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Zhuye ( Leaf of Henon Bamboo)---竹叶

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Zhuye is the leaf of Phyllostachys nigra(Lodd.) Munro var. henonis( Mitf.) Stapf ex Rendle, pertaining to Poaceae. It is collected in all seasons. The raw form is used.

[ Medicinal Properties ]: Sweet, pungent, bland and cold; relate to heart , stomach and small intestine meridians.

[ Medicinal Efficacies ]: Clear heat, relieve agitation; generate fluids and promote urination.

[Usage and Dosage ]: 6-15g. When it is used in raw form, the dosage is 15-30g in fresh form.

[Clinical Applilcations ]: 1. Warm disease, agitation and thirst    Zhuye treats consumption of fluids in warm disease, manifesting as agitation and thirst, usually in combinatin with Shigao, Zhimu and Xunshen; for example in Qingwen Baidu Decoction. It also treats lingering heat with damage of fluids and qi, in the later stage of warm disease, in combination with Renshen  and Maidong; for example in Zhuye Shigao Decoction.

2. Aphtha and reddish urine     It treats transmission of heart heat to small intestine, manifesting as scanty and reddish urine with astringent pain, usually in combination with Mutong and Shengdihuang; for example inn Daochi Powder. Zhuyejuanxin treats heat entering pericardium, manifesting as coma and delirium, in combination with Lianzixin and Liaoqiaoxin; for example in Qinggong Decoction.

竹叶为禾本科植物淡竹Phyllostachys nigra (Lodd.) Munro var. henonis (Mitf.) Stapf ex Rendle的叶。其卷而未放的幼叶,称竹叶卷心。产于长江流域各省。随时可采,宜用鲜品。

【药性】甘、辛、淡,寒。归心、胃、小肠经。       
 
【功效】清热泻火,除烦,生津,利尿。       
 
【应用】        1.热病烦渴。本品甘寒入心经,长于清心泻火以除烦,并能清胃生津以止渴,可用治热病伤津,烦热口渴,常配石膏、知母、玄参等药用,如清瘟败毒饮(《疫疹一得》)。若配人参、麦门冬等用,可治热病后期,余热未清 ,气津两伤之证,如竹叶石膏汤(《伤寒论》)。本品轻清,兼能凉散上焦风热,配金银花、连翘、薄荷等,可用治外感风热,烦热口渴,如银翘散(《温病条辨》)。       
 
2.口疮尿赤。本品上能清心火,下能利小便,上可治心火上炎之口舌生疮,下可疗心移热于小肠之小便短赤涩痛,常配木通、生地黄等药用,如导赤散(《小儿药性直诀》)。        竹叶卷心清心泻火作用更强,多用于温病热陷心包,神昏谵语之证,常配玄参、莲子心、连翘心等用,如清宫汤(《温病条辨》)。       
 
【用法用量】煎服,6—15g;鲜品15—30g。       
 
【使用注意】阴虚火旺,骨蒸潮热者忌用。       
 
【古籍摘要】        1.《名医别录》:“主胸中痰热,咳逆上气。”      
 
  2.《药品化义》:“竹叶,清香透心,微苦凉热,气味俱清。经曰:治温以清,专清心气,味淡利窍,使心经热血分解。主治暑热消渴,胸中热痰,伤寒虚烦,咳逆喘促,皆为良剂也。”       

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