severe kidney problems - like renal failure - drugs that are metabolized mainly by the liver are preferable to those metabolized mainly by the kidneys. In the case of renal failure, the drugs metabolized by the kidneys aren't metabolized and eliminated. They can build up in the body, causing all kinds of problems. The same attention needs to be paid to herbs. One herb you'll see used in formulas for kidney/ Kidney problems with underlying Roots of Yang Deficiency and/or Cold is Fu Zi, aka prepared aconite, aka Radix Lateralis Aconiti Carmichaeli Praeparata. Fu Zi is a very powerful herb with a lot of potential side effects. " At present, there is no research indicating exactly where Fu Zi is metabolized, i.e., what percentage of it is metabolized by the liver or by the kidney. If the kidney is involved in metabolizing Fu Zi to a large degree, CRF " (Chronic Renal Failure) " patients will take a longer time to metabolize it than normal individuals. Several books recommend high dosages of Fu Zi in formulas for CRF. However, in view of the above, one should be cautious with the dosage of Fu Zi. One should first determine how well the kidney is functioning, and then lower the dosage accordingly. To be safe, one should begin prescribing Fu Zi at no more than one-third to one-half the normal does. Even when prescribing low dosages, one must carefully monitor the patient for signs of toxicity. These include burning mounth or tongue, numbness, excess salization, nausea, vomiting, diarrhea, dizziness, numbness of the extremities or the whole body, cold clammy skin, blurred vision, dyspnea, or heart arrhythmia. An overdose can lead to coma and death.22 " Footnote 22: " Antidotes include 1-2% tannic acid, emetics, activated charcoal, IV Glucose- Saline. Use stimulatns and keep the patient warm. " (Clinical Nephrology in by Wei Li and David Frierman with Ben Luna and Bob Flaws, p. 260 and p. 264.) A note to the students: Suspected renal failure is one of those conditions that you will want to get the client to a MD or DO immediately. In some of these cases dialysis will be needed immediately. After the person is stabalized, there is quite a bit that TCM can do in many of these cases. But you'll still want the person monitored by a MD or DO in order to judge the effectiveness of the TCM treatment. (There are some modern urinalysis tests that the ancient Chinese didn't have access to. Things like testing for protein, casts, and other substances. These tests are very important in judging the effectiveness of treatment be it allopathic or a combination of allopathic and TCM.) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 23, 2006 Report Share Posted August 23, 2006 I am very new to TCM, so this may be an ignorant question. Do toxins not also eliminate through the skin? And in TCM, is the skin considered an " organ " as it is sometimes referred to in Western medicine (in fact, the largest organ)? victoria_dragon <victoria_dragon wrote: To: Chinese Traditional Medicine " victoria_dragon " <victoria_dragon Thu, 17 Aug 2006 23:41:07 -0000 [Chinese Traditional Medicine] The two main ways toxins are eliminated from the body The two main ways toxins are metabolized and eliminated from the body are by the liver (bile) and the bowel movements and through the kidneys and urination. . Tamara In memory of Buck, the perfect dog 06/04/95-07/14/06 " The reason behind it all. " Talk is cheap. Use Messenger to make PC-to-Phone calls. Great rates starting at 1¢/min. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2006 Report Share Posted August 24, 2006 Chinese Traditional Medicine , Tamara <savepawsfurever wrote: > > I am very new to TCM, so this may be an ignorant question. Do toxins not also eliminate through the skin? And in TCM, is the skin considered an " organ " as it is sometimes referred to in Western medicine (in fact, the largest organ)? Good questions. The skin is kind of an organ in TCM, but more so it is really where an organ manifests itself. So in the exact sense, no it's not an organ, but yes the skin's condition is important in (there are 12 total " organs " if you will, the main yin organs are the liver, spleen, lungs, heart, and the kidneys. The main yang organs are the gall bladder, stomach, large intestines, small intestines and bladder associated with the yin organs respectively. Then there are some odd ones like the pericardium (the sac that the heart sits in, considered yin), and the triple burner (no western equivalent). The organ that manifests itself in the skin is the lung channel. The way I remember this is that the skin " breathes " , and so do the lungs. And to answer your question on being able to eliminate through the skin, yes you've got it the skin is considered an eliminatory channel, although it is considered to be a smaller one. I believe there are 4 total elimination channels, of course the bladder and the bowel (the liver bile eliminates through this channel), and then the skin, and I believe the other one is the mouth (but it could be something else), although the latter two are considered to be smaller, and generally are not widely used for elimination (again this is generally, and there would be instances where they would be used). Very good questions, and I hope I answered what you were looking for. If not, or you have any other questions feel free to ask =) Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2006 Report Share Posted August 24, 2006 Chinese Traditional Medicine , Tamara <savepawsfurever wrote: > > I am very new to TCM, so this may be an ignorant question. Do toxins not also eliminate through the skin? And in TCM, is the skin considered an " organ " as it is sometimes referred to in Western medicine (in fact, the largest organ)? The two main ways are Liver/feces and Kidneys/ urine, but TCM does recognize toxins coming out through the skin. There are herbs that will help measles, rashes, etc. to erupt so toxins can be eliminated from the body. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 24, 2006 Report Share Posted August 24, 2006 Chinese Traditional Medicine , Tamara <savepawsfurever wrote: > > I am very new to TCM, so this may be an ignorant question. Do toxins not also eliminate through the skin? And in TCM, is the skin considered an " organ " as it is sometimes referred to in Western medicine (in fact, the largest organ)? I want to go into more detail on the skin than I went into in the last post. In addition to the herbs that will help measles, rashes, etc. to erupt, there are herbs that will trigger sweating so that Pernicious Evils can be expelled from the body. The Pernicious Evils are Wind, Cold, Heat, Dampness, Dryness, and Fire. These are called " Herbs to Release the Exterior. The Exterior is the head, neck, skin, muscles, meridians, and bones. The common cold and flu are due to Wind Cold or Wind Heat invading the body. (The effects make the body more vulnerable to germs.) There are a number of illnesses that fit a model of what is called the 6 Stages of Cold-Induced Illnesses. During the first two stages, sweating should be induced with Exterior-Releasing herbs that are diaphoretic (inducing sweating). But these herbs can make the person sicker if the illness has progressed beyond the first 2 stages.(Most of the Exterior-Releasing herbs are diaphoretics though a few of them aren't. The herbs that help rashes to erupt also are Exterior- Releasing herbs.) Arthritis (called Painful Obstruction Syndrome or Bi Syndrome in TCM) is a condition of invasion by Wind, Cold, and/or Damp. The bones are considered the Exterior in TCM. The treatment is to Release the Exterior. If the arthritis is chronic one also has to tonify the Blood and/or Qi. Quote Link to comment Share on other sites More sharing options...
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