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/

Wednesday, December 28, 2011

bei mu貝母

Chuan bei mu  川 貝 母
Zhe bei mu  浙 貝 母
Pharmaceutical name英文药名:
chuan bei mu/ Bulbus Fritillariae Cirrhosae
zhe bei mu/ Bulbus Fritillariae Thunbergii
Other Names別名:
chuan bei mu:  chuan bei 川貝, jian bei mu 尖貝母
zhe bei mu: zhe bei 浙貝, xiang bei 象貝, da bei mu 大貝母
Common Name: tendrilled fritillaria blb, fritillaria
Prescription Names處方名﹕
chuan bei, zhe bei, dong bei, da bei, yuan bao bei, zhu bei.
川貝﹐浙貝﹐東貝﹐大貝﹐元寶貝﹐珠貝。
Distribution分佈:
chuan bei mu: Sichuan, Yunnan, Xizang
zhe bei mu: Zhejiang, Jiangsu, Anhui, Hunan
川貝母:四川,云南,西藏。
浙貝母:浙江,江蘇,安徽,湖南。
Properties (characteristics)藥性:
chuan bei mu/ mildly cold, sweet, bitter
zhe bei mu/ bitter cold
川貝母: 性微寒,味甘苦 。
浙貝母: 苦,寒。
Channels (meridians) entered歸經:
heart, lung
心, 肺
Actions & Indications功用:
Clears lung heat and rids of phlegm, hot cough due to yinxu with thick phlegm, breast scrofula, nodules, external application for boils.
Chuan bei mu is mildly cold and good for moisturizing: chronic cough that injured yin ( into yinxu), dry cough without phlegm.
zhe bei mu is colder than chuan bei mu: its purging is stronger than chuan bei mu. It is used for getting rid of stagnant phlegm, stopping cough, scrofula and boils. Suitable for cough with yellow phlegm.
潤肺散結,止咳化痰。肺 熱 ,陰虛 咳 嗽 痰 稠 , 肺癰,乳 腺 炎 ,  肺 虛 , 瘰 瘳 , 久 咳 , 外治惡瘡。
川貝母苦甘微寒,以滋潤見長,用於肺燥咳嗽及久咳傷陰,乾咳無痰的。
浙貝母苦寒,寒性大於川貝,開泄力大。適用於外感風邪,用於清肺散結,化痰止咳,瘰癧痰核,癰腫瘡毒之證。有黃痰者適用。
Medical Function:
1. Suppress cough and expels phlegm.
2. Small amount of the saponin can raise blood pressure of dogs, cats, and rabbits while large amount can lower it.
3. injection of 7.5 ml/kg peimine to rabbits, increased blood sugar and it was able to maintain it for more than 2 hours [3]
4. antibiotic effect.
祛痰止咳。
小量的貝母之皂素能增高貓,狗,兔子的血壓。大量則能降低其血壓。
給兔子注射7.5ml/kg 貝母甲素能增高其血糖并能维持多過2小時。
有抗生素之作用。
Chemical Ingredients化學成份:
1. Chuan bei mu (川貝母): chinpeimine, sonpeimine, fritimine, sipemine.
2. An zi bei mu (暗紫貝母):  songbeisine, 26-Imino-17, 23beta-oxido-5alpha-jerv-12-en-11-oxo-3beta-ol[1].
3. Gansu bei mu (甘肅貝母): minpeimine, minpeiminine.
4. Suo sha bei mu (梭砂貝母): Imperialine, Delavine, Delavinone[2], Chuanbeinone[3], Dalafrinone [(22S, 25S) -3beta, 16Beta-dihydroxy-5alpha-cevanin-6-one], Dalafrine[ (22S, 25S) -5alpha-cevanine-3beta, 6beta, 16beta-triol] (22R, 25S) - Solanid-5-enine-3beta, 5alpha, 6beta-triol[4], beilupeimine, fritiminine.
5. Zhe bei mu (浙貝母): peimine, peiminine, propeimine, peimidine, peimiphine, peimisine, peimitidinek, isoverticine, peimisnoside.
Dosage用量:
For decoction: 3 to 10 g. As powder form (mixed in water): 1 to 2 g.
煎服:3克至10克。研粉沖服或調服用1克至2克。
Commonly Used formulae常用配方:
dang gui bei mu ku shen wan, jie geng bai san, yang fei tang.
當歸貝母苦參丸,桔梗白散,養肺湯。
Cautions禁忌:
Not to use by those with pixu (spleen deficient), cold, with wet phlegm and cold cough. Also not to use she dan chuan bei mo, chen pi chuan bei mo, chuan bei mu, fu fang she dan chuan bei mo. Raw bei mu is toxic and not for internal use.
脾虛及有濕痰 寒咳者忌用貝母。 包括:蛇膽川貝末,陳皮川貝末,川貝末,復方蛇膽川貝末。生的貝母有毒, 不可內服。

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