PRESSURE DOWN FORMULA JIANG YANG FANG

CHINAMED PRESSURE DOWN FORMULA JIANG YANG FANG

This is a modern formulation designed specifically to reduce blood pressure. The selection of herbs in this particular formula combines both TCM and Western principles of treatment. Thus, there are herbs that extinguish Interior Wind, clear Heat, nourish the Liver and Kidney Yin and reduce Yang hyperactivity. In addition, the herbal combinations are chosen according to a demonstrated hypotensive action in clinical or animal studies.

Generally patients with hypertension are already taking antihypertensive medication, which tends to make their symptomatology less apparent. Therefore differential diagnosis is not always clear cut and one needs to rely mainly on the pulse and tongue. This difficulty is further compounded by the fact that the major presenting syndromes in patients with hypertension exist on a continuum. A patient may start out with Liver Fire, a pure excess syndrome; subsequently, the Fire consumes the Yin, leading to Liver and Kidney Yin deficiency with Yang hyperactivity; this may give way to a more severe Yin deficiency with deficiency Fire; and this may in turn lead to deficiency of both the Yin and Yang, also with deficiency Fire.

Therefore a careful appraisal of patients with hypertension is warranted, so that the following syndromes can be clearly differentiated: Liver Fire vs. Liver Yang hyperactivity due to Liver and Kidney Yin deficiency. These are both characterised by marked features of excess. However, the latter also has some signs of deficiency, i.e. thready pulse and scanty tongue coat. See ANTI-INFLAMM. Formula (CM119) for comparison.

This formula is fairly middle of the road in terms of its actions. Thus it is suitable for cases with both Liver and Kidney Yin deficiency together with some degree of Liver Fire. The distinguishing clinical features are: scanty tongue coat, wiry-rapid but also thready pulse and possibly also soreness and weakness of the lower back and knees, night sweating, dry mouth and throat.

Ingredients:
– Rehmannia glutinosa, root 地黃 223.2 mg
– Senna tora, seed 決明子 167.4 mg
– Ophiopogon japonicus, tuber 麥冬 133.2 mg
– Achyranthes bidentata, root 牛膝 133.2 mg
– Rubia cordifolia, root 茜草 133.2 mg
– Prunella vulgaris, herb top flowering 夏枯草 133.2 mg
– Uncaria rhynchophylla, stem 133.2 mg
– Leonurus sibiricus, herb 益母草 133.2 mg
– Tribulus terrestris, fruit 蒺藜 133.2 mg
– Scrophularia ningpoensis, root 玄參 102.6 mg
– Scutellaria baicalensis, root 黃芩 102.6 mg
– Paeonia suffruticosa, stem bark 牡丹皮 102.6 mg
– Styphnolobium japonicum, flower 槐花 102.6 mg
– Chrysanthemum sinense, flower 菊花 66.6 mg

Signs & Symptoms
– Hypertension
– Dizziness

Dosage & Course of Treatment
– 6 – 10 capsules, twice daily.
– In severe cases and in the early stages of treatment (first 2 – 4 weeks) the dosage may be increased by 50 – 100%.
– Course of treatment: 3 � 9 months (or ongoing in severe cases).
– Safe to use long term.

Cautions & Contraindications
– Caution for those on anti-coagulant medications (i.e. Heparin, warfarin or aspirin).