Blood opening

Chief Reduce heat-toxin, cool the blood, open the Heart orifice and nourish the Yin... 

Ru Xiang is warm and pungent, and enters the Heart and Liver meridians Mo Yao is neutral and enters the Liver meridian. Ru Xiang and Mo Yao are a pair of herbs that are often used together. They can strongly disperse and descend congealed blood, open up the meridians and collaterals, and are very effective in relieving pain. 

Deputy Invigorate blood, open up the meridians and collaterals... 

Figure 1. Incorporation of [ C]-styrene oxide into whole blood (open circles) and washed red blood cells (filled circles) as a function of initial styrene oxide concentration.

A small (25-kg), portable apheresis system, available in 1993, is designed to meet a wide variety of blood cell separation needs. The role of the apheresis system is to control the behavior, separation, and collection of blood components from the bowl while maintaining maximum donor safety. The system controls the flow rates of blood and components through variable pump speeds. It directs the flow of components out of the bowl, by fully automatic opening and closing of valves based on the output of the system sensors. The system monitors the separation of blood components in the bowl by an optics system that aims at the shoulder of the bowl. A sensor on the effluent line monitors the flow of components out of the bowl. 

The special design of the Latham bowl allows for a specific blood cell separation known as SURGE. This technique makes use of the principle of critical velocity. The Latham bowl is filled until the huffy coat, ie, layer of platelets and white cells, moves in front of the bowl optics. At this point the machine starts to recirculate plasma through the bowl at increasing rates. The smallest particles, ie, platelets, ate the first to leave the bowl. Their high number causes the effluent line to turn foggy. The optical density of the fluid in the effluent line is monitored by the line sensor. A special algorithm then determines when to open and close the appropriate valves, as well as the optimum recirculation rate. 

Valve Problems. The primary solution to valve problems has been implantable replacement valves. The introduction of these devices necessitates open-heart surgery. There are two types of valves available tissue (porcine and bovine) and mechanical. The disadvantage of tissue valves is that these have a limited life of about seven years before they calcify, stiffen, and have to be replaced. The mechanical valves can last a lifetime, but require anticoagulant therapy. In some patients, anticoagulants may not be feasible or may be contraindicated. Of the valves which require replacement, 99% are mitral and aortic valves. The valves on the left side of the heart are under much greater pressure because the left ventricle is pumping blood out to the entire body, instead of only to the lungs. Occasionally, two valves are replaced in the same procedure. 

Ca.rdia.c-AssistDevices. The principal cardiac-assist device, the intra-aortic balloon pump (lABP), is used primarily to support patients before or after open-heart surgery, or patients who go into cardiogenic shock. As of the mid-1990s, the lABP was being used more often to stabilize heart attack victims, especially in community hospitals which do not provide open-heart surgery. The procedure consists of a balloon catheter inserted into the aorta which expands and contracts to assist blood flow into the circulatory system and to reduce the heart s workload by about 20%. The disposable balloon is powered by an external pump console. 

The resting membrane potential of most excitable cells is around —60 to —80 mV. This gradient is maintained by the activity of various ion channels. When the potassium channels of the cell open, potassium efflux occurs and hyperpolari2ation results. This decreases calcium channel openings, which ia turn preveats the influx of calcium iato the cell lea ding to a decrease ia iatraceUular calcium ia the smooth muscles of the vasculature. The vascular smooth muscles thea relax and the systemic blood pressure faUs. 

There are at least 13 primary types of K+ channels known. In addition, within each type there are several subtypes. The best known chemical classes of potassium channel openers are nicorandil, piaacidil, and cromakalim. They are aU potent smooth muscle relaxants. PharmacologicaUy, they behave as classical vasodilators, lowering blood pressure and causiag tachycardia and fluid retention. 

Nicorandil. Nicorandil is a potassium channel opener that can lower blood pressure 21, 20, and 29 mm Hg after single oral doses of 10, 20, and 30 mg, respectively (250). There are no significant changes ia heart rate. Headache is the primary side effect. Nicorandil has potent coronary vasodilator effects. It causes sustained vasodilation of arteriolar resistance and venous capacitance blood vessels, thus reduciag cardiac preload and aftedoad. 

Patency Extent of a conduit (airway, blood vessel) being open or not obstructed. 

Bernoulli and Euler dominated the mechanics of flexible and elastic bodies for many years. They also investigated the flow of fluids. In particular, they wanted to know about the relationship between the speed at which blood flows and its pressure. Bernoulli experimented by puncturing the wall of a pipe with a small, open-ended straw, and noted that as the fluid passed through the tube the height to which the fluid rose up the straw was related to fluid s pressure. Soon physicians all over Europe were measuring patients blood pressure by sticking pointed-ended glass tubes directly into their arteries. (It was not until 1896 that an Italian doctor discovered a less painful method that is still in widespread... 

Vasodilators are a group of dtugs, which relax the smooth muscle cells of the blood vessels and lead to an increased local tissue blood flow, a reduced arterial pressure and a reduced central venous pressure. Vasodilators reduce the cardiac pre-load as well as after-load and thereby reduce cardiac work. They are used in a variety of conditions including hypertension, cardiac failure and treatment/prevention of angina pectoris. Major groups are Ca2+-channel blockers (e.g. dihydropyridines), NO-donators (e.g. organic nitrates), K+-channel openers (minoxidil), phosphodiesterase inhibitors (e.g. sildenafil), Rho-kinase inhibitors (e.g. Y27632) or substances with unknown mechanism of action (e.g. hydralazine). Inhibitors of the... 

Blood poisoning can occur if an inorganic oxide such as As2 03 is allowed to penetrate an open wound. Of course, oxides such as Na20 and CaO have a markedly corrosive action on all body tissue (Ref 38). The specific toxicities of selected inorganic oxides are presented below... 

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