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, November 28, 2011

fu ling(bai) 茯苓(白)

fu ling 茯苓/ fu shen 茯神/ fu ling pi 茯苓皮
Pharmaceutical name英文药名:
Sclerotium Poriae Cocos
Other Names別名:
yun ling 雲苓﹐bai fu ling 白茯苓, fang ling kuai 方苓塊﹐chuan ling 串苓﹐huo shen 获神﹐huo shem mu 获神木﹐chi huo ling 赤获苓﹐huo ling pi 获苓皮﹐zhu fu ling朱茯苓.
Common Name英文普通名:
poria, sclerotium of tuckahoe, china root, hoelen
Distribution分佈:
Hubei, Anhui, Henan, Yunnan, Guizhou, Sichuan provinces of  China
湖 北,安 徽,河南, 云南,贵州等省。
Properties (characteristics)性味:
sweet, bland, neutral
甘﹐淡,平
Channels (meridians) entered歸經:
heart, spleen, lung, kidney
歸心﹐肺﹐脾﹐腎經。
Actions and Indications主治:
as diuretics, in urinary difficulty, diarrhea, water retention, pixu with water retention. Urination difficulty due to damp heat.  Pixu with mucus production and headache, dizziness, palpitations, with thick greasy tongue coating. Palpitation, insomnia or forgetfulness, loss of appetite. Inflammation of the uterus and chronic sinusitis.
Note: Balance with other herbs in case yinxu condition.
利水 滲 濕 ﹐ 健 脾 化 痰 ﹐ 寧 心 安 神。濕熱 小 
便 不 利  ﹐ 水 濕 停 滯﹔ 脾 虛﹕ 腹 瀉 ﹐ 食 少 脘 悶 ﹐
痰 飲 咳 嗽 ﹐ 痰 濕 入 絡 ﹐ 肩 背 酸 痛 ﹐ 咳 逆 ﹐ 胸 悶 ﹐
心 悸 ﹐ 失 眠 等 。  子 宮 炎 症 ﹐ 慢 性 副 鼻 竇 炎 。
Medical Function药理:
diuretics, reducing plasma glucose, tranquilizing, inhibits bacteria,  relaxing effect on smooth muscles, improves immune system .
1. 利 尿
2. 降 血 糖 ﹐
3. 鎮 靜
4. 抑 菌
5. 放鬆平滑肌
6. 增 強 免 疫 功 能
Chemical ingredients化学成分:
pachymose 84.2%, albuninoid 0.68%, fiber 2.84%, pachymaran (3),  b-pachyman,  b-pachymanase,
pachymic acid, tumulosic acid,eburioic acid, pinicolic acid,  3 b-hydroxy lanosta-7, 9 (11), poricoic acid A (16 a-hydroxy-3,
4-secolanosta-4 (28), 7, 0 (11),  24-trien-21-oic acid, poricoic acid B (16 a-hydroxy-2, 4-secolanosa-4 (28), 7, 9 (11),
24-tetraen-3, 21-dioic acid) (8),  Fatty acid:caprylic acid, undecanoic acid, lauric acid, dodecenole acid, palmitic acid. Others:
ergosterol, gum, histadine, choline, chitin, protein, fats, glucose, sterols, histamines, lecithin,  lipase, choline, adenine. Other non organic items: SiO2, Mg, P, Fe, Ca, S, Na, K, Mn, Cl.  
Dosage用量﹕
5 to 15 g
常 用 量 5 - 15 克 。
Present Day Applications现代應用:
1. Edema
2. Tumors: Fu ling compound was used on 70 different type of tumors. In some cases only fu ling was used, and in others fu ling was used with chemo therapy, or radiation therapy or surgery. It showed that fu ling can strengthen the body, improve body weight, improve appetite, lessen or prevent side effect of chemo therapy, protect bone marrow, improve liver and kidney functions, improve radiation therapy on nose and throat cancers. (2)
3. Infant diarrhea
4. Improve schizoid condition
5. Improve liver function
6. For baldness after giving birth:
Use 10 g of fu ling. Make into decoction. Twice a day. Externally apply bu gu zhi and han lian cao tincture. All of the eight patients healed in two months. Source: Chinese Dermatology Journal.
1. 水腫。
2. 治療癌腫。減低化療的副作用 。
3. 小兒腹瀉。
4. 改善神經分裂症狀。
5. 增進肝臟功能。
6. 產後 禿頭: 每服10g. 日用二次,加上 外用補骨脂旱蓮草酊劑 (中華皮膚科雜 誌)
Samples of formulae處方舉例:
/ban xia bai zhu tian ma tang 半夏白朮天麻湯
/Ban Xia Hou Po Tang,
/Bao He Wan,
/Bei Mu Gua Lou San,
/du huo ji sheng tang 獨 活寄生湯
/er chen tang 二陳湯
/gui zhi fu ling wan 桂枝 茯苓丸
/Huo Xiang Zheng Qi San,
/jin gui shen qi wan 金櫃腎氣丸 
/Liu Wei Di Huang Wan,
/Liu jun zi tang 六君子湯 
/ren shen bai du san 人參敗毒散
/Suan Zao Ren Tang,
/Qing fen san (Li Dong Yuan)
/Si Jun Zi Tang,
/Shi Quan Da Bu Tang,
/Tian Wang Bu Xin Dan,
/Wen Dan Tang,
/wu ling san 五苓 散
/Wu Pi San,
/xiao Yao Wan, 逍 遙丸,
/zhen wu tang 真武湯
/Zhu Ling San,
Cautions禁忌:
Not suitable for patients with yinxu (yin deficient) condition. [1]
The characteristics of the herb fu ling is that it is more of a diuretic than a tonic herb. Over usage can weaken the eyes. Not compatible with chronic weakness of the body. [2]
Not to use in cases of shenxu (kidney deficient)  with urinary incontinence, or in cases of clear sperm or spermatorrhea due to yangxu (yang deficient). [3]
Not compatible with rice venegar.
《本 草綱目》:“ 陰虛者 不宜用也。”《本草正》:“茯苓,補少利多,故多服最能損目,久弱極不相宜。”《得配本草》:“氣 虛下陷, 水 涸口干俱禁用。”《本 草經疏》 :“病人腎 虛, 小水自利或不禁或虛寒 (陽 虛)精 清滑,皆不得服。”《藥性論》:“忌米醋。”


[1]Ben Cao Gang Mu
[2] Jin Yue Quan Shu, Ben Cao Zheng
[3] Ben Cao Jing Shu
Fu ling pi (literally means the skin of fu ling) are those fu ling with dark brown skin. It is effective in ridding of skin edema. Normal dosage: 15~30 g.
Chi fu ling is the light red variety. It is also called chi fu shen or zhu fu shen. and is used in treatment of damp-heat.
Bai fu ling (literally means white fu ling) is those after skin or chi fu ling being removed. Also called fu ling.
Yun ling: because of those produced in Yun Nan are famous, thus usually fu ling is called yun ling, denoting it is produced in Yunnan.
Fu shen is the part around the root. Usually it is used as fu ling but considered as a stronger effect on calming emotion.
茯苓皮: 茯苓皮為茯苓菌核的黑色外皮。性味同茯苓,功專行皮膚水濕。多用於皮膚水腫。常用量:15~30 克。
赤茯苓:內部接近外皮處呈淡紅色者。亦稱朱伏神。用來治 濕熱
白茯苓: 除去外皮及赤茯苓後,內部白色的叫白茯苓,簡稱茯苓。
雲苓:因雲南產的比較著名,故通常把茯苓叫雲茯苓或雲苓。
茯神:苓塊中穿有細松根的叫茯神或抱木茯神。一般認為較有安神 作用。

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