TTM Product Guide 2019 Tom Bisio

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The document outlines a three stage system for treating injuries based on traditional Chinese medicine. It also describes various herbal products for treating different stages of injury.

The document divides the healing process into three stages - acute, sub-acute, and chronic. Each stage has different treatment principles and recommended herbal formulas.

For each stage of injury, the document provides a quick reference chart listing recommended herbal products. For example, in the acute stage it recommends Extra Strength Trauma Liniment, Herbal Ice, etc.

& TOM BISIO

All Things Acupuncture since 1973

PRESENT

PROD U CT GU ID E
BY TOM BISIO

THESE PRODUCTS ARE BASED ON THE BOOK


A TO OT H FR O M T HE T IGER’ S M O U TH
How to Treat Your Injuries With Powerful Secrets of the Great Chinese Warriors
Contents
Tooth From the Tiger's Mouth Product Line 3
Tooth From the Tiger's Mouth Product Line & the 3 Stages of Injury 6

Stage 1: Acute 13
Stage 1 Treatment of Principles 14
Stage 1 Products: Quick Reference Chart 15
1. Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) 16
2. Herbal Ice (San Huang San Gao) 17
3. Stage 1 Trauma Ointment (Die Da Gao Yi Bu) 18
4. Blood Stasis Trauma Pill (Huo Xue Die Da Wan) 19

Stage 2: Sub-Acute 20
Stage 2 Treatment of Principles 21
Stage 2 Products: Quick Reference Chart 22
1. Dragon's Blood Tendon Lotion (Xue Jie Shu Jin Lu) 24
2. Tiger's U-I Oil (Hu Biao Yu Yi You) 25
3. Yoga Stretching Oil (Yoga Shen Jin You) 26
4. Extra Strength Golden Ointment (Qiang Li Jin Huang Gao) 27
5. Stage 2 Trauma Ointment (Die Da Gao Er Bu) 28
6. Extra Strength Tendon Relaxing Soak (Shu Jin Huo Xue Jin Ji) 29
7. Master Bonesetter's Trauma Soak (Zheng Gu Die Da Jin Ji) 30
8. Bonesetter's Special Pill (Zheng Gu Zi Jin Dan) 31
9. Stage 2 Bone Knitting Pill (Jie Gu Wan Er Bu) 32

Stage 3: Chronic 33
Stage 3 Treatment of Principles 35
Stage 3 Products: Quick Reference Chart 36
1. Tiger's Invigorate Collateral Liniment (Hu Biao Huo Luo You) 38
2. Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao) 39
3. Warming Soak (Wen Jing Huo Luo Jin Ji) 40
4. Bone Spur Soak (Gu Ci Jin Ji) 41
5. Bone Spur Powder (Gu Ci San) 42
6. Stage 3 Bone Knitting Pill (Jie Gu Wan San Bu) 43
7. Strengthen Sinew Pills (Bu Jin Wan) 44

Symptom Index 45
FAQ 50
Tooth From the Tiger’s Mouth
Product Line
T he Tooth From the Tiger's Mouth Product Line is composed of the most
effective formulas for treating trauma and other conditions. These formulas
have been carefully chosen by Tom Bisio, one of the leading experts
in Chinese Sports Medicine and author of the popular book, A Tooth
From the Tiger's Mouth, and are based on traditional formulas used by
generations of Chinese physicians, sports medicine doctors, martial arts
practitioners, tui na experts, and bonesetters. These formulas were further
tested for over 30 years at Tom Bisio's Sports Medicine clinic, and clinics
all over the United States by hundreds of practitioners, on thousands of
patients.

Master practitioners know that using the right formula at the right time
is the key to clinical success. To ensure correct usage of our products we
have created a unique colored-coded system in accordance with the Three
Stages of Injury and Healing. This system allows health professionals,
trainers, athletes, and martial artists to quickly and accurately choose the
correct product(s).

Tom and the experts at Kamwo Meridian Herbs have ensured that Tooth
From the Tiger's Mouth products are prepared in the traditional way, which
maximizes effectiveness.

All of our products are conveniently packaged so that they are easy to use
in the clinic, on the sports field or in the martial arts school. These products
are indispensable for athletes, martial artists, massage therapists and
practitioners of Oriental medicine. They can be safely given to patients for
home use.

The Tooth From the Tiger's Mouth Product Line is composed of professional
grade formulas made the traditional way. Many of these formulas are the
same formulas mentioned A Tooth From The Tiger’s Mouth: How to
Treat Your Injuries With Powerful Secrets of the Great Chinese Warriors
by Tom Bisio. Several formulas have been altered to make them even
stronger and more effective.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 3
Seek Proper Medical Advice
The products described in this guide are not intended to be a substitute
for proper medical care. In cases of serious injury, seek appropriate
medical care immediately. For Orthopedic conditions consult with your
physician before undertaking a course of treatment.

About the Ingredients in


our Products
The herbs contained in our formulas are carefully screened by the staff of
Kamwo to meet the government regulations of both the People's Republic
of China and the United States Food and Drug Administration (FDA). Most
of the herbs are grown in the wild and are sulfate free and meet the heavy
metal standards of both the United States and China. They are grown
under strict guidelines preventing the use of pesticides such as DDT and
Hexachlorophene.

As much as possible our powders, liniments, ointments, pills, soaks and


gao are prepared in the traditional way without the use of preservatives
and additives.

To Order:
Kamwo Meridian Herbs
211 Grand St.
New York, NY 10013
Ph: 212-966-6370
Fax: 212-266-4717

Products can be ordered online at www.kamwo.com

4 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
If you are a licensed practitioner of Chinese medicine,
ask about our practitioner discount

E-Script is the professional online store for Kamwo Meridian Herbs. E-Script
accounts are given to verified, licensed practitioners (L.Ac., LMT, MD, DO,
NP, DC) to provide access to professional products at discounted pricing.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Tooth From the Tiger's Mouth Product Line
& Three Stages of Injury
To make these products easy to use we have color-coded and numbered the
products according to the different stages of injury. Using the right product at
the right time and in the right circumstances is the key achieving maximal clinical
efficacy. This guide is designed to familiarize you with the stages of injury and
the appropriate products for each stage. We have also included a chart for quick
reference.

Stage 1: Acute

This stage starts from the moment the injury occurs and usually
lasts from 1-7 days. Stage 1 injuries are characterized by swelling,
redness and pain, and possibly a local sensation of heat. In
Western medicine this is called the “Inflammatory Stage.” If the
trauma is minor, this stage may only last 2-3 days. If the injury is more severe,
it may be a full week before swelling, redness and pain begin to subside. The
swelling is the result of Qi (vital energy), blood and body fluids stagnating because
their normal movement has been disrupted by the force of the injury. This can
cause blood and fluids to accumulate outside the blood vessels in the soft tissue,
creating a dark blue or black swelling.

At this stage, external herbal formulas tend to be relatively cooling or neutral in


temperature, while internal formulas generally focus on breaking stasis, killing pain,
and restoring the free flow of blood and Qi.

Stage 2: Sub-Acute

This stage usually begins within a week after the initial injury
and can last up to 3 weeks. The swelling and pain are reduced
and much or all of the redness and heat (“inflammation”) may
be gone. There is often stiffness due to spasms in tendons that have reflexively
contracted in an attempt to protect the injured area by immobilizing it. In Stage 1,
these spasms may have been difficult to see and treat because of the swelling.

6 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
In Stage 2, treatment can be more direct and aggressive. More warming poultices
(Gao) and liniments are used in order disperse residual swelling, or small pockets
of swelling around the injured area. Herbal soaks and applications of wet heat
(contraindicated in Stage 1) can now be used. Herbal soaks are particularly useful
for softening and dispersing remaining pockets of congealed blood and fluids that
can cause tissues to adhere to each other, thereby preventing them from sliding
smoothly across one another.

Stage 2 internal formulas still focus on breaking stasis, killing pain, and restoring
the free flow of blood and Qi, however some tonic herbs are included to help the
body repair damaged tissue and bone.

Stage 3: Chronic
This stage begins 3-4 weeks after the injury. Swelling and
inflammation are usually gone, but stiffness, aching, pain and
restricted motion may still be present. Wind, cold and damp
may be present in the local area due to poor local circulation or
deficiency of Qi and blood. Injuries to tendons and ligaments can take up to 6-8
weeks to heal completely, and in severe cases, it can take even longer. Improper
treatment in the earlier stages of injury can extend this stage to months or even
years. Additionally, constitutional factors may impede the healing process.

Stage Three liniments, and soaks can be quite warming and focus on driving out
wind damp and cold, while simultaneously reducing chronic pain and relaxing
stiffness and spasm. Some Stage Three external soaks and liniments are specifically
engineered to soften and disperse bony calcifications.

Stage Three Internal Formulas focus more on tonifying Qi, Blood and Yang in order
to help the body repair damaged tissue and bone, while still including a few herbs
to dispel any remaining stasis. Some formulas help prevent the body from forming
calcifications like bone spurs.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 7
Quick Reference Chart

Stage 1 Stage 2 Stage 3

Extra Strength Extra Strength Extra Strength


Trauma Liniment Trauma Liniment Trauma Liniment
(Qiang Li Die Da Jiu) (Qiang Li Die Da Jiu) (Qiang Li Die Da Jiu)
強力跌打酒 強力跌打酒 強力跌打酒

Blood Stasis Blood Stasis


Trauma Pill Trauma Pill
(Huo Xue Die Da Wan) (Huo Xue Die Da Wan)
活血跌打丸 活血跌打丸

Herbal Ice Extra Strength


(San Huang San Gao) Golden Ointment
三黃膏 (Qiang Li Jin
Huang Gao)
强力金黃散
Stage 1
Trauma Ointment
(Die Da Gao Yi Bu)
跌打膏 (一步)

8 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Quick Reference Chart

Stage 1 Stage 2 Stage 3

Stage 2 Stage 2
Trauma Ointment Trauma Ointment
(Die Da Gao Er Bu) (Die Da Gao Er Bu)
跌打膏(二步) 跌打膏(二步)
Dragon’s Blood Dragon’s Blood
Tendon Lotion Tendon Lotion
(Xue Jie Shu Jin Lu) (Xue Jie Shu Jin Lu)
血竭舒筋 血竭舒筋

Extra Strength Extra Strength


Tendon Relaxing Tendon Relaxing
Soak Soak
(Shu Jin Huo Xue Jin Ji) (Shu Jin Huo Xue Jin Ji)
舒筋活血浸劑 舒筋活血浸劑

Master Master
Bonesetter’s Bonesetter’s
Trauma Soak Trauma Soak
(Zheng Gu Die Da Jin Ji) (Zheng Gu Die Da Jin Ji)
正骨跌打浸劑 正骨跌打浸劑

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 9
Quick Reference Chart

Stage 1 Stage 2 Stage 3

Tiger’s U-I Oil Tiger’s U-I Oil


(Hu Biao Yu Yi You) (Hu Biao Yu Yi You)
虎標如意油 虎標如意油

Yoga Yoga
Stretching Oil Stretching Oil
(Yoga Shen Jin You) (Yoga Shen Jin You)
瑜伽伸筋油 瑜伽伸筋油

Bonesetter’s Bonesetter’s
Special Pill Special Pill
(Zheng Gu Zi Jin Dan) (Zheng Gu Zi Jin Dan)
正骨紫金丹 正骨紫金丹

Tiger’s Invigorate Tiger’s Invigorate


Collateral Collateral
Liniment Liniment
(Hu Biao Huo Luo You) (Hu Biao Huo Luo You)
虎標活絡油 虎標活絡油

10 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Quick Reference Chart

Stage 1 Stage 2 Stage 3

Bone-Sinew Gao Bone-Sinew Gao


(Gu Ji Wai Shang (Gu Ji Wai Shang
Xiao Tong Gao) Xiao Tong Gao)
骨筋外傷消痛膏 骨筋外傷消痛膏

Stage 2 Bone Warming Soak


Knitting Pill (Wen Jing Huo Luo Jin Ji)
(Jie Gu Wan Er Bu) 溫經活絡浸劑
接骨丸(二步)
Bone Spur Soak
(Gu Ci Jin Ji)
骨刺浸劑

Bone Spur
Powder
(Gu Ci San)
骨刺丸

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 11
Quick Reference Chart

Stage 1 Stage 2 Stage 3

Stage 3 Bone
Knitting Pill
(Jie Gu Wan San Bu)
接骨丸 (三步))

Strengthen
Sinew Pills
(Bu Jin Wan)
補筋丸

12 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 1: Acute

This stage starts from the moment the injury occurs and usually lasts from
1-7 days. Stage 1 injuries are characterized by swelling, redness and pain,
and possibly a local sensation of heat. In Western medicine this is called
the “Inflammatory Stage.” If the trauma is minor, this stage may only last
2-3 days. If the injury is more severe, it may be a full week before swelling,
redness and pain begin to subside. The swelling is the result of Qi (vital
energy), blood and body fluids stagnating because their normal movement
has been disrupted by the force of the injury. This can causes blood and
fluids to accumulate outside the blood vessels in the soft tissue, creating a
dark blue or black swelling.

At this stage, external herbal formulas tend to be relatively cooling or neutral


in temperature, while internal formulas generally focus on breaking stasis,
killing pain, and restoring the free flow of blood and Qi.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 13
Stage 1 Treatment of Principles:
1. Restore normal circulation to the injured area by reducing swelling,
stimulating local circulation and reducing the redness and heat
associated with inflammation.

• Herbal Ice (San Huang San Gao) 三黃膏


• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) 強力跌打酒
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu) 跌打膏 (一步)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan) 活血跌打丸

2. Restore the flow of Qi and blood in order to reduce pain and allow
the joint to regain its mobility. Remember in Chinese medicine pain =
lack of free flow of Qi, blood and fluids.

• Herbal Ice (San Huang San Gao) 三黃膏


• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) 強力跌打酒
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu) 跌打膏 (一步)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan) 活血跌打丸

3. At this stage avoid local applications of heat, hot compresses,


soaks, heating pads, and hot tubs. Adding heat to an already
inflamed joint can be like throwing gasoline on a fire. It can easily
result in more swelling and pain, thereby delaying the healing
process. Warming therapies are useful in Stage 2 and Stage 3 when
the initial inflammation and swelling are greatly reduced or absent.

14 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 1 Products: Quick Reference Chart

Stage 1 Stage 2 Stage 3

Extra Strength Extra Strength Extra Strength


Trauma Liniment Trauma Liniment Trauma Liniment
(Qiang Li Die Da Jiu) (Qiang Li Die Da Jiu) (Qiang Li Die Da Jiu)
強力跌打酒 強力跌打酒 強力跌打酒
Blood Stasis Blood Stasis
Trauma Pill Trauma Pill
(Huo Xue Die Da Wan) (Huo Xue Die Da Wan)
活血跌打丸 活血跌打丸
Stage 1
Trauma Ointment
(Die Da Gao Yi Bu)
跌打膏 (一步)

Herbal Ice
(San Huang San Gao)
三黃膏

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 15
Extra Strength Trauma Great Chinese Warriors
Liniment (Qing Li Die Da Jiu) (p. 175-179).
is the number one liniment
for bruises, contusions, Directions: Massage or soak
Stage 1 sprains and fractures. This
extra strength Die Da recipe
is renowned for its ability to
into the local area

Clinical Notes:
Products kill pain, reduce swelling and
break stasis. Extra Strength
Trauma Liniment is extremely
1. Injuries to the joints
of the fingers and toes can be
slow to heal, in part due to
External Application effective during all stages of the compact tight structure
the healing process, but is of the joint cavity. Soaking
most often used in Stage 1 cotton balls in Extra Strength
and Stage 2 muscle, tendon, Trauma Liniment (Qing Li
Extra Strength ligament, and bone injuries. Die Da Jiu) and then taping
Trauma Liniment Like most liniments for sports the cotton balls on injured
injuries, Extra Strength Trauma and swollen joints can be
(Qiang Li Die Da Jiu) Liniment should not be used very helpful as it allows the
強力跌打酒 in areas with skin rashes and
open cuts or sores.
liniment longer contact with
the injured area, so that it can
penetrate into the joint cavity.
Ingredients: sheng di huang; In chronic cases, use a moxa
tao ren; wu jia pi mu gua; niu xi; pole to warm the injured joint,
gui zhi; bing lang; ze lan; jiu ceng fumigating it with the smoke,
ta; su mu; hong hua; xiang fu; fu and follow by applying Die Da
rong ye; cao wu; chuan wu; chen Jiu soaked cotton or gauze.
pi; gan jiang; dang gui wei; ru
xiang; mo yao; ai ye; huang qin; 2. For muscle pulls,
huang bai; da huang; mu zei; tu massage Extra Strength
bie chong; bai zhi; xue yu tang; Trauma Liniment into the
zi ran tong; wang bu liu xing, muscle following the direction
alcohol (bai jiu) base. of the muscle fibers. Gently
break up and smooth out any
• Extra Strength Trauma knots or kinks in the fibers.
Liniment: is an all-purpose
trauma liniment that can be 3. Extra Strength
used for Stage 1, Stage 2, and Trauma Liniment for bone
Stage 3 Injuries. bruises or “eggs” on the shin.
• Extra Strength Trauma Using the liniment, massage
Liniment strongly kills pain by these lumps flat.
breaking stasis and coursing
the channels and collaterals. 4. Extra Strength
Trauma Liniment can be
Note: This Trauma liniment is used in conjunction with wet
a much stronger version of the heat tissue, for more chronic
formula featured in A Tooth injuries that are past the
External Use Only! From The Tiger’s Mouth: initial stage in, order to aid in
Do not use over open skin
How to Treat Your Injuries penetration of the liniment
lesions or rashes.
With Powerful Secrets of The into the tissues.

16 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Herbal Ice (San Huang San Clinical Notes
Gao) is the premiere external
poultice (Gao) for 1st stage 1. Herbal Ice should
sinew and bone injuries that only be used until the

Stage 1 are characterized by swelling,


pain, redness, and heat. In
Chinese medicine, Herbal Ice
initial heat and swelling
(inflammation), are gone or
significantly reduced. It is not
is the alternative to using ice for long-term use. Residual
because it clears heat and swelling can be addressed
redness (inflammation) while by other Gao, or by liniments
Herbal Ice simultaneously reducing like Extra Strength Trauma
(San Huang San Gao) swelling and dispelling stasis. Liniment or Dragon's Blood
三黃膏 Herbal Ice can also be used
to treat extensive bruising of
Tendon Lotion.

large muscle areas. Herbal 2. Herbal Ice is the


Ice should only be used until first stage treatment of
the initial inflammation, heat choice for severe contusions
and swelling are gone or to the muscles, which present
significantly reduced. It is not with extensive bruising and
for long-term use. swelling. For details see A
Tooth From The Tiger’s
External Use Only! Mouth (p. 188-189).
Do not use over open skin
lesions or rashes.

Ingredients: da huang;
huang qin; huang bai; hong hua;
pu gong ying; zhi zi; beeswax
and sesame oil base

Directions: Apply a thick


coat of the ointment over
the injured area. Cover with
gauze and then apply an
elastic bandage so that the
herbal material is held firmly
but not too tightly against the
skin. Leave for 24- 48 hours,
before removing.

Note: Herbal Ice (San Huang


San Gao) is featured in the
book: A Tooth From The
Tiger’s Mouth: How to Treat
Your Injuries With Powerful
Secrets of The Great Chinese
Warriors (p. 186-190).

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 17
Stage 1 Trauma Ointment (Die Clinical Notes:
Da Gao Yi Bu) is an alternative
to Herbal Ice (San Huang San 1. This traditional and
Gao) for 1st stage sinew and very effective Gong Fu recipe

Stage 1 bone injuries, characterized


by blood stasis and bruising
rather than heat and redness.
has been pre-made for ease
of use.

The very large dosage of Da 2. Use Stage 1 Trauma


Huang (Rhubarb) balances the Ointment (Die Da Gao Yi Bu)
action of the other warming instead of Herbal Ice when
Trauma blood invigorating ingredients. there is more stasis of blood
Ointment in the local area as opposed
(Die Da Gao Yi Bu) Trauma Ointment is more to heat and redness.
warming that Herbal Ice (San
跌打膏 (一步) Huang San Gao) and contains 3. This formula is
more herbs for resolving almost the same as Stage
blood stasis. 2 Trauma Ointment (Die Da
Gao Er Bu), but the dosage of
External Use Only! Da Huang is much larger to
Do not use over open skin reduce the otherwise warming
lesions or rashes. nature of the formula, making
it more suitable for a first
Ingredients: ze lan; xu duan; stage injury.
dang gui wei; bai zhi, su m; gui
zhi; gu sui bu; tie bao jin; ci ji li;
san leng; hong hua; jiang xiang;
fang feng; wu jia pi; da huang;
beeswax and sesame oil base

Directions: Apply a thick


coat of the ointment over the
injured area. Cover with gauze
and then apply an elastic
bandage so that the herbal
material is held firmly but not
too tightly against the skin.
Leave for 24- 48 hours,
before removing.

18 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Blood Stasis Trauma Pill is an Clinical Notes:
all-purpose internal formula
for sprains, strains, contusions 1. With the appropriate
and fractures, with blood presentation, Blood Stasis

Stage 1 stasis (swelling, bruising and


localized pain). Generations
of martial arts practitioners
Trauma Pill can be used for
both Stage 1 and Stage 2
Trauma.

Products have used the Blood Stasis


Trauma Pill (Huo Xue Die Da
Wan) to clear blockages of Qi,
2. Blood Stasis Trauma
Pill is an excellent alternative
blood and fluids that have to Traditional Die Da Wan
Internal Application accumulated at the site of an (Trauma Pill) - A Tooth From
injury. Blood Stasis Trauma the Tigers Mouth (p. 232-
Blood Stasis Pill is carefully formulated to 235) as an all purpose remedy
prevent blood from for falls, contusions, sprains
Trauma Pill congealing in the tissues of and fractures.
(Huo Xue Die Da Wan) the injured area and to

活血跌打丸 address “dead blood” before


it can develop. Clearing stasis
3. Blood Stasis Die Da
Trauma Pill is also used for
is usually the most important treating fractures in the first
step in accelerating the stage (first week) because of
healing process. its ability to clear blockages of
Qi, blood and fluids that have
Ingredients: sheng di huang, accumulated at the site of
qing pi, fang feng, wei ling xian, an injury. After the first week
dan shen, ze lan, ru xiang, mo switch to Bone Knitting Pill
yao, tao ren, jie geng, zi ran tong; Stage 2 (Jie Gu Wan Stage 2).
gu sui bu, gan cao, san qi, tu bie
chong

Recommended
Dosage: Right after an
injury 6 capsules. Then, 3
Capsules 2-3 times a day or
as recommended by your
practitioner.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 19
Stage 2: Sub-Acute

This stage usually begins within a week after the initial injury and can last up to
3 weeks. The swelling and pain are reduced and much or all of the redness and
heat (“inflammation”) may be gone. There is often stiffness due to spasms in
tendons that have reflexively contracted in an attempt to protect the injured area
by immobilizing it. In Stage 1, these spasms may have been difficult to see and
treat because of the swelling.

In Stage 2, treatment can be more direct and aggressive. More warming


poultices (Gao) and liniments are used in order disperse residual swelling, or
small pockets of swelling around the injured area. Herbal soaks and applications
of wet heat (contraindicated in Stage 1) can now be used. Herbal soaks are
particularly useful for softening and dispersing remaining pockets of congealed
blood and fluids that can cause tissues to adhere to each other, thereby
preventing them from sliding smoothly across one another.

Stage 2 internal formulas still focus on breaking stasis, killing pain, and restoring
the free flow of blood and Qi, however some tonic herbs are included to help the
body repair damaged tissue and bone.

Remember soaks should not be used with fractures, until after the bones are fully
knitted. Use liniments and Gao instead.

20 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 2 Treatment of Principles:
1. Move Residual Stasis by Course Qi/Blood
• Stage 2 Trauma Ointment (Die Da Gao Er Bu) 跌打膏(二步)
• Master Bonesetter’s Trauma Soak (Zheng Gu Die Da Jin Ji) 正骨跌打浸劑
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan) 正骨紫金丹
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu) 血竭舒筋露
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) 強力跌打酒

2. Disperse Residual Pockets of Swelling


• Extra Strength Golden Ointment (Qiang Li Jin Huang Gao) 强力金黃散
• Tiger’s U-I Oil (Hu Biao Yu Yi You) 虎標如意油

3. Relax Tendons and Relieve Joint and Tissue Stiffness and Pain
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu) 血竭舒筋露
• Extra Strength Tendon Relaxing Soak (Shu Jin Huo Xue Jin Ji) 舒筋活血浸劑
• Tiger’s U-I Oil (Hu Biao Yu Yi You) 虎標如意油
• Yoga Stretching Oil (Yoga Shen Jin You) 瑜伽伸筋油

4. Move Stasis and Knit Bone


• Stage 2 Bone Knitting Pill (Jie Gu Wan Er Bu) 接骨丸(二步)

5. Tonify Qi (If Deficiency), Course Blood & Disperse Swelling an Stasis
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan) 正骨紫金丹

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 21
Stage 2 Products: Quick Reference Chart

Stage 1 Stage 2 Stage 3

Stage 2 Stage 2
Trauma Ointment Trauma Ointment
(Die Da Gao Er Bu) (Die Da Gao Er Bu)
跌打膏(二步) 跌打膏(二步)
Dragon’s Blood Dragon’s Blood
Tendon Lotion Tendon Lotion
(Xue Jie Shu Jin Lu) (Xue Jie Shu Jin Lu)
血竭舒筋 血竭舒筋
Extra Strength Extra Strength
Tendon Relaxing Tendon Relaxing
Soak Soak
(Shu Jin Huo Xue Jin Ji) (Shu Jin Huo Xue Jin Ji)
舒筋活血浸劑 舒筋活血浸劑
Extra Strength
Golden Ointment
(Qiang Li Jin Huang Gao)
强力金黃散

22 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 2 Products: Quick Reference Chart

Stage 1 Stage 2 Stage 3

Master Master
Bonesetter’s Bonesetter’s
Trauma Soak Trauma Soak
(Zheng Gu Die Da Jin Ji) (Zheng Gu Die Da Jin Ji)
正骨跌打浸劑 正骨跌打浸劑

Tiger’s U-I Oil Tiger’s U-I Oil


(Hu Biao Yu Yi You) (Hu Biao Yu Yi You)
虎標如意油 虎標如意油
Yoga Stretching Yoga Stretching
Oil Oil
(Yoga Shen Jin You) (Yoga Shen Jin You)
瑜伽伸筋油 瑜伽伸筋油
Bonesetter’s Bonesetter’s
Special Pill Special Pill
(Zheng Gu Zi Jin Dan) (Zheng Gu Zi Jin Dan)
正骨紫金丹 正骨紫金丹
Stage 2 Bone
Knitting Pill
(Jie Gu Wan Er Bu)
接骨丸(二步)

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 23
Dragon's Blood Tendon Lotion Clinical Notes:
is the treatment of choice
chronic injuries or chronic 1. Dragon's Blood
problems with the tendons Tendon Lotion is very useful

Stage 2 or ligaments classified as


“tendonitis” or “tendinosis.”
This product is generally
for chronic sinew injuries such
as tendonitis or old sprains
that have not properly healed.

Products used for 2nd and 3rd stage


injuries to the sinews (tendons,
ligaments and cartilage).
Not only does this liniment
bring circulation to the injured
area, it also resolves stasis and
External Application thereby reducing pain.
Use just a small amount of the
liniment and rub into the local 2. The warm nature
area. of the herbal ingredients can
Dragon’s make Dragon's Blood Tendon
Ingredients: xue jie; cao wu; Lotion unsuitable for 1st stage
Blood chuan wu; dang gui wei; tao ren; injuries, or clinical situations in
Tendon Lotion gui zhi; ru xiang; mo yao; mu which tendons and ligaments
tong; zi ran tong; da huang; lu lu are red, hot, or “inflamed.”
(Xue Jie Shu Jin Lu)
tong; zhang mu; tian nan xing;
血竭舒筋露 alcohol base 3. Use a small amount
and massage carefully into the
External Use Only! injured area.
Do not use over open skin
lesions or rashes. 4. In Chinese medicine
chronic tendon problems
Note: This is a stronger are often due to stasis and
version of the Tendon Lotion congealed cold in the local
formula featured in A Tooth area. This stasis causes Qi to
From The Tiger’s Mouth: accumulate locally, creating
How to Treat Your Injuries surface warmth. This is “True
With Powerful Secrets of The Cold and False Heat” and calls
Great Chinese Warriors for a warming formula like
(p. 179-181). Dragon's Blood Tendon Lotion.

5. If any hidden heat


is present, pain may increase
with application of tendon
lotion. If this occurs simply
discontinue use and the pain
will subside. Then use Extra
Strength Trauma Liniment
(Qiang Li Die Da Jiu) instead.

24 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Tiger's Brand U-I Oil (Lao Hu Clinical Notes:
Biao Yu Yi You) is a reprise of
the proprietary product, U-I 1. The oils in Tiger's
Oil found in many Chinese Brand U-I Oil penetrate

Stage 2 pharmacies. Our version of


this contains larger amounts
of herbal products including
obstruction, drive out cold
and activate local circulation.

Products Qiang Huo (Notopterygium


Root), Rou Gui (Cinnamon
Bark), Xue Jie (Dragon’s Blood
2. Massage Tiger's
Brand U-I Oil into muscles and
joints that ache in damp, cold
Resin), Hong Hua (Safflower) weather.
and Ai Ye Oil (derived from the
Tiger’s Brand plant used for moxibustion). 3. Massage Tiger's
U-I Oil Brand U-I Oil into muscles that
Tiger's Brand U-I Oil has a are stiff from overexertion, or
(Hu Biao Yu Yi You) multitude of uses. It can be use before strenuous exercise
used for muscle soreness and to warm up and prepare the
tension. It is an excellent tui muscles.
na massage oil, and it is a very
good medium to use after 4. Excellent to use
cupping, or for sliding cups with cupping and guasha.
and guasha. Tiger's Brand
U-I Oil and can be also used 5. For Bi syndrome
to reduce allergic reaction joint pain that is worse in
to bites from mosquitos and cold-damp weather, soak
other insects. For cold in the paper towels in Tiger's Brand
muscles, Tiger's Brand U-I Oil U-I Oil and place over the
can be soaked into cloths or painful area. Cover with a
paper towels which are layer of plastic wrap and
placed on the back in then place a hydroculator
conjunction with wet heat pack, hot, moist towels or
(hydroculator) or a a hot water bottle on top.
heat lamp.

Ingredients: macadamia oil;


eucalyptus oil; rou gui; qiang
huo; ai ye; hong hua; gancao;
xue jie; ding xiang oil; bo he
bing; zhang nao; mao qing oil

External Use Only!


Do not use over open skin
lesions or rashes.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 25
Yoga Stretching Oil: (Yoga Clinical Notes:
Shen Jin You) is based on a
traditional formula designed 1. Yoga Stretching Oil
to aid stretching and flexibility is rubbed into the muscles

Stage 2 training or Yoga. Yoga


Stretching Oil is rubbed into
muscles and joints before and
before and after engaging
in activities like yoga or
stretching exercises.

Products after activities like Yoga, or


other stretching routines, so
that the muscles and fascia
2. Yoga Stretching Oil
can be used in stage 2 and
more easily adapt to training, stage 3 injuries for chronically
thereby increasing and tight and shortened muscles.
Yoga Stretching maintaining suppleness and
Oil flexibility. Clinically it is often
used for joint pain that
(Yoga Shen Jin You) is accompanied by tight,
瑜伽伸筋油 bound muscles.

Yoga Stretching Oil


specifically targets the
muscles, fascia, tendons
and ligaments. The addition
of Shen Jin Cao relaxes
the sinews and invigorates
circulation in the collaterals
which helps improve flexing
and extending of the muscles
and joints.

Ingredients: macadamia oil,


sesame oil, eucalyptus oil, bing
pian, zhang nao, rou gui, shen jin
cao, tao ren, ding xiang oil, dang
gui

External Use Only!


Do not use over open skin
lesions or rashes.

26 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Extra Strength Golden Clinical Notes:
Ointment (Qing Li Jin Huang
Gao) is the classic Gao for 2nd 1. Extra Strength
stage sinew injuries or late 1st Golden Ointment is very

Stage 2 stage injuries where redness


and heat are not present, but
there is stagnation of blood
effective for resolving residual
swelling and stasis of blood
and fluid, which was not

Products and fluid with swelling. The


presence of more warming,
damp dispelling ingredients
dispersed in earlier stages
of treatment.

helps to dispel stagnant 2. Extra Strength


fluids, thereby preventing Golden Ointment is sometimes
Extra Strength the development of Bi used in cases of chronic injury
(obstruction). Extra Strength characterized by swelling and
Golden Golden Ointment is also inflammation, where heat
Ointment useful when local swelling is makes the pain and swelling
(Qiang Li Jin exacerbated by environmental worse.
humidity and heat. A small
Huang Gao) amount of Tibetan Hong 3. When joint swelling
强力金黃散 Hua has been added to
increase the efficacy
is exacerbated by seasonal
heat and dampness (as in
of the formula. Late Summer), Extra Strength
Golden Ointment is the
External Use Only! treatment of choice for
Do not use over open skin reducing swelling and
lesions or rashes. aiding healing.

Ingredients: da huang; huang


bai; jiang huang; bai zhi; tian nan
xing; chen pi; cang zhu; hou po;
gan cao; tian hua fen; xi hong
hua, beeswax and sesame oil
base

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 27
Stage 2 Trauma Ointment Clinical Notes:
(Die Da Gao Er Bu), is similar
to Stage 1 Trauma Ointment, 1. Use Stage 2 Trauma
however the amount of Ointment instead of Extra

Stage 2 Da Huang has now been


significantly reduced to make
the formulas more warming
Strength Golden Ointment
when there is more stasis
of blood in the local area as

Products and activating, and therefore


more appropriate for
Stage 2 injuries.
opposed to small pockets of
fluid swelling.

2. This formula is
Stage 2 Trauma Ointment almost the same as Stage 1
Trauma is an alternative to Extra Trauma Ointment (Die Da Gao
Ointment Strength Golden Ointment Yi Bu), but the dosage of Da
(Qing Li Jin Huang Gao) for Huang has been significantly
(Die Da Gao Er Bu) 2nd stage sinew and bone reduced, so that the formula
跌打膏(二步) injuries, that are characterized
by more blood stasis
is more warming and blood
activating.
and bruising, rather than
stagnation of fluids.

In Stage 2 injuries, if blood


stasis congeals and hardens
this can lead to enduring
pain and reduction of mobility.
Hence, the importance of a
formula like Stage 2 Trauma
Ointment.

External Use Only!


Do not use over open skin
lesions or rashes.

Ingredients: ze lan; xu duan;


dang gui wei; bai zhi, su m; gui
zhi; gu sui bu; tie bao jin; ci ji li;
san leng; hong hua; jiang xiang;
fang feng; wu jia pi; da huang;
beeswax and sesame oil base

28 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Extra Strength Tendon Relaxing in the mixture, wring the
Soak (Shu Jin Huo Xue Jin Ji) cloth out and place it on the
is the go-to soak for second affected part as a compress
stage injuries characterized (change compresses as they

Stage 2 by spasm, tight sinews and


restricted mobility of the
injured area. Extra Strength
cool). The mixture can be
reused for up to 6 days.
Simply save the liquid in the

Products Tendon Relaxing Soak is also


appropriate for 3rd stage
sinew injuries in which tight
pot and reheat to the desired
temperature.

sinews and restricted mobility For best results add 1 quart


are the primary symptoms. of alcohol (vodka or rice
Extra Strength This soak relieves spasm, wine) and a quart of rice wine
relaxes sinews, kills pain and vinegar or white vinegar, after
Tendon moves stasis. you have simmered the herbs.
Relaxing Soak
Extra Strength Tendon Ingredients: dang gui wei;
(Shu Jin Huo
Relaxing Soak is very su mu; bai zhi; jiang huang; wei
Xue Jin Ji) effective in the treatment ling xian; qiang huo; wu jia pi; hai
舒筋活血浸劑 of strains and sprains and
muscle pulls. It can be used
tong pi; niu xi; chuan lian zi; tu fu
ling; ru xiang; chuan jiao; tou gu
in conjunction with Tui Na cao; song jie
massage methods. Before
mobilizing joints with External Use Only!
restricted movement, have Do not use over open skin
the patient steam and soak lesions or rashes.
the area for 20 minutes.
Alternatively, the patient can Note: This is a stronger
soak the area every day or version of the Tendon Relaxing
even twice a day in between Soak featured in A Tooth
treatments. From The Tiger’s Mouth:
How to Treat Your Injuries
Packaged in a With Powerful Secrets of The
flow-through bag for Great Chinese Warriors
convenient use. (p. 199 -201).

Directions: Place the bag in Clinical Notes:


2-3 gallons of liquid. Bring the
water to boil and then turn 1. The large dosage of
down the heat and simmer Tou Gu Cao helps stop spasm
for 30 minutes. Steam the and heals and strengthens
affected part in the vapor sinews.
as the mixture cools. Then
immerse the affected part in 2. Song Jie has been
the liquid and soak for added to increase the ability
15-20 minutes. Alternatively of the formula to a quickly
for areas like the back, hip, resolve spasm, tight sinews.
knee, hamstrings and
shoulder, one can soak a
piece of flannel or a towel
Copyright © 2019: Tom Bisio and New York Internal Arts LLC 29
The Master Bonesetter's Directions: Place the bag in
Trauma Soak (Zheng Gu Die 2-3 gallons of liquid. Bring the
Da Jin Ji) has been a staple of water to boil and then turn
bonesetters for generations down the heat and simmer

Stage 2 because of the all around


ability of this formula to relax
spasm, move blood stasis and
for 30 minutes. Steam the
affected part in the vapor
as the mixture cools. Then

Products fluid accumulation, kill pain,


and dispel localized heat and
inflammation. This soak more
immerse the affected part in
the liquid and soak for
15-20 minutes. Alternatively
strongly moves stasis, than for areas like the back, hip,
the Extra Strength Tendon knee, hamstrings and
Master Relaxing Soak (Shu Jin Huo shoulder, one can soak
Xue Jin Ji), while still softening a piece of flannel or a towel
Bonesetter’s sinew spasms. The presence of in the mixture, wring the
Trauma Soak heat clearing herbs balances cloth out and place it on the
the formula, and a large affected part as a compress
(Zheng Gu Die
dosage Gu Sui Bu is added to (change compresses as they
Da Jin Ji) strengthen and heal damaged cool). The mixture can be
正骨跌打浸劑 sinews. reused for up to 6 days.
Simply save the liquid in the
Ingredients: tu bie chong; su pot and reheat to the desired
mu; xue jie; chi shao; hong hua; temperature.
mo yao; ru xiang; mu xiang; ding
xiang; xu duan; wu jia pi; chuan For best results add 1 quart of
xiong; bai zhi; san qi; da huang; alcohol (vodka or rice wine)
huang bai; huang qin; wu ming after you have simmered the
yi; chuan shan long; chuan niu xi; herbs.
mu gua; gu sui bu
External Use Only!
Before mobilizing joints with Do not use over open skin
restricted movement, have lesions or rashes.
the patient steam and soak
the area for 20 minutes. Clinical Notes:
Alternatively, the patient can
soak the area every day or 1. Master Bonesetter's
even twice a day in between Trauma Soak comes from
treatments. a lineage of traditional
bonesetters and martial arts
Packaged in a practitioners.
flow-through bag for
convenient use. 2. Master Bonesetter's
Trauma Soak is an all-purpose
soak, that moves stasis and
resolves swelling, prevents
adhesions, warms the
channels and collaterals
and relaxes spasm.

30 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Bonesetter's Special Pill is Clinical Notes:
specifically for 2nd stage
trauma. Bonesetter's Special 1. Bonesetter's Special
Pill is traditionally called Pill is particularly indicated for

Stage 2 “Correct the Bone Purple-Gold


Pill” (Zheng Gu Zi Jin Dan).
The traditional name refers to
Stage 2 injuries, accompanied
by Qi deficiency. However, this
formula can be used for any

Products
Internal Application
the yellow-purple color of the
bruising and the stiffness and
pain in local area.
second stage injury in which
there is bruising, stiffness and
pain in local area.

In the 2nd stage of healing, 2. Bonesetter's Special


there is also the potential for Pill is the classic follow-
penetration of wind, damp and up formula to the Stage 1
Bonesetter’s cold due to the impairment formula: Blood Stasis Trauma
Special Pill of the Wei Qi and the relative Pill (Die Da Wan).
deficiency of normal Qi (Zheng
(Zheng Gu Zi Jin Dan) Qi) in the local area. This
正骨紫金丹 formula primarily moves stasis
and kills pain but also focuses
on nourishing blood (Bai
Shao and Dang Gui Tou) and
aiding the spleen in moving
damp (Mu Xiang, Fu Ling and
Lian Zi). This helps prevent
the penetration of wind and
dampness and allows the
Zheng Qi to flourish. The
inclusion of Ding Xiang
warms and moves the Qi,
and its aromatic nature
penetrates obstruction.

Ingredients: ding xiang; mu


xiang; xue jie; er cha; zhi da
huang; mu dan pi; hong hua;
dang gui tou; lian zi; fu ling; bai
shao; gan cao

Recommended Dosage:
3 capsules 3 times a day

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 31
Stage 2 Bone Knitting Pill – Clinical Notes:
Stage 2 is for the treatment of
fractures in the second week 1. During the first 7
after a fracture healing. During days after a fracture use Blood

Stage 2 the first week immediately


after a fracture, the initial
stasis of Qi, blood, and fluids
Stasis Trauma Pill (Die Da Wan).

2. During the second

Products should be addressed with


a blood activating Die Da
formula such the Blood
and third weeks after a
fracture (days 8 to 21) use
Stage 2 Bone Knitting Pill.
Stasis Trauma Pill Stage 2 Bone Knitting Pill
(Die Da Wan). continues to move stasis
Bone Knitting while at the same time
Stage 2 Bone Knitting Pill nourishing the blood. Kidney
Pill is the natural followup to Yang. The inclusion of herbs
(Jie Gu Wan Er Bu) the Blood Stasis Trauma like Xu Duan (“Reconnect

接骨丸(二步) Pill because it continues to


move stasis, while at the
what is Broken”) and Gu Sui
Bu (“Mender of Shattered
same time nourishing the Bones”), promote the
blood and Kidney Yang. The mending of sinews
inclusion of herbs like Xu Duan and bones.
(“Reconnect what is Broken”)
and Gu Sui Bu (“Mender of 3. Although Stage 2
Shattered Bones”), promote Bone Knitting Pill contains
the mending of sinews and some ingredients that tonify in
bones. order to aid fracture healing,
the formula emphasizes
Ingredients: gu sui bu; sheng clearing stasis, embodying
di huang; zi ran tong; dang gui, the idea that it is important to
tu bie chong, hong hua; mo yao; clear stasis before switching
ru xiang; xu duan; lu lu tong chi to formulas that emphasize
shao, bai shao tonification the kidneys and
liver in order to strengthen the
Recommended Dosage: sinews and bones (Stage 3
3 Capsules 3 times a day Bone Knitting Pill).
for 1-2 weeks, during the
second and third weeks after a
fracture (days 7 to 21).

32 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 3: Chronic

This stage begins 3-4 weeks after the injury. Swelling and inflammation are
gone, but stiffness, aching, pain and restricted motion may still be present.
A minor sprain should be resolved by this point, especially if it was treated
properly from the beginning. However, injuries to tendons and ligaments
can take up to 6-8 weeks to heal completely and in severe cases it can take
even longer. Residual pain and discomfort at this stage can be due to several
factors:

1. There are still accumulations of Qi, blood and fluids creating


stiffness and pain.

2. There may be some instability in the joint if the ligaments have been
over stretched, making the joint weak and vulnerable to re-injury.

3. Circulation in the injured area is impaired and cold may have


penetrated into the outer layers of soft tissue.

4. There may be adhesions. Tissue surfaces may be sticking together or


rubbing, rather than gliding smoothly across each other.

5. There may be complicating constitutional factors that inhibit


complete healing.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 33
Stage Three liniments, and soaks can be quite warming and focus on driving
out wind damp and cold, while simultaneously reducing chronic pain and
relaxing stiffness and spasm. Some Stage Three external soaks and liniments
are specifically engineered to soften and disperse bony calcifications. Stage
Three internal Formulas focus more on tonifying Qi, Blood and Yang in order
to help the body repair damaged tissue and bone, while still including a few
herbs to dispel any remaining stasis. Some formulas help prevent the body
calcifications like bone spurs.

34 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 3 Treatment of Principles:
1. Move the Qi and break and disperse remaining stasis. Any remaining
accumulations must be broken up.
• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao) 骨筋外傷消痛膏
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) 強力跌打酒

2. Dispel wind, damp, and cold that is interfering with normal


circulation of Qi, blood and fluids.
• Tiger’s Invigorate Collateral Liniment (Hu Biao Huo Luo You) 虎標活絡油
• Warming Soak (Wen Jing Huo Luo Jin Ji) 溫經活絡浸劑

3. Relax the sinews to relieve joint stiffness


• Warming Soak (Wen Jing Huo Luo Jin Ji) 溫經活絡浸劑
• Extra Strength Tendon Relaxing Soak (Shu Jin Huo Xue Jin Ji) 舒筋活血浸劑
• Master Bonesetter’s Trauma Soak (Zheng Gu Die Da Jin Ji) 正骨跌打浸劑
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu) 血竭舒筋露

4. Resolve and dispel tissue adhesions, accumulations and calcifications


• Bone Spur Soak (Gu Ci Jin Ji) 骨刺浸劑
• Bone Spur Powder (Gu Ci San) 骨刺丸

5. Strengthen and the sinews if they are overstretched


• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao) 骨筋外傷消痛膏
• Stage 3 Bone Knitting Pill (Jie Gu Wan San Bu) 接骨丸 (三步)
• Strengthen Sinew Pills (Bu Jin Wan) 補筋丸

6. Encourage sinew and bone healing while resolving residual stasis


• Stage 3 Bone Knitting Pill (Jie Gu Wan San Bu) 接骨丸 (三步)

7. At this stage constitution, diet, and lifestyle factors may also


need to be considered.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 35
Stage 3 Products: Quick Reference Chart

Stage 1 Stage 2 Stage 3

Tiger’s Invigorate Tiger’s Invigorate


Collaterals Collaterals
Liniment Liniment
(Hu Biao Huo Luo You) (Hu Biao Huo Luo You)
虎標活絡油 虎標活絡油

Bone-Sinew Gao Bone-Sinew Gao


(Gu Ji Wai Shang (Gu Ji Wai Shang
Xiao Tong Gao) Xiao Tong Gao)
骨筋外傷消痛膏 骨筋外傷消痛膏

Bone Spur Soak


(Gu Ci Jin Ji)
骨刺浸劑

Warming Soak
(Wen Jing Huo Luo Jin Ji)
溫經活絡浸劑

36 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 3 Products: Quick Reference Chart

Stage 1 Stage 2 Stage 3

Bone Spur
Powder
(Gu Ci San)
骨刺丸

Stage 3 Bone
Knitting Pill
(Jie Gu Wan San Bu)
接骨丸 (三步))

Strengthen
Sinew Pills
(Bu Jin Wan)
補筋丸

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 37
Tiger's Invigorate Collaterals Clinical Notes:
Liniment is specifically
designed for wind, cold, and 1. Massage Tiger's
damp that lodge in the joints, Invigorate Collaterals Liniment

Stage 3 causing stiffness and pain –


Bi Syndrome. This formula
includes vine medicinals, like Ji
into the local area several
times a day.

Products Xue Teng and Ren Dong Teng,


which are traditionally used
for joint pain, because they
2. For Bi Syndrome
joint pain (arthralgia type
symptoms) that is worse in
open the channels and cold, damp weather, soak
External Application collaterals, free restrictions paper towels in Tiger's
in the sinews, and dispel Invigorate Collaterals
wind and dampness. Tiger's Liniment and place over the
Invigorate Collaterals Liniment painful area. Cover with a
Tiger’s Invigorate
is energetically balanced layer of plastic wrap and
Collaterals making it suitable for both then place a hydroculator
Liniment warm and cold Bi (obstruction) pack, hot, moist towels,
(Hu Biao Luo You) aka Syndrome conditions. or a hot water bottle on top.

Joint Lotion External Use Only!


虎標活絡油 Do not use over open skin
lesions or rashes.

Ingredients: kuan jin teng;


gou teng; ren dong teng; ji xue
teng; wang bu liu xing; liu jin nu;
mo yao; fang feng; da huang; jing
jie; wei ling xian; xi xin; alcohol
base

38 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Bone-Sinew Gao is used in 3rd Clinical Notes:
stage sinew and bone injuries
where there is still swelling, 1. Bone-Sinew Gao is
stiffness and pain. This Gao composed of many warming

Stage 3 also has an astringent effect


that helps to tighten and
strengthen overstretched or
ingredients that crack blood
stagnation and strongly
stimulate circulation and
lax sinews; thus, bones and microcirculation to damaged
sinews should be correct- areas in order to strengthen
Bone-Sinew ly aligned before applying. and heal tendons, ligaments,
Bone-Sinew Gao is composed cartilage and bone.
Gao of many warming ingredients
(Gu Ji Wai Shang that break blood stagnation 2. Use Bone-Sinew Gao
Xiao Tong Gao) and strongly stimulate after all signs of redness and
circulation to damaged areas heat (“inflammation”) are
骨筋外傷 in order to strengthen and
heal tendons, ligaments,
gone.

消痛膏 cartilage and bone. 3. Bone-Sinew Gao is


also effective for bone bruises
External Use Only! with swelling such as “eggs”
Do not use over open skin on the shin.
lesions or rashes.
4. Paper toweling is
Ingredients: sheng di huang; sometimes useful as the first
tao ren; wu jia pi mu gua; niu xi; layer of wrapping, which is
gui zhi; bing lang; ze lan; jiu ceng then covered with gauze,
ta; su mu; hong hua; xiang fu; fu especially when there is a
rong ye; cao wu; chuan wu; chen fracture or overstretched
pi; gan jiang; dang gui wei; ru ligaments. The toweling tends
xiang; mo yao; ai ye; huang qin; to harden like a cast as the
huang bai; da huang; mu zei; tu Gao dries, thereby holding
bie chong; bai zhi; xue yu tang; zi damaged structures in place.
ran tong; wang bu liu xing, bees-
wax and sesame oil base 5. If there is no skin
reaction when using this Gao,
Note: This formula is a stron- it can be left on for as long as
ger and more effective version 48 hours.
of the Bone-Sinew Gao
featured in A Tooth From The
Tiger’s Mouth: How to Treat
Your Injuries With Powerful
Secrets of The Great Chinese
Warriors (p. 190- 192).

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 39
The Warming Soak is Ingredients: chuan wu; cao
appropriate for or 3rd stage wu; chuan jiao; tou gu cao; ai ye;
sinew injuries, which are cang zhu; du huo; gui zhi; fang
characterized by cold and feng; hong hua; shen jin cao; liu

Stage 3 damp with a sensation of


heaviness, or restricted
mobility of the injured area
jin nu

External Use Only!

Products as the primary symptoms.


The Warming Soak can help
prevent the development
Do not use over open skin
lesions or rashes.

of damp and cold Bi in the Note: This is the Warming


joints. It warms the channels Soak featured in A Tooth
Warming Soak and quickens the collaterals From The Tiger’s Mouth:
in order to dispel cold and How to Treat Your Injuries
(Wen Jing Huo dampness and relieves spasm. With Powerful Secrets of The
Luo Jin Ji) Great Chinese Warriors
溫經活絡浸劑 Packaged in a
flow-through bag for
(p. 202 -203).

convenient use. Clinical Notes:

Directions: Place the bag in 1. The Warming Soak is


2-3 gallons of liquid. Bring the particularly useful in cases of
water to boil and then turn chronic Bi syndrome with signs
down the heat and simmer of wind, cold, and damp with
for 30 minutes. Steam the restricted mobility.
affected part in the vapor
as the mixture cools. Then 2. The Warming Soak
immerse the affected part in can be used if the injured
the liquid and soak for area is sensitive to cold, cold
15-20 minutes. Alternatively to the touch, or if the injured
for areas like the back, area was iced extensively. This
hip knee, hamstrings, and soak is extremely effective at
shoulder, one can soak a relieving pain and reducing
piece of flannel or a towel sensitivity to cold.
in the mixture, wring the
cloth out and place it on the
affected part as a compress
(change compresses as they
cool). The mixture can be
reused for up to 6 days.
Simply save the liquid in the
pot and reheat to the desired
temperature.

For best results add 1 quart of


alcohol (vodka or rice wine)
after you have simmered the
herbs.

40 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
For best results with heel For best results add 1 quart
spurs, use Bone Spur Soak of alcohol (vodka or rice
(Gu Ci Jin Ji) in conjunction wine) and a quart of rice wine
with Bone Spur Powder vinegar or white vinegar, after

Stage 3 (Gu Ci San), and local


therapies like massage and
acupuncture. Herbal soaks are
you have simmered the herbs.

External Use Only!

Products a very important part of the


treatment of heel spurs that
the patient can do at home.
Do not use over open skin
lesions or rashes.

Bone Spur Soak softens and Ingredients: wei ling xian; ru


helps disperse heel spurs. It is xiang; mo yao; su mu; hong hua;
Bone Spur Soak particularly effective if used in dang gui wei; tou gu cao; zhang
conjunction with internal mu; ji xing zi; cao wu; chuan wu;
(Gu Ci Jin Ji) herbs and manual therapy ding xiang; xiao hui xiang; mang
骨刺浸劑 and/or acupuncture. xiao

Packaged in a
flow-through bag for
convenient use.

Directions: Place the bag in


3 gallons of liquid. Bring the
water to boil and then turn
down the heat and simmer
for 30 minutes. Turn off the
flame and then add the Mang
Xiao (Glauber's Salts). Stir the
mixture until the slat crystals
dissolve. Steam the affected
part in the vapor as the
mixture cools. Then immerse
the affected part in the liquid
and soak for 15-20 minutes.
Alternatively for areas like the
back, hip, knee, and shoulder,
one can soak a piece of flannel
or a towel in the mixture,
wring the cloth out and place
it on the affected part as a
compress (change compresses
as they cool). The mixture can
be reused for up to 6 days.
Simply save the liquid in the
pot and reheat to the desired
temperature.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 41
Bone Spur Powder (Gu Ci San) Clinical Notes:
is a proven formula that can
eliminate the pain associated 1. Studies in China
with bone spurs (osteophytes) have shown that Bone Spur

Stage 3 reduce the spur, and prevent


the formation of new
osteophytes.
Powder is usually taken for
2-3 months in order to obtain
clinically significant results. A

Products Use with caution if


pregnant
small percentage of patients
report results in 2 weeks to a
month.
Internal Application Ingredients: shu di huang; lu 2. For heel spurs, use
xin cao; gu sui bu; rou cong rong; in conjunction with the Bone
yin yang huo; lai fu zi Spur Soak (Gu Ci Jin Ji).
Bone Spur
Recommended Dosage: 3. Although not always
Powder Take 4 capsules, 3 times a day. effective at significantly
(Gu Ci San) reducing bone spurs, Bone

骨刺丸 Note: Bone Spur Powder is


the same as the “Osteophyte
Spur Powder can prevent new
spurs from developing.
Powder” featured in A Tooth
From The Tiger’s Mouth:
How to Treat Your Injuries
With Powerful Secrets of The
Great Chinese Warriors
(p. 242-243).

42 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
Stage 3 Bone Knitting Pill (Jie Ingredients: shu di huang;
Gu Wan San Bu) is derived from chuan xiong; bai shao; dang gui;
an amazingly effective ancient du zhong; wu jia pi; gu sui bu;
Shaolin Temple formula san qi; bu gu zhi; tu si zi; mu gua;

Stage 3 for treating fractures. It is


appropriate in the later stages
of fracture healing (weeks 4-6
liu jin nu; gui zhi; tu bie chong;
huang qi; dang shen; xu duan; lu
jin; gui ban

Products after the fracture) to speed


the knitting of the bones or
to treat non-healing fractures.
Contraindicated if
pregnant
This formula continues to
clear any remaining stasis,
Bone Knitting Pill while incorporating herbs that Note: This is the “Bone
(Jie Gu Wan San Bu) strongly tonify the blood and Knitting Powder” featured in
strengthen the bones and A Tooth From The Tiger’s
接骨丸(三步) sinews. Mouth: How to Treat Your
Injuries With Powerful Secrets
It should be used in the 4th of The Great Chinese Warriors
to the 6th weeks following a (p. 239-240) Deer Tendon
fracture (days 21 to 42). (Lu Jin) and Tortoise Plastron
(Gui Ban), which respectively
Stage 3 Bone Knitting Pill may strengthen the sinews and
also be used in the treatment bones have been added to the
of sinew injuries that are basic formula.
slow to heal, or in which the
ligaments and tendons are lax, Clinical Notes:
or have been overstretched.
1. Stage 3 Bone
Stage 3 Bone Knitting Pill is Knitting Pill continues to clear
particularly indicated when the stasis while strongly tonifying
patient is deficient - deficiency the blood and adding herbs
of blood, and Qi, and/or that strengthen bones and
deficiency of liver Yin and sinews. It should be used in
Kidney Yang. Stage 3 Bone the 3rd to 6th weeks
Knitting Pill has proven to be following a fracture.
effective in many cases of
non-healing fractures 2. Stage 3 Bone
due to unresolved stasis, Knitting Pill may also be used
kidney deficiency, inadequate in the treatment of sinew
nutrition, and deficiency of injuries that are slow to heal,
Qi and blood. or in which the ligaments
and tendons are lax, and
Recommended Dosage: over stretched (torn Achilles
3 capsules 3 times day tendon; rotator cuff tears, etc.)

3. Stage 3 Bone
Knitting Pill is very effective
for non-healing fractures,
where bony union is delayed.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 43
Strengthen Sinew Pill (Bu Jin Clinical Notes:
Wan) nourishes and
invigorates the liver and 1. Strengthen Sinew Pill
kidney in order to strengthen can be taken safely for long

Stage 3 the sinews and bones. It


is effective for treating
chronically loose joints,
periods of time.

2. In cases of chronic

Products whether due to


constitutional insufficiency,
or in cases following injury
or constitutional deficiency
causing chronically loose
joints and weak sinews take
in which sinew healing is Strengthen Sinew Pill. If loose
delayed or slowed. Strengthen or damaged sinews are due
Strenghten Sinew Sinew Pill can also be used to a more recent injury, first
Pill for chronic and habitual take Stage 3 Bone Knitting Pill
dislocations due to (Jie Gu Wan San Bu) for two to
(Bu Jin Wan) impairment of the liver three weeks, and then switch
補筋丸 and kidney's ability to
nourish the sinews.
to Strengthen Sinew Pills.

Ingredients: shu di huang;


dang gui; shan zhu yu; huai niu
xi; fu ling; du zhong; xu duan;
bai shao; qing pi; wu jia pi; ji xue
teng

Recommended Dosage:
3 capsules 3 times day

44 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
S Y M P T O M 1 - 6

Symptom Index

1. Bi Syndrome: Wind-Cold/Damp
• Tiger’s Invigorate Collaterals Liniment (Hu Biao Huo Luo You)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao)
• Warming Soak (Wen Jing Huo Luo Jin Ji)

2. Bi Syndrome: Hot Bi
• Tiger’s Invigorate Collaterals Liniment (Hu Biao Huo Luo You)
• Extra Strength Golden Ointment (Qiang Li Jin Huang Gao)

3. Bone Spurs
• Bone Spur Soak (Gu Ci Jin Ji)
• Bone Spur Powder (Gu Ci San)

4. Bruising
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu)
• Stage 2 Trauma Ointment Stage 2 (Die Da Gao Er Bu)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)

5. Bruising over a Large Area


• Herbal Ice (San Huang San Gao)
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)

6. Dislocations
• Tiger’s Invigorate Collaterals Liniment (Hu Biao Huo Luo You)
• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao)
• Strengthen Sinew Pills (Bu Jin Wan)

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 45
S Y M P T O M 7 - 9

7. Fractures
Fractures Stage 1 Acute Phase (0-7 days after fracture)
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Herbal Ice (San Huang San Gao)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu)

Fractures Stage 2: Sub-Acute Phase (7-21 days after fracture)


• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Extra Strength Golden Ointment (Qiang Li Jin Huang Gao)
• Stage 2 Trauma Ointment (Die Da Gao Er Bu)
• Stage 2 Bone Knitting Pill (Jie Gu Wan Er Bu)
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan)

Fractures Stage 3: Knitting Phase (21-42 days after fracture)


• Tiger’s Invigorate Collateral Liniment (Hu Biao Huo Luo You)
• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao)
• Stage 3 Bone Knitting Pill (Jie Gu Wan San Bu)

8. Joint Pain/Arthritis
• Tiger’s Invigorate Collateral Liniment (Hu Biao Huo Luo You)
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao)
• Warming Soak (Wen Jing Huo Luo Jin Ji)
• Extra Strength Tendon Relaxing Soak (Shu Jin Huo Xue Jin Ji)
• Master Bonesetter’s Trauma Soak (Zheng Gu Die Da Jin Ji)

9. Muscle Aches
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Yoga Stretching Oil (Yoga Shen Jin You)

46 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
S Y M P T O M 1 0

10. Sprains/Soft Tissue Injuries


Sprains/Soft Tissue Injuries Stage 1 Acute Phase
(0-7 days after injury)

Red/Warm to Touch; Swollen


• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Herbal Ice (San Huang San Gao)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)

Blood Stasis, No Heat


• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)

Sprains/Soft Tissue Injuries Stage 2: Sub-Acute Phase


(7-14 days after injury)

Residual Swelling
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Extra Strength Golden Ointment (Qiang Li Jin Huang Gao)

Blood Stasis
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Stage 2 Trauma Ointment (Die Da Gao Er Bu)
• Master Bonesetter’s Trauma Soak (Zheng Gu Die Da Jin Ji)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)

Stiffness/Limited ROM
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Yoga Stretching Oil (Yoga Shen Jin You)
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Extra Strength Tendon Relaxing Soak (Shu Jin Huo Xue Jin Ji)

Tendonitis
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan)

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 47
S Y M P T O M 1 0 C O N T.

Qi Deficiency
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan)

Tight Muscles
• Yoga Stretching Oil (Yoga Shen Jin You)

Swelling and Pain Increase with Damp Weather


• Extra Strength Golden Ointment (Qiang Li Jin Huang Gao)

Sprains/Soft Tissue Injuries Stage 3: Chronic Phase


(14 days or more after Injury)

Pain and Stiffness


• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Extra Strength Tendon Relaxing Soak (Shu Jin Huo Xue Jin Ji)
• Master Bonesetter’s Trauma Soak (Zheng Gu Die Da Pao)

Pain Worse with Cold and Damp


• Tiger’s Invigorate Collateral Liniment (Hu Biao Huo Luo You)
• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Warming Soak (Wen Jing Huo Luo Jin Ji)

Over-Stretched Ligaments (Unstable Joint)


• Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao)
• Stage 3 Bone Knitting Pill (Jie Gu Wan San Bu)
• Strengthen Sinew Pills (Bu Jin Wan)

Arthralgia Pain
• Tiger’s Invigorate Collateral Liniment (Hu Biao Huo Luo You)
• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)

48 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
S Y M P T O M 1 1 - 1 4

11. Stretching/Flexibility
• Yoga Stretching Oil (Yoga Shen Jin You)

12. Tendon Pain/Tendonitis


• Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu)
• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan)

13. Tight Muscles


• Tiger’s U-I Oil (Hu Biao Yu Yi You)
• Yoga Stretching Oil (Yoga Shen Jin You)

14. Traumatic Injury


• Extra Strength Trauma Liniment (Qiang Li Die Da Jiu)
• Herbal Ice (San Huang San Gao)
• Extra Strength Golden Ointment (Qiang Li Jin Huang Gao)
• Stage 1 Trauma Ointment (Die Da Gao Yi Bu)
• Stage 2 Trauma Ointment (Die Da Gao Er Bu)
• Blood Stasis Trauma Pill (Huo Xue Die Da Wan)
• Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan)

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 49
FAQ
How do I use a medicinal soak?
Place the flow-through bag containing the herbs bag in 2-3 gallons of liquid – if you are
immersing the injured area (hand, foot, elbow) in the pot, you will need at least 2
gallons of water.

Alternatively for areas like the back, hip, knee, hamstrings, neck, or shoulder, one can
soak a piece of flannel or a towel in the mixture, wring the cloth out and place it on the
affected part as a compress. In this case you may need 3 gallons of water.

The first day you use the soak, bring the water to boil and then turn down the heat and
simmer for 30-40 minutes. If possible, steam the affected part in the vapor as the mixture
cools. Then immerse the affected part in the liquid and soak for 15-20 minutes. If you are
soaking cloth or towels in the mixture to use as a compress, soak the cloth and then wring
it out before placing it over the injured area. Meanwhile put a second cloth in the mixture.
As soon as the first cloth cools, replace it. Keep switching cloths for 10-15 minutes.

In order to increase the blood invigorating effect of a soak: after you have simmered
the herbs for 30-40 minutes, take the pot off the flame and add 1 quart of alcohol (vodka
or rice wine) before soaking the affected area.

In order to increase the sinew relaxing and spasm releasing effect a soak: after you have
simmered the herbs for 30-40 minutes, take the pot off the flame and add 1 quart of white
vinegar (vodka or rice wine) before soaking the affected area.

After using the soak, dry the skin and keep it warm and away from cold or drafts. Cover
the pot. The soak can be used once or twice a day for up to 7 days. Simply re-heat the
liquid to a sufficiently warm temperature. There is no need to boil it again. As long as you
keep the pot covered and re-heat the soak everyday, the liquid will not get moldy.

Some people like to take out the flow-through bag containing the herbs after the cooking
procedure. However I recommend leaving the bag in the pot as you soak, because it
increases the strength of the herbal mixture.

Do not use soaks for the treatment of fractures.

50 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
How do I apply an ointment (Gao)?
A Gao is essentially a poultice. Apply a thick coat of the ointment (Gao) over the injured
area. Cover with gauze and then apply an elastic bandage, so that the herbal material is
pressed firmly against the skin. The bandage should be firmly in place so that the herbal
material does not slip, but not so tight that circulation is restricted. Leave for 24- 48
hours, before removing.

Areas like the hamstring muscles, shoulder, or ribs can benefit greatly from a Gao, but
they can be difficult to wrap so that the herbal material stays in place over the injured
tissues. For these areas, apply a thinner layer of the ointment, almost as if you were
painting on the mixture. Then cover with gauze squares and tape the edges down.
On a large area, like the ribs or the hamstrings, use rolled gauze to cover the area.

Why should I use Herbal Ice (San Huang San Gao) instead of
applying ice?
Herbal Ice (San Huang San Gao) is the traditional Gao that martial artists have used for
centuries for injuries like sprains that are red, hot, swollen and painful (“inflammation”
in modern Western medicine). Herbal Ice is composed of cooling herbs that reduce heat
while breaking up blood stasis and dispersing swelling. This is the start of restoring free
flow of blood and Qi. Herbal Ice is an important substitute for ice, because ice can create
further stasis by constricting blood vessels and congealing stagnant fluids. Many doctors
and trainers have now realized that ice causes more problems than it solves.

Herbal Ice (San Huang San Gao) is the also the first stage treatment of choice for severe
contusions to the muscles, which present with extensive bruising and swelling.

Herbal Ice should only be used until the initial heat and swelling (inflammation), are
gone or significantly reduced. It is not for long-term use. Residual swelling can be
addressed by liniments like Extra Strength Trauma Liniment, Dragon’s Blood Tendon
Lotion, or second stage Gao like Extra Strength Golden Ointment (Qiang Li Jin Huang
Gao), or Stage 2 Trauma Ointment (Die Da Gao Er Bu).

What is the difference between Herbal Ice and Stage 1 Trauma


Ointment (Die Da Gao Yi Bu)?
Herbal Ice (San Huang San Gao) is more appropriate with soft tissue or bone injuries
that are red, hot, swollen and painful. Herbal Ice reduces the swelling and cools the local
area while dispersing local blood and fluid stasis. Stage 1 Trauma Ointment (Die Da
Copyright © 2019: Tom Bisio and New York Internal Arts LLC 51
Gao Yi Bu) focuses more on moving blood stasis and improving microcirculation. It is
more suitable when there is bruising and swelling, without the presence of heat. Stage 1
Trauma Ointment contains many blood moving herbs whose warming nature is offset by
a very large dosage of Da Huang (Rhubarb). Da Huang is cooling and moves blood stasis,
making it very appropriate for a Stage 1 Injury.

What is the difference Stage 1 Trauma Ointment and Stage 2 Trauma


Ointment?
Stage 1 Trauma Ointment (Die Da Gao Yi Bu) contains many blood moving herbs whose
warming nature is offset by a very large dosage of Da Huang (Rhubarb). Da Huang is
cooling and moves blood stasis, making it very appropriate for a Stage 1 Injury.

In Stage 2, Trauma Ointment (Die Da Gao Er Bu), the dosage of Da Huang is


significantly reduced, allowing the warming nature of the other herbs to more strongly
warm the channels and collaterals and move blood stasis. These two formulas are an
example of using the same formula for different situations with minimal modification.

When should I use Extra Strength Golden Ointment (Qiang Li Jin


Huang Gao)?
Extra Strength Golden Ointment (Qiang Li Jin Huang Gao) is generally used for Stage
2 injuries. It is the treatment of choice for Stage 2 injuries accompanied by pockets of
swelling or residual swelling. There may still be some heat in the local area but this is
not the full-blown hot, red swelling of a Stage 1 injury, which calls for Herbal Ice (San
Huang San). Extra Strength Golden Ointment contains cooing herbs that move stasis, like
Huang Bai and Da Huang, but it also contains warming herbs that move fluid stasis and
prevent the formation of phlegm in the network vessels: Cang Zhu, Bai Zhi, Tian Nan
Xing, and Chen Pi. This combination makes Extra Strength Golden Ointment ideal for
sprains or fractures that occur in damp, hot weather, which can increase the tendency for
damp and warmth to penetrate into the local and increase the swelling and stasis.

If a Stage 2 injury manifests with more blood stasis, rather than fluid swelling, one could
still use Extra Strength Golden Ointment, however Stage 2 Trauma Ointment Die Da Gao
Er Bu) might be a better choice.

52 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
What Liniment should I use for bruising?
Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) is the single best liniment for
bruises, contusions, bone bruises and even fractures. Extra Strength Trauma Liniment is
much stronger then the more basic Trauma Liniment featured in A Tooth From the Tiger’s
Mouth. It is excellent for killing pain because of its ability to move stasis and course the
channels and collaterals (meridians). Extra Strength Trauma Liniment also has a strong
effect on local micro-circulation – it clears local stasis while simultaneously stopping
micro-hemorrhaging.

How do I apply Extra Strength Trauma Liniment (Qiang Li Die Da


Jiu)?
For Bruises: Put a small amount of Extra Strength Trauma Liniment in your palm and
pat it gently into the injured area. This helps it penetrate. Then use your thumb or three
fingers to massage sore spots and break up lumps or accumulations. Start lightly and
gradually work the liniment in deeper as the pain subsides.

Muscle Pulls: Massage Extra Strength Trauma Liniment into knots in the muscle. Try to
break up knots by following the direction of the muscle fibers (i.e. longitudinally). Also
massage the liniment into the muscle attachments. For example for a pulled hamstring,
first pat the liniment into the painful area. Then use the thumb or 3 fingers to massage
in circles around the sore area. Use the thumb to break up knots by massaging upwards
toward the head, or downwards toward the feet, following the direction of the muscle
fibers. Finally massage the liniment deep into the crease below the buttocks, and the area
behind the knee as the hamstrings have tendon attachments to bone in both of these areas.

Sprains & Strains: Massage Extra-Strength Trauma Liniment gently into the injured
area. If there is swelling, put some liniment on the tip of your thumb or fingertips. Start
at the edge of the swelling and rub in small circles around the edge with your thumb or
fingertips. Add a little more of the liniment to your fingertips and lighten your pressure as
you move inward, slowly and gently working the liniment into the center of the swollen
area. Apply more liniment to your fingertips and direct your circles outward from the
center, gently pushing stagnant fluids and blood away from the swollen area so they can
be re-absorbed.

Swollen lumps: For lumps from trauma for example an “egg” on the shin. Apply Extra-
Strength Trauma Liniment and rub the lump flat. Continue to apply the liniment and rub
in circles around the area in order to disperse stagnant fluids.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 53
For Fractures: Gently apply Extra-Strength Trauma Liniment and rub lightly over the
fracture. Or soak cotton balls or paper towels with the liniment and apply over the area
and then cover with rolled gauze. Reapply several times a day, as the liniment has a
tendency to evaporate.

Why is Extra Strength Trauma Liniment appropriate for all stages of


injury?
Extra Strength Trauma Liniment (Qiang Li Die Da Jiu) is a very balanced yet strong
formula which contains very warming herbs like Chuan Wu and Cao Wu, that are
balanced by cooling herbs like the “Three Yellows”: Huang Qin, Huang Bai, and Da
Huang. It is excellent for killing pain because of its ability to move stasis and course the
channels and collaterals (meridians). Extra Strength Trauma Liniment also has a strong
effect on local micro-circulation – it clears local stasis while simultaneously stopping
micro-hemorrhaging. Therefore it can be used in all stages of injury where there is stasis
and pain.

When should I use Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin
Lu) and how do I apply it?
Dragon’s Blood Tendon Lotion (Xue Jie Shu Jin Lu) is used for chronic injuries to
tendons and ligaments. These kinds of injuries run the gamut from old sprains that are
slow to heal, to recurring tendonitis. In comparison with Extra Strength Trauma Liniment,
which contains a balanced mix of cooling and warming herbs that do not overheat an
inflamed area, Dragon’s Blood Tendon Lotion contains many more warming herbs that
act to stimulate local circulation. The inclusion of these warming herbs is very important
in treating chronic tendon injuries like tennis elbow, because, unlike muscles, tendons do
not have an extensive direct supply of blood. That is why these kinds of injuries can be
recalcitrant and slow to heal. Increasing local circulation also prevents cold and dampness
from penetrating into the injured area.

Dragon’s Blood Tendon Lotion should not be used when there is residual heat and
redness (“inflammation”). In cases of tendonitis, it is not uncommon for there to be
residual inflammation which can flare up if direct heat or warming liniments are applied.
So how do you know if there is residual inflammation? If heat makes your injury feel
better it is probably safe to use Dragon’s Blood Tendon Lotion. If you are still not sure,
apply Dragon’s Blood Tendon Lotion twice a day for 1 or 2 days. If pain worsens switch
to Trauma Liniment.

To apply, put a small amount of Dragon’s Blood Tendon Lotion on the ball of your
54 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
thumb or on the pads of 2 or 3 fingers. Massage the liniment gently into the injured area.
Pressure should be deep enough to penetrate, but not so deep as to be painful. Make small
circles with your thumb or fingers in order work the liniment into the injured tissues.
Continue to rub the liniment into the area for several minutes adding more to your fingers
as needed. For an injury like shin splints, where small micro-tears in the muscle are
pulling the muscle away from the bone, massage in circles gently toward the bone using
Dragon’s Blood Tendon Lotion.

Can I apply a medicinal soaks to a fracture?


No. In sinew injuries herbal soaks are very important to relax sinews and break up
accumulations of congealed blood. However, with fractures, soaks can actually be
detrimental. Many of the blood dispersing, spasm relaxing soaks used in Stage 2 and
Stage 3 injuries can actually slow bone healing because they have a dispersing, spreading
effect on the Qi and blood, whereas herbs formulas that help heal broken bones have a
consolidating, action that concentrates the Qi and blood.

After the bones have knit, soaks can be used in order to improve circulation, dispel, cold,
or relax spasmed tissues.

Which products are appropriate for loose joints or overstretched


ligaments?
Overstretched ligaments respond well to Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong
Gao), which helps tighten and strengthen the ligaments. Bone –Sinew Gao is even more
effective if used in conjunction with an internal formula like Stage 3 Bone Knitting
Pill (Jie Gu Wan San Bu) This pill moves stasis and tonifies the liver and kidney to
strengthen the sinews and bones. Bone Knitting Pill – Stage 3 contains many herbs that
are specifically speed bone knitting and strengthen the ligaments and tendons. It is based
on and ancient Shaolin formula that was tested for centuries by martial artists.

In cases of constitutionally loose joint, or repeated dislocations which have led to joint
instability, one should start with Stage 3 Bone Knitting Pill for one two weeks and then
switch to Strengthen Sinew Pills (Bu Jin Wan), which can safely be taken for a
month or more.

What products are appropriate for Rheumatoid Arthritis?


Tiger’s Invigorate Collateral Liniment (Hu Biao Huo Luo You) is specifically designed
for wind-cold, damp that is lodged in the joints, causing stiffness and pain – Bi
Copyright © 2019: Tom Bisio and New York Internal Arts LLC 55
Syndrome. This formula includes vine medicinals like Ren Dong Teng and Ji Xue Teng
that are traditionally used for joint pain because they open the channels and collaterals,
free restrictions in the sinews, and dispel wind and dampness. The additions of herbs like
Fang Feng and Gou Teng, which track down and dispel wind, increase its effectiveness
with Bi Syndrome Tiger’s Invigorate Collateral Liniment is energetically balanced with
warming and cooling herbs, making it suitable for both warm and cold Bi (obstruction)
Syndrome conditions.

Which internal formulas are used for fractures?


For Stage 1 Fractures (0-7 days, or even 0-14 days), the key is to dispel stasis.
Unresolved stasis is one of the main causes of delayed bone healing. The herbal treatment
of choice is the Blood Stasis Trauma Pill (Huo Xue Die Da Wan).

In the Stage 2 Fracture Healing, Stage 2 Bone Knitting Pill (Jie Gu Wan Er Bu) is more
appropriate because it continues to move stasis, but also adds a few tonic herbs that help
to heal and strengthen bone and sinew.

If there is deficient Qi, with danger of wind, cold and damp penetration into the injured
area, the Bonesetter’s Special Pill (Zheng Gu Zi Jin Dan) might be more appropriate
at this stage.

In Stage 3 Fracture Healing, the most appropriate formula is Stage 3 Bone Knitting Pill
(Jie Gu Wan San Bu). Stage 3 Bone Knitting Pill contains many herbs that are specifically
speed bone knitting and strengthen the ligaments and tendons. It is based on and ancient
Shaolin formula that was tested for centuries by martial artists.

However, if there is still a lot of unresolved stasis in Stage 3, one should start with Blood
Stasis Blood Stasis Trauma Pill (Huo Xue Die Da Wan) for 5-7 days and then switch to
Stage 3 Bone Knitting Pill (Jie Gu Wan San Bu).

Do Gao, soaks and liniments cause skin rashes?


In general, skin reactions are rare with these products. Some people have sensitive skin.
Ointments like Gao, soaks and liniments, particularly those that contain warming herbs,
can irritate the skin, causing an itch or a rash. This happens most commonly with the
Bone-Sinew Gao (Gu Ji Wai Shang Xiao Tong Gao), or the Warming Soak (Wen Jing
Huo Luo Jin Ji). Fair-skinned people seem particularly susceptible to this. If you do get a
rash, simply remove the plaster or poultice and air out the skin. Never use Gao together
with heating pads or other heat sources. This combination can overheat the area and cause
56 Copyright © 2019: Tom Bisio and New York Internal Arts LLC
a burn. Some liniments may be used with wet heat or a heat lamp. If you have just had a
heating pad on the injured area or just been in a sauna or jacuzzi, let the skin cool before
applying a Gao or liniment.

If you have sensitive skin, it can be useful to do a skin test - before using the product,
apply a little bit of the product to a small area of the skin and see if it reacts.

Bone-Sinew Ointment Gao can cause a rash and itching, even in those with skin that is
not sensitive. This is annoying, but does not detract from the therapeutic action of the
Gao. Washing the area carefully after removing the Gao and applying a moisturizer.
Usually this is sufficient to resolve any rash or itching.

How long should I leave a Gao (ointment/poultice) on the injured


area?

Generally 24-48 hours. In a the acute stage of injury it is better to remove the poultice
after 24 hours to see if the signs and symptoms (swelling, amount of heat, bruising etc,)
have changed and the situation now requires a different Gao. In more chronic cases like
weak and overstretched ligaments, or damaged cartilage that is in the 3rd Stage, one can
leave the Gao in place for as long as 48 hours.

Can the Blood Stasis Trauma Pill (Huo Xie Die Da Wan) be used as a
substitute for the Traditional Die Da Wan?

Yes. Although the Traditional Die Da Wan contains Ma Huang, which strongly moves
stasis in the superficial layers of the body, Blood Stasis Trauma Pill (Huo Xue Die Da
Wan) is an equally, and often more effective formula, used by generations of martial arts
practitioners for sprains, strains, and broken bones.

Blood Stasis Trauma Pill is a very balanced and comprehensive formula that includes
Sheng Di Huang and Qing Pi, a classic combination that dead blood from accumulating.
Wei Ling Xian opens all 12 vessels and the Luo vessels and dispels wind. Fang Feng also
dispels wind, and in this formula is used to prevent a movement toward Bi syndrome.
Blood moving herbs like Mo Yao, Ru Xing, Dan Shen, Ze Lan, and Tu Bie Chong move
and crack blood stasis. Zi Ran Tong dispels blood stasis, relieves pain and promotes
healing of bones and sinews Gui Sui Bu (“Mender of Shattered Bones”) helps to heal
injured sinew and bones. Jie Geng is a clever addition that engages the Lung Qi (Ruler of
the Qi), so that Qi Dynamic can move and disseminate.

Copyright © 2019: Tom Bisio and New York Internal Arts LLC 57

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