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Antidotes for lei gong teng (tripterygium wilfordii, Hook. F.)

Translated and edited by: Joe Hing Kwok Chu

Prevention

1). For external use: use ointment and avoid tincture.

2). Pay attention to the dosage according to the body constitution of individual patients.

3). Avoid using on patients with liver problems.

Antidotes for toxicity

1).  stomach lavage and induce diarrhea.

2). During the early stages, use adrenocortical hormone. Dexamethasone 5~10mg with added 50% glucose 40 ml can be used in IV administering, followed with dexamethasone of 1.5mg, 3 times a day for 2~3 weeks. anisodamine (654-2) can also be used.

3).  Use dextran 40 (low Molecular Dexran, Rheomacrodex) 500ml IV administering, when toxin has been absorbed but no symptom of toxication. 20% solution of Manitol for IV administering, and furosemide 40mg (Frusemide, Fursemide, Lasix) for muscle injection. Pay attention to the balance of electrolytes and correct acidosis immediately.

4). Skin allergy can be treated with antihistamines or with traditional Chinese herbs for heat dispersing and toxin neutralizing.

5). Chinese herb treatment:

• (a) fresh feng wei cao (Pterismultifida Poir) 250 to 500 g each time. Or combine with jin qian cao, wu kuai, tian qi. This single item formula has been successfully used to treat more than 10 serious cases. The combined formula has been used successfully on 7 cases including one who almost died for the toxin. 

• (b) yang mei (Myrica rubra.et Zucc) :  drinking juice of the fruit, 100 cc to 200 cc, every 1 or 2 hours, gradually decrease the volume was successful in treating a patient who breathing and heart rate were suddenly stop. Using or bark or root of yang mei 60 to 250 g each time, 2 to 3 times a day is also effective.

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