| Composition of Herbal Therapies
Capillaris Combination
(plus blood cooling and toxin resolving herbs)
Artemisiae
capillaris, Gardeniae fructus, Rhei rhizoma, Desmodii herba, Paeoniae
rubra radix, Polygoni cuspidati, Plantaginis herba, Polyporus umbellatus,
Scutellariae radix, Turmeric radix, Glycyrrhiza uralensis fisch
Modified Formulas of
Bupleurum and Tang-kuei Formula, and Bupleurum and Peony and Six Major
Herb Combination
Bupleuri
radix polyporus, Poria (Hoelen), Atractylodes rhizoma, Paeoniae alba
radix, Urantii fructus, Fructus oryzae germinatus, Fructus hordei
germinatus, Endothelium corneum gigeriae galli, Fructus citri
sarcodactylis, Glycyrrhiza uralensis fisch
Modified Glehnia and
Rehmannia Formula
Paeoniae
alba radix, Aurantii fructus, Angelicae radix, Rehmanniae radix,
Ophiopogonis radix, Fructus lycii, Glehniae radix, Cortex moutan radicis,
Fructus meliae toosendan, Ligustri fructus, Polygoni multiflori radix,
Zizyphi spinosi semen
Modified Aconite,
Ginseng, and Ginger Combination, and Gardenia and Hoelen Formula (Four
Major Herb Combination and Rehmannia Eight Formula)
Aconiti
praeparata raix, Cinnamomi ramulus, Zingiberis rhizoma, Atractylodes
rhizoma, Dioscoreae batatis rhizoma, Polyporus, Poria (Hoelen),
Polyporus umbellatus, Alismatis rhizoma, Arecae pericarpium, Glycyrrhiza
uralensis fisch
Modified Persica and
Achyranthes Combination, and Persica and Cinidium Combination (Persica and
Eupolyphaga Combination)
Carthami flos, Persicae semen, Cortex
moutan radicis, Aurantii fructus, Leonuri herba, Cyperi rhizoma,
Turmeric radix, Rhei rhizoma, Angelicae radix, Cnidii rhizoma,
Rehmanniae radix, Paeoniae rubra radix, Achyranthis radix, Citri
aurantii fructus, Bupleuri radix, Glycyrrhizae radix, Platycodi radix
AI #3 Capsule
Mucunae caulis, Sargentodoxae caulis,
Paederiae caulis
Allicin Capsule
Allii sativum bulbus (garlic)
BM Capsule
Momordica charantia, Fagophyrum
tatarium
Capillaris Combination
Artemisiae capillaris, Gardeniae
fructus, Rhei rhizoma
Circulation No. 1
Capsule
Carthami flos, Persicae semen,
Angelicae radix, Cnidii rhizoma, Rehmanniae radix, Paeoniae rubra radix,
Achyranthis radix, Citri aurantii fructus, Bupleuri radix, Glycyrrhizae
radix, Platycodi radix
Coptin Capsule
Coptis chinensis franch
Cordyceps Capsule
Cordyceps sinensis
Gall No. 1 Capsule
Bupleuri radix, Artemisiae capillaris
herba, Desmodii herba, Taraxaci herba, Gardeniae fructus, Saussureae
radix, Citri pericarpium, Citri immaturi pericarpium, Salviae
miltiorrhziae radix, Angelica radix, Scutellariae radix, Gentianae radix
Ginseng and
Atractylodes Formula
Ginseng radix, Dioscoreae rhizoma,
Dolichoris album semen, Coicis semen, Nelumbinis semen, Atractylodis
macrocephalae rhizoma, Poriae alba, Glycyrrhizae radix, Amomi fructus,
Platycodi radix, and Zizipi jujubae fructus
Glycyrrihzin Capsule
Hepa Formula No. 2.
Capsule
Schizandrae fructus, Artemisiae
capillaris herba, Alismatis rhizoma, Polyporus, Poria (Hoelen),
Atractylodes rhizoma, Cinnamomi ramulus, Citri pericarpium, Magnoliae
cortex, Zingiberis rhizoma (ginger), Glycyrrhizae radix
(licorice)
HerbSom Capsule
Corydalis yanhusao rhizoma, Zizyphus
spinosi semen, Schizandrae fructus
Ligustrin
Capsule
Ligustrum lucidum ait
Red Poeny Combination
Paeoniae rubra radix, Puerariae
radix, Salviae miltiorrhziae radix, Persicae semen, Artemisiae
capillaris herba, Aristolochiae fangchi radix
Rhubarbin Capsule
Rhei rhizoma
Tiao Ying Yin
Angelicae radix, Cnidii rhizoma,
Paeoniae rubra radix, Rhei rhzoma, Polyporus, Poria (Hoelen), Corydalis
yanhusao rhizoma, Dianthi herba, Zedoariae rhizoma, Mori radicis cortex,
Leonuri fructus, Arecae pericarpipum
Pharmacology of
Herbs and Formulas
The following list of the
pharmacology of the major herbal
remedies is for reference only. If you choose to take any of these herbal
remedies, it may be helpful to provide your western health care provider
with this information. It will help him or her better understand what you
are taking and how it may or may not affect any treatment he or she is
prescribing.
Herbs
Allicin
Allicin has a very wide spectrum of
anti-infectious capabilities.
It is effective against bacteria,
mycobacteria, fungi, protozoa, and certain viruses.
It is potent enough to treat many common
infections such as bacillary dysentery, amebic dysentery, deep fungal
infections, whooping cough, endobronchial tuberculosis, oxyuriasis
(pinworms), trichomonas vaginitis, and others.
It has been used in China for more than
20 years. For most of the above conditions, the cure rate is above 80%.
It is virtually nontoxic. Its LD50
is 134.9 times higher than its therapeutic dose.
Artemisiae
capillaris thunb herba
This is the main herb
in TCM used to treat jaundice. It has the following
pharmacological actions.
It fosters
bile secretion in both healthy or
carbon tetrachloride liver damaged
animals. The dry weight of the bile is increased with the increased
secretion of the bile. Its decoction
can decrease the tone of the sphincter of Oddi in anesthetized dogs.
It has liver protective effects.
It reduces carbon tetrachloride-induced
liver damage and ALT elevation. It also helps
recover liver glycogen and
RNA.
It lowers blood lipids
and has fibrolytic effects.
Bupleuri radix
Bupleuri radix
has the following liver-protective and biliary effects.
It can protect the liver
from toxic damage caused by
galactosalmine, Penicillium notatum and carbon tetrachloride.
It can increase bile secretion and the
amount of bile salt in the bile.
Its anti-inflammatory effect can be used
to treat inflammation of the liver and gall
bladder.
Coptis chinensis
franch
Coptis chinensis
franch has antimicrobial properties.
It can strongly suppress
Staphylococcus aureus, Streptococcus, pneumococcus, Vibrio comma,
anthrax bacillus, Bacillus dysenteriae, hay bacillus, pneumobacillus,
Bacillus diphtheriae, Bordetella pertussis, Brucellaceae, and
Mycobacterium tuberculosi.
It can suppress influenza viruses and
Newcastle disease virus in vitro.
It can act against ameba,
Chlamydi trachomatis, trichomonad, and Leptospira.
It is virtually nontoxic. The LD50 was 205mg/kg.
Cordyceps Capsule (Cordyceps
sinesis)
In TCM, the various
actions ascribed to Cordyceps Capsule are lung-nourishing, kidney,
vital-essence- and vital-energy-tonifying, homeostatic, and
phlegm-resolving (or mucolytic).
It is used in general
debility after sickness, and for elderly persons.
Its superior therapeutic effects have
been confirmed in many controlled, well-designed studies carried out by
medical schools in China including Beijing, Shanghai, and Nanjing.
It is virtually nontoxic.
The effects of this herb in
chronic viral hepatitis have been
studied. The efficacy rate was reportedly above 80% in a 256 patient
clinical study. Cordyceps sinesis can lower ALT, improve liver function,
relieve liver related symptoms, and increase
albumin. It has also been used for
cirrhosis caused by chronic viral
hepatitis. In the previously mentioned study, 17 out of 22 patients had
increased albumin levels after three months of treatment. Twelve of 17
patients with ascites experienced complete resolution of
ascites while the other five had a
reduction in ascites.1
This herb is helpful for
immunodeficiency caused by viral infection,
chemotherapy, radiotherapy, major illness or surgery.
Cordyceps sinesis
is used to treat impotence, premature ejaculation, low libido, low sperm
counts and/or activity, irregular menstruation, and leukorrhea.
Desmodii
styracifolium her
This herb can
facilitate bile secretion and help expel sandy gall stones.
It can relax the
sphincter of Oddi.
It can abate biliary obstruction and
pain.
It prevents the precipitation of
gallstone forming elements.
Glycyrrhizin
(GL)
GL has various
pharmacological actions that can be useful in treating
hepatitis C.
GL has
antiviral effects. It can induce
the generation of interferon-gamma in test animals and humans. It can
prolong the survival of mice after being injected with mouse hepatitis
virus (MHV). In rabbits, it can inhibit vaccinia virus proliferation.
GL protects liver cells from chemical
injuries. It can alleviate
histological changes due to carbon tetrachloride toxication, and
lower ALT. It can reduce liver cell degeneration and
necrosis, and help recover
glycogen and RNA. Experimental hepatitis and cirrhosis studies in rats
found GL can promote regeneration of liver cells and inhibit
fibrosis. It can also reduce
gamma globulin and
interstitial inflammation in the
liver.
It has antiallergic, anti-inflammatory,
and detoxifying activities that resemble those of glucocorticoid. GL
also inhibits the release of histamine from mast cells.
Although licorice is a nontoxic herb,
long-term use of GL can cause adverse reactions in about 20% of
patients. Adverse reactions include edema,
rise in blood pressure, low blood potassium, dizziness,
fatigued limbs, and others. People
with hypertension should not take GL.
The glycyrrhizin capsule used at Zhang’s
Clinic in New York City is a potassium
salt of glycyrrhizic acid.
Ligustrum iucidum
ait
Ligustrum is a highly
purified extract of Ligustrum lucidum fructus. Its active
chemical component is oleanolic acid. It can protect the liver from
chemical and biological injuries.
Ligustrum can lower ALT
levels. In experimental cirrhosis studies, it has been found to inhibit
degeneration and reduce necrosis of liver cells.2 It can increase the
glycogen in the liver, and accelerate the regeneration of liver cells.
It can also inhibit inflammation and collagen
formation.
It can raise the
white blood cell count, and is
used to treat leukopenia caused by chemotherapy and radiotherapy.
In
clinical trials for hepatitis,
ligustrum reduced ALT, AST, and jaundice.
It promotes lymphoblast
cell transformation and macrophage phagocytosis.
Ligustrum can increase
coronary blood flow.
Acute and chronic
toxicity tests have shown
ligustrum has very low toxicity. After injecting dogs with 50mg/kg IV
and mice with 5mg/20g IV, 24 hours of observation found no adverse
reactions. After injecting rabbits with 50mg/kg IP daily for 6-12 weeks,
there were no heart, liver, or kidney disorders found.
Marmodica charnatia
(Bitter Melon)
A 1981 clinical trial in England found
that bitter melon (BM) can significantly improve glucose
tolerance in type II diabetes.3
A water soluble extract of BM can significantly reduce blood glucose
concentrations during oral glucose tolerance tests.
Animal studies with normal and diabetic
rats and rabbits have shown BM has a hypoglycemic effect.4 There are insulin-like
molecules in the extract of BM that have physiological effects similar
to those of insulin. The extract of BM can
also stimulate the pancreas to secret insulin, so it can help type II
diabetics produce more insulin. Some of the ingredients of BM can also
prolong the effects of insulin. The blood sugar regulating effects of BM
have different time phases, which make its blood sugar regulating
effects gradual and steady. Comparative studies conducted in China found
that its blood sugar reducing effects were similar to those of
tolbutamide.5
In China and southeast
Asia, BM is a commonly consumed vegetable, which indicates that it is
very safe.
Paederiae caulis
In TCM, this herb is considered sweet
with a slightly bitter aftertaste and a mild property.
It is antirheumatic, digestant,
antitussive, mucolytic, and analgesic. It also has sedative actions.
It can elevate the pain threshold.
Paederiae caulis inhibited
spontaneous activity in mice experiments, and prolonged
pentobarbital-induced sleep5
The total alkaloids of
this herb inhibit the contraction of the isolated intestine, and
antagonize spasm due to acetylcholine and histamine.
Paederiae caulis
has expectorant, antibacterial, hypotensive, and local anesthetic
actions. It also has corticosteroid-like effects.
Paederiae caulis
has been used for many skin diseases such as eczema, neurodermatitis,
and leprosy.
This herb is also used
to treat respiratory diseases such as bronchitis and whooping cough.
It has a high LD50 and has virtually no toxicity.
Polygoni cuspidati
rhizoma
The 10% decoction of this
herb inhibited Asian influenza virus type A, Jingke 68-1 strain, ECHO
11, and herpes simplex virus.6
A stronger inhibitory
action was exhibited by a 2% decoction against adenovirus type III,
poliomyelitis virus type II, Coxsackie virus group A and B, ECHO 11
group, encephalitis B virus, and herpes simplex I strain. The MIC
(minimal inhibitory concentration) against these viruses were 1:1600,
1:400, 1:400, 1:2560, 1:10240, 1:3200, and 1:51200, respectively. A 20%
solution showed significant inhibitory action against the
hepatitis B surface
antigen (HBsAg).
The active principles I and II of the herb were able to decrease the HBsAg
titer eight-fold.
This herb has been used
for chronic viral hepatitis, acute inflammatory diseases, neonatal
jaundice, and leukopenia.
Rhei rhizoma
(Rhubarb root)
Extracts made by alcohol extraction of
this herb contain aloe emodin, rhein, and chrysophanol.
Pharmacological studies have found it
has a wide antimicrobial spectrum. It can effectively suppress
Staphylococcus, anthrax bacillus, Bacillus dysenteriae,
Streptococcus, and E. coli.7 It is especially
effective for Staphylococcus and Streptococcus.
This herb also has
antiviral effects. A strong inhibitory action against the influenza
virus was exhibited by the herb decoction.8 The minimum effective
dose in chicken embryos was 5 mg per embryo.
Clinically, rhubarb root
has been used for indigestion, constipation, acute inflammatory
diseases, infectious and parasitic diseases, hemorrhage, and
thrombocytopenia (low platelets).
Its strong purgative and
laxative effects can be used to treat constipation.
Chrysophanol has
hemostatic effects (stops bleeding), and is often used for bleeding in
the gastrointestinal system.
The LD50 of
rhubarb root is 250-500mg/kg. The LD50 of chrysophanol is
10grams/kg and is very safe.
Salviae
miltiorrhziae radix (Salvia)
Salvia improves the
microcirculation in the liver. It
markedly increases liver blood flow in acute and chronic carbon
tetrachloride (CCl4) toxic models.9
The fibrosis preventive effects of Salvia are mainly the result of its
microcirculation improving effects.
Salvia also improves
microcirculation in people with coronary disease. In one study, 70% of
the patients’ conjunctiva and nail fold microcirculation improved with
treatment.10 In
animal studies, the extract of this herb reversed the peripheral
microcirculation blockage caused by intravenous infusion of 10% dextran.10 It can increase
blood supply to the heart and ischemic tissue.
In the CCl4
toxic rat model, salvia can quickly lower ALT, and reduce inflammation,
necrosis, and steatosis (fatty liver
degeneration). In the control group, CCl4 caused liver
collagen and globulin to increase from 19.8 mg/g to 51.4 mg/g, and 14.21
mg/g to 23.04 mg/g, respectively. Every rat in the control group
developed cirrhosis. In the salvia treated group, not a single rat
developed cirrhosis, nor did the collagen and globulin increase.11
Schizandrae fructus
Sophorae
subprostratae radix
The active ingredient of this herb is
oxymatrine. In three commonly used liver damage models (CCl4
induced rabbit, rat, and mouse liver damage models), oxymatrine
prevented liver cell damage. Compared with the control group, the
oxymatine treated group had much lower ALT, less liver cell necrosis,
and much less inflammation.13
Oxymatrine can increase
cytochrome P-450 content and activity, and increase the amount of smooth
surfaced endoplasmic reticulum of the liver cell.
This herb is an inducer
of the cytochrome P-450 system. Thus, it can strengthen the
detoxification capability of the liver. It also has viral suppressive,
anti-inflammatory, immunoregulatory, anticancer, and leukogenic (raising
the white blood cell count) effects.
Herbal Formulas
Capillaris Combination
This is a very old and famous formula
that was formulated by the Chinese medical sage Zhang Zhongjing about
2,000 years ago.
Clinical Pharmacology
Clears dampness-heat type jaundice that
manifests as bright yellowish coloration of the eyes and skin,
oliguria with dark yellow urine, yellow and greasy fur on the tongue,
a smooth and rapid pulse, and other signs
and symptoms.
The whole formula has
cholegogic and choleretic (facilitating bile secretion) effects.
Intraduodenal administration of the alcohol extracts of this formula
in rats markedly increased the bile collected by up to 51.28%, and
increased the solid composition of the bile by 85%.14 Its choleretic
effects are mainly due to increasing the secretion of the bile in the
micro bile ducts.
It has liver protective
effects and can reduce the liver damage caused by a-naphthylisothiocyanate
(ANIT). While using this formula, the ALP, total
bilirubin, ALT, and AST
elevations caused by ANIT all improved dramatically.15
Histological examination
revealed that hypertrophy of the micro bile duct cells, necrosis of
liver cells, and inflammatory cell infiltration were much milder in
treated animals compared with the untreated control group. The liver
glycogen and RNA content were normalized, and the ALT activity was
markedly reduced.16
Circulation No.1
Capsule
This is a modified
formula based on Persica & Achyranthes Combination and Persica &
Cinidium Combination. Traditionally, these formulas were used for blood
stagnancy or stasis that manifests with symptoms such as dark or
purplish tongue, cold hands and feet, dark rings around the eyes, liver
palm, spider moles, dry and itchy skin, rashes, lumps, and upper
abdominal discomfort.
Clinical Pharmacology
This formula can
noticeably ameliorate the acute microcirculation disorder induced by
macromolecular dextran in rats.17
It dilates the microcapillaries, accelerates blood flow, and opens
more micro-capillary networks. The result is to increase blood
infusion to the tissues and stop the pathology caused by the
microcirculation disorder. It can promote the phagocytosis by
macrophages (Kupffer cells) in the liver. It can also clear the
clotting factors in DIC (disseminated intravascular coagulation) and
stop the progress of DIC.18
It will not prolong the
PTT or prothrombin time. It can
suppress the clustering of platelets.
It can improve phagocytosis
by macrophages. It can also regulate cellular and humoral
immunity.
It can noticeably suppress
granuloma formation (a fibrotic activity).19
Ginseng and
Atractylodes Formula
This formula was
first created by the National Medical Bureau of the Song Dynasty about
1,000 years ago.
Clinical Pharmacology
This formula is used for
strengthening digestion and vital energy. It is helpful for treating
diarrhea, poor appetite,
emaciation, and white and greasy fur on the tongue.
This formula can improve
absorption in the intestinal tract. Giving the decoction of the
formula increased water and chloride
absorption in the intestine of rabbits under anesthesia.20 It
is an antagonist to the spastic effects of acetylcholine on the
intestine.
HerSom Capsule
Clinical Pharmacology
This formula has been studied in teaching
hospitals in China. Randomized, controlled clinical trials have shown
that this formula has sleep-inducing effects and improves the quality
of sleep. In a study of 374 patients, improvement in sleep was found
to be statistically equivalent to that of methaqualone.21 HerbSom
formula is not habit forming and has no hangover effect.
The pharmacological data of
these herbs show that they may also have many beneficial effects on
the cardiovascular and neurological systems of the body.
These herbs have no harmful
effects on the liver.
Caution:
Keep this formula out of reach of children. This product should not
be taken while driving a car or operating heavy machinery.
Yunnan Paiyao Capsule
This is a very famous
traditional herbal medicine.
Clinical Pharmacology
This formula can quickly
stop bleeding in rat and rabbit liver injury models, and rabbit large
artery injury models.22 It
has been shown to dramatically reduce clotting time in human and
rabbit experiments.23
The hemostatic effects begin 30 minutes after administration, and
peaks 2-3 hours after administration. These effects can last for more
than four hours. The hemostatic effect is due to a permeability change
in the cell membranes of platelets. This causes the release of
clotting factors from platelets that promote clotting.
This formula can suppress
inflammation in various animal models.24
The strength of its antiinflammatory effect is similar to that of
corticosteroids.
It also has analgesic and
antineoplastic (antitumor) effects.
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