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/

Friday, November 8, 2013

shao yao 白芍; bai shao yao, 白芍藥 ; chi shao yao 赤芍藥

Pharmaceutical name 英文 藥名﹕Radix Paeoniae Lactiflorae
Biological name拉丁 名﹕Paeonia lactiflora Pall
Common Name 英文名﹕white dahlia root, Chi shao yao means red dahlia
Distribution: Provinces of Zhejiang, Anhui, Sichuan, Guizhou, Shandong of China
Properties (characteristics) 性味 ﹔bitter, sour, cool/ 苦﹐酸﹐涼。
Channels (meridians) entered 歸經 ﹕liver, spleen/ 肝﹐脾。
Medical Function 藥理 ﹕
1. anti-spastic
2. lowers blood pressure, dilates peripheral blood vessels, lower resistant
3. dilates coronary arteries
4. anticonvulsant, analgesic, sedative effect
5. antipyretic, anti-inflammatory, antibiotic
6. neutralizes the carcinogenic effect of aflatoxins
7. Protective effect of extract from bai shao and huang qi  against liver injury induced by bacillus Calmette-Guérin and lipopolysaccharide in mice.
1. 解痙
2. 降血壓,能擴張外周血管 ,降低外周阻力
3. 擴張冠狀動脈
4. 鎮靜、鎮痛及抗驚厥
5. 解熱、抗炎及抗菌
6. 對致癌物質黃霉素有解毒 作用
7. 芍藥與黃芪提取物,抗卡介苗和脂多醣引起的小鼠肝損傷有保護作。
Actions & Indications 主治 ﹕
Bai shao is being used for removing blood stasis and as a mild analgesic. For menstrual dysfunction, vagina yeast infection, uterine bleeding. Lessens liver yang ascending , alleviates abdominal pain. For headache and dizziness due to  liver yang ascending. For spermatorrhea. For pain in abdomen and diarrhea. For common cold and flu. (as in gui zhi tang, ma huang tang)
Chi shao yao has a much stronger effect in removing blood stasis . It is being used more often than bai shao in injuries like broken bones, dislocated joints, sprains and injuries from impacts also in blood clots. Do not use chi shao after giving birth. It is use as a tonic, pain killer, diuretic and for ridding of gas from stomach and intestine and for child birth difficulty.
白芍常用于驅淤血并略有止痛作用。用于月经不調,带下,子宫出血,遗精,肝陽上亢所致的頭痛,晕眩。。 改善肝陽上亢症狀,减輕腹痛.。用于傷風感冒 如 桂枝湯,, 麻黄湯。
赤芍對驅 淤血功效較白芍强。常用於跌打損傷,折骨,脱胶,扭傷。産後忌用赤芍。可作補藥,止痛,利尿,驅腸胃氣,難産。
Dosage 用量 ﹕6 ~ 15 grams/ 6~15 克。
Chemical ingredients:
paeoniflorin, paeonol, paeonin, albiflorin, triterpenoids, sistosterol, oxypaeoniflorin, benzoylpaeoniflorin, benzoic acid, β sitosterol, gallotannin, pedunculagin, 1-O-Galloylpedunculagin , eugeniin,  tannin acid, fat, essential oil, resin, sugar, starch, and protein.
Modern use 現代 應 用﹕
Being used in:
1. muscle spasm of limbs, back and neck, face. Jerky legs.
2. relieving pain,
3. bone spurs of the heels,
4. viral hepatitis,
5. chronic constipation,
6. asthma,
7. whooping coughs,
8. diabetes,
9. ulcer of duodenum and stomach.
用於﹕
1. 肌肉痙攣﹕四肢﹐頸部﹐背部﹐臉﹐腿不 安。
2. 止痛。
3. 腳跟骨刺。
4. 病毒性肝炎。
5. 慢性便秘。
6. 哮喘。
7. 百日咳。
8. 糖尿病。
9. 十二指腸與胃之潰瘍。
Samples of Formulae/ 處方舉例﹕
1. bai zhu shao yao san/ 白朮芍藥散,
2. dang gui jian zhong tang/ 當歸键中湯,
3. gui zhi tang/ 桂枝湯
4. ma huang tang/ 麻黃湯
5. shi quan da bu tang/ 十全大補湯
6. si wu tang/ 四物湯,
7. ren shen yang rong tang/ 人参養湯
8. wan dai fang/ 完帶方
Modern Study 現代研究﹕
The acute oral toxicity of aconitine in rats was significantly reduced by paeoniflorin[1].
在大鼠口服烏頭鹼的激烈毒性反應被芍藥甙顯著地減低.[1]
Cautions 禁忌﹕
do not use raw bai shao in case of pain in abdomen or/with diarrhea due to pixu (spleen deficient) . Use chao bai shao (stir fried bai shao) instead.
脾虛 腹痛泄瀉者忌用生白芍。應用炒白芍。
other:
[1] J Ethnopharmacol. 2012 Jun 1;141(2):701-8. doi: 10.1016/j.jep.2011.09.005. Epub 2011 Sep 10.
[2] Basic Clin Pharmacol Toxicol. 2008 Aug;103(2):143-9. doi: 10.1111/j.1742-7843.2008.00243.x.

Raw bai shao is being used in liver yang ascending.
Chao bai shao is being used inpixu (spleen deficient)
Jiu bai shao (rice wine treated bai shao) is suitable for liver over active and in blood deficient with blood stasis.
Cu bai shao (vinegar treated bai shao) is often used in arresting pain in the liver.
生用斂陰平肝作用較強,常用於 肝 陽上亢、肝風內動之症。
炒白芍長於養血和肝,多用於肝旺脾虛痛瀉者。
酒白芍偏於養血活血,血虛兼寒凝 血淤之症最宜。
醋白芍增強柔肝止痛之力,肝急失柔之症常投。
(by Joe Hing Kwok Chu)

tian ma gou teng yin 天麻鉤藤飲

Name of Formula:tian ma gou teng yin  (Source: za bing zheng zhi xin yi)
Syndrome: overly active sympathetic nervous system, usually hypertension, palpitation, headache, painful eyes, irritable, easily get angry, dry and rigid stool, dark color urine, dizziness, tinnitus, blurred vision, heat rising to the head, insomnia with many dreams, red tongue, wiry rapid pulse; when severe: numbness, spasm of the limbs, hemiplegia.
This formula is being used with adjustment for primary hypertension, paralysis due to strokes, Meniere's disease and neurasthenia with the above syndromes.
Composition:
tian ma 9 g﹐gou teng,    12 ~15 g﹐ shi jue ming 18 ~24 g﹐zhi zi 9 g﹐
huang qin 9 g﹐yi mu cao 9 ~12 g﹐chuan niu xi 12 g﹐du zhong 9 ~ 12g﹐
sang ji sheng  9 ~ 14 g﹐ye jiao teng 9 ~ 30 g﹐fu shen 9 ~ 15 g。
Adjust the formula according to syndromes. 
肝陽上亢:
表現為自律神經亢進﹐常有高血壓 ﹐心律不整﹐失眠﹐睡眠不寧 ﹐肩頸僵硬 ﹐頭目脹痛﹐心煩易怒﹐情緒急躁 ﹐容易亢奮激動﹐口苦脅痛 ﹐面紅目赤﹐大便乾結﹐小便黃赤﹐舌苔薄黃或紅少﹐頭目脹痛﹐ 脈弦數。嚴重時﹐肢體麻木﹐抽搐﹐半身不遂。
本方加減常用于治療原發性血壓高 ﹐中風半身不遂﹐耳源性眩暈及神經衰弱有上述症候者。
天麻鉤藤飲加減
處方:
天麻 9 克﹐鉤 藤   12 ~15 克﹐ 石決明 18 ~24 克﹐梔 子  9 克﹐
黃 芩 9 克﹐益母草 9 ~12 克﹐川牛膝 12 克﹐杜 仲 9 ~ 12克﹐
桑寄 生  9 ~ 14 克﹐夜 交藤 9 ~ 30 克﹐茯 神 9 ~ 15 克。
隨證加減。
(by Joe Hing kwok Chu)

Formula 28 for Benign Neoplasm of Brain

Formula 28 for Benign Neoplasm of Brain/ Chinese Herbs Therapy

Composition:
天麻鉤藤飲 tian ma gou teng yin 2g
知柏地黃丸 zhi bai di huang wan 2g
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 0.3g
芍藥(白) shao yao(bai) 1g
黃連 huang lian 1g
蔓荊子 man jing zi 1.5g