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Baijiangcao ( Herba Patriniae )---败酱草(powder00g/bottle)

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Baijiangcao is the dried whole plant of Patrinia scabiosaefolia Fisch. ex Link or Patrinia villose Juss., pertaining to Valerianaceae. The whole plant is collected in summer and fall. After the earth and sands are removed, it is washed and then dried in the shade or sun dried. It is cut into segments. The raw form is used.

[ Medicinal Properties ]: Pungent, bitter and slightly cold; relate to stomach, large intestine and liver meridians.

[ Medicinal Efficacies ]: Clear heat, relieve toxicity; cure abscess, drain pus; dispel stasis, stop pain.

[ Usage and Dosage ]: 6-15 g. Also it is used externally.

[ Precautions ]: Avoid with poor appetite and diarrhea due to weaknessof spleen and stomach.
 
[ Clinical Applications] : 1. Intestinal abscess, lung abscess, abscess, swelling, sore and toxin    Baijiangcao is the most significant medicinal to treat intestinal abscess with abdominal pain. It treats early stage of intestinal abscess, manifesting as abdominal pain and constipation, in combination with Mudanpi and Taoren. Also it treats pus formation in intestinal abscess, in combination with Yiyiiren and Fuzi; for example in yiyiren Baijing Powder. It treats coughing pus and blood due to lung abscess, in combinaiton with Yuyxingcao and Lugen.
 
2.Postpartum stasis and abdominal pain    It trets postpartum stasis and stabbing pain in abdomen, in combination with Wulingzhi and Xiangfu.
 
Also, it can treat reddish and swollen eyes with pain due to liver heat as well as dysentery.

败酱草为败酱科植物黄花败酱Patrinia scabiosaefolia Fisch. ex Link.、白花败酱P. villose Juss.的干燥全草。白花败酱草. 别名 苦菜、叶菜、苦叶菜、野苦菜、四季菜、萌菜、真萌菜、癞头婆、梅树草、火罐草 来源 为败酱科败酱属植物白花败酱Patrinia villosa, 以全草、根状茎、根入药。 全国大部分地区均有分布,主产于四川、河北、河南、东北三省等地。夏、秋季采收,全株拔起,除去泥沙,洗净,阴干或晒干。切段,生用。
      
【药性】辛、苦,微寒。归胃、大肠、肝经。       
 
【功效】清热解毒,消痈排脓,祛瘀止痛。       
 
【应用】        1.肠痈肺痈,痈肿疮毒。本品辛散苦泄寒凉,既可清热解毒,又可消痈排脓,且能活血止痛,故为治疗肠痈腹痛的首选药物。用治肠痈初起,腹痛便秘、未化脓者,常与金银花、蒲公英、牡丹皮、桃仁等同用;若治肠痈脓已成者,常与薏苡仁、附子同用,如薏苡附子败酱散(《金匮要略》)。本品还可用治肺痈咳吐脓血者,常与鱼腥草、芦根、桔梗等同用。若治痈肿疮毒,无论已溃未溃皆可用之,常与金银花、连翘等药配伍,并可以鲜品捣烂外敷,均效。       
 
2.产后瘀阻腹痛。本品辛散行滞,有破血行瘀,通经止痛之功。如《卫生易简方》单用本品煎服,或与五灵脂、香附、当归等药配伍,用于治疗产后瘀阻,腹中刺痛。        此外,本品亦可用治肝热目赤肿痛及赤白痢疾。       
 
【用法用量】煎服,6~15g。外用适量。       
 
【使用注意】脾胃虚弱,食少泄泻者忌服。       
 
【古籍摘要】        1.《名医别录》:“除痈肿,浮肿,结热,风痹不足,产后疾痛。”       
 
2.《本草纲目》:“败酱,善排脓破血,故仲景治痈,及古方妇人科皆用之。”      
 
  3.《本草正义》:“此草有陈腐气,故以败酱得名。能清热泄结,利水消肿,破瘀排脓。惟宜于实热之体。”       
 
【现代研究】        1.化学成分:黄花败酱根和根茎含齐墩果酸,常春藤皂苷元,黄花龙芽苷、胡萝卜苷及多种皂苷;含挥发油,其中以败酱烯和异败酱烯含量最高;亦含生物碱、鞣质等。白花败酱含有挥发油,干燥果枝含黑芥子苷等;根和根茎中含莫罗念冬苷、番木鳖苷、白花败酱苷等。       
 
 2.药理作用:黄花败酱草对金黄色葡萄球菌、痢疾杆菌、伤寒杆菌、绿脓杆菌、大肠杆菌有抑制作用;并有抗肝炎病毒作用,能促进肝细胞再生,防止肝细胞变性,改善肝功能。尚有抗肿瘤作用。其乙醇浸膏或挥发油均有明显镇静作用。       
 
3.临床研究:败酱草常用于多种急性感染性疾病,对感冒、流行性感冒、流行性腮腺炎以及急性化脓性扁桃体炎、肺炎、急性阑尾炎、急慢性盆腔炎、急性胰腺炎、慢性结肠炎等均有较好疗效。据报道,本品尚可用于其他疾病,如:用败酱草鲜品大剂量水煎服,或水煎熏洗坐浴,或以鲜品捣烂外敷,治疗肛周脓肿、嵌顿痔、肛裂、肛瘘炎性期、痔出血、血栓痔炎、术后肛门水肿等肛肠疾患均获满意疗效(四川中医1998,7:44);另用本品水煎液洗浴治疗痱毒及化脓性皮炎48例,疗效显著(中医外治杂志1999,2:14);也有以鲜败酱草叶捣烂成糊状外敷或取汁涂擦患处,或将鲜叶中乳白色汁涂擦患处,治疗扁平疣,1~2周疣体即可消退(新中医1999,9:42)。
此外败酱草还可用于克山病,急性黄疸型传染性肝炎,肾积水,肾绞痛等。       
 
 4.不良反应:据报道,个别病人服黄花败酱后有口干和胃部不适等反应。大量应用,易引起暂时性白细胞减少和头昏、恶心。在用白花败酱注射液试治的134例急性细菌性炎症中,有3例分别于用药的2、5、7天时白细胞降至2200~2800之间,停药一周左右恢复正常。       
 
【其他】据本草记载,上述败酱科植物应为败酱草正品,但在北方地区习惯将菊科植物苣荬菜(北败酱)Sonchus brachyotus DC.的带根全草作为本品使用;在南方地区习惯将十字花科植物菥蓂(苏败酱)Thiaspi arvense L.的带果全草做为败酱草使用。应注意鉴别。        附药 墓头回        为败酱科植物异叶败酱Patrinia heterophylla Bunge及糙叶败酱P. seabra Bunge,的根。主产山西、河南、河北、广西等地。秋季采挖,去净茎苗,晒干。味辛、苦,性微寒。效用与败酱草相似,兼有止血、止带的功效,多用于治疗崩漏下血、赤白带下等证。用法用量同败酱草。       

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