Formula Making Flashcards
Cautions in Bowel Formula Making
Contraindicated in: Pregnancy and women with IUD.
Caution to start the patient on a low dosage. Don’t start people off with large dosages of laxatives and cathartics, and always have adequate amounts of carminatives and antispasmodics along side them. Be especially cautious if there is a history of colon spasms or colitis.
- Wait for at least 2 months after colon surgery such as partial or total colostomy, to make sure the tissue has healed.
- In some cases of total colostomy or ileostomy the patient is left with a stoma bag, and a classic bowel formula will not apply.
Bowel Formula Dosage
The amount needed is determined by the patient.
Start slow and gradually increase until you have 2-3 BM daily.
Start with 1/2 tsp or 1-2 capsules, 1-2x daily before food.
Then increase the dosage as needed.
The herbs work about 12 hours after you take them in.
Drawing Gruel Caution
Do not use if patient is:
- Pregnant
- Has a IUD
- Breastfeeding
- Recently undergone bowel surgery
- The gruel could interfere with the efficacy of the contraceptive pill
Make sure the patient has been on the bowel powder for a while and is having regular bowel movements before starting the gruel, and is in the habit of drinking 2+ liters of water daily before starting.
The most important consideration when creating a Drawing gruel formulla is to make sure that the percentage of charcoal and or bentonite clay is not too high. This is because it is quite heavy and needs plenty of mucilaginous substances to support its smooth passage through the bowel.
Digestive Gruel Cautions
Not to be taken close to taking medications.
Best to take before or after meals.
Classsifications used in Digestive Gruel
- carminatives as the lead herbs
- bitters to stimulate pancreas function
- vulneraries to heal tissue
- demulcents to sooth inflammation
- stimulants to enhance blood supply and strengthen the overall effect of the formula
- antispasmodics to relax as stress is usually an issue with the digestive system
Some formulae may call for the addition of one or more of the following:
- hepatics to support liver function
- cholagogues to stimulate bile flow
- antibacterial herbs to kill infection
- styptics to stop bleeding as in the case of ulcers
- vulneraries to heal tissue
- antifungal herbs to deal with fungal infections
What herb classifications will a stomach ring call for?
a visible stomach ring where the tissue inside the collarette is delicate will ask for vulneraries to strengthen tissue and possibly nutritives and herbs like meadowsweet which support their uptake.
We are looking at poor digestion of food with consequent need for support of the pancreas (enzyme production) and also the small intestine.
What herb classifications will a ropey thickened collarette call for?
demulcents to calm inflammation and irritation, and to help disperse mucous congestion.
What herb classifications will an orange pigmentation and or pancreas markings call for?
Stimulating Bitters to help pancreas function, and perhaps antifungals.
What herb classifications will dyscrasia inside the nutritive zone call for?
antibacterial herbs to kill infection
Herbal classifications used in Bowel Powders
- laxatives and cathartics as its lead herbs
- carminatives to offset cramping
- cholagogues to stimulate bile flow which is central to bowel function
- stimulants to enhance blood supply and strengthen the overall effect of the formula
- antibacterial herbs to kill infection
- antispasmodics to relax
Some formulae may call for the addition of one or more of the following:
- styptics to stop bleeding
- vulneraries to heal tissue
- demulcents to calm inflammation (e.g.in the case of diverticular disease)
- vermicides and vermifuges to deal with worms
- bitters to stimulate the pancreas to produce enzymes
- antifungal herbs to deal with fungal infections like candida
- alteratives to cleanse and draw out toxins (e.g.in the case of diverticular disease)
- astringents to tonify tissue
what herb classifications will a mixed bilary constitution (or brown pigmentation) call for?
cholagogues and hepatics
What herb classifications will a lymphatic constitution with hydrogenoid diathesis call for?
lymphatic alteratives to help disperse mucous congestion, and hydration
What should we consider (herb wise) with kidney markings or a uric acidic diathesis?
encourage hydration.
prescribe bowel cleansing to avoid putting pressure on the kidneys.
Kidne infusions.
The need for intensified detox with focus on elimination through the urinary system
What herb class will a contracted collarette call for?
nervines and antispasmodic herbs (in some cases these herbs alone will aid elimination as the cause of the constipation is primarily stress)
What herb class will a distended collarette call for?
a distended collarette usually suggests poor peristalsis, loss of muscle tone. Here we need to use more cathartics and tonics such as Cascara Sagrada bark or Buckthorn bark, and astringents such as Red Rasberry leaf to heal and tone.
What to have in mind when bowel cleansing a Jagged Collarette?
will need longer treatment as there is a tendency to stubborn impaction caused by an irregular bowel shape.
The classic Drawing Gruel formula (6herbs, 12 pt)
4 pt Psyllium seeds and husks
4 pt Fruit pectin
1 pt Charcoal
1 pt Bentonite clay
1 pt Fennel seed
1 pt Slippery elm inner bark
Many herbs can be added to this formula depending on the patient’s health issues. For example, Plantain could be added where extreme dyscrasia is evident in the iris profile. Anti fungal herbs such as Black walnut hulls or Pau d’arco could be added where there is evidence of fungal infection. Vulneraries such as Marshmallow root could be added when treating a patient suffering from leaky gut syndrome. Adding herbs which are bitter tasting however will make this gruel like remedy very difficult for the patient to take.
A Liver Formula will contain the following classifications
hepatics to restore and heal liver function
- cholagogues in varying amounts to stimulate bile flow
- bitters to stimulate digestion
- stimulants to stimulate digestion and to enhance the effect of the herbs in the formula
- antiemetic herbs like ginger to help with nausea
- demulcents to support the easy exit of gallstones through the system
- carminatives are important to help with nausea and griping which can be a result of excessive liver detoxification
Some formulae may call for the addition of one or more of the following:
- antibacterial herbs to kill infection
- vulneraries to heal tissue
- immune modulators (like Astragalus) in the case of hepatitis
Considerations for formula making and dosage in a Liver Formula
- carminatives
- antispasmodics
- anti-emetic (ginger) is a must
- cholegouges later on
- diet
The main consideration in liver and gallbladder creation is the addition of carminatives and herbs that calm griping. Its better to start gently and add more cholagogues as time passes, rather than to push the patient with strong herbs. Liver cleansing if extreme can make people feel quite ill. Ginger as an anti emetic is a must. Focus on diet as the primary therapeutic modality.
Cautions in Liver Formula making
Cautions in treating the liver include awareness that many people are heavily medicated as a result of which the liver is struggling so the caution is to prescribe hepatics, demulcents and juices at first and to have patience with deeper liver cleansing.
And again, clean the colon first!
what organ systems are central to the function of the cardiovascular system
When considering cardiovascular health we need to also look at liver function and kidney function. The liver helps to break down some of the substances which would otherwise damage the venous structure and the kidneys which filter blood and eliminate fluid are also supportive. As already discussed the nervous system must also be considered in making a formula.
A Cardiovascular Formula will contain the following classifications (8)
Any good heart and circulation tonic will contain the following:
* cardiac tonics as its lead herbs to strengthen heart muscle, tissue and general function
* circulatory stimulants (e.g. cayenne) to support and increase circulation
* nutritives to build the venous structure and the quality of the blood
* nervines to address the importance of the nervous system in heart health
* urinary tonics to support kidney function
* diuretics to help to release excess pressure caused by toxic fluid build up
* hepatics to help the liver to break down fats in order to support clear circulation
* alteratives to cleanse toxins from the blood
Considerations for cardiovascular formula making and dosage
The art of formula making for the heart and circulation begs a deep understanding of the underlying cause of the presenting symptoms. The support of circulation through the use of a good stimulant like cayenne, ginger, prickly ash and or ginkgo is often very important. So too is the choice of the correct nervines and the addressing of lifestyle habits which exacerbate stress. Never neglect the kidneys as they have the job of filtering the blood and supporting the elimination of excess fluid. The choice of cardiac tonic or tonics depends on the patient’s situation and these should make up the lead herbs. A standard tincture with a dosage of approximately five mls three times daily is usually adequate. As a heart condition is a chronic illness we may look at continued use of the formula, with occasional variations for up to nine months.
what will a pigment in the heart call for?
Elimination and release on every level
what will a lacuna in the heart call for?
Nourishment, support and strengthening on every level.
Cautions in cardiovascular formula making
the negotiation of medication.
hypertension is a very common condition which responds so well to natural intervention that we have to remind our patients that they will need to monitor their requirements for medication as a result. (this of course under the supervision of a medical doctor)
If the patient is recently post operative then it is also important to regulate the dosage prescribing only a small amount of herbs at first.
Name 9 alterative herbs
Red clover, Burdock, Yellow dock, Nettle, Garlic, Oregon grape, Plantain, Dandelion leaf, Wheatgrass
What are the top 2 causes of hypertension?
stress and poor elimination of fluids through the kidneys. As the kidneys filter the blood, any impairment of their function literally puts pressure on the entire circulatory system.
What organ systems are central to the function of the Urinary- and Kidney Systems?
the elimination organs (colon, lungs and skin), as well as the heart.
As the primary function of the kidneys is elimination the burden of this activity can be shared with the other channels such as the colon, lungs and skin. We have found that recurring kidney infections are often accompanied by chronic constipation and poor skin elimination.
A good kidney and bladder formula will contain the following classifications (6)
*urinary tonics (as the lead herbs to support kidney function)
*diuretics (to encourage release of fluid)
*solvents (to dissolve calcified kidney stones)
*demulcents (to protect delicate tissue as the kidney stones are eliminated)
*nervines (to relax and address the underlying energetics of the kidneys)
*circulatory stimulants (encourage circulation)
In some cases the following classess may be added:
*antibacterial/antimicrobial if infection
*adaptogens to strengthen and support the rebuilding and storage of vital force in the kidneys and to address cases of chronic exhaustion
*diaphoretics to encourage the elimination of fluid through the skin
*colon cleansing where there is evidence of chronic constipation
*alteratives where there is systemic acidity as in arthritis and rheumatism
Considerations for formula making and dosage for the kidneys
The art of formula making for the kidneys is concerned with the strength of the formula. This organ system is very delicate and should not be pushed toward detoxification without due consideration of the overall health and age of the patient. When there is a full blown infection present and accompanying inflammation it is important to use copious amounts of demulcents alongside any other herbs in the formula. Mediterranean herbs such as juniper are quite strong and will purge the kidneys, so be cautious where the kidneys have been damaged by long term use of pharmaceutical drugs. It is sometimes better to administer warm infusions of kidney herbs only and in fact any kidney formula should always be accompanied by an infusion!
herbs for the kidneys and urinary system
Juniper berry, Uva-ursi, Parsley, Cleavers, Burdock seeds, Gravel root, Hydrangea root, Corn silk, Dandelion
what will a pigment in the Kidneys call for?
suggest the need for alteratives and solvents to disperse toxic accumulation. (from kidney module - materia medica).
Pigments on the kidney suggest stagnation of energy and suggest diuretics for cleansing (from musculoskeletal materia medica module).
what will a lacuna in the Kidneys call for?
lacunae in the kidney reaction fields indicates low nerve supply to kidneys and low vital force in general, suggest the need for kidney support and adaptogens and herbs that build vital force
what will a uric acidic diathesis call for?
will suggest dietary advice to make the system less acidic and appropriate alteratives and kidney tonics
what will a hyper acidic diathesis call for?
will suggest demulcents to calm inflammation and dietary advice to make the system less acidic
Cautions in Kidney and Urinary system formula making
the most important caution is to treat carefully and patiently, to guard against purging in the case of a weakened urinary system. This is especially true in the case of damage caused by pharmaceutical drugs. Infusions should always be given and demulcents used to support tissue health specially when treating kidney stones.
A good nervines formula will contain the following classifications (6):
- nervine tonics (as the lead herbs to support the function of the central nervous system)
- antispasmodics (to encourage release of tension in tissues and muscles)
- nutritives (rich in minerals (especially calcium) to supply needed foods for the nervous system)
- stimulants (in small quantities to balance the relaxing effect)
- circulatory stimulants (to encourage the flow of circulation)
- herbs for grounding electrical energy
In some cases the following classifications of herbs may be added:
- adaptogens to treat adrenal exhaustion often a side effect of stress
- digestive herbs where there is evidence of stress held in the solar plexus and digestive system
- colon cleansing where there is evidence of chronic constipation caused by stress
- cardiac tonics where the heart is implicated either emotionally or physically
- diuretics and kidney tonics may be required where the patient communicates the fact that he/she suffers from fear
What nervines will a larvate tetanic disposition call for?
focus on the need for herbs to help relieve stress held in the muscles and tissues. They are considered to experience stress on a more physical level and will benefit from antispasmodics
What nervines will a neurogenic disposition call for?
herbs to help relieve stress held in the spiritual and energetic self. They are considered to experience stress on a more mental level and will benefit from nervines that address this