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 8, 2015

bai xian pi 白鮮皮

Pharmaceutical name 英文藥名﹕Dictamni Radicis Cortex.
Botanical name 學名﹕
Dictamnus dasycarpus Turcz. (Korean bai xian 朝鮮白鮮)
Dictamnus albus L.
Skimmia repens
Other Names 別名﹕bei xian pi 北鮮皮、shan mu dan 山牡丹、bai tan 白膻
Common Name 英文名﹕burning bush root
Distribution 產地﹕
Mainly in Liaoning, Hebei, Jiangsu, Shanxi, Inner Mongolia, Jilin, also in Heilongjiang.
主產: 遼寧 、河北、山東 ;江蘇 、山西、内蒙古、吉林、黑龍江也有生產 。 。
Properties (characteristics) 性味﹕
bitter, cold.
苦,寒。
Channels (meridians) entered 歸經﹕
spleen, stomach, bladder.
歸脾、胃、膀胱經。
Medical functions 藥理﹕
Antifungal effect
Stimulatory effect on heart and increases cardiac output of frogs. Marked vasospastic  (constriction of blood vessels) effect on rabbit aural blood vessels.
Effect on smooth muscle: stimulates the smooth muscles of the uterus of rabbits and guinea pigs.
Actions & Indications 主治﹕
wet type of eczema, rashes, ringworm, jaundice with dark urine.
功能 清熱燥濕,祛風解毒。 用于濕熱瘡毒,黃水淋漓,濕疹,風疹, 疥癬瘡癩,風濕熱痹,黃疸尿赤。
Chemical ingredients 化學成份﹕
Roots contain 根含:
dictamnine 白鮮鹼
skimmianine 茵芋鹼
γ-fagarine γ-崖椒鹼
preskimmianine 前茵芋鹼
isomaculosindine 異斑沸林草鹼
limonin 檸檬苦素
dictamnolactone 白鮮內酯
obakunone 黃柏酮
dasycarpamin 白鮮明鹼
obacunonic acid 黃柏酮酸
fraxinellone 梣酮
trigonelline 胡蘆巴鹼
choline 膽鹼
b-stosterol b -穀甾醇
acidic substances 酸性物質
saponins 皂甙
Whole plant contains 全株尚含:
aurapten 葡萄柚內酯
bergapten 香檸檬內酯
Portion above ground contains 地上部分還含:
psoralen 補骨脂內酯
xanthotoxin 花椒毒素
evaporating oil 揮發油
Dosage 用量﹕
4.5 g to 20 g. Concentrated extract 0.5 to 2 g. External use: appropriate amount. Boil with water and wash the affect area or make into powder and apply on affected area.
4.5~10克 ;濃縮中藥:0.5~2 克。外用適 量 ,煎湯 洗或研粉敷。
Samples of formulae 處方舉例﹕
For eczema, itchy rash: di fu zi15 g, bai xian pi  9 g, chuan bi bo 12 g, ku shen , ye ju hua 98 g each, sheng di huang 12 g, chi shao yao, dang gui  9 g each. Make into decoction with water. Drink as tea.
治濕疹,癢疹: 地膚子 15g, 白蘚皮 9g,川萆薄12g,苦 參、野 菊 花 各98g,生 地黃12g,赤 芍、當 歸 各9g。 水煎服。(《 中藥臨床應用》除濕消疹湯)  
Toxicity & Cautions 毒素與禁忌﹕
not to use in cases of cold from deficiency.
虚寒者忌用。
(by Joe Hing kwok Chu)

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