1.Liver wind moves internally, and convulsions occur. This product mainly enters the liver meridian, has the functions of calming wind and relieving spasm, and is sweet and moist in taste and mild in medicinal properties. Therefore, it can be used to treat liver wind internal movement, convulsion, epilepsy and convulsion of various causes, regardless of cold and heat deficiency and excess. For children with acute convulsion, it is often combined with wind-calming and antispasmodic drugs such as antelope horn, Uncaria rhynchophylla and scorpion, such as Uncaria rhynchophylla (Jin Jian of Medical Zong); For children with spleen deficiency and slow convulsion, it is combined with ginseng, Atractylodes macrocephala, Bombyx Batryticatus and other drugs, such as Xingpi Pill (Puji Skill Prescription); For treating infantile convulsions, it can be used together with Scorpio, Rhizoma Arisaematis Preparata and Bombyx Batryticatus, such as Tianma Pill (Wei's Family Tibetan Prescription). If it is used for treating tetanus, convulsion and angular arch, it is also combined with Rhizoma Arisaematis, Rhizoma Typhonii and Radix Saposhnikoviae, such as Yuzhen Powder (Authentic Surgery).
2. Dizziness and headache. This product not only calms liver wind, but also calms liver yang, and is an important medicine for treating dizziness and headache. Regardless of deficiency syndrome or excess syndrome, it can be applied with different compatibility. For dizziness and headache caused by hyperactivity of liver yang, it is often used with Uncaria, Concha Haliotidis and Achyranthes bidentata, such as Tianma Gouteng Drink (New Meaning of Treating Miscellaneous Diseases). For dizziness, headache and chest distress caused by wind-phlegm disturbance, it is often used with Banxia, Chenpi, Poria and Baizhu, such as Banxia Baizhu Tianma Decoction (Medical Mind Enlightenment). If the head wind attacks the injection, and the patient has a headache and dizziness, it can be combined with the same amount of Chuanxiong as a pill, such as Tianma Pill (Puji Formula).
3. numbness of limbs, paralysis of hands and feet, rheumatism and arthralgia. This product can also dispel external wind, dredge meridians and relieve pain. It can be used to treat stroke, hand and foot paralysis, muscle and bone pain, etc., and can be combined with myrrh, prepared aconite, musk and other drugs, such as Tianma Pill (Sheng Ji Zong Lu); It can be used to treat women with wind arthralgia and hand and foot paralysis, and can be soaked with Achyranthes bidentata, Eucommia ulmoides Oliv. and Radix Aconiti Lateralis Preparata, such as Tianma wine (Ten Convenient Prescriptions); For rheumatism and arthralgia, joint flexion and extension are unfavorable, it is usually used with Gentiana macrophylla, Notopterygium root, Mori branch and other rheumatism-removing drugs, such as Gentiana Tianma decoction. ("medical understanding").
Usage and dosage: decocted, 3 ~ 9g. Take it after grinding, each time1~1.5g.
Uncaria rhynchophylla, antelope horn and gastrodia elata have the functions of calming the liver, calming the wind and suppressing yang, and can treat the syndrome of hyperactivity of liver-qi and liver-yang. However, Uncaria rhynchophylla is cool, light and clear, and is better at clearing heat and calming wind, so it is suitable for treating children with high fever and convulsion. Antelope horn is cold in nature and has strong heat-clearing ability. Besides treating wind syndrome caused by extreme heat, it can also clear the heart and detoxify, and it is mostly used for symptoms such as high fever, coma and heat toxicity. Gastrodia elata is sweet, flat and moist, and its heat-clearing power is not as good as that of Uncaria rhynchophylla and Antelope Antelope, but it can be used in combination with cold and heat deficiency and deficiency of liver wind moving and convulsion, and it can dispel wind and relieve pain.
Abstract of ancient books
1."Kaibao Materia Medica": "Main rheumatism, limb contracture, infantile wind epilepsy, convulsion, waist and knees, strong muscle strength."
2. "Medication Method": "Treating adults with wind-heat headache; Children with wind epilepsy and fright; The winds are numb; The language of wind and heat is not good. "
3. "Materia Medica": "Headwind, headache, dizziness, convulsion, limb spasm, language disorder, all strokes, wind phlegm."
Modern research
1.chemical composition: this product contains gastrodin, gastrodin aglycone, β -sitosterol and carotene, citric acid and its monomethyl ester, palmitic acid, succinic acid and sucrose, etc. It also contains gastrodia elata polysaccharide, vitamin A, various amino acids, trace alkaloids and trace elements such as chromium, manganese, iron, cobalt, nickel, copper and zinc.
2. Pharmacological effects: Gastrodia elata water, alcohol extract and different preparations can obviously reduce spontaneous activity of mice, and can prolong the sleep time of mice caused by barbital sodium and cyclohexene barbital sodium, and can inhibit or shorten the seizure time of experimental epilepsy. Gastrodia elata polysaccharide can also reduce the resistance of peripheral blood vessels, cerebrovascular vessels and coronary vessels, and has the effects of lowering blood pressure, slowing heart rate, relieving pain and resisting inflammation. Gastrodia elata polysaccharide has immune activity.
3. Clinical study: It is reported that 66 cases of traumatic brain injury syndrome with headache, dizziness and sleep disorder as the main symptoms were treated by intramuscular injection of Tianma injection, and the total effective rate was 97% (new drug and clinic, 1985, 2: 8); Gastrodia elata injection was used to treat mild tetanus. After taking the medicine, it was effective in15 ~120 minutes, the patient was quiet, and the number of convulsions was reduced, showing a sedative effect (Shaanxi New Medicine, 198 1,1:45). 90 cases of vertigo were treated with Rhizoma Gastrodiae, Rhizoma Chuanxiong and Rhizoma Pinelliae Preparata, and the total effective rate was 94.4% (Journal of Practical Medicine, 1994, 1:50). Gastrodia elata is also used to treat neurasthenia, neuralgia, hemifacial spasm, hyperlipidemia and senile vascular dementia.
4. Adverse reactions: Gastrodia elata and Gastrodia elata preparations occasionally have allergic reactions and poisoning. Such as: oral gastrodia elata powder causes urticaria drug eruption; Oral Tianma pill causes allergic purpura; Anaphylactic shock caused by intramuscular injection of Tianma injection; Acute renal failure and coma caused by large dose of gastrodia elata. The rescue methods of gastrodia elata poisoning are: early vomiting and gastric lavage; Allergic reaction and renal failure can be treated symptomatically.