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/

Wednesday, February 4, 2015

di long 地龍

Pharmaceutical name 英文藥名﹕Lumbricus
Botanical name 學名﹕
1. Allolobophora calinosa (Savigny) trapezoides (Ant. Duges)
2. Pheretima asiatica (縞蚯蚓又名:土地龍)
3. Pheretima aspergillum (Perricr) (三環毛蚓又名:廣地龍)
Other Names 別名﹕qiu yin 蚯蚓, guang di long 廣地龍, gan di long 乾地龍
Common Name 英文名﹕earth worm, lumbricus
Distribution 產地﹕Guangdong, Guangxi, Fujian, and throughout China
Properties (characteristics) 性味﹕
salty, cold.
鹹,寒。
Channels (meridians) entered 歸經﹕
stomach, bladder, liver, lung, spleen.
入胃,膀胱﹐脾,肝 ,腎經。
Medical functions 藥理﹕
1. anti-histamine and calming asthma
2. expand bronchi
3. antipyretic
4. sedative and anti-convulsion
5. lower blood pressure
6. diuretic effect
1. 抗組織胺和平喘作用
2. 擴張支氣管
3. 解熱作用
4. 鎮靜抗驚厥作用
5. 降血壓作用
6. 利尿作用
Actions & Indications 主治﹕
1. high fever and spasms, convulsions,
2. painful joints due to arthritis and paralysis,
3. heat type of wheezing/asthma,  (single item of ground up di long can be used )
4. injuries and pain
5. edema and difficulty in urination
1. 高熱抽搐等症。
2. 風濕痹痛,半身不遂等症。
3. 熱症哮喘。可研末單用。
4. 跌打疼痛
5. 小便不利,水腫等症。
Chemical ingredients 化學成份﹕
lumbrofefbrine, lumbritin, terrestro-lumbrolysin, hypoxanthine, xanthine, adenine, guanine, choline, guanidine, ornithine, lysine, serine, proline, glycine, cystine, valine, phenylalanine, tryptophan, neutral lipids, cholesterol, free fatty acids, triglycerides, complex lipids, phosphatidylcholine, phosphatidyl ethanolamine, phosphatidylserine, dehydrogenase isoenzyme, esterase isoenzyme.
Dosage 用量﹕
for decoction: 4 g ~12 g.  In powder form: 2 g to 4 g. Concentrated extract: 0.5 ~ 2 g.
4 g ~12 g,煎服。研末吞服,每次 2 g to 4 g。 濃 縮中藥:0.5~2 g
Samples of formulae 處方舉例﹕
Wheezing cough due to lung heat: di long, ma huang , xing ren , huang qin.
肺熱喘咳:地龍,麻黃,杏仁,黃芩。
Lower back and leg pain due to physical injuries: di long, dang gui, rou gui
腰腿受傷疼痛:地龍,當歸 , 肉桂。
hot painful urinary dysfunction with stones, urine retention, or edema: di long, niu xi,  dong kui zi,  jin qian cao.
尿道熱痛,結石,尿潴留,或水腫:地龍,牛膝,冬葵子,金錢草。
hypertension with liver yang ascending : di long, dan shen  , ci shi (magnetitum)
血壓高而有肝陽 上亢証:地龍,丹參,磁石。
Toxicity & Cautions 毒素與禁忌﹕
large amount can be toxic. Symptoms include headache, dizziness, palpitation, difficulty in breathing, and initially the blood pressure goes up and then goes down, sometimes the digestive tract may show bleeding.
大劑量會有毒。症狀包括頭痛﹐頭暈 ﹐心悸﹐呼吸困難﹐血壓初始上昇然後下降﹐有時消化道會有出血症狀。
(by Joe Hing kwok Chu)

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