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/

Friday, November 8, 2013

tian ma gou teng yin 天麻鉤藤飲

Name of Formula:tian ma gou teng yin  (Source: za bing zheng zhi xin yi)
Syndrome: overly active sympathetic nervous system, usually hypertension, palpitation, headache, painful eyes, irritable, easily get angry, dry and rigid stool, dark color urine, dizziness, tinnitus, blurred vision, heat rising to the head, insomnia with many dreams, red tongue, wiry rapid pulse; when severe: numbness, spasm of the limbs, hemiplegia.
This formula is being used with adjustment for primary hypertension, paralysis due to strokes, Meniere's disease and neurasthenia with the above syndromes.
Composition:
tian ma 9 g﹐gou teng,    12 ~15 g﹐ shi jue ming 18 ~24 g﹐zhi zi 9 g﹐
huang qin 9 g﹐yi mu cao 9 ~12 g﹐chuan niu xi 12 g﹐du zhong 9 ~ 12g﹐
sang ji sheng  9 ~ 14 g﹐ye jiao teng 9 ~ 30 g﹐fu shen 9 ~ 15 g。
Adjust the formula according to syndromes. 
肝陽上亢:
表現為自律神經亢進﹐常有高血壓 ﹐心律不整﹐失眠﹐睡眠不寧 ﹐肩頸僵硬 ﹐頭目脹痛﹐心煩易怒﹐情緒急躁 ﹐容易亢奮激動﹐口苦脅痛 ﹐面紅目赤﹐大便乾結﹐小便黃赤﹐舌苔薄黃或紅少﹐頭目脹痛﹐ 脈弦數。嚴重時﹐肢體麻木﹐抽搐﹐半身不遂。
本方加減常用于治療原發性血壓高 ﹐中風半身不遂﹐耳源性眩暈及神經衰弱有上述症候者。
天麻鉤藤飲加減
處方:
天麻 9 克﹐鉤 藤   12 ~15 克﹐ 石決明 18 ~24 克﹐梔 子  9 克﹐
黃 芩 9 克﹐益母草 9 ~12 克﹐川牛膝 12 克﹐杜 仲 9 ~ 12克﹐
桑寄 生  9 ~ 14 克﹐夜 交藤 9 ~ 30 克﹐茯 神 9 ~ 15 克。
隨證加減。
(by Joe Hing kwok Chu)

Formula 28 for Benign Neoplasm of Brain

Formula 28 for Benign Neoplasm of Brain/ Chinese Herbs Therapy

Composition:
天麻鉤藤飲 tian ma gou teng yin 2g
知柏地黃丸 zhi bai di huang wan 2g
柴胡加龍骨牡蠣湯 chai hu jia long gu mu li tang 3g
溫膽湯 wen dan tang 4.5g
天麻粉 tian ma powder 2g
肉桂粉 rou gui powder 0.3g
芍藥(白) shao yao(bai) 1g
黃連 huang lian 1g
蔓荊子 man jing zi 1.5g

Monday, October 7, 2013

Formula 27 for Benign Neoplasm of Brain

Formula 27 for Benign Neoplasm of Brain/ Chinese Herbs Therapy

Composition:
知柏地黃丸 zhi bai di huang wan 1.5g
柴胡加龍骨牡蠣湯 chai hu jia long gu mu li tang 3g
溫膽湯 wen dan tang 4g
天麻粉 tian ma powder 2g
肉桂粉 rou gui powder 0.3g
厚朴 hou po 1.5g
黃連 huang lian 1g
蔓荊子 man jing zi 1.5g
雙鉤藤 shuang gou teng 2g

Saturday, September 7, 2013

Formula 26 for Benign Neoplasm of Brain

Formula 26 for Benign Neoplasm of Brain/ Chinese Herbs Therapy
September 6 changed doctor

Composition:
知柏地黃丸 zhi bai di huang wan 1.2g
柴胡加龍骨牡蠣湯 chai hu jia long gu mu li tang 3g
溫膽湯 wen dan tang 4g
天麻粉 tian ma powder 2g
肉桂粉 rou gui powder 0.3g
厚朴 hou po 1.5g
黃連 huang lian 1g
蔓荊子 man jing zi 1.5g
雙鉤藤 shuang gou teng 2g
藕節 ou jie 0.8g

zhi bai di huang wan 知柏地黄丸

Name of Formula: zhi bai di huang wan
This formula is being made into pill (wan) form, but it can be also make into decoction with raw herbs.

Application: 
yinxu (yin deficient)  and heat is high﹐TB with hot flushes, dry mouth and throat, spermatorrhea, chronic nerve inflammation, chronic kidney inflammation, achy loin and feet, instant sweating and night sweating, heaviness in the head and dizziness, ringing in the ears, difficulty in hearing, dry tongue and pain in the throat, insomnia, night urination, and diabetes with yinxu (yin deficient) condition.

Prescription for decoction:
zhi mu 30 g,  huang bai 30 g,   shu di huang 24 g,  shan zhu yu 12 g,  dan pi 9 g, fu ling 9 g, ze xie 9 g, shan yao 12 g,  Boil with water. One package per day to be taken in two servings.

Adjustment:
Dry mouth and pain in the throat: add xuan shen , jie geng
Achy loin and back: add niu xi, du zhong
Irritable and thirsty: add huang qi  , ren shen

知柏地黃丸
主治﹕ 陰虛有熱 ,肺結核潮熱,咽乾喉痛,遺精 ,慢性神經炎 ,慢性腎炎,腰痛足痠,自汗盜汗,頭量目眩,耳鳴,重聽,舌燥喉痛,不眠症,夜尿症及糖尿病。
處方﹕ 知母﹐黃柏各30克﹐熟地黃 24克﹐山 茱 萸 12克﹐丹皮﹐茯苓﹐澤瀉各9克﹐山藥12克。水煎服。分二次服。
加減﹕
1.口乾咽痛:加 玄 參 ,桔 梗。
2.腰痠背痛:加 牛 膝 ,杜 仲 。
3.虛煩口渴:加 黃 耆, 人 參。
(by: Joe Hing kwok Chu)

ou jie 藕节

藕节为睡莲科植物莲的根茎的节部,止血,散瘀,治咳血,吐血,衄血,尿血,便血,血痢,血崩。
【出处】《药性论》
【拼音名】ǒu Jié
【别名】光藕节(《江苏植药志》),藕节疤(《中药志》)。
【来源】为睡莲科植物莲的根茎的节部。秋、冬或春初挖取根茎(藕),洗净泥土,切下节部,除去须根,晒干。
【生境分布】主产浙江、江苏、安徽。此外,湖北、湖南、山东、河南、江西、福建、河北等地亦产。
【性状】干燥的藕节,呈短圆柱形,长约2~4厘米,直径约2厘米。表面黄棕色至灰棕色,中央节部稍膨大,上有多数残留的须根及根痕,有时可见暗红棕色的鳞叶残基;节两端残留的节间部表面有纵纹,横切面中央可见较小的圆孔,其周围约有8个大孔。体轻,节部质坚硬,难折断。气无,蛛微甘涩。以节部黑褐色、两头白色、干燥、无须根泥土者为佳。
【化学成份】藕节含鞣质、天门冬素。
【炮制】藕节炭:取净藕节置锅内炒至外面呈黑色,内部呈老黄色,稍洒清水,取出,干燥即成。
【性味】
甘涩,平。
①《日华子本草》:冷。
②《纲目》:涩,平,无毒。
③《本草汇言》:味苦涩,气平,无毒。
④《纲目拾遗》:藕节粉:味甘微苦,性平。
【归经】《本草撮要》:入手少阴,足阳明、厥阴经。
【功能主治】止血,散瘀。治咳血,吐血,衄血,尿血,便血,血痢,血崩。
①《药性论》:捣汁,主吐血不止,口鼻并皆治之。
②《日华子本草》):解热毒,消瘀血、产后血闷。合地黄生研汁,(入)热酒并小便服。
③《滇南本草》:治妇人血崩,冷浊。
④《纲目》:能止咳血,唾血,血淋,溺血,下血,血痢,血崩。
⑤《纲目拾遗》:藕节粉:开膈,补腰肾,和血脉,散瘀血,生新血;产后及吐血者食之尤佳。
⑥《本草再新》:凉血养血,利水通经。
【用法用量】内服:煎汤,3~5钱:捣汁或入散剂。
【附方】
①治卒暴吐血:藕节七个,荷叶顶七个。上同蜜擂细,水二钟,煎八分,去滓温服。或研末,蜜调下。(《圣惠方》双荷散)
②治坠马血瘀,积在胸腹,唾血无数者:用生藕节捣烂,和酒绞汁饮,随量用。(《本草汇言》)
③治鼻衄不止:藕节捣汁饮,并滴鼻中。(《纲目》)
④治大便下血:藕节晒干研末,人参、白蜜煎汤调服二钱,日二服。(《全幼心鉴》)
【各家论述】
①《本草汇言》:藕节,消瘀血,止血妄行之药也。邢元璧曰,《日华子》治产后血闷腹胀,捣汁,和热童便饮,有效,盖止中有行散之意。又时珍方治咳血、唾血、呕血、吐血及便血、溺血、血淋、血崩等证,入四生次、调营汤中,亦行止互通之妙用也。
②《医林纂要》:藕节,止吐、衄,淋、痢诸血证。甘能补中,咸能软坚去瘀,涩能敛散固精。又取其通而有节也。
【摘录】《*辞典》

Saturday, August 10, 2013

shuang gou teng 雙鉤藤

Pharmaceutical name 英文藥名﹕Ramulus Uncariae cum Uncis
Botanical name 學名﹕
Ourouparia rhynchophylla Matsum.鉤藤
Uncaria rlynchophylla  (Miq.) Jacks.
Uncaria macrophylla Wall 大葉鉤藤
Uncaria hirsuta Haviland 毛鉤藤
Uncaria sinensis Haviland 華鉤藤
Uncaria sessilifructus Roxb.無柄果鉤藤
Uncaria scandens  (Smith) Hutch. 攀茎鉤藤
Other Names 別名﹕
tiao teng 釣藤 , tiao teng 吊藤 , tiao teng gou zi 鉤藤鉤子,  tiao gou teng 釣鉤藤 , ying zhao feng 莺爪风, ying zao feng 鷹爪風﹐nen gou gou 嫩鉤鉤 , jin gou teng 金鉤藤 , gua gou teng 挂 鉤藤 ,gou ting 鉤丁 , dao gua jin gou 倒挂金鉤 ,  gou er 鉤耳 .
Common Name 英文名﹕
gamdir vine, uncaria stems with hooks
Distribution 產地﹕
Ourouparia rhynchophylla Matsum is distributed in Fujian, Guangdong, Guangxi, Jiangxi, Hunan, Sichuan, Guizhou. The herb is mainly produced in Guangxi, Jiangxi, Hunan, Zhejiang, Guangdong.
Uncaria sinensis Haviland is distributed in Hunnan, Hubei, Guangxi, Sichuan, Guizhou, Yunnan. The herb is mainly produced in Sichuan, Guizhou, Yunnan, and Hubei.
1. 鉤藤分布浙江,福建,廣東,廣西,江西,湖南,四川,貴州等地。藥材主產廣西,江西,湖南,浙江,廣東。
2. 華鉤藤分布湖南,湖北,廣西,四川,贵州,云南等地。药材主產四川,貴州,云南,湖北等地。
Properties (characteristics) 性味﹕
sweet, cool.
甘,凉。
Channels (meridians) entered 歸經﹕
liver, pericardium
歸肝,心包經。
Medical functions 藥理﹕
(1) sedative effect: lower the excitement of CNS helps treatment of epilepsy.
(2) lowering blood pressure effect (but does not cause peripheral vasodilation) but old stems without thorns do not possess the anti-hypertension effect.
(3) anti platelet coagulation
(1) 鎮靜作用﹕降低中樞 神經系統興奮性。
(2) 降血壓作用(但不擴張外圍血管)﹕無刺的老枝不具有降血壓作用。
(3) 抗血小板凝聚。
Actions & Indications 主治﹕
1. for liver yang ascending: hypertension, blurry vision, dizziness and headache
2. for liver heat: swollen and red eyes
3. for liver heat wind syndrome: seizure in small children, influenza with seizure
4. for pre-eclampsia in pregnant women
1. 治肝陽上亢,血壓高,目眩,頭暈頭痛。
2. 清 肝热:目赤腫痛 ,
3. 息肝風:可治熱動肝風,小兒急驚風,感冒夾驚,
4. 婦人子痫。
Chemical ingredients 化學成份﹕
带鉤茎枝叶含 Ramulus Uncariae cum Uncis contain﹕
1. 钧藤鹼 Rhynchophylline
2. 異鉤藤鹼 Isorhynchophylline
3. 柯諾辛因鹼 Corynoxeine
4. 異柯諾辛因鹼 Isocorynoxeine
5. 柯楠因鹼 Corynantheine
6. 二氫柯楠因鹼 Dihydrocorynantheine
7. 硬毛帽柱木鹼 Hirsutine
8. 硬毛帽柱木因鹼 Hirsuteine
9. 異鉤藤鹼  isorhynchophylline 
10.赛雞纳鹼 corynoxeine 
11.異赛雞纳鹼 isocorynoxeine
12.毛帽柱木鹼 hirsutine
13.去氫毛帽柱木鹼 hirsuteine
14.兜花木鹼 corynantheine  
15.二氫兜花木鹼 dihydro-corynantheine 
Dosage 用量﹕
For decoction: 4.5 g to 9 g. Or use in powder form. If using in decoction do not boil for long time. It should be put into the pot during the later stage of decocting. Boiling over 15 minutes will weaken its effectiveness in the lowering blood pressure in liver yang ascending syndrome, and it will not be effective in treating Parkinson's disease. . It is advisable to write down in prescription that the herb should be put in last and cook for only10 minutes.
煎湯:1.5~3錢;或入散劑。入湯劑 不宜久煎,宜 後下。如 煮沸15分鐘以上,其治肝陽上亢 降壓效能顯著减弱,對治帕金森氏症則無效。故忌久煎。
處方時應該註明後下。再煮10分鐘即可起鍋。
Samples of formulae 處方舉例﹕
Over active sympathetic nervous system with hypertension:
tian ma gou teng yin
For rheumatoid arthritis:
gou teng 15 to 24 g
Boil with water for about 15 minutes. Drink as tea while warm.
For Parkinson's disease, depression of middle age and old age people: gou teng san
肝陽上亢﹐自律神經亢進﹐兼有高血壓﹕
天麻鉤藤飲
風濕性關節炎﹕
鉤藤 15克~24克。
加水煎15分鐘。溫服。
帕金森氏症;中,老年人憂鬱症:鉤藤散
Toxicity & Cautions 毒素與禁忌﹕
In animals large amounts can cause damage to the heart and liver and even death.
According to classical writings, "Ben Cao New Edition": "It can damage qi and do not use in cases of deficiencies" and according to  "Ben Cao Cong Xin": "Do not use in cases of lacking fire."
大劑量可導致動物心,肝 ,損傷 而死亡。
《本草新编》: "最能盗氣,虚者勿投。"《本草從新》:"無火者勿服。"
Pre-eclampsia: abnormal condition in pregnancy or postpartum with hypertension, edema, and seizures, cardiac exhaustion, kidney failure, and strokes. If not treated in time it may cause death.
子痫是妊娠高血壓综合症最嚴重的階段,患者會出現抽搐,昏迷,心力衰竭,腎臟功能衰竭等症状,并可發生子宫卒中,腦溢血等并發症,如不及時搶救,可致孕婦死亡。

Formula 25 for Benign Neoplasm of Brain

Formula 25 for Benign Neoplasm of Brain/ Chinese Herbs Therapy

Composition:
柴胡加龍骨牡蠣湯 chai hu jia long gu mu li tang 3g
溫膽湯 wen dan tang 4.5g
天麻粉 tian ma powder 2g
肉桂粉 rou gui powder 0.5g
厚朴 hou po 1.5g
黃連 huang lian 1g
銀花 yin hua 1.5g
蔓荊子 man jing zi 1.5g
雙鉤藤 shuang gou teng 2g

Friday, June 14, 2013

man jing zi 蔓荊子

Pharmaceutical name 英文藥名﹕Fructus Viticis
Botanical name 學名﹕
Vitex rotundifolia Linn. 單葉蔓荊
Vitex trifolia Linn 三葉蔓荊
Other Names 別名﹕jing zi 荊子 
Common Name 英文名﹕vitex fruit
Distribution 產地﹕Shandong 山東, Jiangxi 江西, Zhejiang 浙江, Fujian 福建。
Properties (characteristics) 性味﹕
bitter, acrid, slightly cold.
苦,辛﹐微寒。
Channels (meridians) entered 歸經﹕
liver, stomach, bladder.
肝﹐胃﹐膀胱
Medical functions 藥理﹕
1. sedative effect
2. inhibit pain
3. antipyretic effect
1. 鎮靜
2. 止痛
3. 解熱
Actions & Indications 主治﹕
1. cold from exterior, wind-heat dizziness, headache
2. migraine headache
3. swollen and painful gum
4. wind-heat with swollen and painful red eyes, with excessive tears
1. 外感風熱頭昏﹐頭痛
2. 偏頭痛
3. 齒齦腫痛
4. 風熱目赤腫痛﹐多淚。
Chemical ingredients 化學成份﹕
Leave and fruits of Vitex rotundifolia contain 單葉蔓荊果實和葉含:
Camphene 茨烯
Flavone        黃酮
Pigments 色素
Vitexicarpin 蔓荊子黃素
Rotundifuran 蔓荊呋喃
Agnuside 牡荊
Artemetin 青蒿亭
vitamin A 維生素甲
Fruits of Vitex trifolia 三葉蔓荊果實含:
casticin 紫花牡荊素
α-Pinene α-蒎烯
β-sitosterol- β-麥胚固醇
vitamin A 維生素甲
Dosage 用量﹕
1. Decoction: 6 to 12 g, or
2. make into alcohol extract.
3. External application: smash and apply on affected parts.
1. 煎湯﹕6~12 g
2. 浸酒
3. 外用:搗敷。
Samples of formulae 處方舉例﹕
治清陽不升,目生翳障,耳鳴耳聾﹕益氣聰明湯。 
治風濕痺痛﹕姜活勝濕湯。
Toxicity & Cautions 毒素與禁忌﹕
Use with care in cases of headache, blurry vision with blood deficient  and heat or in cases of pixu (spleen deficient) .
血虛有火之頭痛目眩及脾虛 者慎服。

Formula 24 for Benign Neoplasm of Brain

Formula 24 for Benign Neoplasm of Brain/ Chinese Herbs Therapy

Composition:
柴胡加龍骨牡蠣湯 chai hu jia long gu mu li tang 3g
溫膽湯 wen dan tang 4.5g
天麻粉 tian ma powder 2g
肉桂粉 rou gui powder 0.5g
沒藥 mo yao 0.8g
乳香 ru xiang 0.8g
厚朴 hou po 1.5g
桂枝 gui zhi 0.8g
黃連 huang lian 1g
銀花 yin hua 1.5g
蔓荊子 man jing zi 1.1g