Title: Development of TCM Internal Medicine
1Herbs That Expel the Parasites Herbs That Expel the Parasites
bing lang, shi jun zi, ku lian pi, guan zhong, nan gua zi, da suan
Herbs that for External Application Herbs that for External Application
She Chuang Zi bai fan, liu huang, zhang nao, chan su, feng fang
2Herbs that Expel the Parasites
Bing Lang ?? ----------------------------------
-------------- shi jun zi ???, ku lian pi ???,
guan zhong ??, nan gua zi ???, da suan ??
3Bing Lang ??
4Bing Lang ?? ( warm)
Pharmaceutical Name Arecae Semen
Actions 1. Kills parasites
Actions 1. Promotes the movement of qi, reduces accumulation, and leads stagnation out by mildly draining downward and unblocking the bowels
Actions 2. Promotes the movement of qi and promotes urination
Actions 3. Also used for malarial disorders
Indications ( Excess) Best for treating tapeworms, also useful in killing a wide variety of intestinal parasites
Indications ( Excess) Food accmulation and Qi stagnation with abdominal distention, constipation, or tenesmus
Indications ( Excess) Damp leg qi and edema due to excess
Dosage 6 15 g
Cook
Toxic Sym. Overdosage (30g) may cause toxin side effects salivation, nausea, vomiting
5Bing Lang ??( warm)
Contraindications Collapse of the middle qi
Combinations Combinations Combinations
Indications Formular
Nan Gua Zi ??? Mu Xiang ?? Dislodge and expel parasites
Mu Xiang ?? Qing Pi ?? Food stagnation Qi stag. Mu Xiang Bing Lang Wan ?????
Bai Zhu ?? Mai Ya ?? Sha Ren ?? Food stagnation in patients with Spleen def.
Shang Lu ?? Mu Tong ?? Ze Xie ?? Edema due to excess
Zi Su ?? ChenPi ?? Sheng Jiang ?? Wind-damp leg Qi
6Shi Jun Zi ??? ( warm )
Pharmaceutical Name Quisqualis Fructus
Actions 1. Kills parasites
Actions 2. Strengthens the Spleen and dissolves accumulations
Actions
Indications ( excess ) Especially for killing roundworms and pinworms, can be used by itself for mild cases
Indications ( excess ) Childhood nutritional impairment and for abdominal distention, poor appetite, or weak constipation
Indications ( excess )
Dosage 9 12 g
Cook
Toxic Sym. Abdominal discomfort, hiccough, nausea, vomiting, abdominal pain
Contraindications Dont taken with hot tea diarrhea
7Ku Lian Pi ??? ( cold )
Toxin
Pharmaceutical Name Meliae Cortex
Actions 1. Kills parasites
Actions 2. Also used topically for tinea infections
Actions
Indications ( excess ) Primiarily for infestation of roundworms, hookworms, and pinworms. This is a relatively strong effective herb and can be used by itself
Indications ( excess ) Can be used either as a wash or ground into s powder and made into a thick paste with vinegar
Indications ( excess )
Dosage 4.5 9 g
Cook
Toxic Sym. Toxin dizziness, headeache, nausea, vomiting
Contrainications With caution in those with weak constitutions.
8Guan Zhong ?? ( Cold )
Astringent
Pharmaceutical Name Cyrtomii Rhizoma
Actions 1. Clears heat and resolves toxicity
Actions 2. Cools the blood and dispels stasis
Actions 3. Kills parasites
Indications ( escess ) For a wide variety of toxin problems influenza, maculae due to heat, breast abscess, and dysenteric disorders
Indications ( escess ) Vomiting blood, blood in the stools, dysfunctional uterine bleeding
Indications ( escess ) Intestinal parasites
Dosage 6 - 9 g
Cook
Toxic Sym. Headache, dizzinesss, nausea, vomiting, abdominal pain, diarrhea
Contraindications Pregnancy over dosage
9Nan Gua Zi ??? ( neutral )
Pharmaceutical Name Cucurbitae moschatae Semen
Actions 1. Expels parasites and alleviates pain
Actions 2. Also used for insufficient lactation
Actions
Indications ( Excess ) Tapeworms and roundworms. Used stand-alone herb for this purpose
Indications ( Excess ) Insufficient lactation
Indications ( Excess )
Dosage 30-60g for tapeworm 60 120 g for schistosomiasis the dosage is 120 200 g usually taken with cold water
Toxic Sym. One reported case of anaphylactic shock
10Da Suan ?? ( warm )
Pharmaceutical Name Allii sativi Bulbus
Actions 1. Kills parasites
Actions 2. Disperses abscesses and reduces swelling
Actions 3. Resolves toxicity and kills parasites
Actions 3. Warms the stomach, strengthens the spleen, promotes the movement of Qi, reduces stagnation, and resolves toxicity
Indications ( Excess ) Hookworms and pinworms
Indications ( Excess ) Early stages sores and abscess
Indications ( Excess ) Tinea and other pruritic rashes
Indications ( Excess ) Diarrhea and dysenteric disorders due to epidemic toxins or food stagnation
Dosage 4.5 9 g
Toxic Sym. None noted
Contraindications Yin def. with heat signs
11Herbs that for external application
She Chuan Zi ??? -------------------------------
----------------------- bai fan ??, liu huang
??, zhang nao ??, chan su ??, feng fang ??
12She Chuang Zi ???
13She Chuang Zi ???(warm )
Slightly toxin
Pharmaceutical Name Cnidii Fructus
Actions 1. Dries dampness, kills parasites, and stops itching
Actions 2. Disperses cold, dispels wind, and dries dampness
Actions 3. Warms the kidneys and fortifies the yang
Actions
Indications ( Exc. def. ) Used topically as a wash, powder, or ointment for any kind of weeping, itchy skin lesion
Indications ( Exc. def. ) Vaginal discharge due to cold-dampness or lower back pain due to wind-cold-dampness
Indications ( Exc. def. ) Impotence or infertility due to kidney def. or cold womb
Dosage 3 9 g
Cook
Toxic Sym. Ingestin of just the coumarin fraction can lead to dry mouth, drowsiness
14She Chuang Zi ???(warm )
Contraindications Should not be taken orially in case of damp-heat
Combinations Combinations Combinations
Indications Formular
Bai Fan ?? Huang Bai ?? Vaginal suppository for the itching
Ku Shen ?? Bai Bu ?? Itchy, weeping skin lession
Sang Ji Shen ??? Du Zhong ?? Qin Jiao ?? Lower back leg pain due to cold-dampness
Tu Si Zi ??? Wu Wei Zi ??? Impotence or infertility
Rou Gui ?? Rou Cong Rong ??? Ba Ji Tian ??? Impotence or infertility due to waning of the fire at the gate of vitality
15Bai Fan ?? ( cold )
Astringent
Pharmaceutical Name Alumen
Actions 1. Resolves toxicity, dries dampness, kills parasites, and alleviates itching
Actions 2. Restrains and inhibits sores, generates flesh, and transforms putrefaction
Actions 3. Stops bleeding and alleviates diarrhea
Actions 4. Clears heat and expels phlegm
Indications ( Excess ) External wash for scabies, tinea, and rashes
Indications ( Excess ) Chronic diarrhea, blood in the stool, uterine bleeding
Indications ( Excess ) Wind-phlegm disorders manifested in irritability, delirium, and convulsions
Dosage 1 -3 g in decoctions 0.6 1.5 g in pills and powders
Cook
Toxic Sym. Nausea, dizziness, headache, irritation of the stomach mucosa
Contraindications Weak digestive system
16Liu Huang ?? ( hot )
Toxin
Pharmaceutical Name Sulfur
Actions 1. Resolves toxicity, kills parasites, and stops itching
Actions 2. Tonifies the fire at the gate of vitality and strengthens the yang
Actions
Indications ( Exc. def.) An important topical substance especially for scabies, but also for tinea, damp festering sores
Indications ( Exc. def.) For may types of interior cold yin patterns cold painful lower back, or impotence due to kid. Yang def. constipation or diarrhea in the elderly caused by cold
Indications ( Exc. def.)
Dosage 1 3 g
Cook
Toxic Sym. In high dosage (10 20 g)
Contraindications pregnancy
17Zhang Nao ?? ( hot )
Toxin
Pharmaceutical Name Camphora
Actions 1. Expels wind and dampness and kills parasites
Actions 2. Opens the orifices and expels turbidity
Actions 3. Invigorates the blood and alleviates pain
Indications ( Excess) Scabies, tinea, and itching sores
Indications ( Excess) Delirium and sudden loss of consciousness due to hot disorders
Indications ( Excess) Injuries from falls, fractures, contusions and sprains
Dosage 0.1 0.2 g
Cook
Toxic Sym. The lethal oral dose for infants is 1 g, and for adult is 7 15g, dizziness, headache, sensation of heat
Contraindications pregnancy
18Chan Su ?? ( worm )
Toxin
Pharmaceutical Name Bufonis Venenum
Actions 1. Resloves toxicity, reduces swelling, and alleviates pain
Actions 2. Expels summerheat and dampness, opens the orifices, and awakens the consciousness
Actions 3. Attacks toxins, reduces swelling, resists cancer, and stops pain
Indications ( Excess) Swelling of sores, ulcers, and carbuncles
Indications ( Excess) Extremely turbid summer-heat with abdominal pain, vomiting, diarrhea
Indications ( Excess) Various types of cancer
Dosage 0.01 0.03 g in pills and powders
Cook
Toxic Sym. Overdosage may cause poisoning nausea and vomiting
Contraindications Pregnancy must be kept out from eyes
19Feng Fang ?? (neutral)
Toxin
Pharmaceutical Name Vespae Nidus
Actions 1. Resolves toxicity, expels wind, and alleviates pain
Actions 2. Expels wind, dries dampness, and stops pain and itching
Actions 3. Recently used in the treaatment of variety of tumors
Indications ( Excess) Used topically as an ointment or a wash for skin rash, itching, scabies, tinea, sores, and carbuncles
Indications ( Excess) Wind-damp painful obstruction or wind rash
Indications ( Excess) Tumors
Dosage 3- 6 g in decoction for gargles, which should be used only to rinse the mouth and never swollen
Cook
Toxic Sym. Acute nephritis with headache, back pain, edema
Contraindications Patient with Qi or blood def.