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

xia ku cao 夏枯草

Pharmaceutical name 英 文藥名﹕Spica Prunellae Vulgaris
Other Names:
bang chui cao, tie she cao, da tou hua, xia ku tou
棒槌草,鐵色草,大頭花,夏枯頭  なし
Common Name 英文名﹕Common Selfheal plant
Distribution 產地﹕
Mainly in Jiangsu, Anhui, Henan and throughout China.
主產於﹕ 江蘇﹐ 安徽﹐ 河南。分佈於全中國 各地。
Properties (characteristics) 性味﹕
acrid, bitter, slightly cold
辛﹐苦﹐微寒
Channels (meridians) entered 歸經﹕
liver, gall bladder.
入肝﹐膽二經。
Actions & Indications 用途﹕
1. goiter
2. tuberculosis of lymph nodes (scrofula)
3. eyes sensitive to light, tears, painful at night,
4. breast cancer
5. headache and dizziness
6. scrofula
7. hypertension
8. facial paralysis
9. tuberculosis of the lungs
10. vaginal infection
11. excessive bleeding during menopause
12. pain and ache of the muscles and bones
13. acute hepatitis
14. Herpes simplex I & II
1. 甲狀腺腫
2. 瘰癭瘤 (淋巴結核)
3. 乳癰乳癌
4. 目珠夜痛 
5. 羞明流淚
6. 頭目眩暈
7. 口眼歪斜
8. 筋骨疼痛
9. 肺結核
10. 急性黃疸型傳染性肝炎
11. 血崩
12. 血壓高
13. 帶下
14. 庖疹病毒 I 型,II 型。
Medical functions 藥理﹕
1. diuretic effects: because of its high content of potassium salt.
2. lowering blood pressure effect
3. antibiotic effect
4. antifungal effect
5. anti-inflammatory effect: it enhances the synthesis and secretion of adrenocortical hormone.
6. inhibiting immune system effect: using xia ku cao injectiones for under skin injection, it can obviously shrink the thymus glands and spleens of lab animals, and can increase the sizes their adrenal glands.
1. 利尿作用﹕因含有豐富的鉀鹽之故。
2. 降壓作用。
3. 抗菌作用﹕有不同程度的抑制痢疾桿菌,傷寒桿菌,霍亂弧菌,大腸桿菌,變形桿菌,葡萄球菌及人型結核桿菌作用。
4. 抑制真菌作用。
5. 抗炎作用﹕其抗炎效應與腎上腺皮質中糖皮質激素合成,分泌的加強有密切關係。
6. 免疫抑制作用﹕以夏枯草 注射液皮下注射,可使動物胸腺,脾臟明顯萎縮,腎上腺明顯增大,血漿皮質醇水平明顯升高,表明其是一種免疫抑制劑。
Chemical ingredients 化學成份﹕to be loaded
Dosage 用量﹕9  to 15 g, or up to 30 g when used by itself.
Samples of formulae 處方舉例﹕
Acute infectious kerato-conjunctivitis: use xia ku cao 15 g, ju hua 15 g, pu gong ying 30 g. Make into decoction and use as tea.
肝火旺而引起的目赤腫痛 (急性結膜炎,流行性角膜炎) 用夏枯草五錢,菊 花15克,蒲公英30克,水煎服
Cautions 禁忌﹕
use caution in cases of pixu (spleen deficient). Long term usage can cause irritation for the stomach. If long term usage is necessary, add  dang shen and bai zhu to the formulae being used.
Decoction of xia ku cao can raise the value of ALTand AST. This shows that xia ku cao can be toxic to the liver.
脾虛者小心服用。久服對腸胃會有刺激。如需長服﹐可酌加 黨 參﹐白 朮。
夏枯草水提物使小鼠ALT和AST值 明顯升高,說明夏枯草有肝臟毒性作用。
Application:
1. Hypertension and arteriosclerosis: xia ku cao 1000 g, boil and make extract, strain. Repeat 3 times. Mix the 3 batches of extract. Add some honey. Boil and reduce into paste. Store in refrigerator. Take 1 spoon, twice a day with warm boiled water. This therapy can maintain the blood pressure in normal range. Animal studies showed that xia ku cao can slow down the formation arterial sclerosis, lowered blood lipids, and had good result in treating cardiovascular diseases. [1]
2. Acute tonsillitis: for acute infection: xia ku cao 30 ~ 60 g, boil and make extract. Strain. Repeat 2 times. Mix the extract. Use it in one day. Sip slowly so that the liquid can stay in the throat longer to contact the affect area.
3. Amnesia: xia ku cao 15 g, ban xia 12 g. Make into decoction. One dose a day for 10 day.
4. Whooping cough: xia ku cao 15 g, san bai pi 10 g, huang qin  9 g, di gu pi   9 g, pi pa ye 10 g, cha di long 9 g, jiang can 10 g. gan cao   3 g. Make into decoction. One dose a day.
5. Coughing blood due to TB of the lungs and bronchial dilation
6. Chronic headache: xia ku cao, ge gen, make into decoction.
7. Herpes I & II treatment: topical application.
現代應用:
1. 防治高 血壓及動脈粥樣硬化
 中國中醫研究院廣安門醫院陳鼎祺,讓肝陽上亢型高血壓病患者用夏枯草1000克,煎3次去渣,加適量蜂蜜熬成膏,放冰 箱內冷藏,每天早晚各服1匙,溫開水送服,使其血壓能持久穩定於正常范圍。動物實驗表明夏枯草能延緩主動脈中粥樣斑塊的形成,對降血脂, 治療冠心病動脈硬化有良好功效。
2. 治療急性扁桃體炎
 取夏枯草苦寒之性以清熱毒,取其辛味以發散風熱,消散郁結,用於治療風熱邪毒搏結於咽喉所致的急性扁桃腺炎。臨床以夏枯草30-60克 ,水煎2次,混合藥液後一日內頻頻服完,服時徐徐咽下,以延長藥液在咽部的滯留時間,使藥直接作用於病灶處,有很好的作用。
3. 治失眠
 治精神萎靡,夜難入眠,甚則通宵達旦,心煩易怒,易驚易夢,舌質紅,脈細數。証屬郁火內擾,陽不交陰之候。藥用夏枯草15克,半夏12克 ,水煎服,日1劑,連服10劑。
4. 治療百日咳
 百日咳臨床症狀以痙攣性咳嗽為主症,咳時涕淚皆出,滿面通紅,似肝火刑肺之咳狀。夏枯草清肝熱,泄肝火,平肝氣,疏通氣結,使肺金不 受其刑。治法以夏枯草15克,桑白皮10克,黃 芩9克,地骨皮 9克,枇杷葉10克,炒地龍9克,僵蠶10克,甘 草3克,水煎服,日1劑 ,治療小兒百日咳,可獲良效。
5. 治療肺結核,支氣管擴張之頑固性咯血
 用夏枯草30克,百部20克,黃 芩12克,杏仁12克,代赭石12克,治療久治不愈之咯血。
6. 治頑固性頭痛
    夏枯草配葛根,升降結合治頭痛。巔頂及項後風池處,皆肝膽經循行之處。夏枯草清肝膽,使循經上炎之郁火直折,還可起引經作用,引諸藥直達 病所,配葛根升發清陽,止痛解肌,可使頑固性頭痛沉疴痊愈。
Scrofula : A form of tuberculosis affecting the lymph nodes, especially of the neck, that is most common in children and is usually spread by unpasteurized milk from infected cows. Also called struma. (Source: American Heritage Dictionary)
[1] 中國中醫研究院廣安門医院陳鼎祺
(by Joe Hing kwok Chu)

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