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Yibian
 Shen Yaozi 
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drug nameRhubarb Rhizoma
aliasRhubarb
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[Variety Source]

This product is a perennial herbaceous plant of the Polygonaceae family, Rhubarb Rhizoma (Rheum Palmatum L.), Tanguite Rhubarb Rhizoma (Rheum tanguticum Maxim. ex Balf.) or medicinal Rhubarb Roots and rhizomes of Rhizoma (Rheum officinale Baill.). The medicinal materials Rhubarb Rhizoma and Tangut Rhubarb Rhizoma are called Northern Rhubarb Rhizoma and are mainly produced in Qinghai, Gansu and other places. Medicinal Rhubarb Rhizoma The medicinal material is called southern Rhubarb Rhizoma and is mainly produced in Sichuan. Dig in late autumn before the stems and leaves wither or sprouting in the following spring. Remove the fibrous roots, scrape off the outer skin, cut into pieces and dry, use raw, or stir-fry to scorch.

[Property]

bitter, cold. act on spleen, stomach, large intestine, liver and heart channels.

[Efficacy]

It can purge blood, clear heat and purging fire, stop bleeding, remove toxin, invigorating blood and resolving stasis.

[Indications]

  1. Used for large constipation knots and gastrointestinal retention of food. Rhubarb Rhizoma is bitter and cold, has a strong laxative effect, cleanses the gastrointestinal tract and retains food. It is an important medicine for treating retention of food constipation, especially for heat accumulation constipation. To treat warm febrile disease, heat accumulation constipation, high fever that does not subside, or even unconsciousness, delirious speech, or Zabing heat accumulation constipation, it is often combined with Mirabilite, Jishi, Magnolia Bark can be used together to enhance the effect of relaxing bowels and discharging heat, such as Major Purgative Decoction; to treat interior excess heat accumulation and blood deficiency, or yin deficiency For patients with spleen yang deficiency, it can be used with tonifying qi blood medicine or enriching yin and producing fluid medicine. For those with spleen yang deficiency and cold constipation, it must be used with Aconite Lateral Root and Dried Ginger. is used together with interior-warming medicinal products, such as Spleen-Warming Decoction; to treat early onset of dampness-heat dysentery and abdominal pain tenesmus, it is often used with Coptis Rhizome and Aucklandia Root can be used equally to remove intestinal dampness-heat retention of food; to treat food accumulation abdominal pain and poor diarrhea, it can be used with green tangerine peel and Aucklandia Root are used equally to attack accumulation and guide stagnation.
  2. It is used for hematemesis, epistaxis, hemoptysis caused by blood heat, as well as red eye, sore throat, swollen gums and other symptoms caused by fire pathogen inflammation. This product has a bitter taste, can release the fire from inflammation, and has the effect of clearing heat and purging fire, and stopping bleeding. To treat the above diseases, it is often used together with Huangwa and Skullcap Root, such as Heart-Draining Decoction. Modern clinical use of Rhubarb Rhizoma powder alone to treat upper consumptive thirst and gastrointestinal bleeding has a good effect.
  3. For heat toxin sore and ulcer, burns and scalds. This product can be taken internally and externally. Orally taken, it can clear heat and remove toxin, and it can relieve heat toxin due to its laxative effect. It is used to treat heat toxin, carbuncle, boil and sore. It is often used with Lonicera, Dandelion and Forsythia. It is used to treat intestinal abscess abdominal pain. Often used with Peony Bark and Peach Kernel, such as Rhubarb and Peony Peel Decoction. This product can clear heat toxins when used externally. , reduce swelling, and treat heat toxin, carbuncle, boil and sore boils. It can be ground into powder and mixed with honey water for application. To treat mouth and tongue sores, it can be ground into powder with dried alum and applied to the affected area. To treat burns and scalds, the powder can be used alone or mixed with Sanguisorba powder and apply to the affected area with Sesame Oil.
  4. For stasis syndrome/pattern. This product has good invigorating blood and resolving stasis effects, and is a commonly used drug for the treatment of stasis syndrome/pattern. To treat postpartum stasis, abdominal pain and lochiorrhea in women, it is often used with Peach Kernel and lochiorrhea, such as Stasis-Precipitating Decoction; to treat women's stasis and amenorrhea, it is often used Used equally with Carthamus and Chinese Angelica; to treat bruises, injuries, static blood swelling and pain, it can be used with Peach Kernel and Carthamus, Pangolin Scales and the like can be used, such as Origin-Restoring Blood-Invigorating Decoction.
  5. In addition, this product is bitter and cold, reducing diarrhea, and can be used as a combination of medicinals clearing and purging heat and dampness medicine for dampness-heat diseases such as jaundice and stranguria. For treating dampness-heat jaundice, Virgate Wormwood and Gardenia are often used, such as Virgate Wormwood Decoction, for treating heat stranguria syndrome, it is often used Match with Akebia Stem, Plantain Seed, Gardenia, etc., such as Eight-Ingredient Rectification Powder.

[Documentation]

  1. Benjing: "Reducing static blood, blocking blood Hanre, breaking stuffiness and abdominal mass, persistent fluid retention retained food, cleansing the stomach and intestines, promoting newness and innovation , Tongli water grains, regulating food, calming the five zang-organs. "
  2. Bencao Gangmu: "Dry diarrhea, abdominal pain, abdominal pain, dripping urine, dryness accumulation, tidal fever, deirious speech, jaundice, various fire sores."
  3. Yaopin Huayi: "Rhubarb Rhizoma has a heavy odor, descends straight down, moves without guarding, and has the power to cut through barriers and seize doors. General. Specializes in abdominal distension and fullness, heat accumulation in the chest and stomach, phlegm in the abdominal mass, static blood in the stool, and amenorrhea in women."

[Usage and Dosage]

Decoct and take, 5~10g. Appropriate amount for external use, raw Rhubarb Rhizoma has strong purgative power, and those who want to conquer it should use it raw; it should be decoctioned later, or soaked in boiling water and taken. If decoction for a long time, the purgative power will be weakened. Rhubarb Rhizoma made from wine has weak purgative power and good blood-activating effect, so it is suitable for stasis syndrome/pattern. Rhubarb Rhizoma charcoal is mostly used to treat hemorrhagic syndrome.

[Precaution]

This product is bitter and cold, easy to hurt stomach qi, spleen-stomach weakness, use with caution; it has a subsidence property, and is good at invigorating blood and resolving stasis, so it should not be used by women during pregnancy, menstruation, and lactation.

[Modern Pharmacology]

This product mainly contains anthraquinone derivatives, some of which are in free state, such as Rhubarb Rhizoma acid, Rhubarb Rhizoma phenol, Rhubarb Rhizoma element, Aloes Rhubarb Rhizoma element, Rhubarb Rhizoma methyl ether, and most of which are in bound state, such as Rhubarb Rhizoma acid-8 - Glucoside, Rhubarb Rhizoma methyl ether glucoside, Aloes Rhubarb Rhizoma glucoside, Rhubarb Rhizoma phenol glucoside and sennaside A, B, C, E, F, etc. Also contains Rhubarb Rhizoma tannins, fatty acids, calcium oxalate, glucose, fructose and large amounts of starch.

The active ingredient of Rhubarb Rhizoma for laxatives is anthracene glycoside, mainly sennoside, which acts mainly in the large intestine. It can increase intestinal motility, inhibit water absorption in the intestine, and promote defecation; Rhubarb Rhizoma has anti-infective effects and is effective against a variety of infections. Both Gram-positive and -negative bacteria have inhibitory effects, among which the most sensitive ones are Staphylococcus and Streptococcus, followed by diphtheria, disease caused by cold and paradisease caused by cold, diplococcus pneumonia, dysentery bacilli, etc.; against influenza virus It also has an inhibitory effect. Because it is caused by tannins, constipation occurs after diarrhea; it has stomachic and choleretic effects; in addition, it also has the effects of stopping bleeding, protecting the liver, lowering blood pressure, and lowering serum cholesterol.

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