20 17 Chinese Medicine Examination for Licensed Pharmacists: Diuretics and Osmotic Drugs.

Chapter 10 diuretic and dampness-permeating drugs

Diuresis and dehumidification: Poria cocos, Coix seed, Polyporus umbellatus, Alisma orientalis, etc.

Diuretic and stranguria relieving: Semen Plantaginis, Talcum, Rhizoma Dioscoreae Septemlobae, Folium Pyrrosiae, and Lygodium japonicum.

Dianthus diuresis, Polygonum cuspidatum, Kochia scoparia, Akebia stem, grass, Malva seed, Juncus Juncus, etc.

Eliminating dampness and yellowing: Herba Artemisiae Scopariae, Herba Lysimachiae Christinae, Herba Polygoni Avicularis, etc.

Outline requirements

The meaning, performance, efficacy, scope of application, compatibility method and matters needing attention in use of diuretic and dampness-permeable drugs.

1. The nature, efficacy, special dosage, usage and precautions of each drug.

2. Main drugs: Poria cocos, Coicis Semen, Alisma orientalis, Plantaginis Semen, Talcum, Akebia Akebia, Lysimachia christinae and Herba Artemisiae Scopariae.

Familiar with: Polyporus umbellatus, medulla tetrapanacis, Smilax China, pyrrosia, Lygodium japonicum, Yunnan wheat and Polygonum aviculare.

Understanding: Kochia scoparia, Juncus Juncus, Malva, Desmodium styracifolium, Juncus Japonicus.

3. Similarities and differences in medicinal properties and efficacy of drugs with similar efficacy.

abstract

Meaning: Drugs that can dredge waterways and promote diuresis are called diuretics.

Properties and efficacy: This kind of medicine is sweet or bitter in taste, cold or flat in nature, and enters the bladder, spleen and small intestine, which is beneficial to water infiltration, diuresis and stranguria, and diuresis and jaundice.

Scope of application 1. Diuretic and detumescence drugs: sweet or slightly cold in nature, suitable for edema, dysuria, diarrhea, excessive phlegm and other diseases caused by excessive water and dampness.

2. diuretic and stranguria-relieving drugs: bitter and cold in nature, used for short and red urine, heat stranguria, blood stranguria, stone stranguria and ointment stranguria.

3. diuretic drugs: bitter and cold, used for damp-heat jaundice.

Compatibility method

For sudden edema with exterior syndrome, it is advisable to use lung-dispersing and sweating drugs;

Spleen-invigorating and kidney-warming drugs are used for patients with spleen-kidney yang deficiency;

Heat-clearing and fire-purging gunpowder is used for steaming in damp heat;

Those who urinate due to heat injury to blood collaterals should use blood-cooling hemostatic drugs.

Pay attention to the use of this kind of medicine, it is easy to consume body fluid, and the injured due to yin deficiency should use it with caution.

Fuling

Sweet and light in nature, it can tonify deficiency. This product is good at promoting diuresis, invigorating spleen and calming the heart. If the water is wet, stop drinking Xian Yi, regardless of cold or heat or spleen deficiency.

Has diuretic, diuresis promoting, spleen invigorating, and tranquilizing effects.

Indications ① Dysuria, edema and excessive phlegm.

② Spleen deficiency syndrome, especially loose stool or diarrhea. 3 palpitations, insomnia.

[Compatibility] Poria cocos and Polyporus umbellatus: Poria cocos is sweet, light and flat, and has the functions of diuresis, dampness absorption and spleen strengthening; Polyporus umbellatus is sweet, light and flat in taste, and it is patented for being wet by water. The two drugs are used together, which has strong diuresis and strong dampness, and the water is wet and spleen deficiency.

The dose was 9 ~ 15g.

Pharmacology This product has diuretic, immune function regulating, gastrointestinal function regulating, sedative, anti-tumor, liver protecting, antibacterial and hematopoietic function promoting effects.

coix seed

Sweet, light and slightly cold. Enter spleen, stomach and lung meridians.

This taste is sweet, slightly cold. Can be used for diuresis, arthralgia and pus discharge. It is suitable for people with fever due to stagnant water and dampness, and can also treat joint pain, lung carbuncle and intestinal carbuncle. Stir-fried spleen to stop diarrhea, spleen deficiency and dampness resistance should be used.

Has diuretic effect, diuresis promoting, spleen invigorating, diarrhea relieving, joint pain relieving, heat clearing and pus discharging effects.

Indications ① Dysuria, edema, damp-heat stranguria, beriberi swelling and pain.

② diarrhea due to spleen deficiency. ③ Dampness and heat are caused by qi.

④ Rheumatalgia and meridian spasm. ⑤ Lung carbuncle and intestinal carbuncle.

Dosage and usage 9 ~ 30g. Clearing heat and promoting diuresis, removing arthralgia and expelling pus should be used raw, and strengthening spleen and stopping diarrhea should be used fried.

oriental water plantain

Sexual taste is sweet, light and cold. Meridian of kidney and bladder.

Features: The taste is sweet and light, and it is cold in nature, and it enters the kidney and bladder meridian. It is not only good at promoting diuresis and infiltrating dampness, but also can clear away the heat of kidney and bladder, so it has a better effect on treating damp-heat syndrome of lower jiao or edema caused by phlegm retention.

Efficacy of diuresis, diuresis, heat.

Indications ① Dysuria, edema, stranguria and leukorrhagia. ② Purging phlegm.

The dosage is 5-9g.

semen plantaginis

Sweet and cold in nature. It belongs to kidney, liver and lung meridians.

Characteristics: This taste is sweet, cold and slippery, and enters the kidney, liver and lung meridians. It can not only induce diuresis, clear away heat and treat stranguria, but also treat damp-heat stranguria, edema and fever. It is also good for urination, and it will stop diarrhea when it is strong, and it will cure diarrhea in summer. It can also clear liver, improve eyesight, clear lung and eliminate phlegm, and treat liver heat, red eyes and cough due to phlegm heat.

Efficacy: diuresis and stranguria, diuresis and diarrhea, eyesight improvement, lung-clearing and phlegm-resolving.

Indications ① Dampness and heat are not conducive to urination, stranguria, edema and fever. ② Summer-damp watery diarrhea.

③ Liver heat, red eyes, swelling and pain. The purpose of tonifying liver and kidney drugs in treating liver and kidney deficiency is not clear.

④ Lung heat, cough and excessive phlegm.

Dosage and usage: 5 ~ 9g. Fried.

talcum

Sexual taste is sweet, light and cold. Return to stomach meridian and bladder meridian.

Performance characteristics: this product is sweet and light in taste and cold in nature. It can be taken orally to eliminate bladder heat accumulation, dredge waterways, and induce diuresis and stranguria. It is a good medicine for treating damp-heat stranguria, and it can also relieve summer heat and clear heat. It is a good product for treating summer dampness. External use for clearing heat and astringing is an important drug for treating eczema, eczema and miliaria.

Efficacy diuretic stranguria, clearing heat and relieving summer heat. Clearing heat and astringing for external use.

Indications: ① Damp-heat stranguria with pain, and dysuria.

② Fever, polydipsia, dampness, chest tightness and damp-heat diarrhea. ③ Wet sores, eczema and prickly heat.

Compatibility with talc and raw licorice: talc is sweet and light in taste, cold in nature, and has the functions of clearing away heat and relieving summer heat and diuresis; Raw licorice is sweet and has the functions of benefiting qi, clearing away heat and harmonizing the middle energizer. The combination of the two drugs can not only clear away heat and relieve summer heat, but also harmonize with middle energizer to produce fluid, which can be used to treat summer heat and polydipsia.

Dosage and usage 9 ~ 15g. Fragments should be broken first and then fried, and fine powder should be fried. Appropriate amount for external use.

akebia

[Source] The dried rattan stems of Akebia Akebia, Akebia trifoliata or Akebia Akebia.

Bitter and cold in nature. Heart, small intestine and bladder meridian.

Properties and characteristics: this taste is bitter and cold, and it has strong medicinal properties. It is an important drug for treating damp-heat stranguria, inflammation of heart fire, sores on mouth and tongue, dysuria and red urine. In addition, it can dredge meridians and promote lactation, which is a good medicine for treating galactorrhea and heat arthralgia.

Efficacy of diuresis, stranguria, clearing heat, regulating menstruation and promoting lactation.

Indications for treatment ① Damp-heat stranguria.

(2) Spitting tongue coating due to heart fire, and getting upset and red urine due to heart fire.

(3) Postpartum milk is blocked or less. ④ Damp-heat arthralgia.

Dosage and usage: 36g. Akebia manshuriensis should be used to clear the heart and reduce fire, and Akebia manshuriensis should be used for diuresis and stranguria.

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