Herb
has characters
and functions. Herb's
characters include properties and flavors. Herb's functions
include actions of lifting, lowering floating and sinking,
as well as channel tropisms.
1.
Properties and flavors
Properties
and flavors are also known as four properties and five flavors.
Every drug has its property and flavor.
Property
refers to the cold, hot, warm or cool nature of a drug. These
properties of drugs are so sorted out according to the different
actions of the drugs on the human body and their therapeutic
effects. For example, drugs which cure heat syndrome (yang
syndrome) have a cold or cool property, whereas drugs which
cure cold syndrome (yin syndrome) have hot or warm property.
Drugs
of cold and cool natures and drugs of warm and hot natures
are of opposite properties. A cold-natured drug is different
from a cool-natured one only in degree and so is a warm-natured
drug from a hot-natured drug. Most of the cool or cold Cnatured
drugs have the effects of clearing heat, purging fire, removing
toxic substances, and nourishing yin, and are used to cure
heat syndromes. On the contrary, drugs of warm or hot nature
usually have the effects of dispersing cold, warming up the
interior, supporting yang, and treating collapse, and are
therefore used to treat cold syndromes. In addition to the
four properties mentioned above, there is the fifth, the neutral
or mild one. When a drug is neither hot nor cold in nature,
it is said to be neutral. It can be used for either hot or
cold syndromes. Yet, drugs of neutral nature usually tend
to be either slightly hot or slightly cold. That is why drugs
are generally said to be of four properties only.
Flavors refers to the tastes of drugs, i.e.
pungent, sweet, sour, bitter, salty, tasteless and astringent.
Since sweet and tasteless usually coexist, and since sour
and astringent drugs have the same effects, pungent, sweet,
sour, bitter and salty tastes are the cardinal flavors and
are habitually known as five flavors. Drugs of different flavors
and different compositions show different pharmacological
and therapeutic actions, while drugs of the same taste usually
have similarities in effect and even in composition. The flavors
don't necessarily refer to the real tastes of the drugs. Sometimes
they are sorted out according to drug's actions other than
tastes. Therefore, the flavors of some drug described in books
on material medical are often different from their true tastes.
Various flavors have different effects. They are explained
separately as follows:
Pungent
flavor: Drugs that are pungent in flavor
have the effects of dispersing exopathogens fro superficies
of the body and promoting the circulation of the vital energy
and blood. Pungent drugs are usually used for the treatment
of superficial and mild illnesses due to affection by exopathogens,
stagnation of vital energy, blood stasis, etc.
Sweet
flavor: Drugs of sweet flavor
have the effect of nourishing, replenishing, tonifying,
or enriching the different parts or organs of the body,
normalizing the function of the stomach and spleen, harmonizing
the properties of different drugs, relieving spasm and pain,
etc. Drugs of sweet flavor are usually effective tin treating
syndromes of deficiency type, dry cough, constipation due
to dry intestine, incoordination between the spleen and
the stomach, various pains, etc. Besides, some of the sweet
drugs have the effects of detoxication.
Sour
flavor: Drugs of sour flavor have the
effects of inducing astringency and arresting discharge.
Sour drugs are often used to treat sweating due to debility,
chronic cough, chronic diarrhea, emission, spermatorrhea,
enuresis, frequent micturition, chronic leukorrhagia, metrorrhagia
or metrostaxis, etc.
Bitter
flavor: Drugs of bitter flavor have
the effects of clearing heat, purging fire, sending down
the adverse flow of qi to treat cough and vomiting, relaxing
the bowels, eliminating dampness, etc. Such drugs are mostly
use for syndromes of pathogenic fire, cough with dyspnea,
vomiting, constipation due to heat of excess type, damp-heat
syndrome, or cold-damp syndrome and other syndromes.
Salty
flavor: Drugs of this taste have the
effects of relieving constipation by purgation, and softening
and resolving hard mass. Salty drugs are mostly used I treating
dry stool and constipation, scrofula, goiter, mass in the
abdomen, and other problems.
Tasteless
flavor: Drugs of this flavor have the
effects of excreting dampness and inducing diuresis, and
are commonly used for edema, dysuria and others.
Astringent
flavor: Drugs of this flavor have similar
actions as those of sour flavor.
Drugs
of the same flavor generally have similar actions, and drugs
of different tastes have quite different actions. Yet some
drugs are the some in property but different in flavor, or
the same in flavor but different in property, and, therefore,
their effects are not all the same. Both coptis root and dried
rehmannia root, for instance, have the same cold property,
yet coptis root is bitter in flavor while dried rehmannia
root sweet. The former has the effects of clearing heat and
drying dampness and is used for damp-heat syndrome, while
the latter has the effects of clearing heat and nourishing
yin and is used for the condition of consumption of yin due
to febrile diseases. Another example is the use of ephedra
and peppermint, both of which have a pungent flavor. However,
the property of ephedra is warm, whereas the property of peppermint
is cool. The former has the effects of dispersing wind-cold
pathogens and is used to treat exterior wind-cold syndrome,
while the latter has the effects of dispersing pathogenic
wind-heat and is used to treat exterior wind-heat syndrome.
Therefore, the property and flavor of a drug should not be
treated separately but should be taken into consideration
as an integrated whole. Only in this way can drugs be understood
and used correctly.
2.
Actions of lifting, lowering floating and sinking
Actions
of lifting, lowering floating and sinking refer to the upward,
downward, outward or inward directions in which drugs tend
to act on the body. Lifting means going up or sending up while
lowering means just the opposite. Floating means going outward
or sending to the surface, whereas sinking means going inside
or purging away. Lifting and floating drugs have upward and
outward actions and are used for elevating yang, relieving
exterior syndromes by means of diaphoresis, dispelling superficial
wind and cold, inducing vomiting, causing resuscitation, etc.
Lowering and sinking drugs have downward and inward actions
and are used for clearing heat, purgation, promoting micturition,
removing dampness, checking the exuberance of yang, sending
down an adverse flow of qi to stop vomiting, relieving cough
and asthma, improving digestion to remove stagnated food,
tranquilizing the mind with heavy properties, etc. As the
locations of diseases are different with some in the upper
part of the body and some in the lower, some in the interior
and some in the exterior, and as the tendencies of disease
are divided into upward (as with vomiting), downward (e.g.
diarrhea, metrorrhagia, metrostaxis and proctoptosis), outward
(e.g.. spontaneous or night sweating) and inward (e.g. internal
transmission of exterior syndrome), the lifting, lowering,
floating and sinking actions of drugs are used in correspondence
with the locations of diseases but in opposition to the tendencies
of diseases. Generally speaking, for the diseases located
in the upper part or the exterior, it is appropriate to use
lifting and floating drugs instead of the lowering and sinking.
For
example, for the exterior syndromes, lifting and floating
drugs should be chosen. One the contrary, for the diseases
located in the lower part or the interior, such as dry stool
or constipation, it is proper to use lowering and sinking
drugs, not the opposite. For the diseases of which the manifestations
tend upward, drugs of lowering actins should be given rather
than that of lifting, just as in the treatment of headache
and vertigo due to hyperactivity of the liver-yang, drugs
of lowering and sinking actions should be used to calm the
liver and suppress hyperactivity of the liver-yang. On the
contrary, for the diseases of which the manifestations tend
downward, it is suitable to use lifting drugs instead of lowering
drugs. For example, in the treatment of chronic diarrhea and
proctoptosis due to sinking of qi of the middle-jiao, it is
wise to choose lifting drugs to invigorate qi and lift yang.
The
lifting, lowering, floating and sinking actions of drugs have
close relationship with their properties and flavors. Most
drugs which are pungent or sweet in flavor and warm or hot
in property have lifting and floating actions, whereas most
drugs, bitter, sour, or salty in flavor and cold or cool in
property have lowering and sinking actions. The lifting, lowering,
floating and sinking actions also have some relationship with
the textures of drugs. Generally speaking. Most of the light
substances have the actions of lifting and floating. In contrast,
most of the heavy drugs have the actions of lowering and sinking.
However, though some drugs are light, they have lowering and
sinking actions; and conversely, some heavy drugs have lifting
and floating actions. In addition, the lifting, lowering,
floating and sinking actions can also be influenced or even
altered through the processing and the joint use of drugs.
For example, lowering and sinking drugs can have lifting and
floating actions after processing with wine, while lifting
and floating drugs can have lowering and sinking actions after
preparation with salt solution. If lifting and floating drugs
are dispensed together with a great amount of lowering and
sinking drugs, they many also have lowering and sinking actions;
and similarly, when lowering and sinking drugs are used together
with a great amount of lifting and floating drugs, they may
exhibit some lifting and floating character.
3.
Channel tropism
Channel
tropism refers to a drug's selective therapeutic effects on
a certain part of the body. A drug may exert obvious or specific
therapeutic action on the pathological changes in a certain
channel (including some viscera thereof) or several channels,
but with little effects on the others. For instance, among
the heat-clearing drugs, some only clear the heat either in
the lung channel or in the liver channel or in the heart channel,
etc. Again, among the tonics, some strengthen the lung while
others strengthen the spleen or the kidney.
Channel
tropism is based on the theory of viscera, the theory of channels
and collaterals, and is summed up according to the curing
particular diseases for which a drug is effective. The human
body is an organic whole in which the channels and collaterals
link up with the interior and exterior and all parts of the
body. A pathological change in the exterior may affect the
viscera while diseases in the viscera may, in turn, find expressions
in the exterior of the body. For this reason, the symptoms
and signs of diseases occurring in different parts of the
body can be understood systematically according to the theory
of channels and collaterals. For instance, the flaring up
of stomach-fire may result in swollen gum; and whenever there
is stagnation of liver-qi, pain in the hypochondriac region
will be present. Since the swelling and pain of the gum disappear
when gypsum is administered, and hypochondriac pain relieved
with the use of bupleurum root, we may infer that gypsum acts
on disorders of the stomach channel and bupleurum, the liver
channel. The above examples show that the theory of channel
tropism is summed up through clinical practice.
The
channel tropism theory should be associated with the theories
of the four properties and five flavors, and actions of lifting,
lowering, floating and sinking of drugs. Different drugs acting
on the same channel have different effects owing to their
different properties, flavors and actions of lifting, lowering,
floating and sinking. For example, scutellaria root, dried
ginger, lily bulb, and lepidium seed all act on the lung channel,
but scutellaria root can clear lung-heat, dried ginger can
warm lung-cold, lily bulb can be used to make up for lung
deficiency, and lepidium seed is used to soothe excess syndrome
of the lung. Therefore, only when attention is paid to the
different aspects of a drug, can its actions be comprehensively
analyzed and the drug correctly employed. Besides, according
to the theory that viscera as well as channels and collaterals
are physiologically related to one another, and pathologically
affect one another, when there is pathological change in one
channel, drugs acting on other channels should be used in
addition to the prescription for the diseased channel itself.
For in stance, for abnormalities in the lung channel, drugs
for strengthening the spleen channel should be added, and
in case of hyperactivity of the liver-yang, drugs for nourishing
the kidney-yin should be used at the same time.
---------- Source The Chinese Materia Medica |