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, August 17, 2014

ban xia bai zhu tian ma tang 半夏白朮天麻湯

Name of Formula: ban xia bai zhu tian ma tang
Application:
1. Chronic headache,
2. chronic dizziness,
3. heaviness in limbs and body,
4. hypertension with weak digestion and dizziness,
5. hypotension with dizziness,
6. Meniere's disease,
7. gastroptosis,
8. abscesses.
Composition: ban xia  12 g, bai zhu 10 g, tian ma 10 g, chen pi10 g , fu ling 10 g, zhi gan cao 9 g, sheng jiang 2 slices, da zao 5 pieces, man jing zi 6 g.
Boil with water. Use as tea.
Adjustment:
1. deficiency: add ren shen
2. Dizziness with liver heat ascending: click here

半夏白朮天麻湯(醫學心悟)   
症狀﹕風痰上擾﹐眩暈頭痛﹐胸悶嘔噁﹐舌苔白膩﹐脈弦滑等
主治﹕習慣性頭痛﹐習慣性眩暈﹐手足倦怠﹐胃腸 弱者之高血壓而頭痛眩暈﹐ 低血壓之頭痛與眩暈﹐梅尼爾氏症﹐胃弛緩﹐胃下垂﹐蓄膿症。
處方﹕半 夏  12 g, 白 朮 10 g,  天麻 10 g, 茯 苓  10 g, 陳 皮 10 g, 甘 草  9 g,  生 薑 2 片,  大 棗 5 枚, 蔓荊 子  6 g
水煎服.
加減﹕
(1) 虛者﹐加人参。
(2) 另 血熱型暈眩 。

other其他﹕
I。美尼爾氏綜合症 
應用本方加減:半 夏10g, 白 朮 10 g,  天麻 10 g, 茯 苓  10 g﹐ 澤瀉10g﹐竹茹 6g﹐陳 皮6g﹐僵蠶 6g﹐生 薑各6g﹐水煎﹐每日1劑﹐3劑為1為療程.
治療美尼爾氏病32例﹐男18例﹐女14 例 ;年齡30~50歲;病程1~5年.結果:痊癒6例﹐好轉21例﹐無效5例;總有效率達84.4%[1].  

II。 內耳眩暈症
又用本方加味:法半 夏﹐白 朮﹐天麻﹐茯 苓 ﹐ 陳 皮﹐大 棗各10g﹐ 澤瀉15g﹐ 紫蘇8g﹐ 生 薑6g﹐ 甘 草3g. 水煎服﹐每日1劑 ﹐分2次 於上﹐下午溫服.
治療內耳眩暈症213例 ﹐男性61例 ﹐女性152例 ;年齡22~83歲 ;病程最長19天 ﹐最短2小 時.全部病例為突發性頭暈﹐目眩﹐惡心﹐嘔吐﹐耳鳴﹐或伴波動性聽力下降等症狀特點﹐臨床確診為內耳眩暈症﹐併排除心血管﹐顱內及頸椎病變.臨床治癒標準 :完成1個治療日後﹐臨床症狀顯著減輕﹐5個 治療日後臨床症狀完全消失﹐3個 月內無復發.結果:全部臨床治癒[2].

III。 血管性頭痛 
應用本方加味:法 半 夏18g ﹐白朮12g ﹐天麻10g﹐ 陳皮15g ﹐茯苓12g ﹐川芎30g ﹐厚朴12g ﹐枳殼﹐全蟲各10g ﹐地龍12g ﹐甘草6g .
水煎服﹐每日1 劑﹐日服2 次﹐早晚溫服.
治療血管性頭痛31 例中﹐男12 例﹐女19 例;病程最長23 年﹐最短14 天.療效標準:痊癒:頭痛 發作消失﹐數月未復發者;好轉:頭痛發作減輕﹐頻率減少; 無效:頭痛發作未減輕.結果:痊癒11 例﹐佔35.48% ;好轉18 例﹐佔 58.6% ;無效2例 ﹐佔 6.45% .總有效率93.54% [3].
資料來源﹕
〔1〕余增福等﹐半夏天麻白朮湯加減治療 美 尼爾氏病32例 ﹐實用中西醫結合雜誌﹐19914(2) :37. 〔2〕 劉愛蘭等﹐半夏白朮天麻湯加味治療眩暈症﹐實用中醫內科雜誌1993﹐7(4) :190. 〔3〕 趙學東 等﹐半夏白朮天麻湯加味治療血管性頭痛31 例﹐光明中醫﹐1993﹐ (2) :31.
(by Joe Hing kwok Chu)

No comments:

Post a Comment