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/

Sunday, January 26, 2014

zhi shi 枳 實,zhi ke 枳殼,Jie shi 桔實

Pharmaceutical name 英文藥名:
Fructus Immaturus Citri Aurantii (zhi shi 枳實)
Fructus Citri Aurantii (zhi ke 枳殼)
Biological name 拉丁植物學名:
1. Citrus aurantium L. (枳)
2. Citrus wilsonii Tanaka  (香櫞)
3. Poncirus trifoliata (L.) Rafin.  (枳)
4. Citrus trifoliata L.  (枳)
5. Aegle sepiaria DC  (枳)
Other Names 別名:
zhi ke 只殼,ju 據,ju ju 枸橘,zhi 枳,  ye cheng zi 野橙子;  chou ju 臭橘, tang ju 唐橘;  tie li zhai 鐵籬寨
Distribution 分 佈:
Jiangxi, Sichuan, Hubei, Guizhou
江西,四川,湖北,貴州。
Properties (characteristics) 性味;
bitter, sour, acrid, slightly cold, non-toxic.
苦﹐ 酸﹐辛 ﹐微寒無毒。
Channels  entered 歸經:
zhi shi enters spleen, stomach, and large intestine
channels.
zhi ke enters stomach, and large intestine channels.
枳 實入脾﹐胃﹐大腸三經。
枳 殼入脾﹐胃﹐ 二 經。
Actions & Indications:
1. Indigestion due to low function;  bloating in chest, abdomen and solar plexus area;
2. constipation;
3. diarrhea but difficult to expel, focal distention;
4. fullness in the chest;
5. cough with abundance of phlegm;
6. prolapse of stomach, uterus and rectum.
1. 氣滯食積﹐胸腹﹐脘腹脹滿﹐
2. 大便秘結﹐
3. 瀉痢不暢﹐裏急後重﹐
4. 胸痹結胸﹐
5. 痰多咳嗽﹐風痰眩暈﹐痰濕內阻﹐寒凝氣滯﹐
6. 胃下垂﹐陰挺脫肛﹐子宮脫垂。
Medical Function 藥理﹕
1. Raise blood pressure
2. Improve the strength of contraction and tension of the uterus.
3. Diuretics
4. Stimulate the smooth muscle of the digestive tract.
1. 升血壓作用
2. 能使子宮收縮有力,提高緊張性
3. 利尿
4. 對胃腸平滑肌有興奮作用
Chemical ingredients:
酸橙果皮含橙皮甙 (Hesperidin)﹐新橙皮甙 (Neohesperidin),川陳皮素(Nobiletin)﹐5-鄰-去甲基川陳皮素 (5-0 -desmethyl nobiletin),喹諾啉(Quinoline)﹐那可汀(Narcotine)﹐去甲腎上腺素 (Noradrenaline)﹐色胺(Tryptamine)﹐酪胺 (Tyramine), 辛弗林(對羥福林Synephrine), N -甲基酪胺 (N-methyltyramine)。
Dosage:
Usual dosage is 3 to 10 g. Large dosage can be up to 15 g.
常用量3~10克,大劑量可用至15克。
Samples of formulae:
~chai hu shu gan tang 柴胡舒肝湯~
zhi shi da huang tang ( Jing Yue Xin Fang):
Application: for edema in ankles and feet.
composition:
qiang huo, 6 g. dang gui 4 g. zhi shi 2 g. da huang 12 g (prepared with wine)
Boil with 600 c.c. of water and render down to 400 c.c. Drink while the stomach is empty.
Stop using when the bowel movements return to normal.
Adjustment to the formula:
If stomachache is acute: add guang mu xiang 6 g
~da cheng qi tang (Shang Han Lun)~
Application:
for constipation with sensitive abdomen area
dislike of applied pressure, fever with not chills,
hallucination, dry and yellow tongue, sweating,
strong and deep pulse, heat in all three warmers.
composition:
da huang 16g, hou po 3g, zhi shi 8g, mang xiao 6g.
~枳實大黃湯 (景岳新方)~
治濕滯腳氣﹕
羌活, 6 克. 當 歸 4 克. 枳實 2 克. 大黃酒煨 12 克.
水一鍾半,
煎八分. 食前空心溫服, 以利為度. ( 錢=3.75 克)
~大承氣湯(傷寒論)~
主治﹕峻下熱結
組成﹕大黃 16 g﹐厚朴 3 g﹐枳實 8 g﹐芒硝 6 g.
Modern Application:
being used in shocks.
用於休克
Cautions:
do not use in case of qi deficiency,
spleen and stomach deficiency (weak digestion ), or in enlarged prostate.
or during pregnancy.
According to the Whole Nation of Japan Farmers' Federation, the five kinds of Chinese herb being sold in the market, chen pi, su ye, da zao, jie shi﹐shan zhu yu have been tested and showed they contain farm chemical residues. Although there is a suspicion of conflict of interest but the creditability is high. It is better to soak the herb in water and wash it thoroughly before use.
日本農民運動全國聯合會報告目前日本市場上流通銷售的陳 皮、蘇葉﹐大棗﹐桔實﹐山茱萸五種中藥藥材被檢驗出有六種農藥殘留﹔並以陳皮含量最高。雖然報告單位可能被懷疑有利益衝突﹐可信性相當高。使用時最好先用水浸洗乾淨。
氣虛,脾胃虛弱或在懷孕期間或前列腺肥大者慎服。
Note: Synephrine can stimulate  b 1, b 2,  b 3, a1 receptors and increase blood pressure.
註: 辛弗林(對羟福林 Synephrine) 能刺激 b 1, b 2,  b 3, a1 感受器官,  而增高血壓。
(by: Joe Hing Kwok Chu)

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