The Kampo Treatment of Blood Disorders

March 3-5, 2023
Santa Fe, NM
With Nigel Dawes, MA, LAc

22.5 Continuing Education credits for CA and TX and NCCAOM

This advanced course in the diagnosis and treatment of blood disorders utilizing Kampo Sino-Japanese Herbal Medicine, taught by Nigel Dawes, MA, LAc, will be offered this March in Santa Fe. This seminar will be open to anyone interested in strengthening their Kampo foundation with a focus on blood disorders as well as to those who might be new to Kampo who want an introduction to the basics followed immediately with condition-focused study.

Blood is the densest and most material of the 3 substances: 気血水 Ki Ketsu Sui (Qi Xue
Shui). In the Kampo diagnostic hierarchy, problems at this level not only represent a deeper, more stubborn and likely more chronic imbalance but also take precedence in treatment hierarchy.

In the Kampo dialectic, Blood pathology is synonymous with Blood Stasis (Oketsu) as
impairment in the proper flow of blood is considered the initial stage of all blood disorders. Blood Stasis is also the inevitable result of the various different etiologies of blood patterns – Qi Stagnation, Heat, Cold and Dryness – all will lead to Oketsu. Thus Kampo considers the
assessment and treatment of Oketsu a primary focus of patient care.

Learning how to diagnose, differentiate and treat Oketsu is essential to a successful herbal

About the Instructor:

Nigel Dawes has been practicing and teaching East Asian Medicine for 35 years. He lived and studied in Japan for 5 years followed by hospital internships in China in the 1980’s. Prior to moving to the United States, he founded the London College of Shiatsu in 1987, and in addition to acting as director and lead instructor, began lecturing at various Oriental Medicine (OM) schools in England, France, Israel and the U.S. Since 1994, New York City has been his home, where he has continued his involvement in undergraduate and graduate OM education and administration, political work in the field, clinical practice, research and publishing. In 1999 he founded the NY Kampo Institute whose mission is the dissemination of traditional Japanese medicine through teaching and practice.

These days Nigel divides his time between clinical practice, teaching, and publication & research. He is currently considered one of the leading experts in the practice and teaching of Kampo, lecturing widely throughout the US and abroad including Canada, Europe, Israel and Australia. He is a regular contributor to various peer-reviewed journals in the field and has published 4 books including a translation of a modern Japanese Kampo classic Kampo Igaku by Otsuka Keisetsu. His fourth book, Fukushin and Kampo, on the topic of Abdominal Diagnosis in East Asian Medicine, was published in October 2020. He has been on the faculty of both Tristate College of Acupuncture and Pacific College of Oriental Medicine and is currently teaching at AIMC Berkeley where he has taught courses in both Kampo and Japanese Acupuncture as well as supervising in clinic.

Nigel’s private practice is located in New York City and incorporates Acupuncture, Shiatsu massage and Kampo herbal medicine. He lives in Brooklyn.

Friday March 3 through Sunday March 5, 2023
    9:00 am-5:30 pm with a one-hour lunch all 3 days

Friday March 3rd: Discussion of the concept of Oketsu in Kampo, blood physiology and pathology (Oketsu Sho) in Kampo, Kampo approaches to the treatment of Oketsu Sho including “Blood” herbs and formulas

 Saturday March 4th: Blood formulas for primary Oketsu with Da Huang for blood heat and without Da Huang for blood stasis, Blood formulas for secondary Oketsu with Di Huang for Blood Dryness and Blood Deficiency

Sunday March 5th: Kampo Blood formulas for secondary Oketsu with Di Huang for Blood and Qi deficiency and Dang Gui for Blood deficiency and cold, Review, and Case Studies

From Nigel Dawes, M.A., L.Ac. about this workshop

Blood stagnation conformation 瘀血証 Oketsu Sho (Yu Xue Zheng)
The concept known as blood stagnation is a specialty in Kampo.
Among lay people it is referred to as old or decrepit blood, but the term Oketsu does not mean old blood. The o means “sumped”, so the term means the (liquid) blood is stagnant. As to what aspect of the blood Oketsu refers, has not yet been defined in the terminology of modern medicine. However, when the following symptoms manifest, Oketsu is diagnosed:

  • The mouth is dry, and though there is a desire to wet the mouth, there is no desire to drink.
  • The abdomen is not swollen, though there is the subjective complaint of a feeling of fullness there.
  • There is 煩熱 Han Netsu (Fan Re) Troublesome Heat (discomfort arising spontaneously on the body surface, either in the whole body or in parts of it, such as the soles of feet, or the palms of the hands).
  • There are purpura – purple spots on the skin or mucous membranes.
  • Distended blue veins appear on the surface of the skin.
  • The edges of the tongue are purple and the lips bluish.
  • The feces become black.
  • There is a tendency to bleed easily.
  • Oketsu manifests a specific abdominal Sho, such as the Oketsu point 小腹急結 Shoh Fuku Kyuh Ketsu (Xiao fu ji jie) and/or: 臍部急結 Sai Bu Kyu Ketsu (Qi Bu Ji Jie), the Navel Spastic Knot.

Upon finding this abdominal Sho, the existence of Oketsu can be verified, and we can prescribe herbal formulas using such crude drugs 薬物 Yaku Butsu (Yao Wu) as:

  • Persica Seed (Peach Kernel), 桃仁 Tonin (Tao Ren)
  • Moutan Bark, 牡丹皮 Botanpi (Mu Dan Pi)
  • Leech, 水蛭 Sui Shitsu (Shui Zhi)
  • Horsefly/gadfly, 蝱虫 Bochu (Meng Chong)
  • (Wingless) cockroachしゃ虫 Shamushi (Tu Bie Chong)

The Workshop

The workshop will focus on two distinct but related topics:
     a. The Kampo definition and understanding of 瘀血証Oketsu Sho (Yu Xue Zheng) – Blood Stasis Patterns.
     b. The differentiation of Kampo formulas used to treat 瘀血証Oketsu Sho (Yu Xue Zheng).

As always, in each case formulas will be discussed in terms of their Clinical Pattern, Sho 証, including Constitutional Patterns, Taishitsu Sho 体質証, signs and symptoms and especially Abdominal Conformations, Fuku Sho 腹証. Detailed notes on formula differentiation and therapeutic application will be provided along with notes from the audio-visual presentation used during the workshop. Practical abdominal assessment techniques will be demonstrated with particular emphasis on constitutional and pattern assessment as they relate to 瘀血証Oketsu Sho (Yu Xue Zheng).

The following are some of the Kampo formulas that will be discussed in the workshop:

1. Da Huang Mudan Pi Tang / Rhubarb and Moutan Combination
2. Tao He Cheng Qi Tang / Persica and Rhubarb Combination
3. Tiao Wei Cheng Qi Tang / Rhubarb and Mirabilitum Combination
4. Xiao Cheng Qi Tang / Minor Rhubarb Combination
5. Gui Zhi Fu Ling Tang / Cinnamon and Hoelen Combination
6. Zhe Chong Yin / Cinnamon and Persica Combination
7. Yi Zi Tang / Cimicifuga Combination
8. Zi Yun Gao (Shi Un Ko) / Lithospermum “Purple Cloud” Ointment
9. Si Wu Tang / Tang Kuei Four Combination
10. Wen Qing Yin / Dang Gui and gardenia Combination
11. Xiong Gui Jiao Ai Tang / Tang Kuei and Gelatin Combination
12. Jia Wei Gui Pi Tang / Ginseng and Longan Combination
13. Tian Wan Bu Xin Dan / Ginseng and Zizyphus Formula
14. Ba Zhen Tang / Ginseng and Tang Kuei Combination
15. Shi Quan Da Bu Tang / Ginseng and Tang Kuei Ten Combination
16. Ren Shen Yang Rong Tang / Ginseng Nutritive Combination
17. Dang Gui Jian Zhong Tang / Tank Kuei, Cinnamon and Peony Combination
18. Dang Gui Si Ni Jia Wu Zhu Yu Tang / Tang Kuei, Evodia and Ginger Comb.
19. Dang Gui Si Ni Tang / Tang Kuei and Jujube Combination
20. Wen Jing Tang / Tang Kuei and Evodia Combination
21. Ba Wei Di Huang Wan (aka: Jing Gui Shen Qi Wan) / Rehmannia Eight Formula
22. Wei Zheng Fang / Eucommia and Achyranthes Formula
23. Liu Wei Di Huang Wan / Rehmannia Six Combination
24. Niu Che Shen Qi Wan / Achyranthes and Plantago Combination
25. Qi Ju Di Huang Wan / Lycium Chrysanthemum and Rehmannia Combination
26. Zi Bo Ba Wei Wan / Anemarrhena, Phellodendron and Rehmannia Combination