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 7, 2014

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)

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