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Gusuibu (Fortune's Drynaria Rhizome)---骨碎补(powder100g/bottle)

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It is the dried rhizome of Drynaria fortunei (Kunze) J.Sm.,family Polypodiaceae. It isharvested and collected all year-round. Its impurities are removed, and it is washed clean. Then It is cut into segments and dired. It can be used in a raw, or scladed with sand, form.

[ Medicinal Properties ]: Bitter, warm; relate to kidney and liver meridians.

[ Medicinal Efficacites ]: Activate blood and treat trauma; tonify the kidney and strengthen the bones.

[ Clinical Applications ]: 1. Trauma, broken tendon and fracture and bleeding of incised wound       To treat trauma, it can be taken orally, alone soaked in liquor and at the same time ground into powder for external application. Also, it can be combined with Xuduan, Tubiecong and Ruxiang. For a broken tendon and fracture and incised wound, it is usually combined with Zirantong and Moyao.

2. Lumbar pain, tinnitus and durative diarrhea due to kidney insufficiency         For lumbar pain and feebleness, due to kidney insufficiency, it is usually used together with Buguzhi and Niuxi. In cases of tinnitus and deafness due to kidney insufficiency, it can be taken individually simmered in a pig's kidney or combined with Shudihuang and Shanzhuyu. For the treatment of durative diarrhea due to kidney insufficiency, it can be used together with Buguzhi and Yizhi, as well as simmered in a pig's kidney.

[ Usage and Dosage ]: 3-9g. In the fresh form, 6-15g. The appropriate amount is used for external application.

[ Precautions ]: Be cautious to use with Patients who have yin-deficiency with effulgent-fire. It should be used carefully with Patients without blood-stasis.

骨碎补为水龙骨科植物槲蕨Drynaria fortunei(Kunze)J.SM.或中华槲蕨D.baronii(Chrise)的根茎。前者产于浙江、湖北、广东、广西、四川;后者主产于陕西、甘肃、青海、四川等。全年均可采挖,以冬春两季为主。除去叶及鳞片,洗净,润透,切片,干燥。生用或砂烫用。

【药性】苦,温。归肝、肾经。        【功效】活血续伤,补肾强骨。       
 
1.跌打损伤或创伤,筋骨损伤,瘀滞肿痛。本品能活血散瘀、消肿止痛、续筋接骨。以其入肾治骨,能治骨伤碎而得名,为伤科要药。治跌扑损伤,可单用本品浸酒服,并外敷,亦可水煎服;或配伍没药、自然铜等,如骨碎补散(《圣惠方》)。      
 
  2.肾虚腰痛脚弱,耳鸣耳聋,牙痛,久泄。本品苦温入肾,能温补肾阳,强筋健骨,可治肾虚之证。治肾虚腰痛脚弱,配补骨脂、牛膝,如神效方(《圣惠方》);治肾虚耳鸣、耳聋、牙痛,配熟地、山茱萸等;治肾虚久泻,既可单用,如《本草纲目》以本品研末,入猪肾中煨熟食之;亦可配补骨脂、益智仁、吴茱萸等同用以加强温肾暖脾止泻之效。        此外,本品还可用于斑秃、白癜风等病证的治疗。       
 
【用法用量】煎服,10~15g。外用适量,研末调敷或鲜品捣敷,亦可浸酒擦患处。        【使用注意】阴虚火旺,血虚风燥慎用。       
 
【古籍摘要】        1.《药性论》:“主骨中疼痛,风血毒气,五劳六极,口手不收,上热下冷,悉能主之。”      
 
  2.《开宝本草》:“主破血,止血,补伤折。”       
 
 3.《本草纲目》:“治耳鸣及肾虚久泻,牙痛。”       
 
【现代研究】        1.化学成分:含有柚皮苷、骨碎补双氢黄酮苷、骨碎补酸等。       
 
 2.药理作用:水煎醇沉液有预防血清胆固醇、甘油三脂升高、并防止主动脉粥样硬化斑块形成的作用;骨碎补多糖和骨碎补双氢黄酮苷够降血脂和抗动脉硬化的作用。骨碎补能促进骨对钙的吸收,提高血钙和血磷水平,有利于骨折的愈合;改善软骨细胞,推迟骨细胞的退行性病变。此外,骨碎补双氢黄酮苷有明显的镇静、镇痛作用。       
 
 3.临床研究:报道用骨碎补治疗传染性软疣。以70%乙醇浸泡骨碎补,48小时后洗滤,涂于疣体上,每日2次,治疗27例软疣,16例治愈,8例好转,无效3例,总有效率88.9%(陕西中医,1986,7(10):460)。也有用骨碎补治疗链霉素副反应的报道:每日用骨碎补30g,菊花12g,钩藤12g,治疗53例,有效率98.1%(新中医,1986,(11):30)。      
 
  此外,骨碎补外用治疗寻常疣和鸡眼。       
 
4.不良反应:大剂量煎服会引起中毒,主要表现为口干、多语、恐惧感、心悸胸闷,继则神志恍惚、胡言乱语、时而欣快,时而悲泣(中草药不良反应及防治。       

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