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Obstruction

Obstruction is one of the primary causes of diseases upon which there is a whole School of thought. Obstruction refers to the blockage of fluid or humors, or of Vital Spirit (Qi). In the Chinese Tradition, obstruction is of Qi or Blood. However, obstruction is usually complex, and often chronic.

Complex obstruction involves two or more of Heat, Cold, Damp, Phlegm, Dryness, Wind, Qi, and Blood. Often, in chronic conditions, a number of factors, even of opposite nature, are found together.

The main formulas for obstruction in the Western Tradition are based on those of Mesue. His formulas of Agrimony, Wormwood, Rhubarb and Lacca formed the basis in the treatment of Obstructions for centuries. They contained medicines to clear obstructions of Qi and Blood, and clear Phlegm and Heat.

TCM has a family of formulas which form the basis in the treatment of Qi obstruction; these are the 'Chai Hu' formulas. The other main family for obstructions is the 'Zhu Yu' formulas for Blood Stasis.

Western Tradition

Simples
Agrimony
Wormwood
Asarum
Maidenhair
Stoechas
Whey
Fumitory
Hyssop
Rhubarb
Dodder
Rose juice


Oppilationes aperiunt – Open obstructions

Syrup of Sorrel
Syrup of Fumitory

Syrup of Two Opening Roots
Syrup of Five Opening Roots

Oxymel
Oxymel of Squill
Oxymel of Squill Compound
Oxymel of Roots
Wormwood Wine
Electuary of Seeds
Greater Cumin Powder (Diacyminum) (Nicholas)
Powder of Gum Lacca Lesser (Dialacca Minores) (Mesue)
Powder of Gum Lacca Greater (Dialacca Majores) (Mesue)
Troches of Anise (Nicholas)
Troches of Wormwood Lesser (Mesue)
Troches of Wormwood Greater (Mesue)
Troches of Gum Lacca (Trochisci de Lacca) (Mesue)
Bitter Powder of Musk (Diamoschu Amarum) (Mesue)
Powder of Three Sandalwoods (Diatriasantalum) (Mesue)
Hiera Picra
Catholicum
Pilulae Aggregative minores
Oil of Bitter Almond
Oil of Peach kernel
Oil of Sesame
Oil of Costus
Oil of Pepper


-----------------------------

Obstruction from Bile

Opening Hepatic Decoction
Pills of Agrimony Greater (Mesue)
Troches of Barberries (Trochisci de Berberis) (Mesue)


Obstruction from Phlegm/Damp

Syrup of Two Opening Roots
Syrup of Five Opening Roots
Powder of Turbith (Avicenna)
Electuary of Turbith (Zenon)


Obstruction by Phlegm and Bile

Compound Syrup of Vinegar
Troches of Barberries (Trochisci de Berberis) (Mesue)


Obstruction of Qi

Letificans
Powder of Three Sandalwoods (Diatrionsantalum) (Mesue)

Greater Cumin Powder (Diacyminum) (Nicholas)
Electuary of Roman Spikenard
Troches of Rose (Rhasis)
Troches of Agrimony
Electuary of Costus (Mesue)


Obstruction of Qi and Phlegm/Damp

Syrup of Two Opening Roots
Syrup of Five Opening Roots
Greater Cumin Powder (Diacyminum) (Nicholas)
Bitter Troches (Nicholas)
Troches of Wormwood Lesser (Mesue)
Electuary of Costus (Mesue)


Obstruction of Blood

Troches of Rhubarb (Mesue)
Troches of Saffron (Nicolas)
Electuary of Saffron Lesser (Diacrocon Minus) (Mesue)
Powder of Madder

TCM Classification

Qi Stagnation

Liang Fu Wan
Xiao Yao San
Chai Hu Shu Gan San


Qi Stagnation with Phlegm

Ban Xia Huo Po Tang
Xiang Sha Liu Jun Zi Tang


Blood Stagnation

Tong Qiao Huo Xue Tang (Head)

Xue Fu Zhu Yu Tang (Chest)
Ge Xia Zhu Yu Tang (Abdomen)
Shao Fu Zhu Yu Tang (Lower abdomen)


Phlegm and Damp Obstruction

Er Chen Tang
Liu Jun Zi Tang
Xiang Sha Liu Jun Zi Tang





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