The source is from the dried bark and bark of branch, root of Magnolia officinalis Rehd. et Wils.or Magnolia officinalis Rehd.et Wils.var. biloba Rehd. et Wils., family Magonoliaeae. It is skined during April , May and June. The crude one may be used or the prepared one with ginger juice is used.
[ Medicinal Properties ]: Pungent, bitter and warm; relate to spleen, stomach, lung and large intestine meridians
[ Medicinal Efficacies ]: Dry dampness, eliminate phlegm; drive qi downward, remove stuffiness.
[ Usage and Dosage ]: 3-9g. It can also be created into pill or powder form.
[ Prautions ]: Careful use in qi deficiency with fluid consumption or pregnancy because it is pungent, bitter and warm and dry which is subject to damaging qi and fluid.
[ Clinical Applications ]: 1. Retention of dampess in the middle energizer, epigastric and abdominal stuffiness It is pungent, dry and can move qi downward, so it is the essential medicinal for stuffiness of retention of dampness and qi stagnation. It is usually combined with Cangzhu and Chenpi, etc,.such as in Pingwei Powder.
2. Food accumulation and qi stagnation, abdominal distending sensation and constipation It is usually combined with Dahuang and Zhishi to make up Houpo Sanwu Tang. For constipation of heat accumulation, it is used together with Dahuang, Mangxiao and Zhishi, such as in Dachengqi Decoction.
3. Dyspnea and cough due to phlegm and fluid It can dry dampness, eliminate phlegm, move qi downward and relieve dyspnea. For dyspnea and cough with oppression in chest due to retention of phlegm and fluid in the lung inducing lung qi not moving downward, it is combined with Suzi, Chenpi and Banxia, etc., such as in Suzi Jiangqi Decoction. For dyspnea due to exogenous wind-cold, it is combined with Guizhi and Xingren, etc., such as in Guizhi Jia Houpo Xingzi Decoction.
[ Medicinal Comparison]:Similarities:Houpo and Cangzhu are both pungent, bitter , warm and dry. For retention of dampness in the middle energizer , they can reinforce mutually.
Differences: Houpo is bitter which can move qi downward and it is the essential medicinal to remove stuffiness. It ca also remove phlegm and relieve dyspnea. So it can to indicated to treat epigastric and abdominal stuffiness, constipation, cough, dyspnea, profuse phlegm due to retention of dampness, qi stagnation, food accumulation. CangZhu is the essential medicinal of drying dampness and invigorating spleen. Besides , it can dispel wind-damp, release exterior and improve visioin. So it can be indicated to treat bisyndrome of wind-damp, exterior wind-cold syndrome with damp and night blindness.
Hou Po Hua: The source is from dried bud of Officinal Magnolia Flower. It is bitter than slightly warm. It has actions of promoting qi flow, soothing the middle and resolving damp, which are similar to houpo but mild. It is mainly indicated to treat stuffiness and pain of chest and abdomen and poor appetite with greasy coating due to retention of dampness and qi stagnation in the spleen and stomach. The usage amount is about 3-9g.
厚朴为木兰科植物厚朴Magnolia officinalis Rehd.et Wils.或凹叶厚朴M. O. R.et Wils.Var. biloba Rehd. et Wils.的干燥干皮、根皮及枝皮。主产于四川、湖北等地。4~6月剥取,根皮及枝皮直接阴干,干皮置沸水中微煮后堆置阴湿处,“发汗”至内表面变紫褐色或棕褐色时,蒸软取出,卷成筒状,干燥。切丝,姜制用。
【药性】苦、辛,温。归脾、胃、肺、大肠经。 【功效】燥湿消痰,下气除满。
【应用】 1.湿阻中焦,脘腹胀满。本品苦燥辛散,能燥湿,又下气除胀满,为消除胀满的要药。常与苍术、陈皮等同用,如
平胃散(《和剂局方》)。
2.食积气滞,腹胀便秘。本品可下气宽中,消积导滞。常与大黄、枳实同用,如厚朴三物汤(《
金匮要略》)。若热结便秘者,配大黄、芒硝、枳实,以达峻下热结,消积导滞之效,即
大承气汤(《
伤寒论》)。
3.痰饮喘咳。本品能燥湿消痰,下气平喘。若痰饮阻肺,肺气不降,咳喘胸闷者,可与苏子、陈皮、半夏等同用,如
苏子降气汤(《和剂局方》)。若寒饮化热,胸闷气喘,喉间痰声漉漉,烦躁不安者,与麻黄、石膏、杏仁等同用,如厚朴
麻黄汤(《
金匮要略》)。若宿有喘病,因外感风寒而发者,可与桂枝、杏仁等同用,如桂枝和厚朴杏子汤(《
伤寒论》)。
此外,七情郁结,痰气互阻,咽中如有物阻,咽之不下,吐之不出的梅核气证,亦可取本品燥湿消痰,下气宽中之效,配伍半夏、茯苓、苏叶、生姜等药,如
半夏厚朴汤(《
金匮要略》)。
【用法用量】煎服,3~10g。或入丸、散。 【使用注意】本品辛苦温燥湿,易耗气伤津,故气虚津亏者及孕妇当慎用。
【鉴别用药】厚朴、苍术均为化湿药,性能辛苦温,具有燥湿之功,常相须为用,治疗湿阻中焦之证。但厚朴以苦味为重,苦降下气消积除胀满,又下气消痰平喘,既可除无形之湿药,又可消有形之实满,为消除胀满的要药;而苍术辛散温燥为主,为治湿阻中焦之要药,又可祛风湿。
【古籍摘要】 1.《
神农本草经》:“主中风伤寒,头痛,寒热,惊悸,气血痹,死肌,去三虫。” 2.《
名医别录》:“主温中,益气,消痰下气,治霍乱及腹痛,胀满,胃中冷逆,胸中呕逆不止,泄痢,淋露,除惊,去留热,止烦满,厚肠胃。” 3.《
本草纲目》引王好古语:“主肺气胀满,膨而喘咳。”
【现代研究】 1.化学成分:含挥发油约1%,油中主要含β-桉油醇和厚朴酚。此外,还含有少量的木兰箭毒碱、厚朴碱及鞣质等。
2.药理作用:厚朴煎剂对肺炎球菌、白喉杆菌、溶血性链球菌、枯草杆菌、志贺氏及施氏痢疾杆菌、金黄色葡萄球菌、炭疽杆菌及若干皮肤真菌均有抑制作用。厚朴碱、异厚朴酚有明显的中枢性肌肉松弛作用。厚朴碱、木兰箭毒碱能松弛横纹肌。对肠管,小剂量出现兴奋,大剂量则为抑制。厚朴酚对实验性胃溃疡有防治作用。厚朴有降压作用,降压时反射性地引起呼吸兴奋,心率增加。
3.临床研究:据报道,以厚朴为主或适当配伍还可用于治疗其它多种疾病,如:厚朴35g,枳实30g,大黄20g,治疗肠梗阻130例,有效率85.3%(中医药学报,1989,5:39);用厚朴9-15g,加水分煎2次,顿服,治疗肌强直,疗效较好(中医杂志,1985,6:419);用厚朴、枳实、大黄、芒硝(冲)各9g,行X线快速肠道造影,诊断右侧结肠癌10例,效果显著(上海中医药杂志,1983,4:21);另可用厚朴预防术后肠粘连及闭经症。
附药 厚朴花 Houpohua 为厚朴的干燥花蕾。于春季花末开放时采摘,稍蒸后,晒干或低温干燥。性味苦微温,善于理气宽中,芳香化湿,其功似厚朴而力缓,主治脾胃湿阻气滞之胸腹胀满疼痛,纳少苔腻等证,常与藿香、佩兰等配伍同用。用量3~9g。