Tuesday, May 3, 2011

One of the coolest things we saw at Mayway's facility in Hebei, China -

- the complete process of how a whole herb gets from the field to us here at Fat Turtle. Keep in mind this is leaving out the whole process of quality control in the field, which we'll cover in another blog post. There is a whole host of site visits, macroscopic examination (which essentially means having a master herbalist/agronomist examine the herbs and see if they have the correct morphology), microscopic examination, testing and et cetera to make sure the herbs are the correct species and fall well under the limits for heavy metals, pesticide residue, et cetera.

(We weren't allowed to take pictures inside the facility, which is too bad, because they had some very cool-looking equipment in there - I'll be supplementing with pictures from the internet.)

Once a batch of herbs has been accepted, it goes something like this:


  • Herbs are washed with water from Mayway's on-site well, which is quite deep, although I don't remember if they ever told us exactly how deep.
  • When we were there, they had uncut Ze Xie 泽泻 (alisma) banging around in a stainless steel washer that looked something like a concrete mixer that was open at both ends - roughly cylindrical, with jets of water shooting in.
  • The next step is soaking - most herbs have to be thoroughly soaked to make slicing possible.
  • From there it's on to the slicing. Each herb has a particular way it has to be cut. When we were in there blue-suited workers were feeding long uncut pieces of Sang Bai Pi into a machine that looked quite similar to this one. A blade at the end comes down at regular intervals and turns it into the familiar-looking orange and white piece we use at the pharmacy.
  • From there it's on to drying. Just as there are several different slicing machines for different herbs, there are a few different drying machines. Some can be dried relatively quickly at high heat without any damage - this machine looks something like a huge industrial bread toaster, similar to this thing. Others, like Ju Hua 菊花 (chrysanthemum) and other flowers, have to be dried gently at relatively low temperatures. These herbs are dried on racks in temperature- and humidity-controlled cabinets that look like this.
  • After that it's off to sorting. We walked in on a roomful of blue-suited workers hand-sorting Bai Zi Ren 柏子仁 (biotae)... huge piles of tiny seeds on stainless steel tables. If they saw one that was off-color, they threw it out. http://www.blogger.com/img/blank.gif
  • Next, weighing and packaging. There are at minimum three people involved in packaging any one half-kilo package of raw herb. One person scoops an approximate amount into a bag. The next one weighs it and adjusts it to half a kilo. The third http://www.blogger.com/img/blank.gifperson takes the correct-weight bag and seals it, usually in a vacuum process that sucks all the air out. Mayway then takes another step and double-bags, injecting nitrogen into the space between the two bags. This is to cushion the herbs during transport.

    Then the herbs get taken downstairs, where they wait until they've accumulated a shipping container full. The herbs are then trucked to Tianjin, the nearest port city, and it's off to Oakland...


What does all this mean? For one, now we understand why Chinese herbs are relatively expensive. It's only because of the low cost of labor that herbs don't cost more than they already do.

It also has important ramifications for the domestic herb industry. High Falls Garden in upstate New York and the Chinese Medicinal Herb Farm in Northern California are producing small amounts of Chinese herbs every year, and at some point we'll need a facility that can process the herbs. Just as the growth of clinical Chinese medicine pushes the growth of the Chinese pharmacy industry, people who farm or gather Chinese herbs will spur an herb-processing industry.

Just as ranchers need slaughterhouses if they raise cattle on any kind of large scale, the U.S. herb industry will need processing facilities if they hope to grow to a sustainable size. What will these facilities look like? Will herb farming ever become a large enough industry to support such a venture? Maybe the answer is vertical integration - a farm with a processing facility on site, owned by the same people. These are important things to think about for the future. If you have any ideas, please share!

Friday, April 15, 2011

Mayway Factory Tour in China

I'm sitting on a plane at LAX hoping desperately to get this blog post off before the crew tells me I need to turn it off. I'm on my way to Beijing, and then on to Anguo, Hebei province, about two hours south and west by bus from Beijing. Mayway is opening the doors to their herb processing facility for a tour! Mayway is one of the oldest and biggest Chinese herb companies in the U.S., and one of Fat Turtle's trusted partners.

Fat Turtle remains open during this time - Annie, Hieu and Yiqun are ready to assist you and fill your orders. I'll be back in a week, hopefully having learned a lot and with lots of pictures to share.

Thursday, March 17, 2011

Subscribe to Chinese Medicine Database



Note: today's post comes to us from Jonathan Schell, the driving force behind the Chinese Medicine Database, an online resource for doctors/practitioners, students, scholars, researchers and translators. If you are involved in Chinese medicine on any level and haven't heard of this wonderful resource, you owe it to yourself to check it out.

This was originally a post from the facebook page for the Chinese Medicine Database and has been reprinted in its entirety, with permission.


Today I am feeling especially driven. Maybe it was because I was sick for a week, and maybe it is because of the Tsunami in Japan, but I so passionately want -- to have so many more Chinese medical texts translated! We have the people just waiting to work, but just lack the funds.

I believe that the more texts that we translate, the more face of what we know as Chinese or Asian medicine will be changed. The thing is I need a few hundred people like yourselves to stand with me and bring this to fruition! A number of... you subscribe already, but I ask those of you that don't what would it take for you to subscribe?

I am not asking for me. I have yet to make money on the Database. I ask because what Book makes you salivate enough that you are willing to throw down your $20.00 per month to make it happen? Economy be damned. I believe that we are reaching a pivotal point with our field. We are big enough to be noticed, but not organized enough to fend for ourselves.

And so here it is -- my passionate howl into the vastness of Facebook -- In my opinion we are heading as a profession towards being absorbed. I put a time of 20 years to it. If you talk to people at the schools there is always more emphasis being put on Western techniques and less time in teaching Chinese medicine. The incentives are on merging Chinese medicine with Western medicine. And as with the most recent financial crisis -- we know that the incentives dominate the course of events.

I am not just passionate about the Classics because I am a big history buff, and love to talk about the past. No in fact I am a clinician just like the majority of you. The Classics serve to prod me into other states of consciousness which provides me with alternative insights. But why as a profession should we care about them? Because in my opinion, they are the only leg that we will have to stand on that irrefutably defends the uses for and the mechanisms of Chinese medicine. No person or organization can doubt 2,000 years worth of written material if it is readable in your own language. But if it is another person's language, we in the West have a tendency to think of things as primitive.

So when we are struggling to not be absorbed in 20 years, and we are all struggling -- it will be too late, my friends, to ask that our academics translate the texts to justify our position. There will be no time left, it would be like trying to raise wheat in winter. No, the time to bear the brunt of this work is before we need it, when we are strong and fresh, and not embattled defending our techniques -- loss of this to PT's, loss of that to Chiropractor's, loss of this other thing to MD's.

I am sorry to say that I don't have the $13 million dollars to translate the 400 main texts in my possession, because if I did I would spend it towards that purpose. But each of you has $20.00 and I have $20.00 and over the years 1,000 of us putting together our collective $20.00 will start to make a dent in that $13 million.

In 20 years I want to be able to say to my son, and your children -- "You know -- everyone said it was impossible -- that it would never happen -- but we pulled together as a community -- and WE MADE IT HAPPEN!" That would be truly awesome! And I think would change the face of Chinese Medicine as we know it.

I am one man, with a team of translators ready to work. I ask you whether you believe in the project or not, would you join me -- to say that you were part of it? To say to your children that we made something so amazing happen that it changed the way our profession understands the medicine? I built this system for us, to be used by us, so that we are never in the dark again.

This is what I am passionate about, and the fire to "Get to work" rages inside of me. I am tired of limping along, I want to start this Wonder of the World now!

Register at www.cm-db.com -- each of us can contribute a little bit to this project and together we can make it happen. I give you my word, which in my world means that I will make my word happen.

Wednesday, February 23, 2011

Mu Xiang Liu Qi Yin 木香流气饮

An acupuncturist called me yesterday and wanted to know more about Mu Xiang Liu Qi Yin. I had never heard of the formula, and we had already established that it wasn't in either the Bensky or Chen formula book, so I did a quick google search. A few scattered references to the formula in one of Macioca's books and a few others came up, but no clues as to the ingredients or dosages. Then I did a search in Chinese. Ta-da!

It's from the Song dynasty text Taiping Huimin Heji Jufang, which also gave us such famous formulas as 四物汤 Si Wu Tang and 四君子汤 Si Jun Zi Tang.

There are actually two formulas given, and as far as I can tell the first one is the original as written in the Song dynasty. The second version has modern dosage amounts (grams rather than liang) so I'm guessing this is the version most people use today.

Here is a translation of the ingredients from the first version of the formula:

  • 半夏(汤洗七次)二两,Ban Xia 2 liang
  • 陈皮(去白)二斤,Chen Pi 2 jin
  • 厚朴(去粗皮.姜制.炒)、青皮(去白)、甘草、香附(炒.去毛)、紫苏叶(去枝.梗),各一斤; Hou Po, Qing Pi, Gan Cao, Xiang Fu, Zi Su Ye, each 1 jin
  • 人参、赤茯苓(去黑皮)、干木瓜、石菖蒲、白术、白芷、麦门冬,各四两; Ren Shen, Chi Fu Ling, Mu Gua, Shi Chang Pu, Bai Zhu, Bai Zhi, Mai Men Dong, each 4 liang
  • 草果仁、肉桂(去粗皮.不见火)、蓬莪(煨.切)、大腹皮、丁香皮、槟榔、木香(不见火)、藿香叶,各六两; Cao Guo, Rou Gui, Peng E, Da Fu Pi, Ding Xiang Pi, Bing Lang, Mu Xiang, Huo Xiang, each 6 liang
  • 木通(去节)八两。 Mu Tong 4 liang


Here's my stab at the actions:
Original: 调顺荣卫,通流血脉,快利三焦,安和五脏。
Translation: Mediate and organize the Ying and Wei, connect and flow the blood vessels, quicken the triple burner, calm and harmonize the five zang organs.

I'm running out of time here, got to get back to work. I'll translate the rest of it later - including indications and directions. Remember folks, there is a huge amount of information on Chinese medicine that hasn't been translated into English, this is just one formula! Heed the words of Bob Flaws and learn your Chinese - you'll have access to so much more information. It advances the profession and helps your patients too!

Tuesday, February 1, 2011

Fat Turtle Herb Company Profile on Yosan Alumni Page



Nini and I transferred to Yosan University of Traditional Chinese Medicine from another school, and we're glad we did. Take a look!

Sunday, January 23, 2011

Pharmacy Term of the Day: 后下 Hou Xia



When you write a Chinese herbal formula and send it to Fat Turtle, it's a little bit like telling the cook exactly how you want your eggs. Over easy? Over hard? Scrambled? Sunny side up? Maybe you want something fancy like benedict?

This is the first in an occasional series highlighting the special instructions you as a Chinese medicine doctor can give to us, the herbal pharmacy, to make sure your patient cooks the formula correctly.

Today we'll be looking at the term "Hou Xia" (hòu xià 后下). "Hou" means behind or at the end. "Xia" means down, lower, underneath. A crude translation would be "throw down at the end", giving you the picture of herbs saved off to the side and then "thrown down" into the pot when the cooking is nearly done.

Some typical herbs that are packaged separately and labeled Hou Xia are:
  • Mu Xiang 木香 Aucklandia Radix
  • Sha Ren 砂仁 Amomi Fructus
  • Cao Dou Kou 草豆蔻 Alpiniae Katsumadai Semen
  • Da Huang 大黄 Rhei Rhizoma et Radix (when used as a purgative - when used as a blood mover Da Huang should be cooked together with all other herbs)


The rationale for preparing herbs in this way is that there are volatile oils in these herbs that cook off very quickly. Cooking for 5-7 minutes can release these active ingredients into the formula, while cooking longer than that boils them off into vapor.

The vacuum packing service that Fat Turtle offers necessarily cooks all the herbs together at once, even Mu Xiang and Sha Ren. Does this reduce the efficacy of these herbs? Surprisingly, the answer is no. In fact, the effectiveness may even be increased.

An article published in the Zhejiang Journal of Traditional Chinese Medicine (浙江中医杂志 Zhe Jiang Zhong Yi Za Zhi, Vol‐9. 2005; Weiqing Liang, Junxian Zheng, Jinbao Pu, Kemin Wei) found that extraction of flavonoids and alkaloids from herbs decocted in vacuum cookers is higher than traditional stove top cooking. The extraction of alkaloids from Mu Xiang from traditional cooking was 0.045%, while with vacuum cooking the extraction rate was 0.094% - more than double.

Thursday, January 20, 2011

Ginseng Plant



This is a nice picture of a ginseng plant. Note the bright red berries.