Clinical Skills Part with Paul Bergner, RH (AHG) Part Two: Formulation for the Clinical Herbalist

Transcription

1 AHG Advanced Webinar Intensives Presents: Clinical Skills Part with Paul Bergner, RH (AHG) Part Two: Formulation for the Clinical Herbalist Hosted by Michele Marlow

2 The American Herbalists Guild promotes clinical herbalism as a viable profession rooted in ethics, competency, diversity, and freedom of practice. The American Herbalists Guild supports access to herbal medicine for all and advocates excellence in herbal education.

3 Interested in More Educational Tools? AHG Members may access the following fast growing list of resources: 50+ archived webinars presented by leading voices in herbal medicine Over 300 lecture mp3s from 12 years of AHG Symposia 22 fully digitized and archived Journal publications New JAHG published digitally twice a year Join the AHG within 30 days of this live event and save $10 Special Promo Code: WEBINAR10 Our members include students, educators, researchers, growers, wildcrafters, practitioners, product makers, and herbal enthusiasts!

4 More Herbal Affinity Groups Week 4 Modular formulation

5 See supplemental materials at See: Bergner Clinical Skills Formulation Week IV.pdf

6 Bitter cool and dry alteratives Arctium Arctium + Trifolium. Classic alterative pair in cancer formulas Taraxacum Mahonia Rumex

7 Warming alteratives Allium Juniperus Pair with Taraxacum for complementary effects Solanum dulcamara

8 Immune alteratives Eupatorium perfoliatum Use pair for influenza Sambucus Echinacea with Eupatorium for complementary actions: Echinacea broadly stimulates immune components, Eupatorium reinforces anti-viral components, but also moderates cytokine responses.

9 Cold cholagogue laxative tonics Combine with warming and/or carminative herbs or bitter tonics Berberis vulgaris with Eugenia and sugar (Unani) Rheum off With Mentha. Basis of neutralizing cordial Rhamnus purshiana with Foeniculum, Elletaria, or Coriandrum Rhamnus frangula Rhamnus species paired in Hoxsey formula Senna with honey and and anise to modify cold dry effect With Zingiber or Coriandrum Or Glycyrrhiza = pt, Foeniculum ½ part and sugar 6 parts (Ellingwood)

10 Neutralizing Cordial Basis of formula is the traditional triplet (from Germany) of Rheum, Mentha, and Potassium bicarbonate. This is the formula of Wm Cook. Rheum 4 oz Mentha pip 8 oz Hydrastis 1 Cinnamomum oz potassium bicarbonate Macerate in 1 qt of 40% alcohol. Add potassium after filtering. Add 4 lbs of sugar for basic simple syrup. For almost any condition of the GI tract. Excellent delivery medium for tinctures

11 Hot and dry anti-inflammatories Zingiber Curcuma Formula = 2:2:1 Boswellia as powder or tincture Cassia Cinnamon Cinnamon 2 Eugenia 1 Pelvic warmer, sexual stimulant Eugenia Capsicum Myrrh 16:Capsicum 1 = Thomson #6

12 Blood movers Angelica archangelica Angelica sinensis Pair with Ligusticum Levisticum off. Sub for Angelica sin. Ligusticum spp. Correct with licorice or honey Pair with Myrrh Myrrh Pair with Capsicum 16:1

13 Bitter mints All are cooling, dry, varying degrees of bitter and pungent, diffusive diaphoretic taken hot, diuretic taken cold, emmenagogue, and bitter tonics Leonurus Lycopus classic pair for palpitations in hyperthyroid Marrubium Verbena pairs well, reinforces and broadens nervine actions of Leonurus Nepeta

14 Cardiovascular Crataegus Heart tonic. Add small part of capsicum Tilia Hypotensive, nervine Viscum album Hypotensive Olea Europa Hypotensive (may surprise some users who think it is antiviral) Crataegus + Viscum + tilia + small capsicum + modifying herbs specific to case.

15 Spiritual heart The Exhilirants of Avicenna Gladden and delight the vital heart Basil (Ocimum basilicum, O. sanctum) Cassia (Cinnamomum cassia) Cinnamon (Cinnamomum zeylanicum, syn: verum) Coriander (Coriandrum sativum) Frankincense (Boswellia glabra) Lavender (Lavandula officinalis) Lemon Balm (Melissa officinalis) Mint (Mentha arvensis) Rose (Rose damascena) Saffron (Crocus sativa) Sandalwood (Santalum alba)

16 Sample exhilarant formula A sample exhilarant tincture formula: Centella asiatica 2 parts Ocimum basilicum or sanctum 2 parts Coriandrum sativum 2 parts Cinnamomum cassia 1 part Viola odorata 1 part Centella/Ocimum 1:1 or Coriandrum/Cinnamomum 2:1 may be used as modules in larger formulas

17 Spiritual Heart Heart protector Crataegus Rosa Oplopanax

18 Spiritual heart Heart protector Crataegus Rosa Oplopanax Heart Centering Leonurus Lycopus Paeonia Verbena spp. Pulsatilla spp. Succinum resin (amber, as small doses of powder)

19 Heart perception/wisdom Stachys Scutellaria (tincture) Ocimum Centella

20 Spiritual heart formulas May include herbs or modules from each category Example: Exhilirant Cinnamomum/Coriandrum Heart Protecting Crataegus/Oplopanax Heart Centering Leonurus, Anemone Heart Wisdom. Sculellaria

21 Modular formulation Complex action-based formula

22 Formula modules These are pre-mixed pairs, triplets, or more complex formulas on the shelf. We will name them Compounds Example: Antispasmodic Compound = viburnum opulus 2 + Dioscorea 2 + lobelia 1. Example: Immune Compound = Echinacea + Eupatorium perfoliatum + Ligusticum porteri + Ceanothus Example: Tonic Adaptogen Compound = Eleutherococcus (RP), Avena (milky), Glycyrrhiza, Turnera

23 Modules may make the basis of a formula, with individualized modifying herbs added, or proportions changes with additions. For example: Immune compound 6 + Zingiber 1 + Glycyrrhiza 1 for humoral correction. OR Immune compound 6 plus Myrrh 2 plus Phytolacca 1 to enhance blood moving, immune, and lymphatic effects OR Immune compound delivered in = part of elderberry syrup for influenza.

24 Modules may be added as parts of larger formulas For example, my patient has a fever and I want to give a diaphoretic tea. The formula might be equal parts of Mentha, Achillea, and Sambucus as a tea, taken in 4 ounce doses, with two dropper of Immune Compound added to each dose. Or my patient has a cough, and I am giving the formula of Tussilago + Verbascum + Marrubium + Lobelia (A possible Expectorant Compound) and I can add one part of the Immune Compound to 2 part of the Expectorant Compound.

25 Modules may be easily modified, herbs added or omitted, depending what is on hand, without changing the net effects of the module for its function in a formula Relevance in a fast moving clinic, street medic work, etc. For example the Antispasmodic Compound would be effective as the antispasmodic portion of a formula without one of its components. If you were out of one of the components, you could add Paeonia root or Pedicularis in its place, make a note on the label, and use it as before.

26 Some useful Compounds Demulcent Compound: Althaea 3, Ulmus 2, Glycyrrhiza 1 Antispasmodic Compound: Viburnum opulus 2, Dioscorea 2, Lobelia 1 Anodyne compound: Eschscholtzia 1, Piscidia 1, Corydalis 1 Anti-inflammatory Compound: curcuma 2, Zingiber 2, Boswellia 1 Immune Compound: Echinacea, Ligusticum, eupatorium perf., Ceanothus Basic Nervine Compound: Scutellaria, Avena (milky), Hypericum

27 Hypnotic Compound: Scutellaria, Passiflora, Hypericum, Valeriana, Humulus Tonic/Adaptogen: Avena (milky), Eleuthero (RP), Glycyrrhiza, Turnera Liver chi relaxant: Lavandula 4, Foeniculum 3, Paeonia 3, Rosa 3, Mentha arv. 3, Rosmarinus 1

28 Complex formula modules Thomson s Composition Powder (hot stimulating diaphoretic) Myrica 4 oz., Zingiber 2, Pinus 1, Eugenia 1 dram, Capsicum 1 dram May be used as the warming portion of another formula

29 Relaxant Diaphoretic Compound Eupatorium perfoliatum 2 Sambucus 2 Asclepias 2 Zingiber 2 Lobelia 1

30 Basic Alterative Module Arctium Trifolium Echinacea Taraxacum Juniperus Equal parts. Deliver in Neutralizing Cordial.

31 Two adjuvant compounds Vital force: Hydrastis 3, Myrrh 3, Lobelia 3, Capsicum 1 Add glycerine to prevent precipitation of alkaloids. Exhilirant adjuvant: Ocimum species 2 Coriandrum 2 Cassia cinnamon 1

32 Formulation process A formula for allergic rhinitis Category 1: Relaxant herbs that relieve constrained liver chi. Category 2: Drying astringents Category 3: Relaxant diffusives ( surface relieving ) Category 4: Mucous membrane tonics Catagory 5: Lymphatic alteratives Catagory 6: Harmonizers

33 Catagory 1: Lavandula 4, Rosmarinus 1 Category 2: Solidago 3, Achilla 2 Category 3: Monarda 2, Pimpinella 1 Category 4: Hydrastis 1 Ceanothus 1 Category 5: Echinacea 3 Category 6: Glycyrrhiza 3 Many other herbs could be substituted in each category, depending on availability, desirability, etc.

34 Digestive formula Bitter: Gentian OR Taraxacum, Mahonia, Matricaria Carminative: Zingiber OR Disosorea, Angelica, Coriandrum, Anise Demulcent: Glycyrrhiza OR Demulcent Compound Vulnerary: Plantago OR Plantago, Calendula

35 Sleep formula Mild sedative: Passiflora OR Scutellaria, Avena, Passiflora Stronger hypnotic Valerian OR Valerian and Hops Relaxant/antispasmodic Pedicularis OR Antispasmodic compound Anodyne Eschscholtzia OR Anodyne compound.

36 Pain formulation Anodyne portion Anodyne Compound Antispasmodic portion Antispasmodic Compound Sedative portion Scutallaria, Passiflora Add Hypnotic Compound if at bedtime.

37 See supplemental materials at