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/

Sunday, May 22, 2011

lian qiao 連翹

Pharmaceutical name: Fructus Forsythiae Suspensae
Latin botanical name: Forsthia suspensa (Thunb.) Vahl
Common Name: forsythia fruit
Distribution: Shanxi, Shaanxi, Henan and throughout northern China
Properties (characteristics) bitter, cool, and slightly acrid
Channels (meridians) entered: heart, liver gall bladder
Actions & Indications: clears heat and toxin, nodules. Expels externally contracted wind heat as in common cold
Chemical ingredients: forsythin, matairesinoside, betulinic acid, phyillygenin, pinoresinol
Dosage: 6~15 g per day
Samples of formulae: yin qiao jie du san (cold formula)
Medical Functions: Broad spectrum antibiotic effect, lower fever, anti inflammation, protect liver, stop vomiting, help blood circulation, promote urination, 
Modern applications: antimicrobial effect, antiparasitic effect, antiemetic effect, for retina hemorrhage, for acute kidney infection, for pus forming in lungs, acute liver infection, and psoriasis.
Cautions: use caution in cases of pixu and weixu with diarrhea and sores that are already ripened (broken)
【品種來源】
本品為木犀科落葉灌木連翹 (Forsythia suspensa (Thunb.) Vahl.) 的果實。產於中國東北、華北、長江流域至雲南。野生、家種均有。白露前採初熟果實,色尚青綠,稱青翹。寒露前採熟透果實則為黃翹。青翹採得後即蒸熟曬乾,篩取籽實作連翹心用。以青翹為佳,生用。
【性味歸經】
苦,微寒。歸肺、心、膽經。
【功效】
清熱解毒,消癰散結,疏散風熱。
【主治】
1. 用於癰腫瘡毒,瘰癧痰核。本品苦寒,主入心經,「諸痛癢瘡、皆屬於心,」本品既能清心火,解瘡毒,又能散氣血凝聚,兼有消癰散結之功,故有「瘡家聖藥」之稱。治癰腫瘡毒,常與金銀花、蒲公英、野菊花等解毒消腫之品同用;治瘰癧痰核,常與夏枯草、象貝母、玄參、牡蠣等清肝散結,化痰消腫之品同用。
2. 用於外感風熱,溫病初起。本品苦能瀉火,寒能清熱,入心、肺二經,長於清心火,散上焦風熱。常與金銀花、薄荷、牛蒡子等同用,如銀翹散;治熱入營血,舌絳神昏,常與玄參、丹皮、金銀花等同用,以清熱解毒,透熱轉氣,如清營湯;治熱入心包,高熱神昏,常用清心瀉火的連翹心與麥冬、蓮子心等同用,如清宮湯。
3. 本品還可用治熱淋澀痛,多與竹葉、木通、白茅根等利尿通常藥同用,兼有清心利尿之功。
【文獻別錄】
1. 《本經》:「主寒熱,鼠瘻、瘰癧、癰腫、惡瘡、癭瘤、結熱、蠱毒。」
2. 《日華子本草》:「治瘡癤止痛。」
3. 《珍珠囊》:「連翹之用有三:瀉心經客熱,一也;去上焦諸熱,二也;為瘡家聖藥,三也。」
【用法用量】
煎服,6~15g。
【注意禁忌】
脾胃虛寒及氣虛膿清者不宜用。
【現代藥理】
本品含三萜皂甙,果皮含甾醇、酚性成分(連翹酚)、生物鹼、皂甙、齊墩果酸、香豆精類,還有豐富的維生素P及少量揮發油。
1. 連翹有廣譜抗菌作用,對金黃色葡萄球菌、賀氏痢疾桿菌有很強的抑制作用,對其它致病菌、流感病毒、真菌都有一定抑制作用。
2. 有抗炎作用。
3. 本品所含齊墩果酸有強心、利尿及降血壓作用。
4. 維生素P可降低血管通透性及脆性,防止溶血。
5. 煎劑有鎮吐作用、抗肝損傷作用。

Formula 7 for Benign Neoplasm of Brain

Formula 7 for Benign Neoplasm of Brain/ Chinese Herbs Therapy


Syndrome:
脈浮弦 floating tight pulse
肝脈胃脈弦而有力 liver/stomach syndrome pulse tight and strong
舌乾少津 dry tongue, lack of saliva
脈弦數 tight and rapid pulse
舌下瘀 sublingual blood stasis
白睛下螺旋文 spiral grain below white-eye
舌尖紅 tip of tongue is red
心下有水氣 pattern/syndrome of water qi below the heart


Composition:
大柴胡湯乙 dachaihu tang B 4g
五苓散 wu ling san 5g
石膏 shi gao 2g
連翹 lian qiao 2g
黃柏(川) huang bai(chuan) 2g

Monday, May 2, 2011

Formula 6 for Benign Neoplasm of Brain

Formula 6 for Benign Neoplasm of Brain/ Chinese Herbs Therapy


Syndrome:
脈浮弦 floating tight pulse
肝脈胃脈弦而有力 liver/stomach syndrome pulse tight and strong
舌乾少津 dry tongue, lack of saliva
脈弦數 tight and rapid pulse
舌下瘀 sublingual blood stasis
白睛下螺旋文 spiral grain below white-eye
舌尖紅 tip of tongue is red
心下有水氣 pattern/syndrome of water qi below the heart


Composition:
大柴胡湯乙 dachaihu tang B 5.5g
五苓散 wu ling san 5.5g
石膏 shi gao 2g
黃柏(川) huang bai(chuan) 2g

huang bai 黃柏

huang bai 黃柏, huang bo 黄檗
Pharmaceutical name英文藥名:
Cortex Phellodendri
Latin botanical name拉丁學名:
Phellodendron amurense Rupr. or Phellodendron chinense Schneid.
Common Name英文名:
amur cork-tree bark
Distribution分佈:
Liaoning, Jilin, Hebei (P. amurense), Sichuan, Guizhou, Hubei, Yunnan (P. chinense)
Properties (characteristics)性味﹕
bitter, cold
味苦,性寒
Channels (meridians) entered歸經﹕
腎﹐膀胱經
kidney﹐ bladder
Actions & Indications功用﹕
1. Rid of damp-heat , especially in the xia jiao (lower burner), as in vaginal bacterial infection or yeast infection, bacterial infection of the bowel,and infectious jaundice, wet and smelly groin area;
2. For hot leg qi with swollen knees, legs and feet;
3. spermatorrhea;
4. night sweating﹔
5. boils and sores﹔
1. 去 濕熱﹐  特別是下 焦 之感染﹐如﹕陰 道黴菌(帶下)或細 菌感染﹐大 腸之細 菌感染﹐細菌性黃疸﹐陰部潮 濕腥臭等﹔
2. 腳氣﹕腳﹐腿﹐膝部水腫﹔
3. 遺精﹔
4. 盜汗﹔
5. 瘡瘍腫毒﹔
Medical Function藥理﹕
(1) antibiotic: it can inhibit Staphylococcus aureaus, pnumococcus, Shigella dysenteriae
(2) lower blood pressure
(3) anti Trichomoniasis
(4) lower blood sugar
(1)抗菌,能直接抑制金黃色葡萄球菌﹐肺炎球菌﹐痢疾桿菌;
(2)降血壓
(3)抗陰道滴蟲;
(4)降血糖。 
Chemical ingredients化學成份﹕
樹皮含 (bark contains)﹕
1. 小孽鹼 (berberine),
2. 藥根鹼(jatrorrhizine),
3. 木蘭花碱(magnoflorine),
4. 黄柏鹼 (phellodendrine),
5. n-甲基大麦芽碱(candicine),
6. 棕櫚鹼(palmatine),
7. 蝠葛任鹼(menisperine),.
8. 黄柏内酯(obaculactone),
9. 黃蘗酮(obacunone),
10.黃蘗酮 酸 (obacunonic acid).
11.白鲜交酯 (dictamnolide),
12.青螢光酸 (lumicaeruliec acid)﹐
13.7-脱氢豆甾醇(7-dehydrostigmasterol)﹐
14.β-谷甾醇 (β-sitosterol)﹐
15.菜油甾醇 (campesterol),
16.青螢光酸 (lumicaeruleic acid),
17.白鮮交酯(dictamnolide)。
18.木材也含(wood contains:)
19.小孽鹼 (berberine)。
新鮮葉 (leaves contian):
1. 含黄柏甙 (phellamurin)﹐
2. 脱氢黄柏甙 (amurensin)﹐
3. 異黄柏甙 (phellavin)。
乾燥葉含 (dried leaves contain):
1. 金絲桃甙 (hyperosid),
2. 不含黄柏甙 (do not contain phellamurin)。
Dosage每日用量﹕
3 to 12 g
Samples of formulae:
zhi bai di huang wan,
long dan xie gan tang, zhi xie tang for diarrhea due to acute bacterial infection
Modern Research:
to be loaded.
Cautions:
Do not use in cases of spleen deficient, weak digestion, lack of appetite. Use caution when there is no real heat.
胃弱食少﹐脾 虛泄瀉者忌服。無實熱者 慎用。
(by: Joe Hing Kwok Chu)

shi gao 石膏

Pharmaceutical name英文藥名 ﹕gypsum
Chemical name學名﹕hydrous calcium sulphate
Other Names別名﹕xi li shi 細理石,ruan shi gao 軟石膏,bai hu 白虎
Distribution產地﹕
Sichuan, Gansu, Hubei, Hunan, Anhui, Shandong provinces of China.
The largest producing country is U.S.
四川, 甘肅,湖北,安徽,  湖南,山東 等省。全世界最大的生產國家為美國。
Properties characteristics性味﹕
sweet, acrid, very cold
甜﹐幸﹐ 極寒。
Channels meridians entered歸經﹕
lung, stomach.
肺 , 胃 。
Actions & Indications主治﹕
for thirst, asthma, stomach ache, diabetes; being used as antipyretics, and sedatives.
作為解熱,鎮靜,止渴藥用,主治煩咳,口渴,氣喘,胃痛,糖尿病等。
Chemical ingredients化學成份﹕
CaSO4.2H2O
Dosage用量﹕
for internal use in decoction: 15 to 60 g. Mostly raw (not calcined) and smashed.
Boil before other herbs.  It can also be used in powder form or in pill form.
內 服 : 常 用 量 15 - 60 克 。 多 生 用 。 須 打 碎 先 煎 。 或 入 丸 , 散 。
Samples of formulae處方舉例﹕
Formulae: da qing long tang, bai hu ren shen tang, bai hu tang, shi gao zhi mu tang, qing wen bai du yin, ma xing gan shi tang.
For burns and eczema: duan shi gao (calcined) ,  huang bai. Make into powder
and apply to affected areas.
For acute infection with high fever, nose bleeding, loss of consciousness,
and rash: sheng shi gao, xi jiao (or substitute with water buffalo horn). Make into decoction.
大青龍湯,白虎加人參湯,白虎湯,石膏知母湯,清瘟敗毒飲,麻杏甘石湯。
1. 燒傷或濕瘡 ﹕鍛石膏﹐ 黃柏 為末﹐ 敷於患處。
2. 突患感染﹐ 高熱﹐ 鼻血﹐ 失知覺﹐ 皮膚發疹﹕ 生石膏﹐                       犀角 (或用水牛角代替)。
3. 水煎服。
Toxicity & Cautions毒素與禁忌﹕
Not to use in cases of pixu (spleen deficient)  or xue xu (blood deficient) or sickness is
on the surface (like cold or flu). Use care in cases of fever due to yinxu (yin deficient)  .
Not to use with tetracyclnes type of drugs because the reaction of calcium may cause the
drugs to become ineffective. Also, not to use with digitalis type of drugs because the
calcium ions may increase the toxicity of the drug and may cause arrhythmia conductivity
of signals.
脾虛 或 血虛 及 病 在 表 者 禁 用 。陰 虛 發熱者小心服用。
石膏不可與四環素類藥 物 ( Tetracyclines ) 同用因為石膏含 有 硫 酸 鈣 , 鈣 離 子 與 四 環 素 類 結 合 後 , 會 形 成 難 以 吸 收 的 結 合 物 ,
從 而 令 藥 物 失 效 。
石膏不可與洋 地 黃 類 藥 合 用 , 因 為 含 大 量 鈣 離 子 , 合 用 後 毒 性
會 增 強 而 導 致 心 律 失 常 和 傳 導 阻 滯 。
(by Joe Hing Kwok Chu)

wu ling san 五苓散

Name of formula: wu ling san (Shang Han Lun)
Applications: edema due to heart, spleen or kidney diseases; inflammation of the kidneys; asthma; edema during pregnancy; ascites due to cirrhosis of liver; water retention in face and limbs, difficulty in urination; white and oily looking tongue, floating pulse.
Prescription:
gui zhi 12 g, zhu ling  15 g, fu ling 15 g, bai zhu 15 g, ze xie 15 g.
Boil with 3 bowls of water. Reduce to 80% of a bowl. Drink one hour before meals, while it is warm.
五苓散 (傷寒論﹐ 金櫃要略)
主治﹕
心臟﹐脾臟﹐腎臟性之水腫﹔腎炎﹔氣喘﹔妊娠水腫﹔
肝硬化腹水﹔面虛浮﹐四肢脹滿﹐小便不利﹔氣喘腹脹。 舌苔白膩,脈浮者。
 組成:
桂枝 三 錢﹐ 豬苓 四 錢﹐ 茯苓 四 錢﹐
白朮 四 錢﹐ 澤瀉 四 錢。
水 三 碗。 煎 八 分。 飯前一小時溫服
一錢等於  3.75 克 (舊制)
(By: Joe Hing Kwok Chu )