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, February 9, 2014

Zhen Ren Huo Ming Yin 真人活命飲

Angelica & Mastic Combination
Ingredients: 
Jin Yin Hua 金銀花/ Lonicerae Fl. 9g
Chen Pi 陳皮/ Citri Reticulatae Pc. 4.5g
Dang Gui Wei 當歸尾/ Angelicae Sinensis Radix Stamen 4.5g
Bai Zhi 白芷/ Angelicae Dahuricae Rx. 3g
Fang Feng 防風/ Ledebouriellae Rx. 3g
Gan Cao 甘草/ Glycyrrhizae Rx. 3g
Bei Mu 貝母/ Fritillariae Bulbus 3g
Tian Hua Fen 天花粉/ Trichosanthis Rx. 3g
Ru Xiang 乳香/ Olibanum Gummi 3g
Mo Yao 沒藥/ Myrrha 3g
Zao Jiao Ci 皂角刺/ Gleditsiae Spina 1.5g
Chuan Shan Jia 穿山甲/ Manitis Squama 3g
Actions: 
Expels heat, detoxifies, regulates vital energy, activates blood circulation, mainly used for initial stage of skin infection, manifested as local erythema, swelling, heat, pain, fever, chills. 

Indications: 
Pustulosis, cellulitis, mastitis, suppurative tonsillitis, furunculosis complicated by septicemia. Thin and whitish or yellowish fur, rapid and strong pulse. 

方名:真人活命飲   
來源:婦人大全良方
別名:仙方活命飲, 神仙活命飲
製法用量:
金銀花9克(3錢)  陳皮去白4.5克(1.5錢)  當歸酒洗4.5克(1.5錢)  防風3克(1錢)  白芷3克(1錢)  甘草節3克(1錢)  貝母3克(1錢)  天花粉3克(1錢)  乳香3克(1錢)  沒藥3克 2味另研候藥熟下  皂角刺1.5克(5分)  穿山甲剉蛤粉炒,去粉用3克(3大片)  
用好酒煎,毒在上飽服,在下飢服,喜飲者多飲酒以行藥勢。忌酸物、鐵器。
功效:清熱解毒,消腫潰堅,活血止痛。
主治:瘡瘍腫毒初起,局部紅、腫、熱、痛,或身熱微惡寒,苔薄白或薄黃,脈數有力。
方義:
本方又名仙方活命飲,前人稱此方為「瘡瘍之聖藥」外科之首方也。方中銀花清熱解毒,清散癰腫為君;當歸、乳香、沒藥活血散瘀、消腫止痛;防風、白芷、疏散外邪、使熱毒從外透解為臣。陳皮行滯以消腫;貝母、天花清熱散結;穿山甲、皂刺通膿潰堅,共為佐藥;甘草清熱解毒,和中調和諸藥為使也。諸藥合用,則熱毒清而血瘀去,氣血通而腫痛消,則瘡瘍自癒。
辨證要點:
1. 癰瘍初起紅腫熱痛者。
2. 身熱微惡寒。
3. 脈數有力。
加減:
1. 熱甚腫痛:加蒲公英、連翹、紫花地丁。
2. 惡寒:加荊芥。
注意禁忌:陰疽腫硬者忌用。脾虛便溏者慎用。
現代應用:現代醫學認為本方抗菌,抑制病毒,消炎,解熱,改善血液循環。主要用於急性軟組織化膿性感染、急性化膿性扁桃腺炎、急性乳腺炎、急性闌尾炎、慢性闌尾炎、闌尾膿腫、睪丸炎、附睪炎、潰瘍病,見患處局部紅腫熱痛,脈數有力者。
(ref:醫砭‧沈藥子)

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