Page 8 - Acupuncture Times March 2022

8 광고 Mar 1, 2022 Vol. 36 Hani Times
Herbal Medicine

Finding A Guiding Herb Makes Easier to Find the Most Efficient Formula ⑧ Fu Ling(茯苓)

A patient Needed To Use Fu Ling Tend To Be Yin Natured or in between.

Complaints Are Compared To Patient Who Needed To Be Used Huang Lian.

By Hyunchang Cho, L.Ac., Ph.D ([email protected])

★Fu Ling ③ (When used w/ water regulating
Symptom Indicator Score++ herbs) dizziness, localized tremors, uri-
Frequency of Use+++ nating problems, mild edema due to
Main symptoms Water Toxin

① Yin-natured or in between (mixed), CAPE
often with signs of sleep difficulty, es- ④ Yin-nature or in between (mixed)
pecially problems with falling asleep ⑤ Main emotions are worry and doubt,
(common in Ling Gui Gan formulas). sensitivity, nervousness, and anxiety.
(For patients who normally sleep well) They tend to be timid and worry too
suppose external stimuli are present, much. Hypochondria is a case in point.
such as an important event next day, TIP ⑥Clinical signs are similar to
environmental changes (i.e. sleeping in those of Hwang Lian but compared △A patient with sleeping related difficulties and Yin-natured
a hotel), anxiety, worry, or stress. In to Yang-natured Hwang Lian patients, tend to be often used formulas mainly using Fu Ling. imageⓒ
that case, they will have trouble falling Fu Ling patients are Yin-natured or in envato-amenic181.
asleep for 1 to 2 hours or longer. between (mixed). They tend to com-
plain of various symptoms, but such Mu Li Tang, Ling Gan Jiang hard to correctly diagnose Fu
Possible Symptoms symptoms are usually mild in severity, Wei Xin Xia Tang formulas Ling formulas using Fu Ling
② Heart palpitations especially compared to Huang Lian's. Fu Ling's Yin personality and as an indicator/guiding herb.
emotions of worry, nervousness, Fu Ling patients tend to insist
1. Pharmacological Hypotheses of Huang Lian and Fu Ling and anxiety are more prominent that they are suffering from
in Fu Ling formulas w/ many conditions at once and
Overall hypoactivity of the autonomic nerve system → the gap between difficulty to fall asleep and therefore their medical charts
sympathetic and parasympathetic systems becomes wider → main prob- less prominent in Fu Ling can become very lengthy, but
lem is the hypoactivity of parasympathetic nerve system → symptoms of formulas w/o difficulty to once you look into them, you'll
hypoactive parasympathetic system are similar to those of hyperactive fall asleep. This is because find out that most of them are
sympathetic nerve system → manifests as autonomic dysfunction
sleep is the reflection of our not really serious or severe
↓ mental status. enough to constitute actual
It is difficult to detect Fu Ling illnesses. Also, keep in mind
Fu Ling is used for Yin-natured or in between (mixed) patients, and in- in clinical practice without that Fu Ling patients may
somnia w/ difficulty to fall asleep is common. sleep difficulty. Other Fu Ling complain of various symptoms,
- Suppose there are important events the following day. In that case, en- symptoms such as dizziness, but most of them are mild in
vironmental changes (i.e., sleeping in a hotel), anxiety, worries, or stress, muscle tremor, urinating terms of severity. In other
Fu Ling patients will have difficulty falling asleep, even if they try. problems, and mild edema are words, most symptoms of Fu

not highly indicative symptoms. Ling patients are rated VAS
The main emotion is worry. Secondary emotions are tension, sensi- So, without sleep difficulty, it is 5 or lower.
tivity, and anxiety.
(1) Main Symptoms

Heart palpitations or dizziness would sometimes appear. ①Yin-natured or in are present, such as
Fu Ling's clinical expressions are similar to those of Huang Lian, but between (mixed), often an important event
they are usually milder in terms of severity. (→lower VAS scores)
with signs of sleep dif- next day, environmen-
ficulty, especially prob- tal changes(i.e. sleep-
2. Guiding Signs of Fu Ling lems with falling asleep ing in a hotel), anxi-
(common in Ling Gui ety, worries, or stress.
The most common symptom Tang, Fang Ji Fu Ling Tang, Fu Ling San, Zhu Ling Tang,
Gan formulas). In that case, they will
of Fu Ling is difficulty falling Wu Ling San Suan Zao Ren Tang
(For patients who nor- have trouble falling
asleep. If difficulty to fall ②Formulas that target the (2) Fu Ling formulas w/ or w/o, mally sleep well) sup- asleep for 1 to 2 hours
asleep is absent, it is very hard, chest: Fu Ling Xing Ren or w/o difficulty to fall asleep pose external stimuli or longer.
even impossible, to recognize Gan Cao Tang (w/Xing Ren's ①Shao Yao formulas or formulas
Fu Ling's signs in clinical asthma, chest fullness, heart that target the stomach: Fu
practice. In Shang Han Lun pain), Ban Xia Hou Po Tang Ling Rong Yan Tang, Ling Fu Ling's insomnia manifests present in Huang Lian
and Jin Kui Yao Lue, we can (w/Hou Po and Su Ye's chest Jiang Zhu Gan Tang, Zhu Ling as difficulty falling asleep. This formulas. As I mentioned
categorize Fu Ling formulas fullness, mild asthma), Fu Ling San, Ba Wei Wan, Gua Lou Ku means the insomnia patterns earlier, in Fu Ling formulas
into three types 1) formulas Yin (w/Ju Pi's food stagnation Mai Wan, Gui Zhi Fu Ling of Fu Ling and Huang Lian w/ difficulty falling asleep,
w/ difficulty to fall asleep 2) in the chest, chest obstruction, Wan, Dang Gui Shao Yao San are almost identical. This is Fu Ling's mental aspects
formulas w/o difficulty to fall asthma), Mu Fang Ji Qu Shi Gao ②Formulas with small amounts why, in clinical practice, we such as personality and
asleep, and 3) formulas w/ or Jia Ling Xiao Tang (asthma) of Fu Ling: Yin Chen Wu must distinguish Fu Ling from emotion become more
w/o difficulty to fall asleep. ③Formulas for digestive Ling San Huang Lian (and sometimes prominent. Therefore, when
(1) Fu Ling formulas w/ disorders: Fu Ling Si Ni Tang, ③Pills and powders: Ba Wei from Xiang Chi + Zhi Zi as difficulty to fall asleep is
difficulty to fall asleep Li Zhong Jia Fu Ling Tang, Wan, Gua Lou Ku Mai Wan, Gui well) when difficulty to fall present, the most important
①Ling Gui Gan formulas: Fu Ling Yin, Zhen Wu Tang, Zhi Fu Ling Wan, Dang Gui asleep is present. distinguishing point between
Ling Gui Zhi Gan Tang, Fu Fu Zi Tang Shao Yao San, Kui Zi Fu Ling While insomnia may or may Fu Ling and Huang Lian
Ling Gan Cao Tang, Ling Gui ④Others: Chai Hu Qu Huang San, Chi Huan, Wu Ling San not be present in Fu Ling would be the mental aspects
Gan Zao Tang, Fu Ling Ze Xie Qin Jia Fu Ling Tang, Si Ni Jia ④Others: Chai Hu Jia Long Gu formulas, it is almost always of personality and emotion.