Topics in Chinese Medicine Blog

Reflections on the wisdom, practice, and living tradition of Chinese Medicine

Preface for New Enriching Case Record Book

2026-06-17T18:46:15-04:00By |Blog, Books, Chinese Translation, Classic Formulas|

Here is the preface to Medical Cases from the Flower Charm Studio by Gù Déhuá, translated by Lorraine Wilcox and edited by Marnae Ergil, now available from the Purple Cloud Institute.

The text records twenty-nine of Dr. Gù's complex and often dangerous cases. Unlike the brief records typical of her contemporaries, Dr. Gù walks the reader through up to fifteen encounters with a single patient, revealing how each case shifts over time and explaining her understanding of the evolving pathomechanism. Wilcox adds her own notes on language, pathology, and historical context. Sharon highlights Dr. Gù's clarity and courage in critical, life-threatening situations, her mastery of warm disease formulas, and her particular skill with the delicate work of treating phlegm-fire. Wilcox's introduction is a critical essay on the history of women as physicians in China, who filled an essential role yet were widely held in contempt. A literate, trained general physician who treated women for all illnesses, Dr. Gù stands as an inspiration to present-day practitioners, and this translation is a gift to the profession.

Zhīzǐ Gānjiāng Tāng for Overthinking Insomnia

2026-06-17T18:48:20-04:00By |Blog, Chinese Translation, Classic Formulas, Diagnosis, Individual Herbs, Our Courses|

Sharon explores Zhīzǐ Gānjiāng Tāng, a "teeny-tiny" two-herb formula of zhīzǐ (3 g) and gānjiāng (6 g), mentioned only in clause 80 of the Shānghán Lùn for the case where body heat and slight vexation remain after strong purgation.

She unpacks the pattern: strong purgation creates a new blockage in the middle-soil and shàoyáng pivot, trapping heat that wafts upward as vexation. Unlike the deeper Zhīzǐ Chǐ Tāng pattern (a heart-kidney disconnection that brings nighttime anguish), this is a shàoyáng/soil pattern. Here gānjiāng works not to warm a cold middle but to open it so zhīzǐ can descend the floating heat, drawing on the perspective of Dr. Tán Jiézhōng.

Clinically, Sharon reaches for this formula with insomnia marked by unstoppable, non-distressing thinking: patients who can't fall asleep or wake with a restless mind that won't quiet. Being small and light, it pairs easily with formulas like Xiǎo Cháihú Tāng, Sì Nì Sǎn, or Cháihú Guìzhī Tāng, and works well as a late-afternoon tea.

Zhīzǐ Chǐ Tāng for Insomnia with Anguish

2025-12-03T13:56:25-05:00By |Blog, Classic Formulas, Diagnosis|

In the last post, I wrote about two formulas for insomnia, Zhīzǐ Chǐ Tāng and Zhīzǐ Gānjiāng Tāng. Zhīzǐ Chǐ Tāng is an odd, teeny-tiny formula, and the way it works may be difficult to understand, especially the use of dàndòuchǐ, which we probably learned as primarily an herb for resolving the exterior. In this post, I will explain the mechanism of this formula as I understand and use it. How does it treat “anguish in the heart” type insomnia?

Before diving into that, I want to share a recent message from a student who suffered from a rash after a profound loss:

“I kept thinking about how you talked about Zhīzǐ Chǐ Tāng and how it was for anguish in the heart. That word, anguish,  is exactly how I’ve been feeling from the moment of loss.
Anyway, I took some ideas from the formula you originally suggested for me, which already had zhǐshí and zhīzǐ, and added a high dose of dàndòuchǐ, and it was like a lock-and-key magic!  After 3 1/2 months of this rash being so, so stubborn, it started to change dramatically. For the last week and a half, every morning when I wake, the rash is better and better, and I even think something feels a little emotionally lighter as well.
So thank […]

Two Excellent Zhi Zi (栀子Gardenia Fructus) Formulas for Sleep

2026-06-17T18:50:30-04:00By |Blog, Classic Formulas, Individual Herbs|

Continuing the discussion of classical formulas for sleep, Sharon introduces two effective zhīzǐ formulas: Zhīzǐ Chǐ Tāng and Zhīzǐ Gānjiāng Tāng.

She begins with zhīzǐ itself, the fruit of the gardenia plant: bitter in flavor and cold in nature, it discharges fire, dispels vexation, clears heat through urination, cools blood, and resolves toxins. Its key action is to disinhibit the shàoyáng pivot. When that pivot is inhibited, descending heat (the physiological life-force) accumulates and turns pathological, affecting all three jiāo. Zhīzǐ is uniquely able to clear heat across all three. It works especially well when an inhibited pivot agitates the spirit or blood and concentrates the urine to a hot yellow.

Both formulas treat an agitated spirit manifesting as insomnia, differing by where the blocked pivot sits. Sharon uses Zhīzǐ Gānjiāng Tāng when the insomnia involves too much thinking (waking and unable to turn the mind off), and Zhīzǐ Chǐ Tāng when the patient wakes with a distinct feeling of anguish. When patients relate to neither, a zhīzǐ formula isn't appropriate. A follow-up post will explore why dàndòuchǐ and gānjiāng are used.

Venus Rising Spotlight Interview with Sharon Weizenbaum

2025-10-27T22:14:14-04:00By |Podcast|

In this Venus Spotlight Interview, Sharon Weizenbaum, L.Ac.—renowned herbalist, acupuncturist, and founder of White Pine Institute—shares her journey through decades of study, teaching, and clinical practice in Classical East Asian Medicine. Her Graduate Mentorship Program continues to shape the next generation of practitioners with its focus on diagnostic clarity and classical roots.

Chinese Herbal Medicine for Depression and Anxiety by Sharon Weizenbaum

2025-10-27T22:01:26-04:00By |Videos|

In this in-depth presentation hosted by Kamwo and ASNY, Sharon Weizenbaum shares her clinical experience using classical Chinese herbal medicine to treat depression and anxiety. Drawing from decades of practice and teaching, she discusses the energetic patterns behind emotional suffering—such as Yin–Yang disharmonies, cold blood, and Shao Yang pivot issues—and how classical formulas can restore balance, vitality, and emotional ease.

Sharon Weizenbaum on Classical Chinese Medicine: Cases (Staph, Diabetes, Epididymitis) (Part 3 of 3)

2025-10-27T22:16:18-04:00By |Featured Pod, Podcast|

In this final conversation of the three-part series, Waleed Almusharaf speaks with Sharon Weizenbaum about real clinical cases—ranging from diabetes and staph infections to post-COVID syndrome and epididymitis. Sharon demonstrates how accurate diagnosis unfolds through attentive observation and classical understanding.

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