The Kampo Treatment of Ki Disorders

March 1-3, 2024
Santa Fe, NM
With Nigel Dawes, MA, LAc

22.5 Continuing Education credits pending for CA and TX and NCCAOM

Register Here

This advanced course in the diagnosis and treatment of qi 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 qi 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.

Ki/Qi has the meaning of “air”, “gas” or “breath”. The images contained within the characters include those of rice & steam as in the idea of cooking. Food (Yin) is cooked by applying fire (Yang) & steam or vapor (Yang) is given off as a result. In the body, this process is symbolized by the burning of nutrients to produce energy. Ki/Qi therefore is a dynamic energy force which, in the body, is responsible for normal physiological functioning of all systems.

The ki has no form, it has only function. When the ki collects, or sumps, then there is what is called illness. This notion can be seen in the text: “Ro’s Spring and Autumn” Ro Shi Shun Jyu, written during the warring states period, edited by Ro, prime minister during the Qin dynasty. According to the Japanese physician, Goto Konzan (1659–1733), founder of the Koho-Ha School of Kampo, this blockage of the flow of ki is the cause of all disease.

As such, learning how to diagnose, differentiate and treat Ki disorders is essential to a successful herbal practice.

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.

Schedule: 
Friday March 1 through Sunday March 3, 2024
    9:00 am-5:30 pm with a one-hour lunch all 3 days

Friday, March 1: Introduction to Ki pathophysiology in Kampo including Ki sumping, identification of ki herbs and formula families.

Saturday, March 2: Ki deficiency pattern differentiation including Ren Shen and Yi Tang formula families, and gui zhi and ban xia fomula families for qi deficiency with accumulation. 

Sunday, March 3: Ki stasis formulas including Huang Lian and Chai Hu family formula patterns, and complex qi stasis presentations calling for combined Zhu Ru and Chai Hu family formulas. 

There will be plenty of time for practice, questions, and detailed review! 

Register Here

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

Qi in Kampo Medicine
According to Kampo, the blood and water are set to work by the ki, so that if the ki sumps (stagnates), then the blood and water which faithfully follow the flow of ki will also falter and sump (utsu tai). In Kampo there are some raw drugs referred to as ki herbs which direct the ki and keep it circulating. For example, if the ki rises within the body, we use Cinnamon Twig (Gui Zhi)  When there is disease the ki rises easily, and the rising ki causes a sensation of dizziness. As the ki ascends the feet are cold, Hie, 冷え (Leng), there is Counterflow (nobose), dizziness, headache and heart palpitations.

These are correctly handled by using cinnamon-based prescriptions, such as:

  • Cinnamon Combination (Gui Zhi Tang)
  • Atractylodes and Hoelen Combination (Ling Gui Zhu Gan Tang)
  • Hoelen Five Formula (Wu Ling San)
  • Cinnamon and Dragon Bone Combination (Gui Zhi Jia Long Gu Mu Li Tang)

Moreover, when there is illness, the ki will sump. Ancient people called this symptom plum pit qi: a feeling as though the stone of a plum were caught in the throat. In biomedical terms this may be referred to as “anxiety” or even “hysteria” (a subjective feeling of discomfort with unknown cause) or more generally as “neurosis” of one kind or another. Generally, such patients will be referred for pyschiatry/psychology. In Kampo however, looking carefully at a patient with neurosis, symptoms arising from a sump in the ki are often seen, so that using Pinellia and Magnolia Combination (Ban Xia Hou Pu Tang), the circulation of the ki improves and symptoms will disappear.

If the ki sumps, the water, blood and circulation deteriorate, so that within a single formula, a ki tonic plus crude drugs to maintain water and blood flow will be prescribed together at the same time. Ki is volatile by nature and changes quickly and easily. The slightest stimuli can illicit responses at the Ki level. For example, smells, visual stimuli, sounds, tastes & emotional activity can all strongly affect the Ki. In TCM terms, changes at this level are usually ascribed to the Liver. However, in Kampo, such change is believed to occur at any level of the body. The important distinction in Kampo is not the organ system involved but rather the level at which the change is occurring. For example, if the Sho is clearly associated with the Ki/Qi, level only, then prescriptions for correcting the Ki/Qi will be sufficient.

However, changes at the Ki level will often lead to blood & water (fluid) imbalances involving pathogenic accumulation of these Yin substances in the body. In such cases, in addition to Ki/Qi tonics, herbs to restore and maintain proper movement of blood & water will be prescribed. For example, Major Rhubarb Combination (Da Cheng Qi Tang) which is commonly thought of as a purgative, contains a ki-circulating component, Magnolia Bark (Hou Pu). Here the meaning of the character dai (major) is ‘primary’ and jyo ki can be translated as ‘to bring the ki to obedience (into order)’.

Formulas studied in this workshop:

1. Si Jun Zi Tang / Four Major Herb Combination (aka. 4 Gentlemen)
2. Liu Jun Zi Tang / Six Major Herb Combination (aka. 6 Gentlemen)
3. Shang Xia Liu Jun Zi Tang / Saussurea and Cardamon Combination
4. Bu Zhong Yi Qi Tang / Ginseng and Astragalus Combination
5. Wu Zhu Yu Tang / Evodia Combination
6. Xiao Jian Zhong Tang / Minor Cinnamon and Peony Combination
7. Da Jian Zhong Tang / Major Zanthoxylum Combination
8. Huang Qi Jian Zhong Tang / Astragalus Combination
9. Dr. Otsuka’s “Major Construct the Middle” formula
10. Gui Zhi Jia Long Gu Mu Li Tang / Cinnamon and Dragon Bone Combination
11. Ban Xia Hou Pu Tang / Pinellia and Magnolia Combination
12. Ling Gui gan Cao Tang / Hoelen, Licorice and Jujube Combination
13. Ben Tong Tang / Pueraria and Ginger Combination
14. Gan mai Da Zao Tang / Licorice and Jujube Combination
15. Yan Nian Ba Xia Tang / Evodia and Pinellia Combination
16. Ban Xia Bai Zhu Tian Ma Tang / Pinellia and Gastrodia Combination
17. An Zhong San / Cardamon and Fennel Formula
18. Xuan Fu Hua Dai Zhe Shi Tang / Inula and Hematite Combination
19. San Huang Xie Xin Tang / Coptis and Rhubarb Combination
20. Huang Lian Xie Xin Tang / Coptis Combination
21. Ban Xia Xie Xin Tang / Pinellia Combination
22. Gan Cao Xie Xin Tang / Pinellia and Licorice Combination
23. Sheng Jiang Xie Xin Tang Pinellia and Ginger Combination
24. Chai Hu Jia Long Gu Mu Li Tang / Bupleurum and Dragon Bone Combination
25. Gou Teng San / Gambir Formula
26. Yi Gan San / Bupleurum Formula
27. Yi Gan San Jia Chen Pi Ban Xia / Bupleurum Formula plus Citrus and Pinellia
28. Xiao Chai Hu Tang / Minor Bupleurum
29. Chai Hu Gui Zhi Tang / Bupleurum and Cinnamon Combination
30. Chai Hu Gui Zhi Gan Jiang Tang / Bupleurum, Cinnamon and Ginger Comb.
31. Si Ni San / Bupleurum and Chi Shi Formula
32. Zhu Ru Wen Dan Tang / Bamboo and Ginseng Combination
33. Wen Dan Tang / Bamboo and Hoelen Combination
34. Jia Wei Xiao Yao San / Bupleurum and Peony Formula
35. Xiao Yao San / Bupleurum and Tang Kuei Formula

Register Here

Registration Fee: $620 for Professionals, $558 for students

Cancellation Policy

• For cancellations made on or before January 21, 2024 – Full Refund*
• For cancellations made on or after February 1, 2024 -No Refund