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/

Monday, April 11, 2011

rou gui 肉桂/ gui zhi 桂枝

Pharmaceutical name英文药名:
Ramulus Cinnamomi Cassiae
Latin botanical name拉丁學名:
Cinnamomum cassia Blume
Cinnamomum Ioureiru Nees.
Common Name英文名:
cinnamon twig (gui zhi), cinamon bark (rou gui)
Distribution分佈:
Guangdong, Guangxi, Yunnan, Fujian provinces of China, southeast Asia,
south Asia, and India.
廣東,廣西,云南,福建,東南亞,南亞,印度等地。
Properties (characteristics)性味:
gui zhi: acrid, sweet, warm.
rou gui: acrid, sweet, very warm.
桂枝: 辛 , 甘 ,  熱 .
肉 桂: 辛 , 甘 , 大 熱 .
Channels (meridians) entered歸經:
heart, lung, bladder
心﹐肺﹐膀胱。
Actions & Indications主治:
1. tonic for stomach, rid of wind, to promote sweating, for headache, anemia,
2. cold limbs, to promote urination.
3. to promote lung qi, in chill and fever, cold phlegm, diarrhea, muscle spasm, 
4. headache, back pain, sweating, to stop easily being annoyed, strengthening
5. muscles and bones, promote circulation.
6. use in impotence due to shenyangxu (kidney yang deficient).
補胃,驅風止痛,發汗。用於頭痛,貧血,肢體冷,利尿。
補肺氣,感冒風寒表証,症見惡寒發熱、頭痛、 身疼、背痛,出汗,烦腦,容易發脾氣等。增進血液循環,增强筋骨。
用於腎陽虛所致之陽萎。
Medical Function藥理:
1. the ingredient cinnamaldehyde posseses antipyretic effect; promote sweating, diluting blood vessel of the skin. (if decoction is used when warm)
2. anti-spasm, relieves pain; inhibits CNS
3. inhibit the induced ulcers of laboratory rats; promotes bile secretion.
4. antibiotic effect
5. lowers blood sugar. (methylhydroxy chalcone polymer )
6. promote urination (if decoction is used when cooled.)
解 熱 作 用 :  桂 皮 醛 ( cinnamaldehyde ) 發汗,解熱,擴張皮膚血管,促進 汗腺分泌
鎮 痙 ,鎮 痛 作 用 : 有 抑 制 中 樞 神 經 作 用 。
對 於 消 化 系 統 之 影 響 : 對 於 大 白 鼠 拘 束 水 浸 胃 引 發 潰 瘍 有
抑 制 作 用 , 促 進 膽 汁 分 泌 。
抗 菌 作 用 : 對 病 原 性 絲 狀 菌 有 抑 制 作 用 。
降血糖作用 (甲羥基查耳酮多聚體 MHCP)
利尿作 用。
Chemical Ingredients化學成份: 
桂皮醛(cinnamic aldehyde)(樹皮﹐bark:55 ~ 75%)
肉桂醇醋酸酯(cinnamyl acetate)
丁香酚  (eugenol) (樹皮﹐bark:5~20%; 葉﹐leaves70-90%),
乙醛 (aldehyde)
蒎烯  (pinene)
香豆素 (coumarin)
肉桂醇 (cinnamyl alcohol)
桂皮酸 (cinnamic acid)
苯麗酸乙酸,
桂二萜醇(cinnzeylanol),
乙酰桂二萜醇(cinnzeylanine).
香豆素(coumarins)
黃樟油素 safrol (葉﹐leaves<1%)
甲羥基查耳酮多聚體 (能增強脂肪細胞對胰島素的反應性) methylhydroxy chalcone polymer (MHCP),
(water-soluble polyphenol compound can increase glucose metabolism of fat cells.)
Dosage:
gui zhi:3-10 g per day for boiling.
ruo gui: 1-5 g used as powder form or added to the decoction when they are ready for use.
桂枝:每日量3~10克。
肉桂: 1~5 克作粉剤,或煎好後之湯加入。
Commonly Used formulae常用配方:
gui zhi fu ling wan 桂枝茯苓丸
gui zhi tang 桂枝湯
huang qi gui zhi wu wu tang 黃耆桂枝五物湯
dang gui shao yao san 當歸芍藥散
ma huang tang 麻黃湯
chai hu gui zhi tang 柴胡桂枝湯
chai hu gui zhi gan jiang tang 柴胡桂枝乾薑湯
dang gui si ni tang 當歸四逆湯
huang qi jian zhong tang 黃耆建中湯
gui zhi fu ling wan 桂枝茯苓丸
gui zhi shao yao zhi mu tang 桂枝芍藥知母湯
shi quan da bu tang 十全大補湯 
Modern Research:
to be loaded
Cautions禁忌:
not to use in case of liver yang ascending, warm-febrile diseases, yinxu with heat,
heat in blood with vomiting. Use caution during pregnancy or excessive bleeding
during menses. Over dosage  may be toxic to the kidney and may cause bleeding
in the urinary tract.
Over cooking may lessen the effectiveness because of the evaporating oil which is 
part of the effective ingredients.
Cinnamaldehyde (cinnamic aldehyde), a main ingredient of cassia oil, is the toxic ingredient.
因本品有效成份為其揮發油,故不耐久煎。久煎可减低藥效。
肝 陽上亢﹐瘟病﹐陰虛有熱﹐血熱嘔吐者忌用。懷孕或月經過多者小心應有。過量使用可能會對腎臟有毒﹔引起血尿。有毒成份為桂皮醛。
Note:
1. Gui zhi is from the young branches of cinnamon trees.
2. Rou gui is the thick bark of the trees. 
3. Usually rou gui is used in tonic while gui zhi is used for expelling wind and dampness but they can be used interchangeably.
桂枝: 樟科植物肉桂的嫩枝
肉桂: 樟科植物肉桂的皮
一般桂枝用於驅風。肉桂用於補剤。但可互相代替。

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