Pharmaceutical name: Cortex Moutan Radicis
Biological name: Paeonia suffruticosa Andr.
Common Name: peony root
Distribution: throughout China, especially in Anhui, Henan, Sichuan, Hunan, Shaanxi, Shandong, Gansu, Guizhou
Properties (characteristics): acrid, bitter, mildly cool
Channels (meridians) entered: heart, liver, kidney
Actions & Indications: clears heat and cools the blood, clears fire of yin deficiency, clear blood stasis and rid of clots, drain pus and reduces swelling due to blood stasis.
Medical Function:
1. effect on circulation
2. anti micro organism
3. anti inflammatory, and effect on immune system
4. effect on CNS
5. effect on secretion of water and sodium when dosage is increased. Low dosage does not have effect on secretion of potassium. At highest dosage secretion of potassium is decreased.
Chemical ingredients:
paeonol, paeonoside, paeonolide, apiopaeonoside, paeoniflorin, ozypaeoniflorin, benzoylpaeoniflorin, benzoyl-oxypaeoniflorin, gallic aid, 1,23,4,6-pentagalloylglucose
Dosage: 6 to 12 g
Samples of formulae: to be loaded
Modern Application:
1. purpura due to low platelet count
2. infectious diarrhea
3. hypertension
4. allergenic rhinitis
5. cholinergic hives
Cautions:
not to use in cold disorder, pregnancy, excessive menstruation, bleeding, yinxu (yin deficient) with night sweat.
Not compatible with tu si zi , bei mu, da huang, and da suan
(by Joe Hing Kwok Chu)
牡丹皮,簡稱「丹皮」,是一種中草藥,即牡丹的根皮。牡丹皮味道苦辛,中醫理論認為其性微寒,具有涼血、清熱、散瘀的功能。中醫上用來主治血熱發斑、吐血、鼻衄、勞熱骨蒸、經閉癥瘕、瘡癰腫痛及腸癰腹痛等。在化學成分上,丹皮含有牡丹酚和牡丹皮原苷,其中牡丹皮原苷經水解後產生牡丹皮苷和牡丹皮酚,具有解熱鎮痛、抑菌和降壓的作用。(維基百科,自由的百科全書 - Wikipedia)
【性味歸經】
苦、辛,微寒。歸心、肝、腎經。
【功效】
清熱涼血,活血散瘀。
【主治】
1. 用於斑疹吐衄。本品微寒,能清營分、血分實熱,有涼血止血之功。治溫病熱入營血,迫血妄行,發斑發疹,吐血衄血,多與生地黃、赤芍同用。
2. 用於溫邪傷陰,陰虛發熱。本品辛寒,善於清透陰分伏熱。多用治溫病後期,邪伏陰分,津液己傷,夜熱早涼,熱退無汗之證,常與鱉甲、生地黃、知母等同用,如青蒿鱉甲湯。
3. 用於血滯經閉,痛經痞瘕,跌打損傷。本品又能活血行瘀。治血滯經閉、痞瘕等,常與桃仁、赤芍、桂枝同用,如桂枝茯苓丸;治跌打損傷,瘀腫疼痛,常與當歸,桃仁、乳香等同用。
4. 用於癰瘍腫毒,腸癰腹痛。本品苦寒,清熱涼血,散瘀消癰。用治火毒熾盛,癰腫瘡毒,可與金銀花、連翹、蒲公英等同用;用治腸癰初起,多配伍大黃、桃仁、芒硝等,如大黃牡丹皮湯。
【文獻別錄】
1.《本經》:「主寒熱,中風瘈瘲、痙、驚癇邪氣,除堅癥瘀血留舍腸胃,安五臟,療癰瘡。」
2.《珍珠囊》:「治腸胃積血,衄血,吐血,無汗骨蒸。」
3.《本草綱目》:「治血中伏火,除煩熱。」
【用法用量】
煎服,6~12g,散熱涼血生用,活血散瘀酒炒用,止血炒炭用。
【注意禁忌】
血虛有寒,月經過多及孕婦不宜用。
【現代藥理】
本品含牡丹酸、牡丹酸甙、牡丹酚原甙、芍藥甙、揮發油及植物甾醇等。
□丹皮酚及糖甙成分均有抗炎作用。
□丹皮酚有鎮靜、降溫、解熱、鎮痛、解痙等中樞抑制作用;
□又水煎液、丹皮酚及除去丹皮酚的水煎液,均有明顯降壓作用。
□其煎劑對痢疾桿菌、傷寒桿菌等多種致病菌及致病性皮膚真菌均有抑制作用。
□丹皮酚還可使動物子宮內膜充血,有通經作用,並有抗小鼠早孕作用;
□丹皮酚尚有抗潰瘍及抑制胃液分泌的作用。
(醫砭‧沈藥子)
Medical Records: JUN 2000 suffered from obstructive hydrocephalus (Taichung Veterans General Hospital)/ 4 SEP 2003 Taichung Veterans General Hospital confirmed suspect subarachnoid cyst 34×12mm(inference 30×10×10mm at 28 AUG)/ 29 SEP 2003 Chang Gung Memorial Hospital Linkou Branch surgery to remove the brain tumor, diameter of 47.5mm/ FEB 2007 benign neoplasm of brain/ DEC 2010 China Medical University Hospital Cancer Center for the Chinese medical treatment.
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
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
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