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Daxueteng/Hongteng ( Sargentgloryvine Stem )---大血藤/红藤(powder100g/bottle)

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Hongteng( daxueteng ) is the dried stem of Sargentodoxa cuneata ( Oliv ) Rehd. et Wils., pertaining to Lardizabalaceae. Also it is known as Daxueteng. It is collected in fall and winter. After the branch is removed, it is cut into segment. After dired , it is cut into thick slices. The raw form is used.

[ Medicinal Properties ]: Bitter and neutral; relate to large intestine and liver meridians.

[ Medicinal Efficacies ]: Clear heat, relieve toxicity; activate blood, stop pain; dispel wind and unblock collateral.

[ Usage and Dosage ]: 9-15g. Also it is used externally.

[ Precautions ]: Be cautious for pregnant woman.
 
[ Clinical Applications ]: 1.Intestinal abscess, abdoinal pain, heat toxin, ulcers and sores     Hongteng is good at resolving stagnation in testines, so it is the most significant medicinal to treat intestinal abscess. it treats abdominal pain in intestinal abscess, in combination with Taoren and Dahuang. Also it treats sores and ulcers due to heat toxin, in combination with Lianqiao and Jinyinhua.
 
2. Traumatic injuries, amenorrhea and dysmenorrheal   It treats stagnant blood, swelling and pain in traumatic injuries, in combination with Gusuiba and Xuduan. In case of amenorrhea and dysmenorrheal, it is in combination with Dangui anad Xiangfu.
 
3. Arthralgic pain    For arthralgic pain, pain in lumbar and legs, unsmooth movement of joints, it is in combination with combination with Duhuo and Fangfeng.

大血藤/红藤,为木通科植物大血藤Sargentodoxa cuneata (oliv.) Rehd. et wi1s.的干燥藤茎。又称红藤。主产江西、湖北、湖南、江苏、河南、浙江、安徽、广东、福建等地区。秋、冬二季采收,除去侧枝,截段,干燥。切厚片,生用。
      
【药性】苦,平。归大肠、肝经。       
 
【功效】清热解毒,活血,祛风,止痛。       
 
【应用】        1.肠痈腹痛,热毒疮疡。本品苦降开泄,长于清热解毒,消痈止痛,又入大肠经,善散肠中瘀滞,为治肠痈要药,也可用于其他热毒疮疡。用治肠痈腹痛,常与桃仁、大黄等药同用;用治热毒疮疡,常与连翘、金银花、贝母等药同用,如连翘金贝煎(《景岳全书》)。       
 
2.跌打损伤,经闭痛经。本品能活血散瘀,消肿,止痛。用治跌打损伤,瘀血肿痛,常与骨碎补、续断、赤芍等药同用;用治经闭痛经,常与当归、香附、益母草等药同用。       
 
3.风湿痹痛。本品有活血化瘀,祛风活络止痛之作用,广泛用于风湿痹痛,腰腿疼痛,关节不利,常与独活、牛膝、防风等药同用。       
 
【用法用量】煎服,9~15g。外用适量。       
 
【使用注意】孕妇慎服。       
 
【古籍摘要】        1.《本草图经》:“攻血,治血块。”        2.《简易草药》:“治筋骨疼痛,追风,健腰膝,壮阳事。”       
 
【现代研究】        1.化学成分:本品含大黄素、大黄素甲醚、β-谷甾醇、胡萝卜苷、硬脂酸、毛柳苷、右旋丁香树脂酚二葡萄糖苷,右旋二氢愈创木脂酸,大黄酚,香草酸以及对香豆酸-对羟基苯乙醇酯和红藤多糖、鞣质。       
 
 2.药理作用:本品煎剂对金黄色葡萄球菌及乙型链球菌均有较强的抑制作用,对大肠杆菌、白色葡萄球菌、卡他球菌、甲型链球菌及绿脓杆菌,亦有一定的抑制作用。本品水溶提取物能抑制血小板聚集,增加冠脉流量,抑制血栓形成,提高血浆cAMP水平,提高实验动物耐缺氧能力,扩张冠状动脉,缩小心肌梗塞范围。       
 
3.临床研究:据报道,本品及其制剂广泛用于急性单纯性、早期化脓性阑尾炎、阑尾脓肿以及粘连性肠梗阻,有较好疗效。红藤尚可用于其他多种疾病,如:用红藤20g与活血化瘀药同用,内服并结合灌肠治疗盆腔炎122例,总有效率97.54%(浙江中医杂志1998,5:211);用红藤合剂(红藤、败酱草、紫草为主药)治疗子宫内膜异位症80例,使痛经消失,子宫、附件肿块缩小,总有效率为90.63%,CA-125卵巢癌相关抗原转阴率为70%(中医杂志1999,9:547);以红藤为主药配合枳实、大黄、生山楂等药治疗急性胰腺炎,疗效可靠(中药临床新用,2001:51)。
 
此外,红藤还可用于输卵管炎性阻塞性不孕、卵巢囊肿、慢性化脓性骨髓炎、胆道蛔虫、风湿性关节炎等。       

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