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tian wang bu xin dan 天王補心丹 (in English and Chinese 中英文)

Compiled and edited by: Joe Hing Kwok Chu   按此看中文。

Name of Formula: Tian Wang Bu Xin Dan (she shen mi po)

Symptoms: yinxu (yin deficient), anemic, palpitation, restless, restless sleep, tired, amnesia, spermatorrhea in dream, brain get tired easily, dry stool, boils in mouth and/or tongue, red tongue, and thin pulse..

Modern day usage: neurocirculatory asthenia

Composition:

sheng di huang 120g,  wu wei zi , dang gui, tian dong,  mai dong,  bai zi ren, suan zao ren, 30 g each, ren shen, xuan shen , dan shen, bai fu ling, yuan zhi, jie geng 15 g each.

Grind into fine powder and make  into pill with refined honey. Take 9 g each time with warm drinking water. Three times per day.

Note: original formula contains zhu sha (mercury sulfide -- HgS), which can be toxic. Now, it is not being used.

Neurocirculatory asthenia: A syndrome characterized by increased susceptibility to fatigue, dyspnea (short of breath), rapid pulse, chest pain, and anxiety. it is also called DaCosta's syndrome, effort syndrome, irritable heart, soldier's heart. (Source: American Heritage Dictionary)

藥方名:天 王補心丹 (藥方來源:《攝生秘剖》
藥方組成:

生地黄 120克,  五味子, 歸 ,天門冬, 麥 冬, 柏子仁,  酸 枣仁,各 30 克, 人参, 玄参, 丹参, 白茯苓 志 , 桔梗各15 克
末,煉蜜為丸,如梧桐 子大

註:原方用朱砂為衣。現 已經不用。
每次服9克。溫開水送服。
功效:濕陰清熱。補心安神。
主治:陰虧血少,虛煩心悸,睡眠不安。精神衰疲,夢遺健忘,不耐思慮,大便干燥,口舌生瘡,舌紅少苔,脈細而數

神經性血循衰弱症《 新用薈萃》

心臟神經官能症是以心血管,呼吸和神經系統症狀為主要表現的臨床綜合征,臨床和病理方面均無器質性病變。本症也稱為神經性血循衰弱症,DaCosta Syndrome,焦慮性神經官能症等。

天王補新丹口服。每次10 ~ 15 克。於早,中,晚,飯前和睡前各服一次。繼續服一個月為一療程。
服藥期間忌食辛肥之物。保持七情調暢,勞逸適度,停服其他中西藥物。
共治療本病218例。結果基本控制145例(66.5%),明顯有效70例(32.1%)。總有效率為98.6%。比起西藥組 Oryzanol 20mg, 每日三次,Diazepam (Valium) 2.5 ~5 mg 每日三次,療效明顯優於西藥組。(P < 0.01)。

 

陽痿

內服天王補心丹,每次服2丸(18克),早晚各服1次,用溫開水送下。20天為1個療程,連續服至症狀消失停藥。經臨床觀察,用藥1-3個療程後的總有 效率為96.6%。

 

【注意事項】脾胃虛寒,胃納欠佳,痰濕留滯者,均 不宜服用。可引起藥疹,
長期服用可引起汞中毒。但現在中藥製劑都已經去掉硃砂這一成份了


【用法及用量】口服:一般成人每次1丸 ,每日2次。7歲以上兒童服成人1/2量;
3~7歲服1/3量。
【劑型及規格】蜜丸:每丸重9g。
 

按語:神經性血循衰弱症乃常見之心血管功能 失調之一。屬於中醫稱為心悸,怔仲之病症。  陰虛血少,虛火內內憂,心悶胸痛,氣短乏力,虛煩不寐,多夢健忘,舌紅脈細為主要症狀。本方主要功效是滋陰補血,清熱除煩,養心健腦。


現代研究証實該藥對中區神經系統的興奮抑制過程有良好調整作用,可明顯改善心血管系統植物神經的平衡功能。臨床應用可產生鎮靜,抗焦慮,調節能量和內分泌 ,提高新藏儲備功能等綜合藥理效應。故對本病有良好的作用。


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