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LúGanShí (Calamine)---炉甘石

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Product Description

It is smithsonite ore of carbonate mineral, mainly containing zinc carbonate (ZnCO3). The medicinal material can be obtained and collected at any time of the year, after the earth and impurity are removed from the material, and it is dried in the sunshine. It can be calcined, or quenched with vinegar, or quenched with Sanhuang Decoction (containing Huanglian, Huangbo, Dahuang). It can be refined with water for medical use.

[Medicinal Properties]: Pungent and neutral; relate to the stomach meridian.

[Medicinal Efficacies]: Remove toxin and nebula to improve eyesight; absorb dampness, relieve itching and promote tissue regeneration.

[Clinical Applications]:

  1. Conjunctivitis with nebula, marginal blephritis This medicinal is used to treat eye disease for external applications, it is usually combined with equal amount of medicinals, such as Xuanmingfen and Bingpian, it can be ground into powder, dissolved and used as eye drops. 

       2.Ulceration without healing, purulent skin lesion, eczema, ulceration of eyelids It is often used in combination with Duanshigao, Longgu, Qingdai and Huanglian.

[Usage and Dosage]: It can be used only for external use, but not for internal use. The appropriate amount is utilized externally. It is ground into fine powder and applied to the local area or mixed with water. It can be refined with water and used as an eye drops, or blown to throat.

[Precautions]: It should be used after being processed.

[Side Effects]: Some calamine contains lead and cadmium, and has strong toxicity It may generate zinc chloride in the stomach after oral administration, irritate and corrode the gastrointestinal tract.

炉甘石为碳酸盐类矿物菱锌矿石,主含碳酸锌(ZnCO3)。主产于广西、湖南、四川、云南等地。全年可采挖,采挖后,除去泥土杂石,洗净,晒干。有火煅、醋淬及火煅后用三黄汤(黄连、黄柏、大黄)淬等制法。水飞用。

       【药性】甘,平。归肝、胃经。        【功效】解毒明目退翳,收湿止痒敛疮。       
 
【应用】        1.目赤翳障。本品甘平无毒,可解毒明目退翳,收湿止痒。为眼科外用常用药。与玄明粉各等份为末点眼,治目赤暴肿,如神应散(《御药院方》);若与海螵蛸、冰片为细末点眼,可治风眼流泪,如止泪散(《证治准绳》)。        2.溃疡不敛,湿疮,湿疹,眼睑溃烂。有生肌敛疮,收湿止痒,解毒诸功效。常配煅石膏、龙骨、青黛、黄连等同用,以提高药效。如治疮疡不敛,配龙骨同用,研极细末,干掺患处的平肌散(《御药院方》)。若配黄连、冰片,可治眼眶破烂,畏日羞明,如黄连炉甘石散(《证治准绳》)。       
 
【用法用量】外用适量,研末撒布或调敷。水飞点眼、吹喉。一般不内服。       
 
 【使用注意】宜炮制后用。       
 
【古籍摘要】        1.《本草品汇精要》:“主风热赤眼,或痒或痛,渐生翳膜,及治下部湿疮。调敷。”      
 
  2.《本草纲目》:“止血,消肿毒,生肌,明目,去翳退赤,收湿除烂。”       
 
 【现代研究】        1.化学成分:主要成分为碳酸锌(ZnCO3),尚含铁、钙、镁、锰的碳酸盐。煅炉甘石的主要成分是氧化锌。       
 
 2.药理作用:本品所含的碳酸锌不溶于水,外用能部分吸收创面的分泌液,有防腐、收敛、消炎、止痒及保护创面作用,并能抑制局部葡萄球菌的生长。       
 
3.临床研究:据报道,用炉甘石或经适当配伍治疗湿疹、黄水疮、漆疮、药物性皮炎、肛门瘙痒症、睑缘炎、泪囊炎等多种疾病,疗效满意。近年还报道:用炉甘石、甘草、冰片,制成炉甘散,外用治疗皮肤溃疡154例,有效率96.75%(时珍国药研究,1997,2∶148);用炉甘石100g,煅后淬于三黄汤内,取出晒干研极细末,再加冰片5g共研,取适量撒于创面,治疗烧伤残余创面78例,治愈率97.4%(辽宁中医杂志,1994,11∶507)。此外,又治疗化脓性骨髓炎、儿童缺锌症等疾病。       
 
 4.不良反应:有些炉甘石含铅及镉,有相当大毒性。本品口服后在胃内可生成氯化锌,会刺激腐蚀胃肠道。       

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