Status

Current conditions ICD-9-CM:
2003
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
2010
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
2012
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
375.15 TEAR FILM INSUFFICIENCY,UNSPECIFIED
367.89 OTHER DISORDERS OF REFRACTION AND ACCOMMODATION
377.61 ASSOCIATED WITH NEOPLASMS
729.1 MYALGIA AND MYOSITIS, UNSPECIFIED
719.39 PALINDROMIC RHEUMATISM,MULTIPLE SITES
680.0 CARBUNCLE AND FURUNCLE, FACE
378.41 ESOPHORIA
311 DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED
523.8 OTHER PERIODONTAL DISEASES(PERIODONTAL POCKET,GINGIVAL POLYP)
681.02 ONYCHIA AND PARONYCHIA OF FINGER
2013
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
704.8 OTHER DISEASES OF HAIR AND HAIR FOLLICLES
706.1 OTHER ACNE
444.22 ARTERIAL EMBOLISM AND THROMBOSIS OF LOWER EXTREMITY
375.15 TEAR FILM INSUFFICIENCY,UNSPECIFIED
367.89 OTHER DISORDERS OF REFRACTION AND ACCOMMODATION
377.61 ASSOCIATED WITH NEOPLASMS
378.41 ESOPHORIA
728.85 (728.850) SPASM OF MUSCLE
353.4 LUMBOSACRAL ROOT LESIONS,NOT ELSEWHERE CLASSIFIED
780.52 (780.520) OTHER INSOMNIA
788.43 NOCTURIA
2014
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
374.05 TRICHIASIS WITHOUT ENTROPION
372.72 CONJUNCTIVAL HEMORRHAGE
375.15 TEAR FILM INSUFFICIENCY,UNSPECIFIED
367.89 OTHER DISORDERS OF REFRACTION AND ACCOMMODATION
377.61 ASSOCIATED WITH NEOPLASMS
378.41 ESOPHORIA
2015
225.0 BENIGN NEOPLASM OF BRAIN
345.90 UNSPECIFIED EPILEPSY WITHOUT MENTION OF INTRACTABLE EPILEPSY
705.83 HIDRADENITIS
698.8 OTHER PRURITIC CONDITIONS
686.9 UNSPECIFIED LOCAL INFECTIONS OF SKIN AND SUBCUTANEOUS TISSUE
686.09 OTHER PYODERMA
272.0 PURE HYPERCHOLESTEROLAEMIA (FAMILIAL HYPERCHOLESTESTEROLEMIA)
729.1 MYALGIA AND MYOSITIS, UNSPECIFIED
719.39 PALINDROMIC RHEUMATISM,MULTIPLE SITES
377.61 ASSOCIATED WITH NEOPLASMS
311 DEPRESSIVE DISORDER, NOT ELSEWHERE CLASSIFIED
307.48 REPETITIVE INTRUSIONS OF SLEEP
705.81 DYSHIDROSIS
372.72 CONJUNCTIVAL HEMORRHAGE
680.2 CARBUNCLE AND FURUNCLE, TRUNK
523.3 ACUTE PERIODONTITIS(ACUTE PERICORONITIS)
Current conditions ICD-10-CM:
2016

E780 Pure hypercholesterolemia
G40.909 Epilepsy, unspecified, not intractable, without status epilepticus
L301 Dyshidrosis [pompholyx]
F32.9 Major depressive disorder, single episode, unspecified
D33.2 Benign neoplasm of brain, unspecified
H04.123 Dry eye syndrome of bilateral lacrimal glands
H47.529 Disorders of visual pathways in (due to) neoplasm, unspecified side
H02.052 Trichiasis without entropian right lower eyelid
H11.31 Conjunctival hemorrhage, right eye
H52.6 Other disorders of refraction
H50.51 Esophoria
H02.055 Trichiasis without entropian left lower eyelid
H47.099 Other disorders of optic nerve, not elsewhere classified, unspecified eye
F51.8 Other sleep disorders not due to a substance or known physiological condition
G40.901 Epilepsy, unspecified, not intractable, with status epilepticus
L0881 Pyoderma vegetans
B009 Herpesviral infection, unspecified
J069 Acute upper respiratory infection, unspecified
M79.1 Myalgia
M12.39 Palindromic rheumatism, multiple sites

Current treatment centers:
GP/ The department of Neurosurgical emergency & Critical Care of Chang Gung Memorial Hospital Linkou Branch/ TCM oncology of China Medical University Hospital Cancer Center/ and Taichung Hospital, Ministry of Health and Welfare

Contents of reference sources:
MIMS- Search drug information/ interaction/ images & medical diagnosis.
Complementary and Alternative Healing University- Dictionary of Chinese Herbs. http://alternativehealing.org
Database 醫砭‧沈藥子 http://yibian.hopto.org
Traditional Chinese Medicine (TCM) Wiki http://www.tcmwiki.com/

Thursday, April 7, 2011

cang zhu 蒼朮

cang zhu 蒼朮
Pharmaceutical name英文藥名﹕
Rhizoma Atractylodis
Latin botanical name拉丁名﹕
atractylodes lancea Thunb., ( 蒼朮 , 古蒼, 南蒼朮 )
Atractylodes chinensis (DC.) Koidz.  (北蒼朮)
Atractylodes japonica Koidz. Kitam (東蒼朮又名:關蒼朮. )
Common Name英文名﹕
Sword like Atractylodes, Rhizome Chinese Atractylodes
Other Names:
shan cang zhu 山 蒼朮, qiang dou cai 槍頭菜, shan ci cai 山刺菜。
同屬植物東 蒼朮又名:關蒼朮
處方名:蒼朮, 茅朮, 茅蒼朮, 大蒼朮, 生蒼朮, 炒蒼朮, 
炒茅朮, 焦蒼朮, 蒼朮炭, 制蒼朮, 米泔水炒蒼朮等
Distribution分佈﹕
atractylodes lancea Thunb.: mainly produced in Jiangsu, Hubei, Henan, Anhui provinces of China.
Atractylodes chinensis (DC.) Koidz.  : mainly produced in Inner Mongoliak Hebei, Shanxi, Liangning, Jilin, and Heilongjiang provinces of China.
南蒼朮:為 植物南蒼朮的干燥根莖。 主產 於江蘇﹐湖北﹐河南﹐安徽。 
北蒼朮:又名山蒼朮, 華蒼朮,為植物北蒼朮(槍頭菜, 山刺菜)的干燥根莖。主產於內蒙古, 河北, 山西, 遼寧, 吉林, 黑龍江等地。
Properties (characteristics)性味﹕
acrid, bitter, warm, aromatic
辛﹐苦﹐溫 ﹐芬芳。
Channels (meridians) entered歸經﹕
spleen, stomach, liver
脾﹐胃﹐肝 。
Actions & Indications:
for treatment of yeast infection and dries dampness and flatulence; strengthens the digestion; expels wind-dampness; for diarrhea with vomiting;  edema with fullness of the abdomen; induces sweating in patients unable to sweat;  headaches, body aches, solar plexus pain, and pain in extremities due to wind-cold-dampness, and edema in lower limbs; headache of women due to deficiency, improves night vision and  diminishing vision.
Simmering cang zhu in water to release fragrance can help in getting rid of fungi and bacteria.
主治﹕消化不良,食慾不振,胃脘滿悶,風濕﹐ 嘔吐泄瀉,浮腫腹脹,用于發汗﹔風寒濕痺,精 神不振,肢體無力,水腫脹滿,濕痰留飲,婦人虛冷頭痛﹐夜盲, 增進視力。
蒼朮加水。慢火煮沸使,释放出芳香味可殺菌消毒。
Medical Function藥理﹕
1. The diuretic effect is not obvious but it can increase the secretion ions of sodium, potassium and chlorine in the urine.
2. Effect on blood sugar: alcohol extract of cang zhu  can maintain the lowering of blood sugar of regular rabbits.
3. Effect on the inhibiting of CNS: the mixture of the essential oils of  β-eudesmol, and hinesol possesses the effect of sedative on laboratory mice and it can prolong the sleep using hexobarbital sodium and it can inhibit spasm caused by electric shock. It also can help the delivery of carbon dust in the small intestines.
4. Anti-ulcer effect: the β-eudesmol of cang zhu can inhibit the secretion of stomach acid and can inhibit ulcer.
一. 利尿作用:雖利尿作用不明顯,但能增加小便中鈉, 鉀, 氯各離子 排泄。
二. 對於血糖之影響:蒼朮之醇抽取物對於正常兔之血糖有持續性下降作用。 
三. 中樞抑制作用:蒼朮之精油成分按葉醇(β-eudesmol),茅朮醇(hinesol)之混合抽取物,對於小白鼠有鎮靜作用,能延長己巴 比妥鈉(hexobarbital sodium)之睡眠時間及抑制電擊痙攣作用,並能促進小腸內炭末輸送作用。
四. 抗潰瘍作用:蒼朮桉葉醇可抑制組織胺性胃酸分泌,抗潰瘍作用。
Chemical ingredients化學成份﹕
atractylol 蒼朮醇, hinesol 茅朮醇, β-eudesmol β-按 葉醇。  β-selinene β-芹子烯, elemol 欖香醇, 3β-acetoxy-attractylol 乙醯氧基-蒼朮醇 。Vitamin A type of substance 维生素樣物质, Vitamin B 维生素 已,   inulin 菊糖。
From another study:
Atractylodes lancea Thunb contains 5~9% of essential oil. The main ingredients of the oil consist of atractylo, hinesol), β-eudesmol etc.
Atractylodes chinensis (DC.) Koidz. contains 1.5% of essential oil. The main ingredients of the oil consist of atractylol, atractylone, hinesol,  β-eudesmol etc.
Atractylodes japonica Koidz. Kitam contains  1.5% of essential oil. The main ingredients of the oil consist of atractylol, atractylone, hinesol,  β-eudesmol, atractylodin, atraetylin, atractylone etc.
據中藥網﹕
南蒼朮 根莖含揮發油約5~9%。油的主要成分為蒼朮醇(atractylol), 茅朮 醇(hinesol), β-桉葉醇(β-eudesmol)等 。
北蒼朮根莖含揮發油1.5%,其主要成分為蒼朮醇 atractylol, 蒼朮酮(atractylone), 茅朮醇及桉葉醇等。
東蒼朮根莖含揮發油1.5%,其主要成分為蒼朮醇 茅朮醇(hinesol), β-桉葉醇, 蒼朮呋喃烴(atractylodin, atraetylin), 蒼朮酮 。
Dosage用量﹕
10  to 20 g. Concentrated extract 0.5 to 2 g.
10~20克 ﹔濃縮中藥:0.5~2 克
Modern Research現代研究﹕
lowering blood sugar, excretion of salts.
降血糖﹐排 鈉。
Cautions禁忌﹕
Not to use in case of yinxu (yin deficient) with heat and/or sweaty with qixu (qi deficient).
陰虛有 熱氣虛多汗者忌服 。
氣虛內熱,氣虛多汗者忌服。①《本草經集注》:“防風、地榆為之使。”②《藥性 論》: “忌桃、李、雀肉、菘菜 Brassica chinensis、青魚 (Mylopharyngodon piceu)”③《醫學入門 》:“血虛怯弱及七情氣悶者慎用。誤服耗氣血,燥津液,虛火動而痞悶愈甚。”④《本草經疏》:“凡病屬陰虛血少、精不足,內熱骨蒸,口乾唇燥,咳 嗽吐痰、吐血,鼻衄,咽塞,便秘滯下者,法咸忌之。肝腎有動氣者勿服。” ⑤《本草正》:“內熱陰虛,表疏汗出者忌服。”
Noted:
A report from Shanghai Donghua Hospital and others: Using ai ye disinfection incense, (made by Shanghai Everyday Chemical Products), which consists of 30% of cang zhu powder and 20% of ai ye powder, smoking 4 hours, can kill off β-Hemolytic streptococcus- A group﹐pneumonococcus﹐Hemophilus Influenzae and Staphylococcus aureus etc. Smoking 8 hours can kill off Pseudomonas aeruginosa),and can inhibit the growth of Bacillus subtilis.
上海華東醫院等單位報導,用含艾葉的消毒香(上海日用化學品試制,含蒼朮粉30%,艾葉粉20%) 烟熏4小時能 殺滅乙型溶血性鏈球菌A群 (β-Hemolytic streptococcus- A group)﹐ 肺炎球菌 (pneumonococcus)﹐ 流感桿菌 (Hemophilus influenzae)和 金黄色葡萄球菌 (Staphylococcus aureus)等 ,烟熏8小時能殺滅綠膿桿菌 (Pseudomonas aeruginosa)., 并能抑制枯草桿菌 (Bacillus subtilis)的 生長。

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