Con fundamento en los hechos precedentemente expuestos, este Órgano Contralor considera pertinente,

(Cortex Radicis Mori Albi, mulberry root bark) Standard daily dosage: 6-15g

AH: Safe when used appropriately

B&G: Contraindicated in cases of excessive urination and for patients with cough due to the common cold.

Huang Qin, Tiao Qin

(Radix Scutellariae Baicalensis) Standard daily dosage: 6-15g

AH: Safe when used appropriately

B&G: According to some traditional sources, counteracts Dan Pi (Cortex Radicis Moutan) and Li Lu (Rhizoma Et Radix Veratri).

C&C: Contains potassium and glycosides. Could possibly cause hyper- kalemia when used with potassium-sparing diuretics. Vitamin C, nico- tinic acid, glutamic acid, hydrochloric acid, and other highly acidic sub- stances could possibly reduce the therapeutic effect of this medicinal.

Ban Xia

(Rhizoma Pinelliae Ternatae) Standard daily dosage: 4.5-12g

AH: Do not use during pregnancy. (This medicinal is routinely used during pregnancy in China when indicated by disease and pattern dis- crimination.) Contraindicated in all hemorrhagic disorders.

B&G: Safe as long as it is properly prepared. Must be decocted with other herbs and not taken alone or uncooked. Toxic effects due to improper preparation or dosage include burning and numbness in throat and lips, nausea, and a feeling of pressure in the chest. Antidote is oral administration of raw ginger. Use with caution in patients with fever. According to some traditional sources, incompatible with Wu Tou (Radix Aconiti).

C&C: Contains alkaloids and glycosides. Could possibly reduce the absorption and therapeutic effect of potassium and sodium iodides, sodi- um bicarbonate, aluminum hydroxide, and magnesium sulfate. Vitamin C, nicotinic acid, glutamic acid, hydrochloric acid, and other highly acidic substances could possibly reduce the therapeutic effect of this medicinal.

G LW: Poisoning occurs within 15 minutes to three hours after ingestion of a suitable amount. Initially, there is burning pain in the mouth, tongue, and throat, and enlargement of the tongue. This is then followed by drool- ing, ulceration of the oral mucosa, unclear speech, difficulty swallowing, dizziness, low-grade fever, heart palpitations, numbness of the extremi- ties, a somber white facial complexion, and a weak, forceless pulse. If severe, there may be convulsions and respiratory failure leading to death.

C

The treatment of asthma in Chinese medicine is typically divided into two phases – acute attack phase and remission phase. During the acute attack phase, the pattern discrimination is basically divided between hot and cold patterns. This formula is for the hot pattern of acute, paroxys- mal asthma. As soon as the acute attack is eliminated (meaning no more panting, wheezing, and coughing), this formula should be discontinued and the patient should be prescribed some other formula to treat the underlying roots of their condition. Therefore, this formula is not for long-term use.

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(Angelica Pubescens & Loranthus Decoction, a.k.a. Tuhuo & Vaeicum Combination) Category: Dampness-dispelling

Functions: Dispels wind and eliminates dampness, frees the flow of impediment and stops pain, boosts the liver and kid- neys, supplements the qi and blood

Chinese medical indications: Wind, damp, cold impediment with liver-kidney vacuity manifesting as heaviness and pain at fixed locations in the lower back and lower extremities accom- panied stiffness, aversion to cold and a liking for warmth, fatigue, lack of strength, a pale tongue with white fur, and a fine, forceless, possibly slow pulse

Contraindications: Wind damp heat impediment

Western medical indications: Chronic rheumatoid arthritis, osteoarthritis, rheumatic sciatica, lumbar strain, lumbar interver- tebral disc herniation, pain in the midline and back during preg- nancy, hemiplegia due to stroke, and the sequelae of

poliomyelitis

Potential formula toxicities & interactions: None listed

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Du Huo

(Radix Angelicae Pubescentis) Standard daily dosage: 3-9g

AH: Patients should avoid prolonged exposure to sunlight.(The authors have never seen this reaction when this medicinal is used in the dosage ranges commonly employed in Chinese medicine.)

Xi Xin

(Herba Asari Cum Radice) Standard daily dosage: 1-3g

AH: Do not use during pregnancy. Contains aristolochic acid (AA). Do not exceed recommended dose.

B&G: Nephrotoxic. Use with caution in patients with renal problems. According to some traditional sources, may antagonize Shan Zhu Yu (Fructus Corni Officinalis) and Huang Qi (Radix Astragali Membranacei). PDR: Not to be used during pregnancy.

GLW: Symptoms of adverse reaction include headache, vomiting, vexa- tion and agitation, sweating, stiffness of the neck, oral thirst, a rapid pulse, increased body temperature and blood pressure, slightly dilated pupils, a red flushed face, twitching muscles, generalized tension which may become convulsions, clenched teeth, arched-back rigidity, unclear thinking, cramping of the four limbs, dimming of consciousness, uri- nary block, and, eventually, death due to respiratory paralysis.

Xi Xin is on the FDA’s “B List” of herbs which may potentially contain

aristolochic acid (AA). Xi Xin is harvested in China mostly from

Asarum sieboldi and Asarum heteropoides, neither of which have con-

clusively been shown to contain AA. However, other species of Asarum are sometimes substituted, and these may contain AA. As of this writ- ing, the FDA has set no acceptable limit to AA consumption by humans.

Fang Feng

(Radix Ledebouriellae Divaricatae) Standard daily dosage: 3-9g

AH: Safe when used appropriately

B&G: According to some traditional sources, may antagonize Gan

Jiang (dry Rhizoma Zingiberis Officinalis), Li Lu (Rhizoma Et Radix

Veratri) and counteracts Bei Xie (Rhizoma Dioscoreae Hypoglaucae). C&C: Contains glycosides. Vitamin C, nicotinic acid, glutamic acid, hydrochloric acid, and other highly acidic substances could possibly reduce the therapeutic effect of this medicinal.