Formula 38 for Benign Neoplasm of Brain

Formula 38 for Benign Neoplasm of Brain/ Sep 24, 2014

Composition:
天麻鉤藤飲 tian ma gou teng yin 4g
炙甘草湯 zhi gan cao tang 2g
葛根黃連黃岑湯 ge gen huang lian huang qin tang 2g
天麻粉 tian ma powder 2g
全蠍粉 quan xie powder 0.8g
肉桂粉 rou gui powder 0.2g
木香 mu xiang 0.8g
火麻仁 huo ma ren 1.2g
牛膝(懷) huai niu xi 0.8g
杜仲 du zhong 1g
枳殼 zhi ke 0.8g
菖蒲(石) shichangpu 0.8g
大黃 da huang 0.1g
蔓荊子 man jing zi 1.5g

Recent prescription 20141113

du zhong 杜仲

Pharmaceutical name 英文藥名﹕Cortex Eucommiae Ulmoidis
Biological name 學名﹕
Eucommia ulmoide Oliv.
Parabarium spp. and Euonymus spp. are also used as substitutes for this  herb
Common Name 英 文普通名﹕eucommia bark
Other Name 別名 ﹕si lian pi 絲連皮，che si pi 扯絲皮，si mian pi 絲棉皮，yu xi pi 玉絲皮，si zhong 思仲
Distribution 分佈 ﹕
western part of Henan, southern part of Shaanxi, eastern part of Gansu, Sichuan, Guizhou, Hubei, and some scattered part of Hunan.
河南西部，陜西南部，甘肅東部，四川，貴州，湖北，湖南亦都有零星分 佈。
Properties (characteristics) 性味﹕
sweet, slightly acrid, and warm
甘，略辛，溫 。
Channels (meridians) entered 歸經﹕
liver and kidney channels
入肝，腎經。
Actions & Indications 功用﹕
Tonic for liver and kidney; strengthening  muscles and bones; and stabilizing pregnancy
1. use in liver and kidney deficiency: chronic pain in lower back and knees, lack of strength, dizziness, impotence, irregular menses and frequent urination.
2. use in weakness during pregnancy, unstable pregnancy, chronic pain in lower back and excessive movements of fetus.
3. use in hypertension
補 肝 腎，強筋骨，安胎。
1. 用於肝腎不足，腰膝疼痛，乏力，眩暈，陽痿，月經不調 ﹐小便頻數等症。
2. 用於孕婦體虛，胎元不固，腰痠，胎動。
3. 用於血壓高
Medical Function 藥理 ﹕
1. effect on circulatory system
2. effect on immune system
3. anti inflammatory effect
4. sedative and anesthesia effect
5. effect on stress
6. effect on uterus
7. diuretic  effect
8. anti-aging effect
9. lowering blood pressure effect.
10. antibiotic effect:.it can inhibit Shigella flexneri, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus aureus, Streptococcus pneumoniae, Bacillus anthracis
11. 對血液循環作用
12. 對免疫作用
13. 抗炎作用
14. 鎮靜止痛作用
15. 抗心理壓力作用
16. 排水作用
17. 抗老作用
18. 降血壓作用
19. 抗菌作用：杜仲水煎劑對結核桿菌，福氏痢疾桿菌，大腸桿菌， 綠膿桿菌，金黃色葡萄球菌，肺炎球菌，炭疽桿菌等有明顯抑制作用
Chemical ingredients 化學成份﹕
1. (1)[(+) -pinoresinol O-Beta-D-glucopyranoside], [+ - pinoresinol di-O-Beta-D-glucopyranoside] [1], (pinoresinol di-beta-D-glucoside) [2], [+) -1-hydroxypinoresinol 4', 4" - di-O-Beta-D-glucopyranoside][3,8],[(+)-1-hydroxypinoresinol 4'-O-Beta-D-glucopyranoside][4], [(+)-1-hydroxypinoresinol 4"-O-Beta-D-glucopyranoside][4,8],[(+)-epipinoresinol][9].
(2)  [liriodendrin, (+) -syringaresinol-di-O-Beta-D-glucopyranoside][1], [(+)-syringa resinol  O-Beta-D-glucopyranoside][3], (syringylglycerol-Beta-syringaresinol ether 4", 4'"-di-O-Beta-Dglucopyranoside0[6,8], [(+)-syringaresinol monoglucoside][9], (syringin)[7].
(3) [- -olivil 4', 4"-di-O-Beta-D-glucopyranoside][3], [(-) -olivil], [(+)-cyclo-olivil][4], [(-) -olivil 4'-O-Beta-D-glucopyranoside], [(-) -olivil 4"-O-Beta-D-glucopyranoside][5], [(-) -olivil 4', 4"-di-O-Beta-D-glucopyranoside][8].
(4)Medioresinol (+) -Medioresinol di-O-Beta-D-glucopyranoside [1,8], Eucommin A[(+) -medioresinol 4'-O-Beta-D-glucopyranoside][3.8], (+) -Medioresinol monoglucoside [9], Hedyotol C 4", 4'"-di-O-Beta-D-glucopyranoside (guaiacylglycerrol-Beta-medioresinol ether 4", 4'" di-O-Beta-D-glucopyranoside)[5, 8].
(5) (cpmoferom)[7], (dehydrodiconife4ryl alcohol-4, gamma'-di-O0betta-D-glucopyranoside[6,8]
erytho-dihydroxydehydrodiconiferyl alcohol, threo-dihydroydehydrodiconiferyl alcohol.
2. eucommiol [10,11], eucommioside [11], eucommioside-I [8,12]
Dosage 用量﹕
12  to 15 g in decoction.
12 ~ 15 克， 煎服。
Samples of formulae 處方舉例 ﹕
- du huo ji sheng tang 獨活寄生湯
- tian ma gou teng yin 天麻鉤藤飲
- you gui wan  右歸丸　
- gu shen an tai yin 固腎安胎飲
Modern Usage 現代應用﹕
1. for rheumatoid arthritis
2. for sciatica
3. for hypertension
1. 風濕性關節炎
2. 坐骨神經痛
3. 血壓高
Cautions禁忌﹕
Not suitable for  patients with yinxu (yin deficient) with heat.
According to Ben Cao Jing Shu, this herb is not suitable for those who are kidney deficient with high heat. If to use it, it should be used with huang bai and zhi mu.
陰虛火旺者不宜。
《 本草經疏 》︰" 腎虛火 熾者不宜用。即用當與黃 柏 ，知 母同入。"
[n] see Research Librarian
(by Joe Hing Kwok Chu)

mu xiang 木香

mu xiang 木香
Qing mu xiang （青木香）a wrong substitute, belongs to Aristolochia family, which is toxic to the kidneys.
Pharmaceutical name 英文藥名﹕Radix Aucklandiae
Botanical name 學名﹕Aucklandia lappa Deene/ Saussurea lappa Clarke/ Inula racemosa, Hook fil (土木香，藏木香)/ Aucklandia costus, Falk
Other Names 別 名﹕
guang mu xiang (orginally those that imported from India and came through Guangdong province), yun mu xiang (those grown in Yunnan province)
廣木香(原為印度產木香﹐經廣東入口)﹐雲木香(於雲南種植的木香)
Common Name 英文名﹕costus root.
Distribution 產地﹕mainly in Yunnan, also in Sichuan and Tibet/ 主產於云南。四川﹐ 西藏也有生產。
Properties (characteristics) 性味﹕acrid, bitter, warm/ 辛﹐苦﹐溫。
Channels (meridians) entered 歸經﹕gallbladder, large intestine, spleen, stomach/ 膽﹐大腸﹐脾﹐胃。
Medical functions 藥理﹕
anti fungus
improves movements of digestive tract, relieves flatulence and pain.
anti HBV antigen[1]
抗真菌
促進胃腸蠕動，緩解胃腸氣脹疼痛
抗乙型肝炎病毒，
Actions & Indications 主治﹕
flatulence and pain in the abdomen, diarrhea, vomiting caused by weak digestion. For bronchitis, digestive tract infection: yeast infection, dysentery, and lack of appetite.
氣滯胸腹脹痛，霍亂吐瀉，痢疾 ，裏急後重，慢性胃腸炎 (細菌或真菌感染)，支氣管炎﹐食慾不振。
Chemical ingredients 化學成份--
Evaporating oil 揮發油：
Aplotaxene/ 雲木香烯 (單紫杉烯)
(+)-β-costol/ (+)-β-木 香醇
Dehydrocostus lactone/ 脫氫木香內酯
Dihydrodehydrocostus lactone/ 二氫脫 氫木香內酯
α- ionone/ α- 紫 羅蘭酮
β-selnene/ β-芹子烯
saussure alactone/ 風毛菊內酯
Costic acid/ 木香酸
Castunolide/ 木香烯內酯
β-costene/ β-木香烯 (α- 木 香烴)
α- costene/ α- 木 香烯 (α- 木 香烴)
β-elemene/ 欖香烯
β-selinene/ 芹子烯
Dihydrocostunolide/ 二氫木香內酯
Costus lactone/ 木香內酯
Friedelin/ 無羈帖
terpenoids type essential oil/  烯帖類精油
Organic ingredients 有機成份：
Palmitic acid/ 棕櫚酸
Linderic acid/ 天台烏藥酸
Also contains 另含：
calcium oxalate/ 草酸鈣
Dosage 用 量﹕3 ~ 10 g.
Samples of formulae 處方舉例﹕
xiang sha liu jun zi tang 香砂六君子湯
gui pi tang  歸脾湯
Toxicity & Cautions 毒素與禁忌﹕
Beware of using the wrong substitute,  qing mu xiang (root of ma dou ling) (Aristolochia delibis Sieb.) is toxic for the kidneys.
Do not use mu xiang in cases of yinxu (yin deficient) condition.
Allergic reaction: mild abdominal pain, itchiness, tightness in chest
area, and diarrhea.
青木香有毒﹐為 馬兜鈴之根﹐對腎 臟有大毒。不可用。
陰虛， 津液不足 者 慎服木香。 不良反應包括：輕微腹痛，發痒，胸悶，腹瀉。
Note: [1] Antiviral Res. 1995 May;27(1-2):99-109.
(by Joe Hing kwok Chu)

ge gen huang qin huang lian tang 葛根黃芩黃連湯

ge gen huang qin huang lian tang 葛根黃芩黃連湯
ge gen qin lian tang 葛根芩連湯
(ge gen huang qin huang lian tang)
By: Joe Hing Kwok Chu

Name of Formula: ge gen qin lian tang (shang han lun)
Application: diarrhea, dysentery, hot and thirsty, arrhythmia, protects against lack of oxygen.
Composition:
ge gen 15 g﹐huang qin 9 g﹐huang lian 9 g﹐zhi gan cao  5 g。
Make into decoction and use as tea.
方名﹕ 葛根芩連湯 (葛根黃芩黃連湯) (傷寒論)
葛根 15 克﹐黃芩 9 克﹐黃蓮 9 克﹐炙甘草  5 克。
水煎服。
主解表清裏，清熱解毒。降低心跳速率﹐抗心率不整及抗缺氧。
主治﹕腹瀉﹐痢疾﹐身熱煩渴等症。

<Wind Heat - Heat>
Ge Gen Huang Qin Huang Lian Tang 葛根黃芩黃連湯
Kudzu, Coptis, and Scutellaria Decoction
Function: releases exterior, clears Heat
Composition:
Ge Gen Radix pueraria 15-24g
Huang Qin Radix scutellariae 9g
Huang Lian Rhizome coptidis 6g
Zhi Gan Cao Honey fried radix glycyrrhizae uralensis 6g
Indications: Wind heat with internal middle jiao heat and LI heat and damp causing dysentery.  It is a taiyang and yangming disease where the exterior has not been completely released and the interior shows excess Heat (with possible dampness).  This may be caused by treatment of an exterior invasion with purgatives which sends the pathogen deeper into the yangming causing fetid diarrhea with a burning anus.  There will be fever and sweating, thirst, T- red with yellow coat, P- rapid, because of the internal Heat, with irritability and a sensation of Heat in the chest. One may also see wheezing.  It is said that this condition is 7/10 interior and 3/10 exterior, hence the concentration on the interior Heat.
Huo xiang zheng qi san may be used in this case if the Heat is not as severe and there is a greater presence of Damp.   Bai tou weng tang may be combined with the ge gen qin lian tang if dysentery is more severe.
References: Shang Han Lun