The Wonders of Bone-Knitting Powder

From: Kiiko Matsumoto's Clinical Strategies, Pg 71 
 

In the waiting game of bone healing, weeks of hauling a useless appendage in its hard cast can cause anyone to question “Do I really need to wait this long?”. Thankfully, the masters of ancient Martial Arts Medicine discovered an answer that would make any bone-fracture patient exclaim “Yippee!”. Enter bone-knitting powder, an amazing formulation of seventeen herbs that work as a team to not only alleviate the aches and pains of healing bones, but also provides the necessary materials and directions for the bones to heal at an increased rate.

            Now, how does bone-knitting powder work? From a broad viewpoint, its functions are to: 1) build the blood and qi so as to provide the necessary materials for bone-building, 2) break and move blood stasis while promoting circulation so that the healing area has a fresh supply of materials and so that all of the detritus is swept away, 3) Resupply the Kidney’s so that they may strengthen and heal their associated tissues, the bones! How does it do all of this? The original bone-knitting powder formula from A Tooth from The Tiger’s Mouth contains six of the nine herbs that heal broken bones. The nine herbs are: 1. Gu Sui Bu 2. Bu Gu Zhi 3. Xu Duan 4. Du Zhong 5. Gou Ji 6. Gui Ban 7. He Gu 8. Tu Bie Chong 9. Zi Ran Tong (Pg. 62, Bisio).  Alas, the formula created for this informational journey contains only the first four of the nine herbs. A breakdown of each of the herbs contained in the accompanying formula can be found in Appendix 1 of this paper.

Here are some quick numbers about this formula:

·       Seven of the seventeen herbs (41%) stop or alleviate pain.

·       Seven of the seventeen herbs (41%) tonify Kidney yin, strengthen bones or augment marrow.

·       Seven of the seventeen herbs (41%) tonify Liver yin and blood, and strengthen or relax the sinews.

·       Nine of the seventeen herbs (53%) have some function that directly tonifies or assists the Spleen by promoting Yin or Yang, transforming food stagnation or promoting flesh.

At first glance, it seems curious that this bone rebuilding formula would have such a disproportionate number of herbs that are focused on the patient’s digestion. However, this is logical as the Earth element (the digestion) is the foundation from which all other elements expand from and return to (See image in Appendix 2). When there is heavy, active healing necessary, it follows that the Earth element will need to be supported so that the Kidneys and Liver can have the resources to repair their tissues. This goes to show the sheer wisdom of the creators of this formula to not only discover unique herbs that can rebuild bones, but to also take into account the entirety of the individual.

            Another intriguing discovery in this formula is the equal weight given to the healing of sinews, which includes tendons and ligaments. Broken bones do not occur in a vacuum, because this is true, we must consider the healing of the sinews that surround the damaged bone as well as the bone itself. If we were to heal the bone without healing the sinews, the bone would be functionally unusable as it would not have the healthy connective tissue needed to utilize its functions.

Finally, there are two herbs that need special attention. The first is Gu Sui Bu, it is a uniquely special herb for this formula as it not only strengthens the bones, but it also has the special function of promoting the mending of bones and sinews. Second, Xu Duan is also incredibly unique as it is the only herb in this formula with the explicit function of reconnecting sinews and bones. These two herbs deserve a special place in our understanding of herbology since they harbor these unique abilities to perform a very specific function. All of the other herbs in this formula play a role in giving resources, moving the resources present, and assisting the patient in pain management. However, Gu Sui Bu and Xu Duan are the specialists that enter the affected area and go to work pulling the sinews and bones back together so that the fundamental purpose of this medicine can be achieved.

            When would this formula be prescribed? Bone-knitting powder is not to be administered immediately after a bone is broken. Its functions are too moving and can be detrimental to the early healing process. Instead, about two weeks after a bone is fractured, when the swelling and inflammation is gone or significantly less than at the onset of the fracture, then the bone enters its knitting phase. During the 2-3 week knitting phase, this formula can greatly aid the bone in its natural process as well as avoiding any complications from a difficult or prolonged bone knitting process. This formula can also be used for treating recurring sprains from overstretched ligaments. When a joint has been repeatedly overstretched and damaged, it can be difficult to heal. Bone knit powder can help the patient regain stability in their chronically damaged joints since this formula has its equal focus on strengthening and rebuilding the sinews. The dosing instructions are as follows from A Tooth from The Tiger’s Mouth, “Have the herbs ground to a fine powder. Take ¼ teaspoon 2 times a day, or make honey pills and take 1 pill twice a day. Take bone-knitting powder for 2-3 weeks during the knitting stage and complete healing stage of fracture healing,” (Pg. 240, Bisio).

            Finally, the application of tuina massage to assist with healing bones is very limited. Ultimately the objective is to reduce swelling and pain, and restore circulation to the area. This can be done with gentle and light stroking above and below the break. Pressure on acupuncture points and ear points can also aid in reducing pain. Direct or strong massage should be kept away from the site of the fracture until after the bones have completely healed, emphasis should be on internal use of formulas as well as possible topical liniments.

            In the end, Bone-Knitting powder is a fantastic piece of herbal medicine that deserves a place in every medicine cabinet. It’s ability to heal bones without complication and return integrity to overstretched joints puts this formula in a special category alongside the wonderous Yunnan Bai Yao.

Works Cited:

Bisio, Tom. A Tooth from the Tiger's Mouth: How to Treat Your Injuries with Powerful Healing Secrets of the Great Chinese Warriors. Simon & Schuster International, 2005.

Matsumoto, Kiiko. Kiiko Matsumoto's Clinical Strategies. David Euler, 2014.

 

Appendix 1 – Bone-Knitting Powder Herbs:

Dang Gui – 30g : sweet, acrid, warm; Heart, Liver, Spleen; Tonifies the blood, invigorates the blood and disperses cold, moistens the intestines and unblocks the bowels, regulates menstruation, reduces swelling, expels pus, generates flesh and alleviates pain

Chuan Xiong – 15g : Acrid, warm; Liver, Gallbladder, Pericardium; Invigorates the blood, promotes the movement of qi, expels wind, stops pain

Bai Shao – 15g : Bitter, sour, mildly cold; Liver, Spleen; Tonifies the Liver blood, extinguishes wind, calms and curbs Liver Yang, stops pain, nourishes the Liver and Spleen Yin, adjusts the nutritive and protective levels

Shu Di Huang – 15g : Sweet, slightly warm; Heart, Kidney, Liver; Tonifies the blood, enriches the yin, generates essence, augments the marrow

Du Zhong – 15g : Sweet, slightly acrid, warm; Kidney, Liver; Tonifies the Liver and Kidneys, strengthens the sinews and bones, quiets the fetus, aids in the smooth flow of qi and blood

Wu Jia Pi – 30g : Acrid, bitter, warm; Kidney, Liver; Clears wind-dampness, warms the Kidneys and Liver, Stops pain, strengthens the sinews and bones, reduces swelling

*Gu Sui Bu – 45g : Bitter, warm; Kidney, Liver; Tonifies the Kidneys, strengthens the bones, directs floating yang downwards, promotes mending of the sinews and bones

San Qi – 15g : Sweet, slightly bitter, warm; Liver, Stomach; Stops bleeding without causing blood stasis, transforms blood stasis, reduces swelling and stops pain

Bu Gu Zhi – 30g : Acrid, bitter, very warm; Kidney, Spleen; Tonifies the Kidneys and Fortifies Yang, Tonifies and warms Spleen yang, Stabilizes the essence, secures the urine, aids the Kidneys in grasping qi

Tu Si Zi – 30g : Acrid, sweet, neutral; Kidney, Liver; Warms the primal yang, nourishes the yin, secures the essence and urine, tonifies the Kidneys, Liver and Spleen without being drying, improves vision, stops diarrhea, calms fetus

Dang Shen – 30g : Sweet, neutral; Lung, Spleen; Tonifies the middle burner, augments the Spleen and Lung Qi

Mu Gua – 15g : sour, warm; Liver, Spleen; Transforms dampness, harmonizes the Spleen and Stomach, alleviates cramping, relaxes the sinews and unblocks channels

Huang Qi – 15g : sweet, slightly warm; Lung, Spleen; Raises the yang qi, tonifies the Spleen and Lung qi, stops sweating, facilitates urination, promotes the discharge of pus, generates flesh

Dan Shen – 15g : Bitter, slightly cold; Heart, Pericardium, Liver; invigorates the blood and dispels stasis, tonifies the blood, calms irritability due to blood heat, reduces abscesses, calms spirit

*Xu Duan – 30g : bitter, sweet, acrid, slightly warm; Kidney, Liver; Tonifies the Kidneys and Liver, strengthens the sinews and bones, gently invigorates the blood, calms the fetus during pregnancy, stops leakage, alleviates pain, reconnects sinews and bones

San Leng – 25g : bitter, acrid, neutral; Liver, Spleen; forcefully breaks up stagnation of both the qi and blood, disperses food stagnation, stops pain

E Zhu – 25g : Bitter, acrid, warm; Liver, Spleen; promotes the movement of blood and qi, reduces food stagnation, alleviates pain

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