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Jili (Puncturevine Caltrop Fruit)---刺蒺藜(powder100g/bottle)

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Jili is the dried ripened seed of Tribulus terrestris L., pertaining to Zygophyllaceae. It is collected in fall when it ripens. The above ground part is collected. After sun dried,the plant is threshed to coleect fruits which are ground to remove the thorn and impurities. It is used after stir-baked to yellow or stir-baked with salty solution.

[ Medicinal Properties ]: Pungent, bitter and slightly toxic; relate to liver meridian.

[ Medicinal Efficacies ]: Pacify liver, relieve depression; activate blood and dispel wind; improve vision, and stop itching.

[ Clinical Applications ]: 1. Hyperactivity of liver yang, dizziness and dizzy vision       Usually it is combined with Gouteng, Zhenzhumu and Juhua.

2. Distending pain in chest and hypochondrium and agalactia with distending pain      It treats distending pain in chest andhypochondrium, in  combination with Chaihu and Xiangfu. Also it treats agalactia with breast pain due to liver depression.

3. Reddish eyes and nebula     Jili is the most significant medicinal to dispel wind and improve vision. It usually treats reddish eyes, tearing and nebula due to wind heat, in combination with Juhua and Manjingzi.

4. Rubella, itching and vitiligo       It treats rubella an itching in combination with Fangfeng and Jinjie. Also by itself, it treats vitiligo after ground for oral administration.

[ Usage and DOsage ]: 6-9g. Also it is used in pill and powder, as well as for external administration.

[ Precautions ]: Be cautious for pregnant woman.

蒺藜为蒺藜科植物蒺藜Tribulus terrestris L.的果实。主产于河南、河北、山东、安徽等地。秋季果实成熟时采收。割下全株,晒干,打下果实,碾去硬刺,除去杂质。炒黄或盐炙用。

       【药性】辛、苦,微温。有小毒。归肝经。        【功效】平肝疏肝,祛风明目。       
 
【应用】        1.肝阳上亢,头晕目眩。本品味苦降泄,主入肝经,有平抑肝阳之功。用于肝阳上亢,头晕目眩等症,常与钩藤、珍珠母、菊花等平肝潜阳药同用。       
 
2.胸胁胀痛,乳闭胀痛。本品苦泄辛散,功能疏肝而散郁结,尚入血分而活血。用治肝郁气滞,胸胁胀痛,可与柴胡、香附、青皮等疏肝理气药同用。若治肝郁乳汁不通,乳房作痛,可单用本品研末服,或与穿山甲、王不留行等通经下乳药配伍应用。       
 
3.风热上攻,目赤翳障。本品味辛,又疏散肝经风热而明目退翳,为祛风明目要药。用治风热目赤肿痛,多泪多眵或翳膜遮睛等症,多与菊花、蔓荆子、决明子、青葙子等同用,如白蒺藜散(《张氏医通》)。       
 
 4.风疹瘙痒,白癜风。本品辛散苦泄,轻扬疏散,又有祛风止痒之功。治疗风疹瘙痒,常与防风、荆芥、地肤子等祛风止痒药配伍;若治血虚风盛,瘙痒难忍者,应与当归、何首乌、防风等养血祛风药同用。《千金方》单用本品研末冲服,治白癜风。       
 
【用法用量】煎服,6~9g;或入丸、散剂。外用适量。       
 
【使用注意】孕妇慎用。       
 
【古籍摘要】        1.《神农本草经》:“主恶血,破癥结积聚,喉痹,乳难。久服,长肌肉,明目。”       
 
 2.《本草求真》:“宣散肝经风邪,凡因风盛而见目赤肿翳,并通身白癜瘙痒难当者,服此治无不效。”       
 
【现代研究】        1.化学成分:本品含脂肪油及少量挥发油、鞣质、树脂、甾醇、钾盐、皂苷、微量生物碱等。       
 
 2.药理作用:蒺藜水浸液及乙醇浸出液对麻醉动物有降压作用;其水溶性部分有利尿作用;蒺藜总皂苷有显著的强心作用、有提高机体免疫功能、强壮、抗衰老等作用;蒺藜水煎液有降低血糖作用;水提取物有抗过敏作用。       
 
3.临床研究:据报道,用蒺藜提取物与乳油、石蜡、甘油制成外用剂,治疗外阴阴道炎、痤疮、疱疹、静脉曲张等,有抗炎、抗病毒和抗菌作用(国外医药·植物学分册,2001,6:275);用鲜蒺藜果实或干蒺藜去刺,粉碎为面,加红糖,用醋调成糊状,外敷治疗疖肿21例,均在3~7日治愈(中西医结合杂志,1983,1:51);用蒺藜煎汤外洗下肢,治疗小儿秋季腹泻60例,获较好疗效(黑龙江中医药,1991,4:36)。       
 
4.不良反应:据国外报道,蒺藜含有一定毒性(其植物中含硝酸钾,摄入体内后被酶还原成亚硝酸钾),中毒后可见乏力,思睡,头昏,恶心,呕吐,心悸,唇、甲、皮肤粘膜呈青紫色,严重者出现肺水肿,呼吸衰竭,以及引起高铁血红蛋白而产生窒息。国内报道,白癜风患者口服蒺藜6g,引起猩红热样药疹。应用本品应注意宜忌,把握剂量,不可过量服用。中毒救治:早期催吐、洗胃、导泻;如过敏者,可给予抗过敏药物;若中毒出现高铁血红蛋白血症时,可给氧,静注细胞色素C等。

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