Pacific College Student China Trip

Wangjing Hopstil Beijing Herbal Pharmacy. - DH

Fri, 04 May 2012 09:19:00 -0700

Wangjing Hopstil Beijing Herbal Pharmacy. - DH

Wangjing Hosptial Beijing Small Package Herb Pharmacy. Herbs are...

Fri, 04 May 2012 09:15:00 -0700

Wangjing Hosptial Beijing Small Package Herb Pharmacy. Herbs are pre packaged in common dosages (5 g, 10 g) for quick formula filling. I’m not sure how often this pharmacy is used in comparison to the traditional pharmacy (next post). - DH

Wangjing Hospital Beijing Granules Dept. You have the individual...

Fri, 04 May 2012 09:08:00 -0700

Wangjing Hospital Beijing Granules Dept. You have the individual granule containers, stored in rows. Then you have the packaging machine, where the formula is entered. Then the granule containers are placed in the big hole and the machine extracts the right dosage from each container (each container has a bar code). Then the final product - a wheel with pie shaped sections. Each section being a single dosage of granules. - DH

On arrival in Beijing from Dalian we had lunch with Dr. Lu, his...

Fri, 04 May 2012 08:57:00 -0700

On arrival in Beijing from Dalian we had lunch with Dr. Lu, his son, and other students (including Lilly’s classmate from Liaoning who is a student of Dr. Lu’s and practices in his office). Dr. Lu is 92 and has been practicing for 72 years. He is considered one of 100 national treasures of TCM I believe. (By lunch I don’t mean that we chatted or schmoozed much. We were lucky enough to meet him. We made a few toasts and enjoyed the meal and then went to see his clinic.) The first picture is the name of his clinic. The second is a poem Dr Lu wrote about treating patients with consideration to the middle jiao. He and all his students give special importance to maintaining the middle jiao when treating patients. -DH

Lilly’s brother and friends. They hooked us up in Dalian...

Mon, 30 Apr 2012 08:10:18 -0700

Lilly’s brother and friends. They hooked us up in Dalian making sure that we had easy access into and out of the train station and transportation around Dalian. They also treated us to lunch and dinner and such delicacies as Sea Cucumber, Abalone, and Conch. Their hospitality was very much appreciated. - DH

Some pics from the the schools Herbal Department in Dalian...

Mon, 30 Apr 2012 08:04:41 -0700

Some pics from the the schools Herbal Department in Dalian (I’m pretty sure it’s the herbal pharmacy department not internal medicine.) We had a presentation on Pao Zhi (Herbal Processing) and a quick demo. There are some pics there of a Traditional Pao Zhi set and some E Jiao being made into E Jiao Zhu. Herbal Pharmacy students learn Pao Zhi in their undergrad and then go on to do research in their graduate programs. - DH

Tonight is our groups last night in Shenyang. Over the next two...

Fri, 27 Apr 2012 06:15:00 -0700

Tonight is our groups last night in Shenyang. Over the next two days we’ll have a lecture in Dalian and then end up in Beijing. Most of us had a small dinner at a nice restaurant. The meal was a little light though, so Austin our translator and main go to person here wanted to know if I wanted to try some Chinese barbecue. I said sure. He mentioned that most of our meals had been at larger nice restaurants but there were some places he liked that we’re just slightly off the beaten track but he hadn’t take us there in case anyone got sick (even though he felt these were fine). So off we went to have some beer and bbq skewers.

The food was great. The restaurant was run by Hui Chinese who are Muslim. During the first half of the meal I was thinking that food was great and reminded me of many a nights eating after drinks at middle eastern food joints in NYC (the cuisine isn’t really that similar except for the barbecue). We had chicken, beef, some beef tendon, mushrooms, veggies wrapped in bean curd. Yum.

Then out came the barbecued cocoons of some sort. I had been joking with the girls at almost every meal the past few weeks that we were going to order the cocoons off of the picture menu but I never really intended to eat them. Well, I guess my time to try them was here. When in Rome….. They weren’t that bad. They had a nice seasoning and you were supposed to chew and squeeze the insides out and spit out the shell. I can’t say I squeezed very enthusiastically but I did eat about two of the three ordered for me. Austin said they are a good source of protein :) Apparently, they are slightly out of season so they weren’t that full of the white/green insides that come out as you bite them. Don’t worry, if you come here you can easily avoid this dish if it isn’t your taste. There is plenty of other great things to eat. -DH

Yesterday our group visited the hospitals herb processing...

Fri, 27 Apr 2012 02:52:00 -0700

Yesterday our group visited the hospitals herb processing center. On the first floor the herbs are pulverized and prepared for whatever else they will be made into. Some are made into formulas in some of the big vats shown. Others are made into honey pills, there are pics there of the honey cooking, they are mixed in with the powdered herbs in a separate vat and then the pills are packaged and sealed (see the pic with the package with the big circles). Other herbs are also processed into granules, capsules, enemas or tablets. There is a pic there of some tablets drying there on racks. - DH

I had a chance today to ask some further questions about the...

Fri, 27 Apr 2012 02:38:49 -0700

I had a chance today to ask some further questions about the Herbal Baths offered by the school. You can see some of the tubs used in the pics. Plus there is a pic of some nice chairs and the ceiling in a private treatment room in a small VIP section of the hospital. There is a picture of the Dean of the Herbal Bath Department Dr. Wang, Austin (Master’s Student and our translator), and myself. - DH

These are from a great two morning lecture on Yangsheng...

Wed, 25 Apr 2012 06:27:00 -0700

These are from a great two morning lecture on Yangsheng (Nourishing Life Practices) by Dr. Fan Xu. - DH

Treat Every Patient As A Relative

Wed, 25 Apr 2012 02:18:00 -0700

“Treat Every Patient As A Relative” were some words of advice we received today. Our group was having tea and casual conversation after doing some rounds with our groups Rheumatology doctor when she gave us this advice. We all agreed and then a student in our group then asked about an earlier incident where an older patient came into the doctors area and was asking questions. The patient didn’t seem to startle anyone, however our group was slightly surprised because in the U.S it would be rare to have such free access to the doctors.

Other doctors have mentioned personal relationships with patients during our trip. When our group was on the GI Inpatient floor during a lecture the doctor mentioned that psychology and helping patients overcome emotional issues is important for GI diseases like IBS, where emotions can be the cause of the syndrome or simply exacerbate the syndrome. He said the doctors all have to take that into account.

In our school, PCOM, I feel like this is emphasized by some teachers and many of us are on the same page. But it was different for us to hear this type of message in a busy hospital. Each of the doctors mentioned above oversees about 20 patients on their floor at a time. So it’s not like they are hanging out with patients for a long time. But it seems the warmth and support they advocate is conveyed in small but noticeable ways: a gentle tap here or there, a few friendly words of exchange , etc. At least that’s what I’ve noticed. In general it seems the borders between patient and doctor seem slightly less rigid than in the U.S. But what I like about it is that warmth and peace are conveyed with small messages. The doctor’s mentioned intend to be nice and don’t feel they need to compensate for other areas of the health field where the experience might be different. Therefore it seems they do this without any over the top and/or manic attempts to pamper the patient. But that’s just my personal opinion based on differences I’ve noticed. I’ve only been here two weeks, so take my opinions with a grain of salt because I have hardly any experience here.

Again, it’s not that everyone walks around with a smiley face :), not at all, but there is a way that some doctors go about their business that I respect. When we were in the eye acupuncture outpatient clinic the doctor probably had seen 20 patients before we got there and another 30 or so after we arrived. Besides his patients he had his interns hovering around him, our group as well, plus another group of American students. We were on all sides of him. But he worked fluidly and calmly without seeming agitated by all the people. I feel that a few doctors we’ve met have had this type of demeanor. I appreciate these things. Again, I’m not trying to create a naive image of a place where no one gets flustered and is always nice (not at all), I just wanted to point out some positive things I’ve noticed.

On the flip side, there are things I like better at American hospitals. In my opinion, rigid rules can be beneficial when it comes to some things like smoking in the hospital or outside of it. - DH

Dept of Urology. This was a demo of herbal poultices used to...

Mon, 23 Apr 2012 02:25:25 -0700

Dept of Urology. This was a demo of herbal poultices used to tonify/nourish the kidneys by placing the hospitals patent poultice formula over Spleen 6 pt and the Kidney Back Shu pt. A heat lamp was applied and could stay for 20 mins. The compress themselves can stay on or an hour. (The purple marks on my back are from a cupping treatment two days ago and have nothing to do with this treatment. They are not painful.)

Herbal Steamer used in Urology Inpatient. Typically used for...

Mon, 23 Apr 2012 02:13:00 -0700

Herbal Steamer used in Urology Inpatient. Typically used for patients with Edema or Dampness where the doctor feels they need to sweat. The herbs used were not mentioned. The whole body goes into the steamer with the head sticking out of the top and the arms coming out through the front two flaps. On the ledge below the hand flaps was a control system but I don’t know what it said - DH

Herbal Pharmacy at the hospital. This is the raw herb side....

Sun, 22 Apr 2012 15:57:00 -0700

Herbal Pharmacy at the hospital. This is the raw herb side. There is also a granules section, a patent medicine and pill section. There is also definitely a western drug section but I don’t know if it’s on the same floor. It’s a big pharmacy with the waiting section in the middle taking most of the floor. -DH

Herbal IV’s on Gastrointestinal Inpatient Floor....

Sat, 21 Apr 2012 04:16:00 -0700

Herbal IV’s on Gastrointestinal Inpatient Floor. Individual Herbs & Formulas Used: Hong Hua, Xue Fu Zhu Yu (Tang), Shen Mai (San), Dan Shen, Chuan Xin Lian. Given in addition to main formula. -DH

Li ShiZhen painting in hospital hallway. - DH

Sat, 21 Apr 2012 04:12:00 -0700

Li ShiZhen painting in hospital hallway. - DH

Pulse Lab. I’d love to have this machine for anywhere from...

Sat, 21 Apr 2012 04:10:00 -0700

Pulse Lab. I’d love to have this machine for anywhere from a few weeks to a year. At first I didn’t like it at all. Obviously it’s nothing like a real person. But I’ve gone back with my group in our free time and I’ve learned to like training my fingers to feel the subtle differences. It’s also nice to think of the definition while you have something under my fingers. I won’t be remembering the pulses as definitive examples though.

- DH

Shenyang Chinese Herb Wholesale Market

Thu, 19 Apr 2012 06:39:00 -0700

Student Entry-

This past Sunday our PCOM student group traveled to a wholesale Chinese Herb Market inside the city of Shenyang, Liaoning. This is the first herb market I’ve been to in China and I personally had a blast.

If you like herbs, it was nice seeing large bundles of herbs right out in the open and being able to compare them with what the next store had as well as with the cuts and quality you are used to seeing in the U.S. Plus the prices were great compared to the United States.

Shenyang is in the northeast of China just above North Korea (see map here http://www.travelchinaguide.com/images/map/liaoning/liaoning.gif ). While at the market I got the feeling that we were in ginseng country. I’ve heard Ginseng grows best in cold weather with some of the best being wild ginseng from North Korea. Most of the herb shops in the market specialized in Ginseng, Deer products, and sea cucumber (Liaoning is also near the sea). While a few others had selections of pretty much all the same herbs we would use in the United States plus a few others that we don’t yet use, Rhodiola for instance.

I’m not sure how many tourists come through the herb market but based on some of the wide eyes around I’d guess not many. That said, I will say that the store owners were pretty nice and welcoming and they also seemed pretty honest. Between Lilly C., Bob D. and our translator Austin we were able to communicate and chat about the herb selection and prices. When they saw that we knew something about Chinese herbs they opened up more dialog with us They also showed us their selection of prized herbs.

After showing some interest in buying we were also gifted a few rounds of tonic wines as well. I wasn’t around when the first tonic was served and I’m not sure what was in it, except that it was a Yang tonic. My cup came down the line and I gladly drank it down. Later on we were served some Ginseng wine. The same would happen at a few other stores we stopped in. Forget having Sunday morning brunch and a mimosa. I’d take walking around an herb market looking at wild ginseng while drinking Ginseng wine any day. I have no doubts about that.

I know nothing about herbs and determining their value is but I’ll try to explain to the best of my ability how the market was. The Ginseng came in many varieties of grade and price. The main categories being wild(very expensive), wild cultivated (planted or transplanted to a forest to simulate wild ginseng), farmed Bai Ren Shen – White Ginseng, and Hong Ren Shen - Red Ginseng. Of course within those categories there were large variations in quality and price. For example, I picked up some scrawny (but I think nice) wild cultivated ginseng for about 4 yuan a piece or about .80 cents. However, we also saw some wild cultivated Ginseng that hadn’t been dried and was still covered in dirt that went for 2,000 Yuan or about 300 dollars. The 300 dollar piece was maybe 4 times the size of what I bought but the quality and age is what made the difference in value.

Besides Ginseng there was plenty of Lu Rong and Deer penis at the markets. Not just slices of Lu Rong but big thick whole horns to buy. About half the group bought some bottles of Lu Rong wine that came in a nice box for 25 Yuan or like 4 dollars. Apparently many fathers will be receiving some Lu Rong on Father’s Day this year. I can’t say for sure but I wouldn’t doubt that the price would go up by at least ten times for the same bottle in the United States. (BTW when I say wine here, I mean distilled rice alcohol prob about 40 – 45% similar to vodka).

One thing I like about being in the herb market was that business was slightly old fashioned, in a nice way. Store owners tried to make connections with us. As we bought things, especially as we were a large group, the store owners were us small gifts. Besides the herbal wines that were being handed out we were also given things like boxes of Lu Rong tea. At one store we spent some time in the owner actually gave a small few of us some wild cultivated ginseng pieces (I’ve included a picture of the piece Bob D. was given).

Price coupled with lower quality usually discourages me from seriously examining Ginseng at herb shops in the United States. However now that I actually could afford the Ginseng I wanted to know how I might get the best quality for my money. Obviously, I know nothing about this and I had to depend on the collective knowledge of our group leaders and the store owners. The owners were actually honest about this. At one point some students were about to buy a pound of Korean ginseng. The owner honestly told us that the quality wasn’t the best. How can one tell? I’m not sure. The only thing I’ve ever read about it is here on one of Eric Brand’s blogs: http://www.bluepoppy.com/blog/blogs/blog1.php/red-ginseng-jpg I have also watched some video’s he made on the subject. Based on those blogs I was looking at the size of the head in relation to the body as well as the quality and evenness of the striations of the body.

Was I able to discern what was the best quality Ginseng? No. But I did notice that the lowest quality ginseng, like the Korean ginseng mentioned above, had very tiny heads while the higher priced ginseng had relatively large heads just as mentioned in Eric’s blog. It may not be clear in this photo, but the wild cultivated specimen that Bob D. was given also has very nice striations, and that was more expensive than others. As a student it was nice to have the opportunity to make the observations about quality myself after having read about it.

All in all it was a good day. I bought some Bai Ren Shen, Huang Qi, San Qi, Zang Hong Hua, Gou Qi Zi, and Bai Ju Hua. I may go back and buy some more before the trip is over.

If I’ve made any factual mistakes about anything relating to the Herbs mentioned in this blog please feel free to correct me in the comments section.

See pictures in previous post.

-David Heron

Shenyang Chinese Herb Wholesale Market

Thu, 19 Apr 2012 06:36:00 -0700

Shenyang Chinese Herb Wholesale Market

Finding beauty in the details: a storm drain man-hole cover on a...

Fri, 13 Apr 2012 06:42:00 -0700

Finding beauty in the details: a storm drain man-hole cover on a Shen Yang street