Literature study on fecal class Chinese medicines and their application in the ancient prescriptions*
2016, 39 (5):
Objective To summarize the basic characteristics of fecal class Chinese medicines in modern clinical practice, and to find out the application of them in ancient prescriptions. Methods Taking “feces”(Chinese: 粪便; pinyin: fènbiàn) and “Chinese medicines”(Chinese: 中药; pinyin: zhōngyào) as the keywords, we searched CNKI, Wangfang, CQVIP and CBM databases of relevant articles published since the time of establishment. Then the fecal class Chinese medicines were screened. What we obtained were where the official names came from, what their alternative names were at different times, which creatures they were excreted from, what property and flavor, meridian tropism, efficacy and indications they had. Furthermore, we searched the ancient prescriptions involving fecal class Chinese medicines using the database platform of Dictionary of Chinese Medicine Prescriptions, institute of Chinese Materia Medical of China Academy of Chinese Medical Sciences to get the common compatibility and potential rules of clinical application. Results Total eleven fecal class Chinese were common used in modern clinical practice, which were recorded in various monographs of Chinese medicine by numerous names, and were excreted from birds, mammals and worm. The nature of the medicines were hot or cold; the flavor coved sour, bitter, sweet, bitter, salty; the meridian tropism lied in meridian of liver (gall bladder),heart (cardiac), spleen (stomach), lung (intestine) and kidney (bladder); the various effects were listed as the following: resolving superficies, clearing heat, dispelling pathogenic wind and removing dampness, resolving stagnation, expelling blood stasisfor removing obstruction in collaterals, removing phlegm, relieving cough, calming endogenous wind, inducing resuscitation, removing toxicity, destroying parasites, relieve itching, eliminating necrotic tissues and promoting granulation. In addition, we extracted relevant 1 550 relevant prescriptions containing the eleven medicines which had the internal pharmaceutical compatibility and association rules. Conclusion The application of fecal class Chinese medicines has a long history. The further study and innovating application will be much of value of research and application in the intestinal microecology and the diagnosis and treatment of various diseases.
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