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Roucongrong (Desertliving Cistanche)---肉苁蓉(powder100g/bottle)

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This medicinal is the fleshy stalk of Cistanche deserticola Y.C.Ma or Cistanche tubulosa(Schrenk)Wight(Fam.Orobanchaceae).It is excavated in spring when the bud is just coming out. After removal of anthotaxy, it is sliced and used in its unprocessed or processed with wine form.

[ Medicinal Properties ]: Sweet, salty,warm; relate to kidney and large intestine meridians.

[ Medicinal Efficacies ]: Tonify kidney yang; replenish essence and blood; moisten bowels to relieve constipation.

[ Clinical Applications ]: 1. Impotence, spermatorrhea, sterility due to cold-uterus, soreness and limpness in knees and lumbus    For impotence, spermatorrhea, due to insufficiency of kidney yang and essence-blood, it is used in combination with Shudihuang and Tusizi, as in the Roucongrong Pills; for sterility due to cold-uterus, it is combined with Lujiao and Danggui; for bone atrophy and inability to move due to kidney deficiency, it is combined with Duzhong and Bajirou, as in the Jingang Pills.

2. Constipation due to intestinal fluid consumption     To treat constipation due to intestinal fluid consumption, it is prescribed with Chenxiang, Huomaren, as in the Runchang Pills. To treat constipation due to deficiency of kidney qi, it is combined with Danggui and Niuxi.

[ Usage and Dosage ]: 10-15g.

[ Precautions ]: This medicinal also functions to invigorate yang and moisten bowels, so it is not recommended for cases of yin deficiency with effulgent fire, diarrhea, as well as constipation due to excess heat in stomach and intestines.

肉苁蓉为列当科植物肉苁蓉Cistanche deserticola Y.C.Ma的带鳞叶的肉质茎。主产于内蒙古、甘肃、新疆、青海等地。春季苗未出士或刚出士时采挖,除去花序。切片生用,或酒制用。

       【药性】甘、咸,温。归肾、大肠经。        【功效】补肾助阳,润肠通便。       
 
【应用】        1.肾阳亏虚,精血不足之阳痿早泄、宫冷不孕、腰膝酸痛、痿软无力。本品味甘能补,甘温助阳,质润滋养,咸以入肾,为补肾阳,益精血之良药。常配伍菟丝子、川断、杜仲同用,治男子五劳七伤,阳痿不起,小便余沥,如肉苁蓉丸(《医心方》);亦可与杜仲、巴戟肉、紫河车等同用,治肾虚骨痿,不能起动,如金刚丸(《张氏医通》)。       
 
 2.肠燥津枯便秘。本品甘咸质润入大肠,可润肠通便,常与沉香、麻子仁同用,治发汗、津液耗伤而致大便秘结,如润肠丸(《济生方》);或与当归、牛膝、泽泻等同用,治肾气虚弱,大便不通,小便清长,腰酸背冷,如济川煎景岳全书》。       
 
【用法用量】煎服,10~15g。        【使用注意】本品能助阳、滑肠,故阴虚火旺及大便泄泻者不宜服。肠胃实热、大便秘结亦不宜服。       
 
【古籍摘要】        1.《神农本草经》:“主五劳七伤,补中,除茎中寒热痛,养五脏,强阴,益精气,多子,妇人 ,久服轻身。”      
 
  2.《日华子本草》:“治男绝阳不兴,女绝阴不产,润五脏,长肌肉,暖腰膝,男子泄精,尿血,遗沥,带下阴痛。”       
 
 3.《本草经疏》:“白酒煮烂顿食,治老人便燥闭结。”       
 
 【现代研究】        1.化学成分:肉苁蓉脂溶性成分经气质联用鉴定出6-甲基吲哚,3-甲基-3乙基己烷。从肉苁蓉中得到水溶性的N,N-二甲基甘氨酸甲脂和甜菜碱等。       
 
 2.药理作用:肉苁蓉水提液小鼠灌胃,能显著增加脾脏和胸腺重量,增强腹腔巨噬细胞吞噬能力,提高淋巴细胞转化率和迟发性超敏反应指数。肉苁蓉对阳虚和阴虚动物的肝脾核酸含量下降和升高有调整作用。有激活肾上腺、释放皮质激素的作用,可增强下丘脑-垂体-卵巢的促黄体功能,提高垂体对LRH的反应性及卵巢对LH的反应性,而不影响自然生殖周期的内分泌平衡。肉苁蓉乙醇提取物在体外温育体系中能显著抑制大鼠脑、肝、心、肾、睾丸组织匀浆过氧化脂质的生成,并呈良好的量效关系。       
 
 3.临床研究:治疗子宫肌瘤显效(浙江中医杂志,1993,28,(1):20)

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