Brief introduction of Ermiao powder
2 English reference Ermiao Powder [2 1 Century Bilingual Dictionary of Science and Technology]
Ermiaosan [Committee on Terminology of Traditional Chinese Medicine]. Terminology of Traditional Chinese Medicine (2004)]
There are about 17 kinds of prescriptions of the same name in Ermiao Powder, among which the commonly used prescription is the one recorded in Volume 4 of Danxi Heart Method, which consists of Cortex Phellodendri (fried) and Rhizoma Atractylodis (fried with rice swill). It has the effect of clearing away heat and eliminating dampness, and is mainly used for damp-heat downward flow syndrome caused by damp-heat accumulation. It is a common basic prescription for treating damp-heat downward flow syndrome and is commonly used in modern times.
4 "Danxi Heart Method" Volume Sifang Ermiao Powder "Danxi Heart Method" Volume Ermiao Powder consists of parched Cortex Phellodendri and Rhizoma Atractylodis (parched with rice bran). For the end, two yuan each time, water decoction and ginger juice. Function of clearing heat and drying dampness. Treat downward flow of damp heat, muscle pain, soreness and weakness of feet and knees, or redness and swelling of feet and knees, or excessive leucorrhea. It is often used in patients with damp-heat syndrome such as rheumatoid arthritis and scrotal eczema. If there is qi deficiency, add qi; Blood deficiency and blood supplement; Add ginger juice to those in pain and take it while it is hot; Add a little wine to those who are superficial and full of gas; For those with phlegm-heat, Che Zhou Pill, Daoshui Pill and Shenxiong Pill should be used first, and then taken painfully. Cortex Phellodendri tastes bitter and cold, while Rhizoma Atractylodis tastes bitter, warm and dry. The combination of the two drugs can eliminate dampness and heat, and all symptoms can be eliminated by themselves. This prescription can be found in Volume 9 of Shi Yi De Xiao Fang. [ 1]
Although this prescription has few medicinal materials, it has a wide antibacterial spectrum and strong effect, and should have a certain effect on infectious diseases such as inflammation. Because this prescription has a positive effect on the functions of digestive system and cardiovascular system, it can expand the treatment of digestive and cardiovascular dysfunction complicated by these two kinds of systemic infectious diseases. Literature reports that this prescription has a good curative effect on scrotal eczema. The etiology of eczema is quite complicated, and its therapeutic mechanism needs further discussion. [2]
4. 1 Prescription Cortex Phellodendri (parched) and Rhizoma Atractylodis (parched after soaking in rice swill) in equal parts [3][ 1]
Cortex Phellodendri (parched) and Rhizoma Atractylodis (parched with rice bran) each 15g[4]
4.2 Function Indications: Danxi Heart Method Four Directions Ermiao Powder has the effect of clearing away heat and drying dampness. Main damp-heat betting, pain in bones and muscles, weakness in feet and knees; Or red, swollen, hot and painful feet and knees; Or lower wet sore; And damp-heat leukorrhagia, short and red urine, yellow and greasy tongue coating and other symptoms.
4.3 Usage and dosage of Ermiao Powder are ground into fine powder. Take 3 ~ 9g each time, twice a day, with boiled water and ginger juice. If you are strong, add a little wine to help.
The last two flavors are the end, decoct soup and add ginger juice to take. [4]
4.4 This prescription is mainly used to treat damp-heat syndrome caused by damp-heat accumulation and inflow into bones, legs and veins, and it is appropriate to clear away heat and dry dampness. This prescription takes Cortex Phellodendri as the monarch drug, which can clear away cold and dampness, dry dampness, and dredge the lower energizer, especially suitable for joint pain and soreness of feet and knees. It is a key drug for treating damp-heat of lower energizer, dispersing yin fire, clearing lower energizer and removing dampness of feet and knees. Atractylodes lancea tastes bitter and warm, and is longer than dryness and dampness. The prescription is rigorous, the medicine is less powerful, and the taste of monarch and minister can be reversed, bringing out the best in each other, which is wonderful. [3]
The symptoms treated by this prescription are all caused by damp-heat betting. Damp heat enters the bones and muscles, and the bones and muscles are sore; If attached to the lower limbs, feet and knees will be swollen and painful; Dampness and heat are not excessive, and muscles and bones are slack, so the disease is flaccid; If the pulse is injected into the anterior yin, it is called leukorrhagia or lower wet sore. This is a syndrome of both damp and heat, and infiltration and aromatization are not good. The method of clearing heat and drying dampness by bitter cold is the most suitable. In the prescription, phellodendron amurense is the king, taking its cold to overcome heat, suffering from dryness and dampness, and being good at removing damp heat in the lower energizer. Damp evil comes from the spleen, so I use Atractylodes lancea to dry the dampness and strengthen the spleen, so that the damp evil is not regenerated and removed. The combination of the two drugs can treat both the symptoms and root causes, eliminate damp-heat, and solve various symptoms by themselves. [4]
4.5 Use [3]
1. This recipe is a commonly used basic recipe for treating damp-heat betting syndrome. This recipe can be used to treat flaccidity due to downward flow of damp-heat, or arthralgia, beriberi, leukorrhagia and wet sores caused by damp-heat, mainly manifested as short and red urine and yellow and greasy tongue coating.
2. Addition and subtraction: wet weight is heavier than heat, and Rhizoma Atractylodis is the monarch drug, and the dosage can be greater than that of Cortex Phellodendri; If heat is heavier than dampness, Cortex Phellodendri can be used as monarch drug, and the dosage can be greater than that of Rhizoma Atractylodis. For people who pay equal attention to damp and heat, the two drugs are equivalent. Achyranthis Radix, Fructus Chaenomelis, Cortex Acanthopanacis, and Herba Siegesbeckiae can be added for patients with waist and joint pain. Coicis Semen, Fructus Chaenomelis and Arecae Semen can be added for damp-heat beriberi; Damp-heat leukorrhagia, large amount, adding Poria, Fructus Gardeniae, Coicis Semen and Semen Plantaginis; Radix Gentianae, Rhizoma Alismatis, Semen Phaseoli, and Rhizoma Smilacis Glabrae can be added to lower wet sore. [3] Damp-heat flaccidity syndrome, Herba Siegesbeckiae, Fructus Chaenomelis, Rhizoma Dioscoreae Septemlobae, etc. Can be added to dispel damp heat and strengthen bones and muscles. [4] Add ginger juice and take it while it is hot.
3. Precautions: Yin deficiency or cold and dampness are not suitable for patients. [3] It is not suitable for people with damp heat. [4]
4.6 Modern indications [5]
Indications: It is suitable for patients with arthritis, scrotal eczema, inflammation and other damp-heat diseases.
4.6. 1 Arthritis Arthritis is a heterogeneous disease with joint symptoms and signs caused by the destruction of the integrity of articular cartilage and the pathological changes of subchondral bone plate at the joint edge. The disease is the most common rheumatic disease in middle-aged and elderly people, and its etiology and pathogenesis are not completely clear at present. There are two main reasons: ① General predisposing factors such as heredity, old age, obesity, sex hormones, bone density, excessive exercise, smoking and other diseases. Mechanical factors, such as trauma, abnormal joint morphology, repeated use of some joints for a long time, intense cultural and sports activities, etc., lead to imbalance in cartilage matrix synthesis and catabolism; The injury of subchondral bone plate makes cartilage lose its buffering effect; Local inflammation of joints. The main pathological changes are cartilage degeneration, local softening, rough surface, loss of normal elasticity, local small depression, shedding and so on. Followed by bone erosion, subchondral bone plate is exposed after falling off; The third type is mild synovitis. The main clinical manifestations are joint pain, morning stiffness and adhesion, joint swelling, tenderness and bounce. Rheumatoid arthritis is a manifestation of rheumatic fever, and its etiology and mechanism are mainly the late complications after angina pectoris caused by group A hemolytic streptococcus infection. The antigenicity of the disease is complex, and the molecular structures of various antigens are homologous to those of various organs of the body. The body's anti-streptococcal immune response reacts with human tissues, leading to organ damage. The capsule of streptococcus hemolyticus, an antigen that causes rheumatoid arthritis, is composed of hyaluronic acid, which has common antigenicity with human joints and synovium. This antigen mimics autoantigen and streptococcus antibody to form immune complex, which is deposited in synovium of human joints and produces rheumatoid arthritis. In addition, abnormal cellular immune response is also the main pathogenesis, such as the proliferation response of peripheral lymphocytes to streptococcus antigen is enhanced, the leukocyte migration test induced by this antigen in patients' peripheral blood is enhanced, the proliferation and proliferation response of lymphocytes are reduced, and the function of NK cells is enhanced; The immune response of tonsil monocytes to this antigen is abnormal. At the same time, it is also an important mechanism that group A streptococcus can directly damage joints by producing a variety of exotoxins and enzymes. The main manifestations are exudation and edema of joint connective tissue, large joint mobility, symmetrical redness, swelling, heat and pain, and limited mobility.
4.6.2 *** Inflammation and vulvitis * * Inflammation and vulvitis are common gynecological diseases. The vulva and * * * are adjacent to the urethra and * * *, which are locally moist and easily polluted. Women of childbearing age have frequent sexual life, vulva and * * * are the only way for childbirth and intrauterine surgery, which are easy to be injured and infected; Postmenopausal women have decreased estrogen levels, low local resistance and easy infection; Normal * * *, there are many kinds of bacteria, and maintaining ecological balance does not cause disease. This balance depends on estrogen, lactic acid bacteria and pH (3.8 ~ 4.4), which is called * * * * self-purification; Once this self-purification is broken or invaded by exogenous pathogens, it can lead to inflammation, the main clinical manifestations are increased secretion and vulvar itching. Clinically, it can be divided into nonspecific vulvitis, vestibular adenitis, vestibular gland cyst, trichomonal * * inflammation, vulvocandidiasis, bacterial * * * inflammation, senile * * * inflammation, infantile vulvar * * * inflammation, etc., and most of them are mainly infected by microorganisms such as bacteria.
4.6.3 Scrotal eczema Scrotal eczema is only a manifestation of eczema, which occurs in the scrotum and is characterized by severe itching, various forms of skin lesions, exudation tendency and repeated hair. The etiology of eczema is complex, and it is generally believed that its mechanism is related to allergic reaction. Common diseases are caused by chronic infection focus, endocrine and metabolic changes, blood circulation disorders, mental factors, genetic factors, personal susceptibility and tolerance. In addition, external factors such as cannibalism of some protein substances, pollen inhalation, dust mites, etc. Living environment (sunlight, heat), animal fur and some chemicals can all induce this disease.
4.7 pharmacological effects of Ermiao Powder [2]
4.7. Effect of1on pathogenic microorganisms The main component of monarch drug Cortex Phellodendri is berberine, and its effect of resisting pathogenic microorganisms is similar to that of Rhizoma Coptidis. Its decoction and alcohol infusion have different effects on Staphylococcus aureus, Staphylococcus aureus, hemolytic streptococcus, Streptococcus pneumoniae, Bacillus anthracis, Diphtheria, Escherichia coli, Bacillus subtilis, Pseudomonas aeruginosa, typhoid paratyphoid Bacillus, meningococcus and Vibrio cholerae. Cortex Phellodendri extract and decoction have inhibitory effects on pathogenic dermatophytes such as Trichophyton flavum, Trichophyton floccosum and microsporum canis. It has selective inhibitory effect on hepatitis B surface antigen, influenza virus and coxsackie B3 virus, and its main components are berberine, palmatine, Radix Puerariae, etc. The minister medicine Atractylodes rhizome infusion has star sterilization effect on mycobacterium tuberculosis, Staphylococcus aureus, Escherichia coli, Bacillus subtilis and Pseudomonas aeruginosa, and also has killing effect on mumps virus, Aspergillus flavus and mycoplasma. Atractylodes lancea has a slight antagonistic effect on HIV 1 virus, and fructan in Atractylodes lancea has an obvious preventive effect on white yeast infection. Rhizoma Atractylodis and Cortex Phellodendri can eliminate the R plasmid on Escherichia coli and Shigella dysenteriae, thus preventing the emergence of drug-resistant bacteria.
4.7.2 Effect on digestive system function: Cortex Phellodendri extract and berberine alkaloids contained in it can obviously inhibit gastric juice volume, total acidity and pepsin activity, and have obvious inhibitory effect on gastric ulcer caused by various reasons; Cortex Phellodendri and berberine can enhance intestinal contraction, their flavonoids can enhance intestinal tension and amplitude, and their phellodendron lactone can slow down intestinal movement. At the same time, cypress can promote the secretion of bile and pancreatic juice and promote the excretion of bilirubin. The extract of Atractylodes lancea has obvious antagonistic effect on gastritis and gastric ulcer, obvious preventive effect on gastric mucosal injury caused by hyperacidity, and protective effect on gastric ulcer cells. The decoction of Atractylodes lancea can antagonize the ileal contraction caused by acetylcholine and barium chloride, while the acetone extract of Atractylodes lancea and its β -cineole and cineole can obviously promote gastrointestinal movement, indicating that the decoction of Atractylodes lancea can obviously regulate gastrointestinal movement and promote the synthesis of protein in liver, and the contents of Atractylol, Atractylone and β -cineole have obvious preventive effects on liver cell injury.
4.7.3 Effects on Nervous and Endocrine Functions The monarch drug Cortex Phellodendri not only has antipyretic effect, but also has antipyretic effect; Phellodendrine can inhibit the central nervous system, and Cortex Phellodendri, limonin and Cortex Phellodendri can obviously shorten the sleep time of mice induced by α -chloralkanone and urethane. The volatile oil of Atractylodes lancea has sedative effect on the brain. Atractylodes lancea β -eucalyptol not only blocks the N receptor channel at neuromuscular junction, but also affects the opening and closing of the channel and accelerates the desensitization of N receptor. Atractylodes rhizome decoction can also improve insulin level and reduce blood sugar.
4.7.4 Influence on cardiovascular system function: The monarch drugs, Cortex Phellodendri and Berberine, can enhance myocardial contractility with quick onset, and also have anti-arrhythmia and negative heart rate effects; Cortex Phellodendri, phellodendrine, berberine, etc. It can reduce blood pressure by blocking ganglion, inhibiting vascular center and antagonizing sympathetic nerve, and can increase the pressor response of adrenaline and norepinephrine. At the same time, it has anti-platelet aggregation effect. The ethanol extract of Rhizoma Atractylodis has antagonistic effect on arrhythmia caused by aconitine, barium chloride and cinnamyl piperazine.
4.7.5 Anti-inflammatory and antioxidant effects Berberine contained in the monarch drug Cortex Phellodendri has anti-inflammatory effect, which can inhibit the increase of inflammatory capillary permeability and eliminate edema; The compounds contained in Rhizoma Atractylodis have a strong inhibitory effect on 5-lipoxygenase (5Lox) and cyclooxygenase 1(Cox 1), showing a slight antioxidant effect in clinic.
4.8 Song Fang Er Miao San contains both pale and white, if the cloud is the three wonders of Achyranthes bidentata; The flaccid foot disease can be relieved by taking more drugs, eliminating the symptoms of damp heat and relieving itself. [3]
5 "Fairy Tale" Volume 22 Miao San 5. 1 Prescription Litchi seed (processed) and fennel (fried) are divided equally.
5.2 The law is final.
5.3 Function Indications: Ermiao Powder, Volume II of Fairy Tales, is used to treat cold hernia swelling and pain.
5.4 3 yuan usage and dosage of hollow shochu Ermiao powder.
5.5 Excerpt from "Fairy Year Collection" Volume II
6 "Ye's Gynecology" Volume II Second Wonderful Powder 6. 1 Prescription Rehmannia glutinosa (fried) 2 yuan, Dried Ginger (made) 2 yuan.
6.2 The law is final.
6.3 Function Indications Ermiao Powder, the second prescription of Ye's gynecology, is mainly used to treat miscarriage in pregnancy, bleeding like menstruation, resulting in cell dryness and loss of mother and child.
6.4 The usage and dosage of Ermiao Powder are mixed with rice.
6.5 from Ye's Gynecology Volume II
7. Volume 3-2 Miao San of "Exotic Prescription of Surgery" 7. 1 prescription Atractylodes mollissima 1 kg, Phellodendron chinense 1 kg.
7.2 The method of making a general guess is the last one.
7.3 Functional indications: Ermiao Powder, Volume III of Surgical Zhenfang, is used to treat rheumatic ulcers.
7.4 Usage and dosage of Ermiao Powder are blended with sesame oil.
7.5 Excerpted from the third volume of Surgical Strange Prescriptions.
8 "Ciyou's New Book" Volume 8. 1 Fangzi Meretrix 1 Liang, Huangbai 2 yuan.
8.2 Indications: Miao San, a kind-hearted new book for children, is used to treat ocular retinal hemorrhage.
8.3 Usage and dosage of Ermiao Powder: decocted in water, smoked and washed.
8.4 Excerpt from "A New Book on Kindness to Children", Volume 1
9 "Zhu Ji Fang" Volume Liu Er Miao San 9. 1 prescription Sijunzi decoction 1 post, Huangqi Jianzhong decoction 1 post.
9.2 Indications: Liumian Ermiao Powder in Zhu's Jifang is used to treat hemorrhoids.
9.3 Usage and dosage of Ermiao Powder: add white lentils and reduced Amomum villosum, and fry together.
9.4 Excerpt from Zhu Fangji (Volume VI)
10 "Shi Zhai Bai" volume 18 cited Liu as its name. See Volume 229 cited Ermiao Powder 10. 1 Prescription Snake Retreat 1 (Full and Burnable) and Silkworm Paper 1.
10.2 Function Indications: Selected Works of Zhai's 10 1 Fang, Volume 18 introduces the second wonderful powder of Liu Fang. Major dystocia.
10.3 Ermiao Powder can be used in combination with dosage, just 1. Mix with musk warm wine.
10.4 from cited Liu Volume XVIII. For the name, see Volume 229, Fang Yi Lei Ju cited the joint materials.
1 1 rejuvenation of all diseases, Volume 7, Second Wonderful Powder 1 1. 1 dung beetle prescription is not limited (in June, those who look for cow dung put it away and hide it in the shade with a string).
When using the 1 1.2 method, take 1 piece, put it all on a clean brick, dry it on all sides with charcoal fire, and cut it off from the waist with a knife. If the stool is closed, use the upper part; Urinary closure, use the lower body; Both stools are closed and used. Grinding into fine powder.
1 1.3 is mainly used for treating constipation in children.
1 1.4 usage and dosage of ermiao powder: take a new dose of water and mix it.
1 1.5 from Volume 7 of Rejuvenation of All Diseases.
12 《 Standard for Treatment Based on Syndrome Differentiation and Drug Selection 》, Volume 25: Wonderful Powder 12. 1 Horseshoe Fragrant and Sweet Orange Leaf Prescription.
12.2 Function Indications "Criteria for Syndrome Differentiation and Treatment: Selecting Drugs" Volume 25 Prescriptions: used to indicate the wonderful powder of horse (degassing), which is piled up all over the ground.
12.3 usage and dosage of Ermiao Powder Mash, fry and bind, or fry with pepper wine.
12.4 from the fifth volume of the standard of treatment based on syndrome differentiation and drug selection.
13 prescription Ermiao Powder 13. 1 is composed of Pollen Typhae (parched black) and cuttlebone.
13.2: Ermiao Powder, Jiangnangxiaojie Formula, used to treat tongue swelling and bleeding.
13.3 Usage and Dosage Ermiao Powder was externally applied to the affected area. In addition, gypsum 3 yuan and mint are 5 points, which are contained in the decoction.
The preparation method of 13.4 is fine powder.
13.5 extract of shenhong capsule
14 Volume III of The Year of the Fairy quotes Ermiao Powder 14. 1 from Puji Recipe to form Fructus Cnidii 1, and Calomelas 3 yuan.
14.2 Indications: Ermiao Powder, a prescription quoted from the third volume of Chronicle of Immortals, is used to treat chronic nasal malnutrition.
14.3 usage and dosage of ermiao powder are blended with sesame oil.
The compiling method of 14.4 is final.
14.5 from "The Year of the Fairy", Volume III, "Puji Fang"
15 "Li" Volume Ermiao Powder 15. 1 is composed of Elsholtzia, Lentinus edodes, Magnolia Officinalis, Muzhao, Glycyrrhiza uralensis Fisch, Rhizoma Cyperi, Pericarpium Citri Tangerinae, Rhizoma Atractylodis and Perillae.
15.2 sifangermiao powder, which is mainly used to treat exogenous internal injuries and abdominal distension caused by body heat.
15.3 from Li Medical Guide Volume 4
16 "Puji Fang" Volume 20, the second wonderful powder 16. 1 consists of Pinellia ternata 1 (washed 7 times) and mulberry bark 2.
16.2 Indications: Volume 22 Miao San of Puji Prescription, Indications: five diaphragmatic qi, chest and heart obstruction.
16.3 usage and dosage of ermiao powder: for each serving of 3 yuan, add 3 slices of ginger and 1 cup vinegar water, fry until 7 points, and take it with slight heat.
The compiling method of 16.4 is final.
16.5 from Puji Fang (Volume 204)
17 "Puji Fang" Volume 7 1 quotes the second wonderful powder of Yangjia Tibetan Fang 17. 1, which consists of Angelica sinensis and Radix Rehmanniae Preparata.
17.2 Efficacy Indications: Volume 7 of Puji Formula1Ermiao Powder has the effect of nourishing liver qi. Indications: Halo, blurred vision and tears.
17.3 usage and dosage of ermiao powder 2 yuan mixed with ashless wine, regardless of time.
The preparation method of 17.4 is fine powder.
Calculation and evaluation of body mass index index of human body surface area calculator safety period calculator expected date of delivery calculator Normal weight gain during pregnancy Drug safety classification (FDA) Five elements and eight characters Adult blood pressure evaluation Body temperature level evaluation Diabetes diet suggestion Clinical biochemical common unit conversion basal metabolic rate calculation Sodium supplement calculator Iron supplement calculator prescription common Latin abbreviations Quick check Pharmacokinetics common symbols Quick check Effective plasma osmotic pressure calculator Alcohol intake calculator.
Encyclopedia of medicine, count now!
17.5 from Puji Square Volume 7 1 quoted from Yangjia Tibetan Square
18 "Zhu Ji Fang" Volume One Second Wonderful Powder 18. 1 is composed of Angelica sinensis and dried tangerine peel.
18.2 Efficacy "Zhu Ji Fang" Volume One Second Wonderful Powder has the effect of regulating qi and blood and expelling wind.
18.3 usage and dosage of ermiao powder are mixed with wine.
The compiling method of 18.4 is final.
18.5 from Zhu Fang Ji, Volume 1.
19 The Second Wonderful Powder in Volume 10 of Zhu Jifang 19. 1 is composed of 2 pieces of powder and 2 pieces of Sijunzi decoction.
19.2 Indications: The Second Wonderful Powder, the tenth prescription in Zhu's Prescription Collection, is used to treat metrorrhagia and metrorrhagia of women.
19.3 usage and dosage of ermiao powder: fry for several times before eating Sanhui powder and Shen Si powder.
19.4 from Zhu Fang Ji, Volume X.
20 "Standard for Drug Selection Based on Syndrome Differentiation and Treatment" Five-prescription Second Wonderful Powder (20. 1) is composed of water chestnut and fragrant orange leaves.
20.2 Indication "Criteria for Selecting Doctors Based on Syndrome Differentiation and Treatment", the second wonderful powder of five prescriptions, the attending horse (hold up), has been piled up all over.
20.3 The usage and dosage of Ermiao Powder are mashed, fried, or fried with pepper wine.
20.4 extract