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/

Tuesday, December 4, 2012

Formula 20 for Benign Neoplasm of Brain

Formula 20 for Benign Neoplasm of Brain/ Chinese Herbs Therapy

Composition:
柴胡加龍骨牡蠣湯 chai hu jia long gu mu li tang 3g
溫膽湯 wen dan tang 4.5g
天麻粉 tian ma powder 2g
肉桂粉 rou gui powder 0.5g
沒藥 mo yao 0.5g
乳香 ru xiang 0.5g
厚朴 hou po 2.5g
桂枝 gui zhi 0.8g
黃連 huang lian 1g
銀花 yin hua 1.5g
薄荷 bo he 0.5g

bo he 薄荷

Pharmaceutical name英文藥名﹕Herba  Menthae Haplocalycis
Biological name拉丁文學名﹕
Mentha arvensis var. piperascens L. Malinv. ex LH.Bailey (野薄荷 Japanese Field Mint)
Mentha haplocalyx Briq.Field (蘇薄荷 Mint or Mentha )
Mentha piperita  (歐薄荷 Peppermint)
Mentha spicata L. (留蘭香, 綠薄荷 Spearment)
Other Names別名﹕
su bo he 蘇薄荷
Common Name英文名﹕
Common Mint Field Mint. (Mentha arvensis)
Peppermint (Mentha piperascens) which is a hybrid
of water mint (M. aquatica) and spearmint (M. spicata).
Distribution產地﹕throughout China
Properties(characteristics)性味﹕
acrid, cool
辛﹐凉。
Channels (meridians) entered歸經﹕
liver, lung
歸肝﹐肺經。
Medical functions藥理﹕
Menthol, when applied externally, can relieve headache, neuralgia, and itchiness.
Methone and menthol can relieve sinus congestion caused by allergy from pollens. It can because of methone and menthol promote secretion and rid of the mucus that attaches to the membrane.
The total flavonoid of Mentha piperita (peppermint) possesses  cholagogue (promotes bile secretion) effect.
薄荷醇局部應用可治頭痛、神經痛、瘙痒等。
薄荷酮與薄荷醇對由花粉過敏症引發的鼻黏膜腫脹有緩解作用。可能是由於其促進了分泌而去除了附著於粘膜上的粘液所致。薄荷酮之刺激性强于薄荷醇。
歐薄荷中的總黃酮類具有利膽作用。
Actions & Indications主治﹕
Wind-heat type of infection with the symptoms of: headache, red eyes, swollen and painful throat, liver qi stagnation, achy stomach, and boils.
Bo he (mint) contains essential oil. Taking a small amount orally can stimulate the CNS, dilate the capillaries of the skin, and promote perspiration. The sweat can evaporate heat of the body, thus it is suitable for headache, muscle ache, or swollen throat accompanying cold or influenza. If summer heat causes headache, thirst, or dark urine, usually it is combined with xiang ru, sang ye to get rid of the heat.
It is being used as an anti-pyretic, anti-inflammatory herb, and an herb that arrests pain caused by swellings. It is often used with lian qiao, jin yin hua, jie geng etc.
It is often used by people with measles when the blisters are not ripening, even when the person has fever or uneasiness (anxiety). It is commonly combined with jin jie, niu bang zi. After the measles ripened, if the patient has a slight fever or cough, usually it is taken with xing ren, chen pi.
External application of mint  medication can make the skin feel cool and causes the capillaries of the mucus to contract. It results in anti-inflammation, arrests pain, and relieves itchiness.
外感風熱,頭痛目赤,咽喉腫痛,肝氣鬱滯,胃悶痛,瘡疥。
荷含揮發油,少量服用可以興奮中樞神經,使皮膚毛細血管擴張,促進汗腺分泌,增加機體散熱,因此適用於頭痛﹐肌痛﹐咽喉腫痛等外感病症,除解熱外,還可使炎症消退,減輕脹痛,常與連翹﹐金銀花﹐桔梗等同用。
薄荷配荊芥﹐牛蒡子能增強透疹功效,常用於麻疹初期疹透不暢﹐發熱﹐煩躁時。疹透之後,若有輕熱﹐咳嗽,可與杏仁﹐陳皮配服。
若因暑熱而引發頭痛﹐口渴﹐小便短赤,可配合香薷﹐桑葉等疏風解熱。
薄荷製劑局部外用時,可使皮膚黏膜涼爽,引起皮膚黏膜血管收縮,有消炎﹐止痛﹐止癢之效。薄荷酮﹐樟烯﹐檸檬烯等,因此有散熱醒腦的作用。舟車勞頓﹐穢氣淤結時所產生頭暈﹐嘔心,可以將其製劑塗敷額頭﹐二眉間﹐鼻下,可緩解不適。
薄荷與清熱解毒的黃連﹐黃岑﹐大黃調製成油膏,可用於瘡傷的消炎﹐退腫。噴灑薄荷油也可抑制空氣中的濾過性病毒,可減少病毒感染性疾病的發生。
Chemical ingredients化學成份﹕
含揮發油在0.8%以上。The content of evaporating oil is greater than 0.8%:
藏茴香酮(l-Carvone),
芳樟醇((+)Linalool),
石竹烯(Caryophllene),
順羅勒烯(β - Ocimene),
薄荷醇(Menthol),
薄荷酮(Methone),
α-蒎烯(α-Pinene),
莰烯(Camphene)
檸檬烯(l-Linonene),
藏茴香酮(Carvone),
胡薄荷酮(Pulegone)(101-methy1-βD-glucoside)
Dosage用量 ﹕
2 to 10 g. Boil briefly.
2~10g。不宜久煎。
Samples of formulae處方舉例﹕
For itchiness: er wei xiao feng san 二味消風散
For cold or influenza: yin qiao san 銀翹散
For menopausal syndrome: dan zhi xiao yao san 丹梔逍遙散
For influenza with fever and chill: ren shen bai du san 人參敗毒散
Cautions禁忌﹕
Not to use on those who have conditions of  yinxu (yin deficient)﹐liver yang ascending, sweating profusely.
Is mint compatible with Homeopathic remedies? One opinion is here.
陰虛血燥,肝陽上亢,表虚汗多者忌服。(Translated and edited by: Joe Hing kwok Chu/Complementary and Alternative Healing University)

ru xiang 乳香

Pharmaceutical name英文藥名﹕Gummi Olibanum
Botanical name學名﹕Pistacia lentiscus, L.; Boswellia carteri, Bird.
Other Names別名﹕sheng ru xiang, xun lu xiang
Common Name英文名﹕Frankincense Carterii, mastic
Distribution產地﹕East Africa and Arabia
Properties(characteristics)性味﹕
acrid, bitter, warm.
辛,苦,温。
Channels (meridians) entered歸經﹕
heart, liver, spleen.
入心, 肝,脾經。
Actions & Indications主治﹕
Improves circulation, repairs muscle, as resolvent.
Being used in :
1. pain due to blood clots,
2. spastic muscle,
3. carbuncles,
4. gum bleeding,
5. gingivitis,
6. rheumatoid arthritis,
7. cirrhosis of liver,
8. amenorrhea,
9. physical injuries,
10.ulcerated wounds not healing.
活血止痛,消腫止肌。
用於﹕
1. 血瘀疼痛,
2. 筋脈拘攣,
3. 生瘡,
4. 牙根出血﹐
5. 齒齦炎,
6. 胸脅疼痛,
7. 風濕痺痛,症瘕積聚,
8. 經閉,
9. 跌打損傷,
10.瘡瘍潰破久不收口。
Chemical ingredients化學成份﹕
resin 60~70%; main ingredients/ 樹脂60~70%; 主要成分为:
free α-, β一boswellic acid 33%/ 游离α-、β一乳香脂酸33%
bound boswellic acid 1.5%/ 结合乳香脂酸1.5 %
olibanoresene 33%/ 乳香樹脂烃33%
rubber 27~35%/ 樹胶27~35%
calcium salt and magnesium salt of arabic  acid: 20%,Bassorin 6%;/ 阿糖酸的钙盐和镁盐20%,西黄芪胶粘素6%;
bitter 0.5%/ 苦味质0.5%。
essential oil is light yellow in color and fragrant, contains/ 揮發油呈淡黄色,有芳香,含:
Pinene, Dipentene , α-、β一Phellandrene , o- cresol, (the neutral portion contains α-amyrone, α-amyrinone, the derivatives of α-,β-amyrin, and also contains  viridiflorol , insensole, insensole oxide/ 蒎烯、消旋一柠檬烯及α-、β一水芹烯,其主要的芳香成分未明。及其衍生物和间甲基酚,中性部分含α-、β-香樹脂素的衍生物如α-香樹脂酮α-amyrone, α-amyrinone尚含绿花白千层醇、乳香萜烯及氧化乳香萜烯
the rubber mainly contains/ 樹胶主要含:
polysaccharide, from which polysaccharide I has been isolated;  arabinose , galactose, uronic acid, polysaccharide Ⅱ,/ 多聚糖,分离得多聚糖I ,水解得阿拉伯糖、半乳糖及糖醛酸;多聚糖Ⅱ,水解得糖醛及半乳糖。揮發油中乙酸正辛酯octyl acetate占92.46%,乙酸龙脑酯约1.4%,榄香烯0.22%,
β-phellandrene/ β-水芹烯等
Dosage用量﹕3 ~ 9 g
Toxicity & Cautions毒素與禁忌﹕
not to use in cases of pixu (spleen deficient) or in cases of pregnancies.
懷孕期間或脾虛者忌服。(Edited by: Joe Hing kwok Chu/Complementary and Alternative Healing University)

mo yao沒藥

Pharmaceutical name英文藥名﹕Myrrha
Botanical name學名﹕Commiphora molmol, Engi/ Balsamodendron Myrrha/ Commiphora Myrrha/ Commiphora abyssinica Engl.
Other Names別名﹕mo yao 末藥 (written differently in the first character)
【處方名】 :沒藥,末藥,制沒藥,炙沒藥,醋炒沒藥,明沒藥,生沒藥,生明沒藥。 處方中寫沒藥,末藥均指生沒藥。
Common Name英文名﹕myrrh
Distribution產地﹕north eastern Africa and Middle East
Properties(characteristics)性味﹕
bitter, neutral
味苦,性平
Channels (meridians) entered歸經﹕
liver, spleen, heart
入肝,脾,心 ,腎經。
①《本草經疏》:“入足厥陰經。”②《本草新編》:“入 脾,腎二經。”③《本草求真》:“入心,肝。”
Medical functions藥理﹕
1. inhibits pain
2. antibiotic
3. reduce swelling (detumescent )
4. wound healing
1. 鎮痛
2. 抑菌
3. 消腫
4. 療傷口
Actions & Indications主治﹕
For pain due to injuries, bruises, rheumatoid arthritis, tumors in the uterus, hemorrhoid,  cataract, amenorrhea , bone and muscle ache﹐  angina pectoris.
External use on inflammation of the mouth cavity, periodontitis,wounds from cut not healing, and pharyngitis.
有活血止痛,消 腫生肌的功能。
治跌打損傷, 瘀痛, 金瘡,筋骨, 心腹諸痛, 風濕痹 痛,症 瘕,經閉, 痈疽肿痛, 痔漏, 目障, 或 氣滞血瘀的心胸悶痛。
外用於瘡瘍腫痛或潰破久不收口, 口腔炎,牙齦炎,咽炎 。
Chemical ingredients化學成份﹕
Contains 2.5% to 9% of volatile oil, 25% to 35% of resin, 57% - 65% of gum, water and other impurities about 3 to 4%. In top quality mo yao (myrrh), the part that is not soluble in alcohol should not exceed 70% and ash should not exceed 5%. Because mo yao comes from different sources, the ingredients can be slightly different.
主要含2.5%~9%的揮發油,25%~35%的樹脂,57%~65%的膠等成分,此外為水分及各種雜質約3~4%。上等沒藥的醇不溶性成分不超過70%;灰分不超5%。沒藥成分可因來源不同而稍有差異。
α -,β-Heerabomyrrholic acid/α -,β- 罕沒藥酸
α -,β- γ-Commiphoric acid/α -,β- γ-沒 藥酸
Commiphorinic acid/沒藥尼酸
α -,β-Heerabomyrrhol/α -,β-罕沒藥酚
Heeraboresene/罕沒藥樹脂
Commiferin/沒藥萜醇
myrrholic acid/沒藥酸
methanoic acid (formic acid)/甲酸
acetic acid/乙酸 (醋酸)
oxidase/氧化酶
Eugenol/丁香油酚; (丁香酚) (揮發油)
m-Cresol/間苯甲酚
Cumin aldehyde/枯醛
Pine-ne/蒎烯
Dipentene/二戊烯
Limonene/檸檬烯
Cinnamic aldehyde/桂皮醛
Heerabolene/罕沒藥烯
間甲基酚(揮發油)
cuminaldehyde/枯茗醛
cinnamaldehyde/桂皮醛
formic acid ester/甲酸酯
acetic acid ester/乙酸酯
ester of myrrholic acid/沒藥酸酯
heerabolene/罕沒藥烯
α-,β-bisabolene/α 及β-沒藥烯
dl-limonene/dl-苧烯
myrrhin/沒藥樹脂
After heating, the following were obtained加熱得沒藥脂酸類:
α-,β-, γ-commiphoric acid/α-,β-,γ-沒藥脂酸
com-miphorinic acid/次沒藥脂酸
α -,β-heerabomyrrholic acid/α-,β-罕沒藥脂酸
α-heerabomyrrhol/α-罕沒藥脂酚
β-heer-abomyrrhol/β-罕沒藥脂酚
protocatechuic acid/原兒茶酸
catechol/兒茶酚
heeraboresene/罕沒藥氧化樹脂
gum arabic/阿拉伯樹膠
After hydrolysis, the following were obtained水解得:
arabinoxylan/阿拉伯聚糖
xylans/木聚糖
galactan, galactosan/半乳 聚糖
Dosage用量﹕
For decoction: 3 to 9 g.
For external use: use appropriate amount. Grind into powder and make into paste and apply to affected areas.
內服入煎劑﹕ 3~9克。
外用:適量﹐研末調敷。
Samples of formulae處方舉例﹕
Combination:
1. combine with ru xiang: rids of blood stasis, loosens tight tendons.
2. combine with chuan shan jia: lessens swelling and pain; rids of blood stasis.
3. combine with xue jie: lessens pain and rids of blood stasis.
4. combine with xiong huang: lessens swelling, promote new growth of tissues, rids of infections.
1. 配乳香, 活血散瘀,行氣舒筋。
2. 配穿山甲 ,活血散瘀,消腫止痛。
3. 配血竭, 活血散瘀,止痛。
4. 配雄黄, 消腫生肌,燥濕解毒。
Toxicity & Cautions毒素與禁忌 ﹕
use with care in cases of weak digestion. Not to use where there is not blood stasis, or  in cases of where boils have been ripen and ulcerated or in cases of pregnancies.
胃弱者慎服。 無淤滯 ,癰疽已潰及孕婦忌用。(Edited by: Joe Hing kwok Chu/Complementary and Alternative Healing University)