中藥學(xué)課件：安神藥1

HerbsThatTranquilize安神藥

Aimsandrequirements:

Mastering:Zhusha(朱砂),Cishi(磁石),Longgu(龍骨),Suanzaoren(酸棗仁)Understanding:Yuanzhi(遠(yuǎn)志)、Baiziren(柏子仁)

Alltheherbsthatcancalmthemindandhavetheactionoftreatingmentaldisordersyndrome

arereferredtotranquilizers.

Concept

1.Flavorandnature

（1）SettlingTranquilizers（重鎮(zhèn)安神藥）:

Minerals,heavyandloweringinproperty.（2）Heart-nourishingTranquilizers(養(yǎng)心安神藥）:

Plantseeds,moisteningandtonifyinginproperty.2.Meridiantropism

:

Heartandliver3.

Toxicity:

ZhushaProperties

1.SettlingTranquilizers：

CalmandsettlethemindRelievefrightpalpitationCalmtheliverandsuppressthehyperactiveYang

Classification,efficaciesandindicationssthenicsyndrome2Heart-nourishingTranquilizers

NourishheartandcalmthemindTonifyyinandenrichbloodRestorenormalcoordinationbetweenheartandkidneyasthenicsyndrome1.SthenicsyndromeForhyperactivityofheart-fire,withherbsforclearingawayheart-fire;Fordisturbanceofheartbyphlegm-fire,withclearingawayheat-phlegmherbs;2.Asthenicsyndrome

Forinsufficiencyofyinandblood,with

nourishingyinandbloodherbs.Combination

1.Mineralherbs:Inpillorpowderform,easilydamagethestomach-qi,combinedwithherbsfor

nourishingthestomachandspleen.

Inadecoction,shouldbemadeintopiecesanddecoctedfirst.

2.Zhushaistoxic,itshouldbeusedwithcaution.

PrecautionsModernpharmacologicalstudyrevealsthattheycaninhibitthecentralnervoussystem,withactionofsedation,hypnosisandanti-convulsion.Part1SettlingTranquilizers鎮(zhèn)心安神藥

Zhusha朱砂

CinnabarisCinnabar

ItreferstoCinnabarofsulfidetype,mainlycontainingmercuricsulfide（HgS）.

Shuifeizhusha(powderrefinedwithwater)Properties:Flavorandnature:

sweet,coldMeridian:

heart

ToxicZhusha朱砂EfficaciesandClinicalapplications:1.Relievepalpitationandcalmthemind（1）Forirritability,palpitation,insomnia.Itismostapplicableforthesyndromedueto

hyperactivityoftheheart-fire.WithHuanglianandLianzixin.Forthose

duetodeficiencyofheartblood,ZhushaAnshenWan（朱砂安神丸）.

（2）ForconvulsionandepilepsyHighfeverwithcomaandconvulsion:AngongNiuhuangWan(安宮牛黃丸）Epilepsy:CizhuWan（磁朱丸）2.

Clearheatandremovetoxin(externallyorinternally)

carbuncles:Zijinding（紫金錠）sorethroatandaphthae：Bingpengsan

（冰硼散）

UsageandDosage:0.3–1g,usuallyinpowderorpillform.Precautions:

Itisnotforlong-termorhigh-dosageuse.(HgStoxic).Itcannotbecalcinedwithfire，becausemercurycanbeseparatedout,whichisextremelytoxic.

CishiandLonggu

Cishi磁石MagnetitumMagenetiteItismagneticironoremagnetite.

Longgu龍骨OsDraconisFossilia

FossilizedBones

Itistheskeletonfossilofprehistoricmammalslikerhinoceros,deer,oxen,elephants,etc.Itisusedunpreparedorcalcined.

Meridian:

liver,heartEfficaciesandClinicalapplications:TranquilizethemindForirritability,palpitation,insomnia,andepilepsyCalmtheliverandsuppressthehyperactiveYang

Fordizziness,headacheandepilepsyduetohyperactivityofliverYang.3.

Dosage:

15–30g.Similarities:CiShi磁石1.Properties:

SaltyandcoldMeridian:

kidney2.Tonifykidneyyin，improvehearingandvisionFortinnitus,deafnessandblurringofvisionduetodeficiencyofliver-Yinandkidney-Yin.Differences:3.ImprovekidneytoholdQiandrelievedyspnea

Forchronicasthmacausedbythedeficiencyofkidneyqi,itisusedtogetherwithherbsoftonifyingkidney.4.Usage:

usedip-calcinatingwithvinegar.

LongGu

龍骨Itisamajorherbfortranquilizingthemindwhichcanbeusedforvariousmentaldisorders.AstringentAstringeandpreserveessence(calcinedone).

Forleakageoffluidsduetodeficiency(with?,mutualreinforcement).spermatorrheaspontaneoussweatingandnightsweating

leukorrhagiaandmenorrhagia3.

Absorbmoistureandhealulcer

(calcinedone).Itisusedforexudativeprurigoandunhealedcarbunclesafterevacuationofpus

(forexternaluse)4.Usage:Forastringing,itshouldbeusedcalcined.Forothertherapeuticpurpose,itisusedpreferableunprepared.Questions:PleasecompareLongguwithMuli.HuPo

琥珀

Succinum

AmberHupo

isafossil-typematerialtransformedfromtheresinofancientplantssuchasmaplesandpines.Part2

Heart-nourishingTranquilizers

養(yǎng)心安神藥

Suanzaoren酸棗仁SemenZiziphiSpinosaeSpineDateSeedItisripeseedofZiziphusjujubeMill.Var.spinosa

(Bunge)HuexH.F.Chou(Fam.Rhamnaceae).SuanZaoRen

酸棗仁

Properties:Flavorandnature:

sweet,sour,neutralMeridian:heart,liverEfficaciesandClinicalapplications:1.Nourishtheheart,benefittheliver,tranquilizethemind

Itisusedfor

insomnia,palpitationandvexationduetodeficiencysyndrome.Forinsomnia,palpitationcausedbydeficiencyofheart-bloodandliver-blood,withDanggui,Baishao,Heshouwu.Forvexationandinsomniaduetodeficiencyofliverwithheat,withZhimu,Fuling,suchasSuanzaorentang.Forpalpitation,insomnia,amnesiaanddreaminessduetoinsufficiencyoftheheartandkidneys,hyperactivityofyangduetoyindeficiency,withMaidong,Shengdihuang,Yuanzhi,e.g.,TianwangBuxinWan.2.

StopexcessivesweatingForspontaneoussweatingduetoQi-deficiency,andnightsweatingduetoYin-deficiency,withWuweizi,Shanzhuyu,etc.DosageandAdministration:9-15gisuseddecoction.Thecrudeoneorstir-bakedoneisused.SuanzaorenZhou(WildJujubeKernalporridge)Suanzaoren(WildJujubeKernal)30gXianshengdihuang(Freshrehmannia)60gRice100g

Grindthewildjujubekernalinwater,takethesuspension;Crushfreshrehmanniaandtakethejuice.Taketheporridge1hourbeforesleep.Actions:

Tonourishyinandclearheat,reinforcethehearttocalmthemind-----insomnia,dream-disturbedsleep,restlessness,tidalfeverandnightsweating,feverishsensationinthepalmsandsolesduetodeficiencyofyinandblood.

BaiZiRen 柏子仁SemenBiotaeChineseArborvitaeSeedItistheripekernelofBiotaorientalis(L.)Endl.(familyCupressaceae).柏子仁BaizirenBaiZiRen柏子仁Properties:Flavorandnature:sweet,neutralMeridian:heart,kidney,largeintestineEfficaciesandClinicalapplications:1.NourishtheheartandtranquilizethemindItismainlyapplicabletopalpitationandinsomniaduetodeficiencyoftheheart-yinanddisharmonybetweentheheartandthekidney.

Forthatduetodeficiencyofheart-Qiorinsufficiencyofheart-yin,togetherwithSuanzaoren,Wuweizi,Fuling.2.Moistentheintestineandrelaxthebowels.Forconstipationduetodrynessofintestine,especiallyforthatduetobloodoryindeficiency,togetherwithHuomaren,Songzirenetc.Precautions:Itisusedwithcautionforpatientswithloosestoolsandprofusesputum.

ComparethemedicinalefficaciesandindicationsofBaizirenandSuanzaoren,andillustratetheirsimilaritiesanddifferences.YuanZhi

遠(yuǎn)志RadixPolygalaeThinleafMilkwortRoot

ItistherootofPolygalatenujfoliaWilld.,orPolygalasibiricaL.(familyPolygalaceae).

Yuanzhi遠(yuǎn)志YuanZhi

遠(yuǎn)志Properties:Flavorandnature:Pungent,bitter,slightlywarmMeridian:Lung,heart,kidneyEfficaciesandClinicalapplications:1.TranquilizethemindForirritability,frightpalpitation,insomniaandamnesia,withRenshen,Fushen,Shichangpu,etc.Anshendingzhiwan.Itissuitableforinsomnia,forgetfulnessduetodisharmonybetweenheartandkidney.withGuijia,Longgu,Shichangpu.Zhenzhongdan.2.Eliminatephlegmforresuscitation

Formentalconfusion,vaguemind,epilepsyduetoretentionofphlegmintheheart,withShichangpu,Yujin..Forcoughwithprofusesputum,thickanddifficulttospit,withXingren,Jiegeng,Gancao..

3.Dissipateswellingsandcarbuncle

For

carbuncles,painfulswellinginbreast,andotherskininfections,itspowdercanbetakenaloneandgowithwine,orbemixedwithwineforexternalapplication.

DosageandAdministration:3—10g,decoctedinwaterforanoraldose;properamountforexternaluse.Precaution:Thisherbshouldbecautiouslyusedincasesofulcerandgastritis.Hehuanpi合歡皮

CortexAlbiziae

SilktreeAlbiziaBark

ThebarkofAlbizziajulibrissinDurazz,familyLeguminosae.合歡皮合歡皮HehuanpiHehuanpi

合歡皮Property:

sweet,neutral

Meridians:heart,liverActions:1.Calmthespirit,relievedepression

2.Invigorateblood,alleviatepain–--swellingduetotrauma,abscessesQuestions:

1.Whichherb