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ShéChuángZi (Cnidii /Common Cnidiuni Fruit)---蛇床子

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Product Description

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It is the mature fruit of one-year herbage of Cnidium monnieri(L.) Cuss., family Umbelliferae. It is collected in summer and autumn when the fruit is ripe, and dried in the sunshine. The raw form is used for medication.

[Medicinal Properties]: Pungent, bitter, warm and slightly toxic; relate to the kidney meridian

[Medicinal Efficacies]: Kill parasites and relieve itching; dry dampness and dispel wind; warm kidney and strengthen yang.

[Clinical Applications]:

  1. Pudendum itching, eczema, acariasis     This medicinal is the one of commonly used medicinals to treat pruritic diseases for external use. It is decocted alone to wash the local area, or together with Kushen, Huangbai and Baifan. Nowadays, it is often applied to treat trichomonal vaginitis clinically. 

      2. Leukorrhea of cold-damp type, lumbago caused by damp-Bi Syndrome      It has the function of strengthening yang and dispelling cold, drying dampness and dispelling wind. In treating leukorrhea of cold-damp type, it is used together with Shanzhuyu, Cheqianzi; In treating lumbago of damp-Bi Syndrome due to cold-dampness with kidney-yang deficiency, it is combined with Shanyao, Duzhong and Niuxi.

      3. Impotence due to kidney deficiency, sterility due to uterus cold     The medicinal has the strong function of warming kidney and strengthening yang. It is often combined with medicinals of warming kidney, nourishing kidney and replenishing essence.

[Usage and Dosage]: 3-9g. Its amount should be proper for external application. It is usually decocted to wash or ground into powder and mixed with water.

[Precautions]: It is not suitable to take orally for those with hyperactivity of fire due to yin deficiency or those patients with dampness and heat in the lower energizer.

[Medicinal Comparison]:

[Similarities]: Both of Shechuanzi and Difuzi have the function of relieve itching, it can treat exudative ulcer, eczema, pudendum itching and leucorrhea.

[Differences]: But Shechuangzi has the function of dispelling cold and drying dampness, killing parasites and relieving itching, it is suitable to treat syndrome of cold dampness or deficiency-cold, and acariasis; it also has the function of warming kidney and strengthening yang, indicated for impotence, sterility due to uterus cold, and lumbago caused by damp-bi Syndrome. Difuzi has the function of clearing heat and draining damp to relieve itching, especially for syndrome of damp-heat, indicaed for dysuria, heat stranguria with astringent pain.

蛇床子为伞形科植物蛇床Cnidium monnieri(L.)Cuss. 的成熟果实。全国各地均产,以河北、山东、浙江、江苏、四川等地产量较大。均为野生,夏、秋二季果实成熟时采收,除去杂质,晒干。生用。

       【药性】辛、苦,温。有小毒。归肾经。        【功效】杀虫止痒,燥湿,温肾壮阳。       
 
【应用】        1. 阴部湿痒,湿疹,疥癣。本品辛苦温燥,有杀虫止痒,燥湿诸作用。为皮肤及妇科病常用药,常与苦参、黄柏、白矾等配伍,且较多外用。治阴部瘙痒,与白矾煎汤频洗,如《濒湖集简方》;现临床治滴虫性阴道炎较常用。《千金方》则单用本品研粉,猪脂调之外涂,治疗疥癣瘙痒。       
 
 2.寒湿带下,湿痹腰痛。本品性温热可助阳散寒,辛苦又具燥湿祛风之功。治带下,腰痛尤宜于寒湿兼肾虚所致者,常与山药、杜仲、牛膝等同用。       
 
 3.肾虚阳痿,宫冷不孕。本品温肾壮阳之功亦佳。如《千金方》在30首治肾虚阳痿精冷方中,用蛇床子方达半数以上,且内服、外用均有。亦常配伍当归、枸杞、淫羊藿、肉苁蓉等治疗阳痿无子,如赞育丹(《景岳全书》)。        【用法用量】外用适量,多煎汤熏洗或研末调敷。内服3~9g。       
 
【使用注意】阴虚火旺或下焦有湿热者不宜内服。       
 
【鉴别用药】蛇床子、地肤子均可止痒,用治湿疮、湿疹、阴痒、带下。但蛇床子可散寒燥湿,杀虫止痒,宜于寒湿或虚寒所致者,并治疥癣;而地肤子为清热利湿以止痒,尤宜湿热所致者。再有,蛇床子又温肾壮阳,治阳痿、宫冷不孕以及湿痹腰痛;地肤子清热利湿之功又治小便不利、热淋涩痛。       
 
【古籍摘要】        1.《神农本草经》:“主男子阴痿湿痒,妇人阴中肿痛,除痹气,利关节,癫痫,恶疮。”       
 
2.《药性论》:“治男子、女人虚,湿痹,毒风,顽痛,去男子腰疼。浴男子阴,去风冷,大益阳事。主大风身痒,煎汤浴之瘥。疗齿痛及小儿惊痫。”       
 
【现代研究】        1.化学成分:果实含挥发油1.3%,已从油中分得27个成分。还含香豆精类等成分,如蛇床明素,花椒毒素等。       
 
 2.药理作用:蛇床子能延长小鼠交尾期,增加子宫及卵巢重量;其提取物也有雄激素样作用,可增加小鼠前列腺、精囊、提肛肌重量。对耐药性金黄色葡萄球菌、绿脓杆菌及皮肤癣菌有抑制作用;可延长新城鸡瘟病毒鸡胚的生命;杀灭阴道滴虫。所含的花椒毒酚有较强的抗炎和镇痛作用。另外,还有抗心律失常,降低血压,祛痰平喘,延缓衰老,促进记忆,局麻,抗诱变,抗骨质疏松,杀精子等作用。       
 
 3.临床研究:据报道,用蛇床子或经适当配伍治疗急性渗出性皮肤病、疥疮、黄水疮、湿疹等多种疾病,疗效满意。近年还报道:如将蛇床子与苍耳等制成“皮肤净”针剂,每次肌注2ml,日2次,治疗皮肤瘙痒症607例,有效率83.6%(临床皮肤科杂志,1983,1∶15);用蛇床子、冰醋酸、乙醇再加水制成的复方蛇床子洗剂外用,治疗脚癣180例,有效率100%,(中药材,1996,8∶427);每次服蛇床子总香豆素80mg,日3次,10日1疗程,治疗支气管哮喘和喘息型支气管炎发作期患者118例,有效率87.3%(中草药,1988,9∶410)。此外,又可用治宫颈糜烂、阴道炎、女阴白色病变、慢性盆腔炎、不孕症、周围神经炎等疾病。       

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