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Baifuzi (Giant typhonium tuber)---禹白附(powder100g/bottle)

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This medicinal, also called Yubaifu, is the dried tuber of Typhonium giaanteum Engl, family Araceae. The tubers are dug and collected in autumn and winter. After the fibrous roots and the skin are removed, they are fumigated with sulphur once or twice and then dried in the sunshine. They can also be sliced after they are processed with alum and fresh ginger.

[ Medicinal Properties ]: Pungent, warm and toxic; relate to stomach and liver meridians.

[ Medicinal Efficacies ]: Dry dampness and resolve phlegm; dispel wind and control convulsions; remove toxin and dissipate nodulation.

[ Clinical Applications ]: 1. Accumulation of wind-phlegm, wry mouth and eyes, tetanus and migraine      For accumulation of wind-phlegm, convulsion or wry mouth and eyes, it is combined with Banxia, Tianma  and Quanxie. It is effective for tetanus in combination with Tiannanxing, Tianma and Fangfeng in Yuzhen Powder. It treats migraine together with Baizhi and Chuanxiong.

2. Bite by Poisonous snake, scrofula and subcutaneous nodule       For bite by poisonous snake, it is applied on the wounded parts alone or in combination with other medicinals for removing snake toxin through external application or oral administration. The fresh medicinal can be pounded for external application to treat scrofula and subcutanneous nodule.

[ Usage and Dosage ]: 3-6g. It is usually used after it is processed. The appropriate amount of medicinal can be pounded thoroughly, cooked into paste or ground into powder to mix with liquor for external application.

[ Precautions ]: It is used with caution for pregnant women. The raw medicinal must be used carefully in case of oral administration.

[ Annotation ]:It is the tuber of Aconitum coreanum(Levl)Raip, family Buttercup. Its earliest record can be found in Ming Yi Bie Lu, and Baifuzi used as medicinal herb later on refers to Guanbaifu. With violent toxicity, it must be boiled together with bean curd for using. Both Guanaifu and Yubaifu can resolve wind-phlegm and control convulsions, but Yubaifu has mild toxicity and can remove toxin and dissipate nodulation, so it is widely used as the genuine one of Baifuzi, which is usually used to disperse cold-dampness and relieve pain and now seldom used.

禹白附为天南星科植物独角莲Typhonium giganteum Engl.的块茎。主产于河南、甘肃、湖北等地。秋季采挖,除去残茎、须根外皮;用硫黄熏1~2次,晒干。或用白矾、生姜制后切片。

       【药性】辛、甘,温。有毒。归胃、肝经。        【功效】祛风痰,止痉,止痛,解毒散结。       
 
【应用】        1.中风痰壅,口眼喎斜、惊风癫痫、破伤风。本品辛温,善祛风痰而解痉止痛,故适用于上述诸证。治中风口眼喎斜,常配全蝎、僵蚕用;治风痰壅盛之惊风、癫痫,常配半夏、南星;治破伤风,配防风、天麻、南星等药用。       
 
 2.痰厥头痛、眩晕。本品既祛风痰,又能止痛,其性上行,尤擅治头面部诸疾,治痰厥头痛、眩晕,常配半夏、天南星;治偏头风痛,可与白芷配伍。        3.瘰疬痰核,毒蛇咬伤。治瘰疬痰核,可鲜品捣烂外敷;治毒蛇咬伤可磨汁内服并外敷,亦可配其它解毒药同用。       
 
【用法用量】煎服,3~5克;研末服0.5~1克,宜炮制后用。外用适量。        【使用注意】本品辛温燥烈,阴虚血虚动风或热盛动风者、孕妇均不宜用。生品一般不内服。       
 
【现代研究】        1化学成分:本品主含β-谷甾醇及其葡萄糖苷,肌醇,胆碱,尿嘧啶,粘液质,并含白附子凝集素。       
 
2.药理作用:有明显的镇静、抗惊厥及镇痛作用,注射液对结核杆菌有一定抑制作用,煎剂或混悬液对实验动物关节肿均表现较强的抗炎作用。       
 
3.临床研究:有报道用本品配猫眼草、蟾蜍皮、木鳖子、守宫、麝香粉,制成膏药,外敷结核病灶对应体表部位及大椎、肺俞、膻中等穴,治肺结核355例,总有效率为96.1%。结果显示对浸润型、血行播散型疗效较好,并认为本品有促进肺部空洞闭合的作用(山西中医,1989,4:34)。       
 
 4.不良反应:误服、过量服用本品,可出现口舌麻辣,咽喉部灼热并有梗塞感,舌体僵硬,语言不清,继则四肢发麻,头晕眼花,恶心呕吐,流涎,面色苍白,神志呆滞,唇舌肿胀,口腔粘膜及咽部红肿,严重者可导致死亡。本品经生姜、矾水炮制前后,毒性无显著差异,煎煮后,麻辣感消失或降低,但毒性并不降低。禹白附中毒后,除洗胃、导泻外,还可以生姜汁和白米醋含漱,然后内服适量,或以生甘草50g嚼服,20分钟后用锡类散外吹咽部,也可以黄芩、黄连、石膏等配伍煎汤内服。       
 
 附药 关白附        白附子之名,最早见于《名医别录》。但据考证历代本草所载者为毛茛科植物黄花乌头Aconitum coreanum(Levl) Raip的块根,称关白附。至于天南星科的独角莲(禹白附)何时收载入药的尚待进一步考证。两种白附子均能祛风痰解痉,但禹白附毒性较小。又能解毒散结。现已作为白附子的正品广泛应用;而关白附毒性大,功效偏于散寒湿止痛,现已较少应用。

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