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/

Monday, December 8, 2014

xuan shen 玄参

Pharmaceutical name 英文药名:Radix Scrophulariae Ningpoensis
Biological name 拉丁學名:Scrophularia mingpeonsis Hemsl.
Common Name 英文名:ningpo figwort root, scrophularia
Other Names 別名:
yuan shen, hei shen, hei xuan shen
元参,黑参,黑玄参。
Distribution 分佈:
Zhejiang, Hubei, Jiangsu, Jiangxi, Sichuan
浙江,湖北,江蘇,江西,四川。
Properties (characteristics) 性味﹕
salty, sweet, bitter, cold
味﹕鹹﹐ 甜﹐苦。性﹕寒
Channels (meridians) entered 歸經﹕
kidney, lung stomach
腎﹐肺﹐胃
Actions & Indications 主治﹕
cooling blood, promote yin, rid of toxin and heat,and soothing the throat.
清熱解毒,滋陰除煩,利咽喉 。
Medical Function 藥理﹕
1. Effect on heart and blood vessels: lower blood pressure due to vasso-dilation, especially in renal hypertension.
2. Anti bacterial effect:
3. Effect on concentration of blood sugar
4. Anti inflammatory effect
5. Sedative effect
6. Anti-pyretic
1. 擴張血管
2. 抗菌
3. 降低血醣
4. 抗炎
5. 解熱
6. 鎮靜
Chemical ingredients 化學成份:
harpagoside, harpagide, aucubin, 6-methylcatapol, ningpogoside A, B, mingpogenin scropoliside A, angoroside, trace amount of evaporing oil, glucose,  oleic acid, linoleic acid, stearic acid, carotene and saponins.
Dosage per day 每日用量﹕9 to 30 g
Samples of formulae 處方舉例:
1. For infection with high fever, red tongue, & thirst: xuan shen, sheng di huang, mai dong, jin yin hua, lian qiao and huang liang. Boil with water to make tea.
2. For habitual constipation: xuan shen 15 g, dang gui 14 g, tian hua fen 15 g, lai fu zi 30 g. Make into powder. Take 6 g each time, 3 times a day. 10 days is one treatment.  Result: among 96 patients, using 1 to 3 treatments, 86 were healed; 7 were effective and 3 were not effective.
3. For cold with sore throat
1. 感染而有高熱,舌紅,口渴:玄参,生地黄, 麥東 , 金銀花, 連翹,黄連。.水 煎服。
2. 長期便秘:玄参15 g, 當歸 14 g, 天花粉 15 g, 萊菔子30 g。共為末。每次服6 g。每天3次。十日為一療程。 療效:96病例。用1~3療程。86痊愈。7例 有效。3例無效。
3. 感 冒喉痛
Cautions禁忌:
not to use in cases of spleen or stomach dampness without heat (huo) , or diarrhea due to pixu.
Some sources mentioned that xuan shen is incompatible with huang qi, gan jiang, da zao, li lu, ku shen and shan zhu yu.
li lu, ku shen and xuan shen may trigger irregular heart rate. The combinations of the herb may intensify the effect.
脾虛泄瀉者或寒濕而無火者忌用。
藜蘆,苦參及玄參三者均易引致心律失常,血壓下降等反應,配伍應用可能增強毒性作用。
(by Joe Hing Kwok Chu)

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