Formula 45 for Benign Neoplasm of Brain

Formula 45 for Benign Neoplasm of Brain/ Jul 20, 2015

苓桂术甘湯 ling gui zhu gan tang 4.5g
普濟消毒飲 pu ji xiao du yin 3g
清瘟敗毒飲(去犀角) Qing Wen Bai Du Yin (qu xi jiao) 2g
龍膽瀉肝湯 long dan xie gan tang 2g
天麻粉 tian ma powder 2g
全蠍粉 quan xie powder 0.8g
肉桂粉 rou gui powder 0.3g
大黃 da huang 0.3g
木瓜 mu gua 0.9g
牛膝(川) niu xi (chuan) 1g
茯苓(白) fu ling (bai) 0.8g
雙鉤藤 shuang gou teng 1.5g
夜交藤 ye jiao teng 1g

ling gui zhu gan tang 苓桂朮甘湯

Name of formula: ling gui zhu gan tang (Shang Han Lun)
Application: 
Bronchial asthma, chronic bronchitis, pleurisy, vertigo (Meniere's syndrome), chronic nephritis, palpitations, heart valve disease, dacryocystitis, hypertension, rhinitis, ear problems, emphysema.
Composition:
fu ling 12 g, gui zhi 9 g, (remove skin) 9 g, bai zhu 6 g,  zhi gan cao 6 g.
Add 1200 c.c. of water. Simmer to 600 c.c. Strain and divide liquid into 3 servings. Drink while warm.
Adjustment of formula:
pixu (spleen deficient) and  emphysema: add  dang shen, huang qi........
Warning: 
This formula is warm. Those with abundance of phlegm and yinxu with fire should use the formula with care.
藥方名： 苓桂朮甘湯 《 傷寒論》
現代應用：支氣管哮喘、慢性支氣管炎、胸膜炎，眩暈 (梅尼爾氏綜合症)、慢性腎炎、心悸、心臟瓣膜症、淚囊炎、高血壓、鼻炎、耳疾、肺氣腫。
組成：茯苓 12克， 桂枝去皮 9克，白朮 6克， 炙甘草 6克。
右四味，以水1200 c.c.，煮取 600 c.c.，去滓，分溫三服。
功效：溫陽健脾，利水滲濕。
主治：痰飲病，胸脅支滿，頭眩心悸，短氣而咳，舌淡苔白膩，脈弦滑。
《加減》
脾虛、肺氣腫：加黨參、黃耆。
頭痛、目眩：加當歸、川 芎。
嘔吐、痰多：加半夏、陳皮。
水腫：加重 茯 苓再加豬苓、澤瀉。
心悸甚：加丹參。
咳喘：加麻黃、射干、葶藶子。
寒甚：加乾薑、附子。
白帶：加黨參、牡蠣。
心氣不足：加紅參，丹參、生地黃。
脾虛濕盛泄瀉：合平胃散。
淚囊炎：加 車前子、黃蓮、名明朗湯。
眩暈（梅尼爾氏綜合症）：加黨參10克，鉤藤 15克，石決明10克。
注意禁忌：本方藥性偏溫，痰飲而 陰虚火旺者慎用。
方義：
本方所治之痰飲病，乃中陽不足，脾運失職，氣不化水，聚濕而成，故治宜溫化利水。方中茯苓健脾滲淡利濕；桂枝溫陽降逆，並助茯苓氣化以行水；白朮健脾燥濕，使中焦健運，則水濕自除；炙甘草，健脾補中，調和諸藥。
辨證要點：胸脅支滿（停飲，慢性胃炎），頭眩心悸，短氣，脈弦滑。
(by Joe Hing kwok Chu )

pu ji xiao du yin 普濟消毒飲

Name of Formula: pu ji xiao du yin (Helping all detox drink) (source of formula: Yi Fang Ji Jie)
Application:
Mumps, erysipelas, acute tonsil inflammation, erysipelas, acute tonsilitis,  suppurative parotitis, , lymphnoditis.
Composition:
huang qin, huang lian 15g each,  niu bang zi, lian qiao, bo he, jiang can, xuan shen, ban lan gen,  jie geng 10 g each, chen pi, ma bo, sheng ma, chai hu, gan cao 6 g.
Adjustment:
（a）If biao xia is obvious, and internal heat is less, reduce huang qin to 6 g, huang lian to 6 g, add jin jie10 g, fang feng 9 g。
（b）If biao xia has been relieved, but internal heat is still strong, remove sheng ma，chai hu.
 (c) If there is constipation, add da huang  10 g.

[藥 方名]： 普濟消毒飲:李東垣《醫方集解》
[主 治]：流行性腮腺炎，丹毒，急性扁桃腺炎，化膿性腮腺炎，淋巴結炎。
[组 成]：黃芩，黃蓮各15克，牛蒡子，連翹，薄荷，僵蚕，玄參，板藍根，桔梗各10克，陳皮，馬勃，升麻，柴胡，甘草各6克。水煎服。
[加減法]
  (a) 如果表邪明顯，裡熱較輕，黃芩用量減為6克，黃蓮減為6克，加入荊芥10 克，防風 9克。
  (b) 如果表邪已解，裡熱仍甚，可去升麻，柴胡。
  (c) 如果兼有大便秘結，可加大黃 10克。(by Joe Hing Kwok Chu)

mu gua 木瓜

Pharmaceutical name 英文藥名﹕Fructus Chaenomelis
Botanical name 學名﹕
 ▪ Chaenomeles Speciosa (Sweet) Nakai
 ▪ Cydonia sinensis Thouin
Other Names 別名﹕chen mu gua 陳木瓜，xuan mu gua 宣木瓜，ben gua 本瓜，chuan mu gua 川木瓜。
Common Name 英文名﹕fruit of flowering quince
Distribution 產地﹕
Anhui, Hubei, Zhejiang, Sichuan.
安徽，湖北，浙江， 四川。
Properties (characteristics) 性味﹕
sour, slightly warm
酸，微温。
Channels (meridians) entered 歸經﹕
liver, spleen.
肝，脾。
Medical functions 藥理﹕
1. regulated autonomous nervous system
2. anti-inflammatory
3. anti-rheumatism
4. anti-diuretic
5. analgesic
6. relieve spastic muscles effect
1. 調節植物神經，
2. 抗炎，
3. 抗風濕，
4. 抗利尿，
5. 鎮痛，
6. 緩解肌肉痙攣等作 用
Actions & Indications 主治﹕
Being used for sciatica, restless leg syndrome, cervical spondylosis, bone spurs,  arthritis, pain in loin and knee joints, beriberi with edema,  lack of strength in legs and knees, rheumatoid arthritis, chronic eczema, acute hepatitis with jaundice, prevent cirrhosis of liver resulting in ascites, spasm of gastrocnemius muscle (calf), vascular headache, for lowering blood lipids and overweight
用於治療坐骨神經痛，不寧腿綜合症，頸椎病，骨質增生，濕痺拘孿，腰膝關節炎疼痛，腳氣水腫，腰腿 腳膝無力，風濕，頑癬，急性黃膽性肝炎，防治肝硬變腹水，腓腸肌痙攣，血管神經性頭痛，降脂減肥。
Chemical ingredients 化學成份﹕
Seven compounds were isolated and the structures of these compounds were identified as oleanolic acid(1), betulinic acid(2), 3-O-acetyl pomolic acid(3), ethyl chlorogenate(4), protocatechuic acid(5), gallic acid(6), kojic acid(7), respectively. Conclusion Compounds 4-7 are isolated from the Chaenomeles genus for the first time.. [1]
分別鑒定為齊敦果酸(oleanolic acid, 1)、白樺酸(betulinic acid, 2)、3-O-乙 酰坡模酸(3-O-acetyl pomolic acid, 3)、綠原酸乙酯(ethyl chlorogenate, 4)、原兒茶酸(protocatechuic acid, 5)、沒食子酸(gallic acid, 6)、麴酸 (kojic acid, 7)。　化合物4~7為木瓜屬中首次分離得到的化合物 。[1]
Daly Dosage 每日用量﹕9 -15 g
Samples of formulae 處方舉例﹕
 ▪ For treatment of spasm of gastrocnemius muscle (calf):
   Composition: mu gua, bai shao,  gan cao.
   Make into decoction and use as tea.
   治療腓腸肌痙攣: 木瓜， 白芍 ， 甘 草。
   水煎服。
 ▪ For treatment of muscles pain, muscle atrophy:
   Composition:  zi jing pi 75 g (stir fry with rice wine), dang gui 18.75 g, chuan niu xi     11.25 g, qiang huo 7.5 g, mu gua 11.25 g
   Use 3 kilograms of good quality rice wine. Use double cook and cook for about an hour. Leave it overnight before using as drinking wine. (Source: Yunnan Materia Medica)
   治筋骨疼痛，痰火 痿軟，濕氣流痰：
   處方：紫 荊皮 二兩(酒炒)，當 歸五錢，川 牛膝三錢，川羌活二錢，木瓜三錢。上好酒 五斤，重湯 （隔水燉）煎一炷香（大若一小時）為度，露一夜，去火毒用。(《滇南本草》)
Toxicity & Cautions 毒素與禁忌﹕
Do not use in cases of cold or influenza. Excessive use may harm the teeth and bones.
外感風寒者忌用。長期過度服用宣木瓜可能對牙齒與骨骼有害。 

Note: the herb "mu gua" is not the same as mu gua eaten as fruit, which is the fruit of the plant Carica papaya.
There is a book, Bare Foot Doctor Manual, publish by U.S. government, lists mu gua as fruit of Carica papaya. It is in correct.
註：藥用的木瓜也叫做宣木瓜，與當水果吃的木瓜不同。水果木瓜是Carica papaya 樹的果實，也叫做番木瓜。有一本美國政府出版的赤腳醫生手冊，把中藥木瓜當作水果木瓜。那是錯誤的。
[1]http://www.ceps.com.tw/ec/ecjnlarticleView.aspx?atliid=603627&issueiid=42235&jnliid=1426
(by Joe Hing Kwok Chu)