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Chinese Medicinal Material
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【Chinese Name】 |
玉真散
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【Phonetic】 |
Yu Zhen San
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【English Name】 |
True Jade Powder |
【Classification】 |
Wind-calming formulas |
【Source】 |
《Orthodox Lineage of External Medicine》Wai Ke Zheng Zong《外科正宗》 |
【Combination】 |
Arisaematis Rhizoma (Tian Nan Xing) equal amount, Saposhnikoviae Radix (Fang Feng) equal amount, Angelicae Dahuricae Radix (Bai Zhi) equal amount, Gastrodiae Rhizoma (Tian Ma) equal amount, Notopterygii Rhizoma et Radix (Qiang Huo) equal amount, Typhonii Rhizoma (Bai Fu Zi) equal amount |
【Method】 |
Grind equal amounts of the medicinals into powder. For internal use, take 6g 3 times daily with warm liquor. In cases of lockjaw and opisthotonus, the source text advises to administer 9g 3 times daily with warm urine from an infant. When applying it topically, apply a moderate dosage to the affected area. This formula may also be prepared as a decoction with appropriate dosages. |
【Action】 |
Dispels wind and dissolves phlegm, relieves spasms and arrests convulsion. |
【Indication】 |
Yu Zhen San is indicated for tetanus. The symptoms are lockjaw, tightly-closed mouth and lips, stiff body, opisthotonus, and a wiry, tight pulse; there could even be gnashed teeth and a contracted tongue. |
【Pathogenesis】 |
Tetanus is caused by wind-toxins invading the channels through an area of the body that has been broken causing fluid accumulation which transforms into phlegm. Excessive wind induces mobility; exterior wind provokes interior wind and causes symptoms such as lockjaw, tightly-closed mouth and lips, stiff body, and opisthotonus. The therapeutic principles used to remedy this pattern are to dispel wind and dissolve phlegm, relieve spasm and arrest convulsion. |
【Application】 |
1. Essential pattern differentiation Yu Zhen San serves as the common formula used to treat tetanus. This clinical pattern is marked by history of trauma, lockjaw, stiff body, oposthotomos, wiry, tight pulse. 2. Modern applications This formula may be used in the following biomedically defined disorders when the patient shows signs of pathogenic wind attacking the channels and collaterals: tetanus, facial palsy, and trigeminal neuralgia. 3. Cautions and contraindications This formula should not be applicable to tetanus patients who are diagnosed with deficiency of qi and fluid. It is forbidden to use for patients with excessive heat generating wind in the liver channel. Bai fu zi and tian nan xing should be dosed cautiously because of their toxicity in nature. It cannot be used in pregnant women. |
【Remark】 |
Cheon-ma (Gastrodia elata) is listed as "Vulnerable" in the International Union for the Conservation of Nature and Natural Resources (IUCN) Red List of Threatened Species. Also, it is listed in the Convention on International Trade in Endangered Sp |
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