TRADITIONAL INTERNAL MEDICINE – DISEASES & FORMULAS

Obstruction

Of Obstructions some come of abundance of Humors, and some from the Quality, as when they are gross or clammy: Blood-letting is the best remedy against those which come from plenty, and the use of attenuating things is best against those that come of Quality”. (Galen)

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, of Vital Spirit (Qi), or of Blood. In the Chinese Tradition, obstruction is of Qi or Blood. However, obstruction is usually complex, and often chronic.

“A new Obstruction is easily taken away, an old hardly”
“An Obstruction made by Humors, is worse than that which comes of Wind”. (The Practice of Physick, 1663)

“The Humors which stop with its thickness is chiefly Phlegm, which will easily grow gross and clammy. Melancholy is next, which by its coldness, thickness, and drossiness, may cause Obstructions: Also Blood may do the same by its quantity and thickness. And lastly, Choler [Bile] staying long in the Liver grows thick, and breeds dangerous Obstructions”. (The Practice of Physick, 1663)

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)
Troches Praised for the Liver, Spleen and Stomach
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
Aromaticum Rosatum
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


Special Formula:

PILLS FOR CHRONIC OBSTRUCTIONS
    Aloe infused in 
      Wormwood juice                    ½ oz.
    Gum Ammoniac
      dissolved in Vinegar              3 drams
    Myrrh dissolved in Wine         2 drams
    Three Sandalwood                  1 scruple :
    Agaric Troches, Rbubarb        2 drams
    Saffron                                       ½ scruple
Form Pills with Syrup of Wormwood.

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