Cimicifuga – Sheng Ma

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[Medicinal] This product is the rhizome of Cimicifuga sibiricum or Cimicifuga guanxima of the Ranunculaceae family.
[Nature and flavor and meridians] Sweet, pungent, slightly cold. Enter the lung, spleen, large intestine, and stomach meridians.
[Effects] Release the rash, clear away heat and detoxify, and raise Yang Qi.
[Clinical application] 1. Used for measles with poor release.
This product has weak release power and is rarely used for general symptoms. Because of its release effect, it is often used for measles with poor release, and is often used in combination with Pueraria root.
2. Used for heat toxic macules, gingival ulcers, mouth sores, sore throat, sores, etc.
This product clears away heat and detoxifies to treat gum ulcers, mouth sores and sore throat caused by excessive stomach fire. It is often used in combination with gypsum, coptis root, etc. in clinical practice; for high fever, macules on the body, and sores and swelling, cimicifuga can be used together with honeysuckle, lianqiao, red peony root, and angelica.
3. It is used for qi deficiency and sinking, chronic diarrhea and prolapse of the anus, uterine prolapse, etc.
The effect of cimicifuga in raising yang is similar to that of bupleurum, so the two medicines are often used together, and are often used with qi-tonifying drugs such as codonopsis and astragalus to raise yang and lift sinking.
[Prescription name] Cimicifuga, green cimicifuga (raw, used for rash, clearing heat and detoxification.), roasted cimicifuga (stir-fried with honey, used to raise yang.)
【一般用量用法】 一至三钱，煎汤服用。
[Comment] Cimicifuga is a medicine that mainly has the effects of raising and clearing hair and clearing heat and detoxification. Its function of lifting and dispersing is similar to that of Bupleurum and Pueraria, but with stronger power. It can be used for lifting when combined with Bupleurum, and for dispersing rash when combined with Pueraria. As for its excellent heat-clearing and detoxifying effect, it is its characteristic. It can be used to treat stomach fire toothache when combined with Coptis chinensis and Gypsum, and can be used to treat head and face erysipelas when combined with Scutellaria baicalensis, Forsythia suspensa, Burdock fruit, Isatis root, etc.
[Example of prescription] Shengma Gegen Decoction “Yan’s Children’s Prescription Theory”: Shengma, Pueraria lobata, Peony, Roasted Licorice. Treat measles that has not yet broken out, or has broken out but not completely.
Shengxian Decoction “Zhongzhong Canxi Lu”: Raw Scutellaria baicalensis, Anemarrhena, Bupleurum, Platycodon grandiflorum, Shengma. Treat chest depression and shortness of breath.
Xuandu Fashen Decoction “Douzhen Renduanlu”: Shengma, Pueraria lobata, Peucedanum chinense, Apricot, Citrus aurantium, Nepeta tenuifolia, Saposhnikovia divaricata, Mentha leaf, Akebia, Forsythia suspensa, Burdock fruit, Platycodon grandiflorum, Bamboo leaf, Raw Licorice. Treats measles in the early stage and when it is difficult to come out.
This product is the dried (urcz.) rhizome of Cimicifuga heracleifolia Kom.. Xing’an Cimicifuga Cimicifuga dahuricaMaxim. or Cimicifuga foetidaL. of the Ranunculaceae family. It is harvested in autumn, the mud and sand are removed, and the fibrous roots are burned or removed when they are dried in the sun.
[特性]
This product is an irregular long block with many branches and nodules, 10~20cm long and 2~4cm in diameter. The surface is dark brown or brown, rough and uneven, with hard and fine fibrous roots remaining, with several circular hollow stem base marks on the top, and the inner wall of the hole has a reticular groove pattern; the bottom is uneven and has fibrous root marks. It is light, hard, not easy to break, the cross section is uneven, with cracks, fibrous, yellow-green or light yellow-white. The smell is slight, and the taste is slightly bitter and astringent.
【鉴别】
(1) The powder of this product is yellow-brown. The metazonal cortical cells are yellow-brown and polygonal in appearance. Some of the anticlimax and circumferential walls are tumor-like and thickened, protruding into the cell cavity. The wood fibers are numerous, scattered, and slender. The pore openings are obliquely cracked or intersecting in a herringbone or cross shape. The bast fibers are mostly scattered or bundled, long in shape, with obvious pore grooves.
(2) Take 19 grams of the powder of this product, add 50 ml of ethanol, heat and reflux for 1 hour, filter, evaporate the filtrate, and add 1 ml of ethanol to dissolve the residue as the test solution. Take 1 g of the control medicinal material of Cimicifuga heracleifolia and prepare the control medicinal material solution in the same way. Then take the ferulic acid reference substance and the isoferulic acid reference substance, add ethanol to prepare a mixed solution containing 1 mg of each per 1 ml, as the reference solution. According to the thin layer chromatography method (General Rule 0502), 5μ1 of each of the above three solutions was taken and spotted on the same silica gel G thin layer plate, and cyclohexane-ethyl acetate-glacial acetic acid (7:2:1) was used as the developing agent. After development, the plate was taken out, dried, and inspected under ultraviolet light (365nm). In the chromatogram of the test sample, fluorescent spots of the same color appeared at the corresponding positions of the chromatogram of the reference medicinal material and the chromatogram of the reference sample.
[检查]
Impurities shall not exceed 5% (General Rule 2301).
Water content shall not exceed 13.0% (General Rule 0832 Method 2).
Total ash shall not exceed 8.0% (General Rule 2302)
Acid-insoluble ash shall not exceed 4.0% (General Rule 2302).
[提炼]
According to the hot leaching method under the alcohol-soluble extract determination method (General Rule 2201), dilute ethanol is used as the solvent, and the content shall not be less than 17.0%.
【含量测定】
Determine according to high performance liquid chromatography (General Rule 0512).
Chromatographic conditions and system suitability test Octadecyl tridane bonded tridacyl gum is used as filler: acetonitrile-0.1% phosphoric acid solution (13:87) is used as mobile phase; detection wavelength is 316nm. The number of theoretical plates calculated based on the isoferulic acid peak should not be less than 5000.
Preparation of reference solution Take an appropriate amount of isoferulic acid reference, accurately weigh it, place it in a brown volumetric bottle, add 10% ethanol to make a solution containing 20ug of isoferulic acid per 1ml, and obtain it.
Preparation of test solution Take about 0.5g of this product powder (passed through No. 2 sieve), accurately weigh it, place it in a stoppered conical bottle, accurately add 25ml of 10% ethanol, stopper it, weigh it, heat it under reflux for 2.5 hours, cool it, weigh it again, make up the lost weight with 10% ethanol, shake it well, filter it, and take the filtrate to obtain it.
Determination method: accurately aspirate 10 ml of reference solution and test solution respectively, inject into liquid chromatograph, and determine. The product, calculated on the basis of dry product, contains not less than 0.10% of isoferulic acid (C10H1004).
药材饮片
[加工]
Remove impurities, soak slightly, wash, moisten thoroughly, cut into thick slices, and dry.
[特性]
This product is an irregular thick slice, 2~4 mm thick. The outer surface is dark brown or brownish brown, rough and uneven, and some can be seen with root marks or hard fine root residues. The cut surface is yellow-green or light yellow-white, with a reticular or radial texture. It is light, hard, and fibrous. It has a slight smell and tastes slightly bitter and astringent.
[检查]
Water content is the same as the medicinal material, not more than 11.0%.
Total ash is the same as the medicinal material, not more than 6.5%.
Acid-insoluble ash is the same as the medicinal material, not more than 1.0%.
[提炼]
Same as the medicinal material. [Nature and flavor and meridians]
Spicy, slightly sweet, slightly cold. Enters the lung, spleen, stomach, and large intestine meridians.
【功能与主治】
Dispelling rash, clearing away heat and detoxifying, and raising Yang Qi. Used for wind-heat headache, toothache, mouth sores, sore throat, measles that do not break out, Yang poison spots, rectal prolapse, and prolapse of the uterus.
【用法用量】
3~10克。
[贮存]
Place in a ventilated and dry place.
Where is the main production area of ​​Cimicifuga?
It is mainly produced in Liaoning, Heilongjiang, Hebei, Shanxi, and Sichuan.
Where is the main medicinal part of Cimicifuga?
The medicinal part of Cimicifuga:
It is the dried rhizome of Cimicifuga heracleifolia Kom., Cimicifuga dahurica (Turcz.) Maxim., or Cimicifuga foetida L., plants of the Ranunculaceae family. Dig in autumn, remove the mud and sand, and dry in the sun until the fibrous roots are dry, then burn or remove the fibrous roots and dry in the sun.

Characteristics of the medicinal parts of Cimicifuga:

This product is an irregular long block, with many branches and nodules, 10~20cm long and 2~4cm in diameter. The surface is dark brown or brown, rough and uneven, with hard and fine fibrous roots remaining, with several circular hollow stem base marks on the top, and the inner wall of the hole has a reticular groove pattern; the bottom is uneven and has fibrous root marks. The body is light, hard, not easy to break, the cross section is uneven, with cracks, fibrous, yellow-green or light yellow-white. The smell is slight, and the taste is slightly bitter and astringent.

How is Cimicifuga recorded in historical books?

“Ben Jing”: “It can relieve all kinds of poisons, ….. prevent fever, miasma, evil spirits, and poison. “Ming Yi Bie Lu”: “It is used to treat abdominal pain, seasonal poison, headache, cold and heat, wind swelling, sore throat, and mouth sores. “Medical Origin”: “Cimicifuga, if it is used to nourish the spleen and stomach, it cannot be nourished without this. If it is accompanied by scallion white, fragrant angelica, etc., it can also go to the hand yangming and taiyang, and can relieve the heat between muscles. This is the medicine for colds in the hand and foot yangming.
效果
Cimicifuga has the effects of releasing the phlegm, clearing away heat and detoxifying, and raising yang energy.
What are the main effects and clinical applications of cimicifuga?
Cimicifuga is used for wind-heat headache, toothache, mouth sores, sore throat, measles that do not break out, yang poison spots, prolapse of the anus, and uterine prolapse
Exogenous fever
Often used with kudzu root, bupleurum, etc.
Measles that do not break out, yang poison spots
For the initial onset of measles, the rash is not smooth, often used with kudzu root, white peony root, and licorice. .
·For the treatment of yang poison spots, it can be used together with raw gypsum, isatis indigo leaf, and lithospermum.
Heat toxicity
For the treatment of hyperactivity of stomach fire, headache, swollen gums, or swollen lips and cheeks caused by upward attack of the meridians, it is often used with coptis root, raw Used together with Rehmannia root and Peony bark. . Treats the big head plague caused by wind-heat epidemic toxins, with symptoms of red and swollen head and face, sore throat, often used together with Rhizoma Coptidis, Rhizoma Coptidis, Radix Isatidis, etc. . Spleen deficiency and qi collapse syndrome
Symptoms include chronic diarrhea, rectal prolapse, uterine prolapse and other visceral prolapse, often used together with Radix Bupleuri, and combined with Radix Astragali, Ginseng, etc.
What are the compound preparations containing Cimicifuga?
Cimicifuga Gegen Decoction
Relieves muscles and clears rashes. Mainly used to treat the initial stage of measles. The rash does not break out, Fever, headache, cough, red eyes and tears, thirst, red tongue, thin and dry fur, floating pulse.
Qingwei San
Clears the stomach and cools the blood. Indications: toothache caused by stomach fire. Toothache leads to headache, hot cheeks, teeth prefer cold and dislike heat, or bleeding from teeth, or red, swollen and ulcerated gums, or swollen and painful lips, tongue, cheeks, hot and smelly breath, dry mouth, red and yellow tongue, slippery pulse.
Buzhong Yiqi Wan
Replenishes the middle qi, raises yang and lifts the sunken. Used for spleen and stomach weakness, middle qi down Diarrhea, anal prolapse, and vaginal prolapse caused by uterine stagnation, symptoms include fatigue, poor appetite, abdominal distension, loose stools, chronic diarrhea, anal prolapse or anal prolapse, and uterine prolapse.
Xiaozao Pills
Clears heat and dampness, detoxifies and disperses stagnation. Used for acne caused by damp-heat toxic evil gathering on the skin, symptoms include shiny and greasy facial skin, blackheads, pustules, nodules, accompanied by bitter mouth, sticky mouth, and dry stool; acne with the above symptoms.
Chunchi Qingwei Pills
Digests food and eliminates stagnation, harmonizes the stomach Anti-vomiting. Used for gastrointestinal stagnation caused by food stagnation, symptoms include children’s cessation of feeding, cessation of milk, abdominal distension, vomiting, irritability, thirst.
Zixuesan
Clears heat and opens the orifices, stops spasms and calms the mind. Used for heat entering the pericardium and heat-moving liver wind syndrome, symptoms include high fever, irritability, coma, delirium, convulsions, macules, vomiting and bleeding, red urine and constipation.
How to use
Cimicifuga has the effects of dispelling rashes, clearing heat and detoxifying, and raising Yang Qi. Cimicifuga is generally used in Cimicifuga decoction Tablets, oral. Please follow the doctor’s instructions for specific medication.
How to use Cimicifuga correctly?
When decoction of Cimicifuga is taken orally, it can play a role in raising yang, and the dosage is 3~9g, which is suitable for honey roasting and wine frying; it can play a role in clearing heat and detoxifying, and can be used up to 15g, which is suitable for raw use.
When used externally, take an appropriate amount of Cimicifuga, grind it into powder and apply it to the affected area; or decoct it in water and rinse it.
Through different processing methods, Chinese medicinal materials such as raw Cimicifuga, processed Cimicifuga and Cimicifuga carbon can be produced. It is suitable for raw use to release rash, clear heat and detoxify, and it is suitable for raising yang and lifting sunken. Different processing methods have different effects, but the method of use is the same. Please follow the doctor’s specific medication.
Cimicifuga is generally used in decoctions, decoctions are taken, and it can also be made into powders or pills for consumption. However, the use of Chinese medicinal materials must be based on syndrome differentiation and treatment, and should be used under the guidance of professional Chinese medicine practitioners. It should not be used at will, and it is even more forbidden to listen to Chinese medicine prescriptions and advertisements at will.
What drugs should be used with special attention?
中医药、中西医结合应用，临床需辨证施治、个体化治疗。
If you are using other drugs, please consult a doctor before taking the medicine, and inform the doctor of all your diagnosed diseases and treatment plans you are receiving.
使用说明
Cimicifuga has a floating nature, so it is not suitable for people with yin deficiency and yang floating, qi reversal and measles.
What are the precautions when using Cimicifuga?
Measles has been cleared, yin deficiency and fire, and yin deficiency and yang hyperactivity should not be used. .
This product has a slight smell and a slightly bitter and astringent taste. The outer skin color is black-brown and the cut surface is yellow-green. It is best to use it raw or honey-roasted.
During the medication, you should avoid eating cold, raw and cold food, spicy and greasy food, and avoid smoking and drinking.
Pregnant and lactating women: If you are pregnant, planning to be pregnant, or are lactating, please inform your doctor in time and consult whether Chinese medicine can be used for treatment.
·儿童：儿童应在医生指导及成人监护下服药。
Please keep the medicinal materials properly and do not give them to others.
忌用铜、铁器煎药。
How to identify and use Cimicifuga?
Bupleurum, Cimicifuga, and Pueraria
All three can release the exterior and raise the Yang, and can be used to treat wind-heat colds, fever, headaches, and symptoms such as the failure of clear Yang to rise. Among them, Bupleurum and Cimicifuga can both open the Yang and lift the sunken, and are used to treat Qi deficiency and sunken, poor appetite and loose stools, chronic diarrhea and prolapse of the anus, gastroptosis, kidney ptosis, uterine prolapse and other organ prolapses; Cimicifuga and Pueraria can also clear the rash, and are often used to treat the initial onset of measles and poor clearing.
But Bupleurum mainly raises the Qi of the liver and gallbladder, is good at dispersing the evil of the Shaoyang half-exterior and half-interior, reducing fever, soothing the liver and relieving depression, and is an important medicine for the treatment of Shaoyang syndrome. It is also commonly used for cold evil in Shaoyang, alternating cold and heat, chest and flank bitterness, bitter mouth and dry throat, dizziness; cold and fever; liver depression and qi stagnation, chest and flank distension and pain, irregular menstruation, dysmenorrhea and other symptoms.
Cimicifuga mainly raises the spleen and stomach clear yang qi, and its lifting power (raising yang and lifting the sunken) is stronger than that of Bupleurum, and is good at clearing heat and detoxifying, and is often used for a variety of heat and toxic diseases. Pueraria root mainly raises the spleen and stomach clear yang qi to achieve the function of promoting fluid and quenching thirst, and stopping diarrhea. It is often used for fever and thirst, yin deficiency and thirst; hot diarrhea and dysentery, spleen deficiency diarrhea.
At the same time, Pueraria root relieves muscles and reduces fever. It can be used for external symptoms, fever and chills, headache without sweating, stiff neck and back pain, whether it is wind-cold exterior syndrome or wind-heat exterior syndrome; and Pueraria root can dredge meridians and activate collaterals, detoxify alcohol, and can also be used to treat dizziness and headache, hemiplegia caused by stroke, chest pain and heart pain, and alcohol poisoning. Misunderstandings of medication
用药提示
患者最常问的问题
Composition of Shengma Gegen Decoction
Additional Shengma Gegen Decoction is composed of Shengma, Gegen, Hangzhou Shao, Jingjie, Fangfeng, Licorice, Duckweed, etc. It has the effects of relieving the exterior and clearing the rash, and clearing the heat in the Yangming. It is mainly used to treat Yangming wind-heat syndrome, fear of cold, dry mouth, loose stools, itchy wheals, papules, blister skin lesions, slippery pulse, weak pulse, thin tongue with yellow and white fur.
Shengma and sesame stewed pig intestine
[Composition] 100g black sesame, 15g Shengma, a section of pig intestine (30cm long), and appropriate seasoning. [Preparation method] Put Shengma and Heiyi Ma into the cleaned pig intestine, tie the two ends tightly, put it in a casserole, add appropriate amount of onion, ginger, salt, rice wine, and water, simmer for 3 hours until the pig intestine is cooked, take it out and let it cool, slice it and serve on a plate.
[Effects and indications] Dryness of body fluid in old age, intestinal fluid not restored after illness, dry and difficult stool, or intestinal deficiency constipation, with symptoms such as prolapse of the anus and uterine prolapse, [Precautions for use] Sesame and large intestine contain more fat, so it is not suitable for people with spleen deficiency and loose stools.
What are the effects of honey cimicifuga? Cimicifuga is pungent, slightly sweet, and slightly cold in nature. It enters the lung, spleen, stomach, and large intestine meridians. It has the functions of dispelling exterior rash, clearing away heat and detoxifying, and raising yang. The raw product has a very strong dispersing effect, and is better in dispelling exterior rash, clearing away heat and detoxifying. It is often used for exogenous wind-heat headache, the initial onset of measles, poor discharge, heat toxicity, headache, swollen and painful gums, sores and swelling, etc.
The pungent and dispersing effect of honey cimicifuga is weakened, the yang-raising effect is mild and lasting, and it reduces the irritation to the stomach. It is often used for weak qi in the middle.It can treat shortness of breath, fatigue, and listlessness, as well as chronic diarrhea, rectal prolapse, uterine prolapse, and metrorrhagia due to qi deficiency and inability to retain blood.