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

wu zhu yu 吳茱萸

Pharmaceutical name英文藥名:
Fructus Evodiae Rutaecarpae
Latin botanical name拉丁學名:
Evodia rutaecarpa (Juss.) Benth.,
Evodia rutaecarpa (Juss.) Benth. var. officinalis (Dode) Huang,
Common Name英文名:
evodia fruit
Other Names別名:
wu yu 吳萸,qu yao zi 曲藥子,fu la zi 伏辣子,cha la 茶辣,chou pao zi 臭泡子。
Distribution分佈:
Guizhou, Sichuan, Guangxi, Hunan, Yunnan, Shaanxi, Zhejiang
贵州, 四川,廣西,湖南,云南, 陝西, 浙江。
Properties (characteristics)性味:
acrid, bitter, hot, mildly toxic.
辛,苦,熱,有小毒。
Channels (meridians) entered歸經:
kidney, liver, spleen, stomach
腎,肝,脾,胃。
Actions & Indications主治:
warms the middle, lower qi, rids of cold of stomach, lower blood pressure, for vomiting, excess acid of stomach, pain in solar plexus, cold type of hernia, cold and dampness of swelling of legs. Lead fire downward.
溫 中 下 氣 , 止 痛 除 濕 , 善 於 溫 散 肝 胃 之 寒 , 降 血 壓。
嘔 吐 吞 酸 , 胃 脘 痛 , 腹 內 絞 痛 , 泄 瀉 , 寒 疝 痛 , 寒 濕 腳 氣 。
Medical Function药理:
Relaxes blood vessels by promoting the excitement of the inner skin of blood vessels, clearing the pathway of calcium ion, and releasing nitrogen oxide.
促進血管內皮興奮,打通鈣離子的通道,釋放出一氧化氮,以致放鬆血管。
抑制血小板聚集。抑制血小板血栓及纖維蛋白血栓形成。
鎮痛,升高體溫作用,大量時能興奮中樞,並引起視力障礙﹐錯覺。
Chemical ingredients化學成份:
1.limonin 檸檬內酯 [1];rutaevine 吳茱萸苦素[2]; evodol吳茱萸內酯醇[3]; obacunone 黃柏酮[4]; rutaevine acetate 吳茱萸苦素乙酯[5]; 12 alpha-hydroxylimonin 12 a-羥基檸檬內酯; 12 alpha-hydroxyevodol 12 a-羥基吳茱萸內酯醇[6]; 6alpha-acetoxy-5-epilimonin; 6alpha-acetoxy-5-epilimonin[6,7]; Jangomolide[8]; GraucinA[9].
2. (1).evocarpine 吳茱萸卡品鹼[10]; dihydroevocarpine; 1-methyl-2-undecyl-4 (1H)-quinolone; 1-methyl-2-pentadecenyl-4(1H)-quinolone[11]; 1-methyl-2-[(Z) -6 -undecenyl]-4 (1H)-quinolone; 1-methyl-2-[Z) -6-pentadecenyl]-4 (1H) -quinolone;1-methyl-2-[(Z)-10-pentadeceny;]-4 (1H)-quinolone; 1-methyl-2-(6Z, 9Z)-6, 9-pentadecadienyl) -4 (1H) -quinolone; 1-methyl-2-([4Z, 7Z]) -4, 7-tridecxadienyl) -4 (1H)-quinolone[6].
(2). evodiamine; rutaecarpine; wuchuyine; hydroxyevodiamine 羥基吳茱萸鹼; dihydrorutaecarpine; 14-formyldihydrorutaecarpine[12];Goshuyuamide-I, Goshuyuamide-II[13]; evodiamide[14].
(3).N, N-diumethyl-5-methoxy tryptamine; N-methylanthranylamide; disynephrine[15]; cGMP[16].
3. arachidoside; isopentenyl-flavone[17].
4. evoden; alpha-ocimene; cis-beta-ocimene.
5. evodinone; evogin[18].
Dosage用量:
3 to 9 g. Use with gan cao to reduce side effects.
3~9克。加甘草可以减輕其副作用。
Samples of formulae:
For headaches caused by vasomoter dysfunction:
Name of formula: wu zhu yu tang
Composition: wu zhu yu, ren shen, da zao, shen jiang.
吳茱萸湯﹕由吳茱萸﹐人參﹐大棗﹐生姜四味所組成,所治的厥陰頭痛,即血管神經性 頭痛。
Modern Research现代研究:
"Antidementic Drug Discovery from Oriental Herb Medicine: Dehydroevodiamine.HCl (DHED) extracted from Evodia Rutaecarpa Bentham prevents Impairment of Learning and Memory and Neuronal loss" - Cheol Hyoung Park (Korea).
Feeding the decoction to dogs, showed that it lowered the blood pressure but when combined with gan cao, the effect disappeared. The lowering of blood pressure is the result of the expansion of the peripheral blood vessels and it is caused by secretion of histamine. The decoction showed that it affect the activities of the small intestine of rabbits. Higher concentration of decoction inhibited the activities and lower concentration of it enhanced the activities.
用其煎劑給狗灌胃,有明顯的降壓作用,但與甘草配伍,其降壓作用消失。其壓降作用主要是擴張外周血管所致,且與組織胺釋放有關。其煎劑對家兔小腸活動的影響。低濃度時興奮,高濃度時抑制。
Cautions禁忌:
not suitable for shi zheng (strong pattern) , yinxu (yin deficient) and high fire body type.
不適用於實證, 陰虛火旺之體質。


陰虛火旺症状: 陰莖強硬不倒,精液自流,頭暈神疲,失眠多夢,腰膝酸軟,五心煩熱,口乾盜汗,舌紅少苔,脈細數。

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