Trichosanthin
(Lei Gong Paozhi Lun)
[synonyms] Trichosanthes kirilowii root (Ben Jing), Trichosanthes kirilowii root (Lei Gong Pao Zhi Lun), Baiyao (Ben Cao Tu Jing), Ruixue (Gang Mu), tiangua powder (Essays of Chongqing Tang), pollen (identification of added fake medicine), shigua root (records of Sichuan Traditional Chinese Medicine), Trichosanthes kirilowii powder and Trichosanthes kirilowii powder (Pharmacology).
[source] it is the root of Trichosanthes kirilowii. The plant morphology is detailed in the article "Trichosanthes kirilowii".
[collection] both in spring and autumn, and autumn is the best. After digging out, clean the soil, scrape off the coarse skin, cut it into sections, and then cut the coarse one into two, and dry it in the sun. Then knock off the yellow layer to make it white; or use sulfur yellow to make it white.
[herbal medicine] the dry roots are irregular cylindrical, 5-10 cm long and 2-5 cm in diameter, with yellowish white to light brown surface, wrinkled, and fine root marks. It is strong and heavy, powdery and not easy to break. The longitudinal section is white with yellow vascular bundles, and the transverse section is white with light brown vessel group streaks. It is slightly bitter after the taste is light. It is better to be white, powdery, tender and full-bodied, followed by brown and more fiber.
It is produced in most parts of the country. It is mainly produced in Shandong, Anhui, Shandong, Guizhou, etc. Henan is known as "Anyang pollen" for its high yield and high quality.
In addition, the roots of Trichosanthes kirilowii are also used as Trichosanthin in Guangxi. The plant morphology is detailed in the article "Trichosanthes kirilowii".
[processing] remove impurities, separate large and small pieces, soak about 60% in water, take out, moisten until the humidity inside and outside is even, slice and dry in the sun; or wash with water, take out, dry in the sun until extremely dry, and pound into small pieces.
[flavor] sweet, bitter, sour, cool.
① Ben Jing: "it tastes bitter and cold. "
② Bielu: "non toxic. "
③ "Compendium": "sweet slightly bitter acid, slightly cold. "
[channel tropism] entering lung and stomach channels.
① "Lei Gong processed medicine solution": "into the lung, heart, spleen, stomach, small intestine five meridians. "
② "Into the foot Shaoyin kidney meridian, foot Taiyang bladder meridian, hand Shaoyin heart meridian. "
Functions and indications: generate fluid, quench thirst, reduce fire, moisten dryness, discharge pus and detumescence. Treatment of fever, thirst, thirst, jaundice, lung dryness, hemoptysis, carbuncle, hemorrhoids and fistula.
① Ben Jing: "the main thirst, body heat, full of trouble, great heat, fill the void and ease the middle, continue to Jue injury. "
② Bielu: "in addition to chronic heat in the intestines and stomach, Badan has yellow face, dry lips, dry mouth and shortness of breath. Tongyueshui is convenient. "
③ Rihuazi materia medica: "it can dredge the small intestine, discharge pus, detumescence and poison, promote muscle growth and meat growth, and eliminate blood stasis caused by flapping. Treatment of fever, mastitis, hair back, hemorrhoids, fistula, furuncle. "
④ "Diannan Materia Medica": "it can treat carbuncle, sore, swelling and poison, and stop coughing and blood. "
⑤ "Treatment of partial hernia" in herbal medicine Mengluo. "
⑥ Ben Cao Zheng: "cool heart and lung, relieve heat and thirst. It can reduce the heat phlegm on the diaphragm and eliminate the carbuncle and swelling toxin in the breast. "
⑦ Yilin zuanyao: "invigorating the lung, astringing Qi, reducing fire, calming the heart, simultaneously reducing liver depression, relieving liver urgency, clearing bladder heat, stopping heat drenching, short urine count, eliminating Yang Ming dampness and heat. "
⑧ Modern practical Chinese medicine: "as a spreading agent, it can treat skin eczema, sweat spots and abrasions. "
[usage and dosage] for internal use: decoction, 3-4 Qian; or into pills, powder, external use: grind powder, sprinkle or adjust the application.
[should avoid] spleen and stomach deficiency and cold, stool slide and discharge should not be taken.
① "The Chinese wolfberry is used to make it. It's not dried ginger. Achyranthes bidentata, dry lacquer. Anti Aconitum. "
② According to the classic of Materia Medica, "those who have spleen and stomach deficiency and cold as catharsis should not take it. "
③ "Ben Cao Hui Yan" says: "after sweating, those who are thirsty due to dead fluid should not throw it in vain; those who are thirsty due to yin deficiency and fire can not carry on body fluid should not apply it in general. "
④ "This Jing meets the original": "where the color of phlegm spoon is clear and thin, do not use it. "
⑤ "To match the materia medica": "stomach deficiency wet phlegm, Yang for thirst, disease in the table is prohibited. "
[prescription selection] ① for Lily disease and thirst: Trichosanthes kirilowii root, oyster (boil), etc. To disperse, drink and take Fangcun dagger. (Yonglei qianfang)
② To cure thirst: dig the root of Trichosanthes kirilowii deeply, peel it until it is white, cut it inch by inch, soak it in water for one day and one night, change water for five days, take it out, crush it, grind it, filter it with silk bag, and dry it with powder method. Water service square inch dagger, three, four days, can also be made powder porridge, cheese in the food, no limit to how much, take the difference, stop. (Qian Jin Fang)
③ In order to cure diabetes, we should remove the heat and excess of intestines and stomach: five liang of Trichosanthes kirilowii root and ginger, two liters of raw Ophiopogon japonicus (with juice), two liters of reed root (cut) and three liters of Mao root (cut). (Qian Jin Fang)
④ Treatment of black Dan disease: trichosanthes root a Jin, mash juice Liuhe, Dunfu, with yellow water since childhood, if not, and then with. (simple formula)
⑤ Treatment of children suddenly yellow, complexion and skin and yellow: raw Trichosanthes trichosanthes root mash juice two, honey, a teaspoon, two warm phase and, sub service. (guanglifang)
⑥ Treatment of deficiency heat cough: one or two trichosanthin, three ginseng money. At the end of the day, each serving one money, rice soup. (Linhu jijianfang)
⑦ Carbuncle is not broken: Trichosanthes kirilowii root, red beans, etc. For the end, vinegar to spread. (Zheng Lei Ben Cao)
⑧ Treatment of stomach and duodenal ulcer: one or two trichosanthin, five Fritillaria, ten eggshells. Grinds the noodles, each takes two money, the boiled water delivers. (Handbook of commonly used Chinese herbal medicines in Liaoning)
⑨ Treatment of carbuncle: Trichosanthes trichosanthes root, bitter wine boil dry, pound screen. Bitter wine and paper. (dietotherapy materia medica)
⑩ Treatment of nipple ulcer: two pairs of trichosanthin, research powder, egg white transfer application. (selected materials of new medical treatment of Chinese herbal medicine, Inner Mongolia)
(11) treatment of postpartum breast blowing, swelling and pain, light for jealous milk, heavy for carbuncle: trichosanthes root one or two, frankincense one money. For the end, warm wine tune down, each serve two money. (Yonglei qianfang)
(12) treatment of pemphigus: trichosanthin, talc, etc. For the end, water transfer liniment. (Tang Ji Fang)
To cure Myrica rubra tianpao: four taels of trichosanthin, four taels of chuanxiong, one or two taels of Huaihua. For the end, rice paste pill, Wuzi big. Each hollow ginger soup under seven, 80 pills. (simple formula)
(14) treatment of traumatic injuries, chest pain unbearable, cough for many years: no matter how much trichosanthin, take two money each time, take it with gypsum bean curd bittern. (materia medica of Southern Yunnan)
Treatment of sore rash into the eye into Yi: trichosanthes root half Liang, snake skin two money. On the same fine powder, with a sheep liver, batch open, two money into the end of medicine, Ma zhanding, rice hogwash cooked, frequency and food. If they can't eat the liver, they will eat more. (on Yan's prescriptions for children)
[clinical application] for induction of labor
It has the advantages of high curative effect, simple method, less bleeding and so on. Preparation and usage: 1. Trichosanthin for injection: before injection, use normal saline to dilute trichosanthin to the concentration of 2 μ g / ml, take 0.05 ml and inject it into the skin of flexor side of forearm, observe the skin test results after 20 minutes, if it is negative, inject 0.2 mg trichosanthin into deep muscle for trial test, observe for 2 hours, if there is no reaction, inject 5-8 mg trichosanthin into deep muscle. According to the observation of 2000 cases of mid term pregnancy, stillbirth and overdue abortion, the success rate is about 95%, and the effect of stillbirth is more prominent. Average time of induced labor: the second trimester pregnancy is generally about 6 days, and the stillbirth is within 3-5 days. After injection, there are usually side effects such as fever, headache, sore throat, joint pain, neck activity disadvantage, local pain and erythema, a few rashes, nausea and vomiting, individual urticaria, angioneurotic edema, chest tightness, shortness of breath, abdominal distension, hepatosplenomegaly, and even anaphylactic shock. Severe reactions should be rescued in time to avoid adverse consequences; generally mild reactions can disappear spontaneously after 2-3 days, which can be alleviated by promethazine treatment. Patients with heart, liver and kidney diseases, severe anemia and psychosis should be cautious. Second, take 1 g of Trichosanthin and 0.5 g of pig tooth soap powder, add water to make a paste, bandage it with gauze, and put it into the posterior fornix of vagina. After 24 hours, it can force the second trimester pregnancy, stillbirth, overdue abortion, grape shaped yikuai to discharge naturally. General bleeding is not much, pain is not big, after smooth. 147 cases were applied, the success rate was 93.2%. Take 70-80 mg of POLLENIN and 40 mg of odontogenin, mix them and put them into capsules. Take 1 capsule and put it into the posterior fornix of vagina. Generally, chills, fever, joint pain and other side effects appear after 12-24 hours, lasting about 2 days. The body temperature, pulse and blood pressure should be measured 4 hours after administration. If the body temperature exceeds 38.5 ℃ or the blood pressure is lower than 90 / 60 mmHg, desensitization and symptomatic treatment should be given immediately to avoid accidents. It is advisable to drink more water during medication. Generally in 3 ~ 6 days can be natural childbirth. 1046 cases were observed, 973 cases were successful at one time, the success rate was 93%. However, the side effects of the two three two methods are serious, and they are rarely used now.
Chinese PinYin : Tian Hua Fen
Trichosanthin