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Zhuli (Bamboo Juice)---竹沥

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It has the same source with Zhuru. It is the settled yellowish juice execrated from the fresh stem of Bambusa tuldoides Munro and Phyllostachys nigra(Lodd.)Munro var. henonis(Mitf.)Stapf ex Rendle, family Gramineae when the stem is baked.

[ Medicinal Properties ]: Sweet and cold; relate to heart, lung and liver meridians.

[ Meidicnal Efficacies ]: Clear heat to resolve phlegm for resuscitation; arrest convulsion.

[ Clinical Applications ]: 1. Phlegm-heat, stubborn phlegm accumulationn        It treats phlegm-heat causing cough and dyspnea, thick sputum difficult to expectorate and stubborn phlegm accumulation, in combination with Banxia and Huangqin.

2. Apoplexy, epilepsy and mania      For apoplexy with lockjaw, it is combined with ginger juice for drinking; for infantie epilepsy, combined with Dannanxing and Niuhuang. Recently , frequently drinking Zhuli treats encephalitis B and epidemic encephalitis with high fever, phlegm confusion and vomiting.

[ Usage and Dosage ]: 30-50g is taken after it is infused. It cannot be stored for long. In the recent years, it is put into sealed ampoule bottles for longer storage.

[ Precautions ]: Since it is cold and smooth, it cannot treat cold-phlegm and spleen deficiency with loose stools.

竹沥来源同竹茹。系新鲜的淡竹和青杆竹等竹杆经火烤灼而流出的淡黄色澄清液汁。

       【药性】甘,寒。归心、肺、肝经。        【功效】清热豁痰,定惊利窍。       
 
【应用】        1.痰热咳喘。本品性寒滑利,祛痰力强。治痰热咳喘,痰稠难咯,顽痰胶结者最宜。常配半夏、黄芩等,如竹沥达痰丸(《沈氏尊生书》)。        2.中风痰迷,惊痫癫狂。本品入心肝经,善涤痰泄热而开窍定惊。治中风口噤,《千金方》以本品配姜汁饮之;治小儿惊风,常配胆南星、牛黄等药用。       
 
【用法用量】内服 30~50g,冲服。本品不能久藏,但可熬膏瓶贮,称竹沥膏;近年用安瓿瓶密封装置,可以久藏。        【使用注意】本品性寒滑,对寒痰及便溏者忌用。       
 
【古籍摘要】        1.《名医别录》:“治暴中风风痹,胸中大热。止烦闷,消渴,劳复。”       
 
2.《本草衍义》:“竹沥行痰,通达上下百骸毛窍诸处,如痰在巅顶可降,痰在胸膈可开,皮在四肢可散,痰在脏腑经络可利。痰在皮里膜外可行。又如癫痫狂乱,风热发痉者可定;痰厥失音,人事昏迷者可省,为痰家之圣剂也。”       
 
3.《本草纲目》:“竹沥性寒而滑,大抵因风火燥热而有痰者宜之;若寒湿胃虚肠滑之人服之,则反伤肠胃。”       
 
【现代研究】        1.化学成分:本品含有十余种氨基酸,葡萄糖、果糖、蔗糖、以及愈创木酚、甲酚、苯酚、甲酸、乙酸、苯甲酸、水杨酸等。       
 
2.药理研究:竹沥具有明显的镇咳、祛痰作用。但无平喘解热作用,其止咳的主要成分为氨基酸。有增加尿中氯化物的作用,还用增高血糖的作用。       
 
3.临床研究:以金果饮、复方鲜竹沥联合中成药剂超声雾化治疗慢性咽炎患者,与传统的西药组(庆大霉素加地塞米松)进行对照,结果中成药组总有效率显著高于西药组(天津中医学院学报,2000,3:14);在常规药物治疗的基础上,胃管注入鲜竹沥,用治重症乙型脑炎,疗效满意(中西医结合杂志,1984,2:114);竹沥油涂搽患处,治疗体癣,获良效(四川中医,1992,5:封三);鲜竹沥口服,又可治疗氯氮平引起的流涎(河南中医,1989,3:25)。

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