Voice
of the Fox
The Newsletter
of the Martial Arts Training Service
Hit
Medicine
by Professor Pat
Browne
(Reprinted
with permission from the Fall 1992 issue of Kiai Echo)
Spring 1996
Most
of us who practice martial arts, as well as many other physically active
people, suffer occasional aches and pains. One of the ways we seek relief
is through the use of liniments and other topically applied "potions."
The majority of people, however, have no rational basis for deciding
among the various remedies available. The purpose of this article is
to make an informed consumer out of the wounded jujitsuka.
When treating injuries
of any kind, some general principles should be kept in mind. Currently,
the acronym RICE (Rest Ice Compression Elevation)
is popularly used to teach the basics of care for musculoskeletal injuries.
These principles are valid and work well, but most of us either "want
more" or choose to ignore them so that we can continue working
out.
Liniments
The use of various
training liniments is a time-honored tradition in most martial arts.
The generic Chinese name for these medicines is dit da jaw or
tieh ta tien. These phrases mean "hit (or) fall down liquor."
Liquor, because many of them are traditionally made in an alcohol
base, and hit or fall down, because they are used to treat
traumatic injuries. They may be roughly divided into "hot"
and "cold" liniments, based not on how they feel, but rather
on their "energetic" properties, in keeping with the theories
of traditional Chinese herbal medicine.
In general, these
liniments are formulated by selecting herbs to perform certain functions.
There are herbs to stop bleeding, herbs to resolve blood stasis, herbs
to open the acupuncture meridians, herbs to affect the exterior of the
body, herbs to strengthen the blood, and so on.
Based on what the
formula is intended for and the herbalist's experience, a prescription
is written. A typical dit da jaw will contain anywhere from 10
to 40 different herbs. These herbs may be steeped in wine or distilled
spirits for various amounts of time (one month is usually the minimum;
some require a year!) or boiled with water, vinegar or the urine of
prepubescent boys.
There are formulas
that may be used internally, but this should only be done on the advice
of a qualified herbalist. The majority of these formulas are for external
use.
Cold
vs. Hot
The "cold"
variety of dit da jaw is useful for the treatment of acute injuries.
Ideally, it is applied before a hard workout (or a fight) to minimize
any injuries that may occur. Once an injury does occur, the affected
area is gently rubbed with the liniment to stop pain, lessen swelling
and alleviate bruising. "Cold" liniments may be used several
times a day.
The "hot"
variety of dit da jaw should not be used on acute injuries. It
is appropriate for some chronic injuries and for certain training regimens,
but not for general use.
Zeng gu shui
("bone correcting water" or "water for the bones")
is a special liniment that is used in China mainly for injuries to bones.
It is "hot" in nature and may cause skin irritation, but is
very effective in treating fractures, sprains and dislocations. It is
not appropriate for strains or sore muscles.
Processing
For sore muscles,
liniments or salves made from "essentials" are generally used.
An essential is a product (usually but not always an oil) made by steam
distilling the leaves, flowers or twigs of various plants. In steam
distillation, the plant parts are placed in a container with water and
heated until boiling occurs. Live steam is then forced through the mixture
and the vapors collected through a cooling coil. The volatile oils (or
solids, in the case of camphor or menthol) are then separated by skimming
and filtering the cooled distillate. This is a relatively expensive
process, and today many essential oils are made synthetically in the
laboratory. The most commonly used essential in both Oriental and Western
medical topical remedies is oil of wintergreen, or its synthetic equivalent,
methyl salicylate. This is what gives many of these products their characteristic
smell. It is, in fact, virtually the only active ingredient in the majority
of Western topical preparations. With frequent use, some people become
"immune" to methyl salicylate, while others develop skin rashes
from it. It is important to read the label when selecting these remedies.
Quite often, Product A will be identical to Product B but cost twice
as much.
Menthol
and Camphor
Menthol and camphor,
two solid essentials, are the next most commonly used ingredients in
topical preparations for sore muscles. Menthol causes a cool sensation,
while camphor gives a feeling of warmth. They are frequently, but not
always, combined in both Oriental and Western products. The concentrations
are generally higher in Chinese products than in American medicines.
They are sometimes combined with other essentials to enhance and modify
the effects of the ingredients.
Oils
Various other oils
or their synthetic analogs are more common in Oriental preparations
than in those manufactured in the United States. They include: oil of
cajiput, oil of eucalyptus, oil of clove, oil of cinnamon, oil of cedar,
oil of turpentine, oil of camphor, thymol, oil of peppermint, and oil
of lavender, among others. Various people may respond more favorably
to one combination rather than another. Trial and error is the best
method to find the product that works best for you.
All of these sore
muscle rubs should be used only after the acute phase of the injury
is over. They should not be used on cuts or abrasions, should not be
applied immediately after a bath or shower, and should not be covered.
Peppers
and Plasters
Zostrix is a western
product that uses a synthetic version of oil of red pepper (capsaicin)
in an ointment that many people find effective in relieving musculoskeletal
pain. It is available over the counter at pharmacies in two strengths.
It may be useful for those who either don't respond to or who have developed
sensitivity to other topical products.
Medicinal plasters
are another group of topical products that are popular for various injuries.
These are available both from herb stores and pharmacies. Several brands
of Japanese plasters are now being marketed and advertised in the media.
Again, depending
on the ingredients, these plasters have various uses. Usually they are
applied and left in place for two to 24 hours, as long as blistering
does not occur. One popular Chinese plaster is a "dog skin plaster,"
literally made with a patch of leather tanned from dog skin. More contemporary
plasters have cloth or synthetic backings. They are "warm"
to "hot" in nature and often are applied at bedtime, to treat
the injury while you sleep.
In conclusion, there
are a large number of externally applied products that can help to heal
injuries sustained in practice. They must be appropriately used, however,
if they are to be of value. The inappropriate use of these medicines
may make an injury worse. If you are uncertain of what type of product
to use, consult your health care provider. Failing any definitive advice,
follow Hippocrate's adage: "First, do no harm."