TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS

Consumption & Tuberculosis

Consumption is the classic Yin-deficient Heat disease. In traditional theory, long-term heat has damaged the Yin and is now burning the fluids and tissues of the body. The body slowly wastes, becomes emaciated, with Night Sweats and fevers in the Afternoons, a withered look, dull eyes and a parched mouth. This describes the Yin deficient Heat of TCM perfectly, and is also the cause of the Hectic Fever of the Western Tradition.

Treatment:

Treatment requires clearing the Deficient Heat while Nourishing the Yin. Acute and serious cases may require stronger medicines to attack Heat (anti-bacterial medicines), while Chronic cases with marked weakness require a focus on restoring Yin and nourishing the Body.

While TCM has specific herbs for clearing Deficient Heat, in practice Yin tonics with cooling medicines are often used. Medicines such as Pearls can be used to support the Yin while clearing Heat.

“Sugar of Roses is very profitable, as also the Conserve; by use whereof, Avicenna reports that he cured a Woman of a desperate Consumption, so that she was not-only sound but very fat afterwards.
Mesue also witnesses that many have been recovered by the same, and he directs that the Conserve of Roses be new, not above a year old, taken in a great quantity.
Montanus, Valeriola, and Foreslus, say that they have seen some cured by taking Sugar of Roses in great quantities. An Apothecary whom I knew in a Consumption, made a great quantity of Sugar of Roses for himself, and eat it constantly, by which he was cured”. (The Practice of Physick, 1663)

Diet:

Barley, Almonds, Pine-nuts, Rice, Walnut, Raisins, Dates etc., 
“Milk commended at first is very good”
“Let his Drink be Water and Sugar, Barley Water and Licorice; an Infusion of Licorice, a thin Hydrome), or a weak Decoction of China [root]”. (The Practice of Physick, 1663)


Western Tradition

Phthisi conferunt–Consumption
1. Betony powder mixed with Honey into an Electuary and taken.
2. Pine nuts beaten with wine and honey until the consistency of Honey.
3. Boil Marshmallow in milk or wine and take.
4. “The Syrup of Comfrey is excellent”.
5. “The Pouder of Burnet, one dram given every day in Broth, is esteemed excellent”. (The Practice of Physick, 1663)
6. “The Syrup of the flowers of St. Johns wort, made by Infusion in Balneo Mariae, is very good in this Disease, as also for al inward ulcers”. (The Practice of Physick, 1663)
7. “Trallianus lib. 7. cap. 1. boasts that he cured many with Blood-stone” [Hematite].
8. Take a quart of Snails, break their shells and wash well in water. Then boil in half a gallon of Milk until boiled to half. Take half a pint every morning. (Natura exenterata, Philiatros, 1655)
9. Nothing was praised more than the Confection of Fox Testicles by classical writers.
10. Prepared Fox Lungs were also highly regarded.
11. Lungs and Heart of a Goose boiled and eaten (Secrets of Alexis)
12. Fumigations were also used in the sick room, a good example being: Frankincense, Myrrh, Mastic and Benzoin.

Sugar of Rose
Infusion for Consumption
Decoction of a Cock
Pectoral Decoction
Decoction of River Crayfish
Decoction of Snails
Decoction Against Lung Ulcers
Syrup of Violet
Syrup of Hyssop

Syrup Against Consumption
Syrup of Snails
Syrup of Poppy compound
Syrup of Violet Compound
Syrup of Sweet Pomegranate
Syrup of Comfrey and Plantain (Boyles Syrup)
Compound Syrup of Comfrey
Gelatin of Deer Horn
Lohoch of Fox Lungs
Tincture of Honey
Confection of Fox Testicles
Tragacanth Cooling Powder (Diatragacanth Frigidum)
Cooling Pearl Powder (Diamargariton Frigidum Nicolai)
Powder for the Lungs (Wirtzung)
Powder of Haly (Haly)
Diathamaron Magna (Nicholas)
Abbots Confect of Rose (Diarrhodon Abbatis) (Nicholas)
Powder of Crabs (Unani)
Powder of Three Sandalwoods (Diatrionsantalum)
Philonium Romanum (Nicholas)
Troches of Camphor (Nicholas)
Sugar Penids (Diapenidium)
Electuary of Orchid (Diasatyrion) (Nicholas)
A Sound and Experienced Electuary (Mesue)
Sweet Almond Oil

Copper 25 (Zangs thal nyer lnga)
Death Healing Nectar (Bdud rtsi chi gsos) 
Mercury Precious 18 (Dngul chu rin chen bcho brgyad)
Principle 25 (Gtso bo nyer lnga)
Rhinoceros Horn 25 (Bse ru nyer lnga)
Tabasheer 25 (Cu gang nyer lnga)
Great Cold Compound Precious Black Pill
Precious Wish Fulfilling Jewel (Ratna bsam ‘phel)

TCM Classification

Acute Stage-Heat and Phlegm
Beginning stages with Cough with yellow Phlegm, Fever and chills; rapid pulse
Xiao Chai Hu Tang

Qi and Yin Deficiency
Fatigue, short of breath worse after little exertion, dry throat, thirst, cough, scanty sputum, spontaneous sweating. Pulse is weak, tongue is pale.
Sheng Mai San
Bu Fei Tang
Jiu Xian San

Yin Deficiency
Dry cough, chest pain when coughing, tidal fever, Night Sweats, heat of the palms soles, dry skin, dry throat, insomnia, irritability; dry and red tongue, weak pulse.
Bai He Gu Jin Tang
Liu Wei Di Huang Wan
Ma Wei Di Huang Wan
Zuo Gui Wan
Zuo Gui Yin

Yin Deficient Fire
As above with more heat symptoms; low grade Fever, stronger Night Sweats, insomnia, maybe blood in the sputum, emaciation; tongue is more red, maybe cracked, with a weak and rapid pulse.
Liu Wei Di Huang Wan
Zhi Bai Di Huang Wan
Da Bu Yin Wan


Special formula

1. Oatmeal, 5 cloves of Garlic minced, Currants one handful. Boil in broth and take morning and evening. (Natura exenterata, Philatros, 1655)
2. Prepare a broth with a Rooster, China root, Raisins, Dates, shaved Deer horn, Maidenhair, Thyme, Violet
3. Dates, Raisins, Figs, Maidenhair, Coltsfoot, Aniseed, Coriander seed, decoct down to half
4. Fox Lungs prepared, Licorice, Aniseed, Fennel seed, Maidenhair (equal parts) powdered; prepare a sugar syrup until thick then add the powder to form an Electuary.
5. Syrups of Hyssop, of Coltsfoot, of Licorice (1 oz. each), Flowers of Sulphur (½ scruple)
6. Crabs burnt, Poppy seed, Tragacanth, Tabasheer, Licorice
7. Core an Apple, put in Frankincense and Flowers of Sulphur, one scruple each, seal the Apple, roast it and have the patient eat it with sugar for 8 or 10 mornings.
8. Flowers of Sulphur      3 drams
With Sugar dissolved in Rose water, form lozenges to be held in the mouth.
9. Conserve of Rose
    Cooling Pearl Powder
    Diapenidion                   1 oz. ea.
    Flowers of Sulphur      3 drams
Powder, form an Electuary with Honey and take as much as a Hazelnut 2 or 3 times daily.

DECOCTION FOR CONSUMPTION
    Barley                             half a pugil
    Licorice
    Raisins stoned              3 drams ea.
    Jujubes                          4
    Flowers of’Bugloss 
      and Violets                  ½ pugil ea.
Boil them to three ounces: In the straining dissolve Rhubarb infused in Scabious Water with yellow Sandalwood 4 scruples; Manna 1 ounce: Syrup of Rose ½ ounce. Make a Potion. (The Practice of Physick, 1663)

DECOCTION AGAINST THE CONSUMING HEAT OF THE BODY.
    A piece of Veal or Mutton
    One good Chicken
    Deer horn                                 ½ oz.
    Currants
    Asparagus root
    Fennel root
    Parsley roots
    Borage & Bugloss flowers    1 handful ea.
Take a little bundle of sweet herbs (sweet Marjoram, Rosemary, Thyme, Winter Savory), a sliced Pippin (Apple) or two, and the Crust of white Bread; put all these in after the meat has been boiled a short while and well scummed; you must take three quarts of Spring water, and boil it to the consumption of a half; strain it, and drink ithereof warm two or three times a day. It srengthens nature, and allies the consuming heat in the Body. (Hartman, 1682)

A REGIMEN FOR CONSUMPTION
Cardanus says, that he cured many Consumptions with this course following: namely, by giving no other nourishment than Barley Broth made without Flesh, and Water with Sugar, and every morning four ounces of the Decoction of the Tails and Legs of Crayfish made in Barley Water with two drams of Sugar”.

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