|
Drugs
should be processed before using or making into various
forms.
1.
Aims of Preparation
(1)To enhance curative effects
(2)To reduce toxic effects
(3)To change properties of drugs and expand their uses
2.
Methods for Preparation
Methods for preparation
of Chinese drugs include purification,
preparation with water, preparation with fire and preparation
with
both water and fire. Methods for preparation of Chinese
drugs are
closely related to their clinical usages;
(1)
Stir-baking
Drugs are put into a pot over a fire ,continually stir-baked
to a certain extent and taken out. According to extent
of heating, drugs can be stir-baked yellow, stir-baked
charred or stir-baked carbonized.
To be stir-baked yellow or stir-baked charred can moderate
drugs' properties or strengthen the effect of invigorating
the spleen ; and to be stir-baked carbonized can strengthen
the effects of stopping bleeding and arresting diarrhea.
(2)
Stir-baking with liquid
The common liquid includes wine, vinegar, honey, salt
solution and
ginger juice. Drugs stir-baked with liquid can alter
the character of
a drug, increase its efficacy, reduce toxicity, remove
abnormal
flavour and its side effect.
(3)
Calcining
Drugs in a container are directly or indirectly calcined
over a fierce
fire to make them pure, crispy and easy to grind. Most
of the solid
and hard mineral drugs or shells are directly calcined
such as
dragon's bone and oyster shell.
(4)
Roasting
Wrapped in wet paper or flour paste, drugs are heated
until the
coating becomes scorched to remove oil and irritating
from drugs or
to moderate their properties.
(5)
Steaming
Drugs are steamed solely or with liquids to change their
properties.
(6)
Boiling
Drugs are boiled in water and other liquids to reduce
their toxicity.
(7)
Water-refining
Insoluble mineral drugs are crushed in water, the crushed
particles
are ground with water into fine powder in suspension.
This process
is repeated until no sediment of coarse particles left,
then decant the
supernatant water and dried.
|
|
1.
Four Natures
Four natures, which are classified system of
oriental medical properties according to yin-yang theory,
are cold, hot, warm and cool natures of drugs. Among
them, cool and cold natures belong to yin, warm and
hot natures belong to yang.
In oriental medicine, harmonious and balanced physical
constitutions of body is the first and foremost objective
of curing.
The symptoms viewed from oriental medicine are classified
into two concepts: cold symptoms('han-jeung') and hot
symptoms('yul-jeung'); for cold symptoms, medicines
of warm and hot natures('yang') can be used; for hot
symptoms, those of cool and cold natures(yin) can be
used.
For example, patients with extreme heat, extreme thirst
and energetic pulse, belonging to heat syndrome of excessive
type, are treated with gypsum, anemarrhena rhizome and
other drugs.
If these heat symptoms are alleviated or eliminated,
gypsum and anemarrhena rhizome should belong to cold
nature. Warm and hot natures of drugs are determined
according to the same principle.
2. five flavors
Five flavors are pungent, sweet, sour, bitter
and salty tastes, which, other than doing their original
functions, control the balance of body by activating
or suppressing the physiological properties.
Most drugs in the oriental medicine have more than two
tastes,
thereby being expected to have various and more effective
ways of
treating.
Pungent flavour has the effects of dispersing exopathogens
from
superficies of the body, promoting flow of Qi and blood
circulation,
are used for respiratory disease such as cold or flu,
blood stasis.
Sweet flavour has the effects of tonification, relieving
spasm and
gentling other herbs.
Sour flavor has the astringent effect of inducing astringency
and
arresting abnormal discharge, such as suppressing sweating,
arresting bleeding, relieving diarrhea and controlling
nocturnal
emission.
Bitter flavor has the effects of eliminating dampness,
lowering the
adverse flow of qi, purging heat and relaxing the bowels
and are
commonly used for syndromes of pathogenic fire or damp-heat
syndromes.
Salty flavor has the effects of softening and resolving
hard mass
and are commonly used for scrofula, goiter and others.
Tasteless flavor belongs to sweet with the effect of
excreting
dampness and inducing diuresis, are used for edema or
dysuria.
3.
Lifting, Lowering, Floating and Sinking
Lifting, lowering, floating and sinking refer
to curative effects of drugs relative to the tendency
of illness. Above four characteristics have their own
property and are mutually conflicting; lifting and floating
can be classified as 'yang'; lowering and sinking, 'yin'.
Therefore, medicines classified as 'yang' have up or
outward
directions of effecting; those classified as 'yin' take
effect down or
inward directions.
In terms of clinical treatment, the location of symptoms(upward
and
downward or inside and outside) is important in diagnosis
and
treatment; upward or outside symptoms should be cured
with
medicines of lifting or floating('yang'); downward or
inside
symptoms should be cured with those of lowering and
sinking('yin').
For example, treatment by stir-baking with wine or ginger
juice has
the property of lifting(upward); that by stir baking
with saline,
lowering(downward).
¡Ø
The tendency of disease development can be downward,
upward, inward or outward.
For example, downward chronic diarrhea with proctoptosis,
upward vomiting with hiccup, inward exopathy with anhidrosis
,and outward spontaneous perspiration with night sweating,
are all of obvious tendency of illness.
Lifting is the opposite
of lowering; and floating is the opposite of
sinking. Lifting means ascending and elevating; lowering
means
moving downward and lowering the adverse flow of Qi;
floating is
moving outward and dispersing; and sinking is descending
and
removing water retention and inducing diuresis. In general,
properties of lifting upward and floating outward, have
the effects
of lifting Yang and arresting diarrhea, inducing sweat
and dispelling
exopathogens, promoting eruption and inducing vomiting,
are
indicated for deficiency of Qi and sinking of Qi of
middle jiao,
exopathy and exterior syndrome measles and rubella,
and retention
of toxic substnaces in the stomach. Properties of Sin
king inward
and lowering downward, have the effects of calming the
liver,
removing heat from the lung, arresting vomiting, relieving
asthma,
easing the bowels, inducing diuresis and stopping sweating,
are
indicated for hyperactivity of the liver-Yang, flarmg-up
of the
heart-fire, reversed flow of Qi in the lung and stomach,
obstruction
of urination and defecation, spontaneous perspiration
and night
sweating.
Lifting, lowering, floating and sinking effects of drugs
are
apparently linked to their natures and flavours. Generally,
pungent,
sweet, warm and hot drugs mostly have lifting and floating
effects;
sour, bitter, salty and cold drugs mostly have sinking
and lowering
effects ;flowers and leaves being light mostly have
lifting and
floating effects; and minerals and shells being heavy
mostly have
sinking and lowering effects. However, there are some
exceptions.
In addition, lifting, lowering, floating and sinking
effects of drug
are also linked to preparation, compatibility and other
factors.
4. Channel Tropism
Channel tropism means what area a certain drug
optionally acts on.
The theoretical basis for channel tropism, is the theory
of viscera and channels(or meridians).
'kyung-rak(the channels and collaterals)' is the system
that connects between inside and outside of the body.
When lesion appears on the surface of body, disease
can have influence on internal organs though 'kyung-rak';
conversely, when it appears directly in the organs,
the effect can also have influence on the surface of
the body through 'kyung-rak'.
Some groups of medicinal herbs, even showing almost
the same properties in terms of botany, have their own
unique property, called 'kwi-kyung' in oriental medicine,
respectively when used for treatment purpose. Although
all of scutellaria root, coptis root and phellodendron
bark has cold nature and bitter flavor, has the same
effects of purging heat and fire, they act on different
channels: scutellaria root on the lung channel, treats
cough for lung-heat; coptis root on the heart channel,
treats insomnia for heart-fire and phellodendron bark
on the kidney channel, treats nocturnal emission due
to kidney-fire
5.
Toxicity
Toxicity is referred to as harmful effects or
toxic effects of drugs on the man body. Attention should
be paid to this problem in grasping drug properties
of remedies.
Poisonous are different in their toxic effects. Therefore,
drugs are distinguishably marked by "slightly toxic"
or "extremely toxic"in books on materia medica
of all ages. In general, the toxic dose of a poisonous
drug is close to its therapeutic dose with a relatively
small safety coefficient in its clinical use. If used
improperly, a poisonous remedy could cause severe damage
to tissues and organs of the human body and even lead
to death. Therefore, when using a toxic remedy, an extremely
toxic one, in order to guarantee its safety dose, physicians
should pay attention to the following points:
|