Clinical Application of Apocynum

Clinical application

1 treatment of hypertension

Daily use of apocynum leaves 1 to 2 money, open blisters when the tea to drink; or time morning and evening decoction. A total of 596 cases were co-administered, of which 169 were treated with apocynum leaf alone; the effect of other antihypertensive drugs was unstable and they were switched to apocynum, or antihypertensive drugs were used together with apocynum, and the blood pressure was reduced to a certain degree before they were consolidated with apocynum. Count 427 cases. Results There were 254 cases with disappeared or significantly reduced symptoms, and 212 cases were alleviated. Among them, 143 had blood pressure falling below 140/90 mm Hg, and 268 had systolic blood pressure or diastolic blood pressure falling above 20 mm Hg. The effective rate is 88.59%. The longer the apocynum tea was taken, the higher the effect was, reaching 93.3% over six months; however, the efficacy of apocynum was not significantly related to the length of the disease. Good relieving effect on headache, dizziness, brain swelling, insomnia, dreams and edema. This medicine is more suitable for patients with stage I and II, or as an adjuvant for the treatment of hypertension. It has good effect on improving symptoms. Side effects: more bowel, diarrhea; occasional stomach pain, poor appetite, dry mouth, mouth pain; individual asthma or liver pain.

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2 treatment of heart failure

Take dried Apocynum root (mincing) 5 money (about 16 grams), add about 300 ml of water, soak for 12 hours and then cook for 1 hour. Cool and filter to obtain about 200 ml of filtrate. Add a little bit of paraben to make 80% of decoction. Every patient with Grade II or III congestive heart failure is given 100 ml each time after admission to the hospital and 2 times daily. When the heart rate is reduced to 70 to 80 beats/minute, change to the maintenance dose, once a day, about 50 ml each time. Observe 50 cases of chronic congestive heart failure patients, began to analyze the cardiotonic effect 3 to 5 days after the use of the drug, the results were markedly effective (symptoms, signs, heart rate slowed down to the normal range) 31 cases, effective (symptoms, signs have improved However, heart rate slowed down but not normal. 16 cases, 3 cases were invalid. The patient’s heart rate gradually dropped below 80 times after taking the drug for 3 days, and the fastest time after taking the drug was normal, and the slowest person returned to normal after 5 days. After returning to normal, other symptoms and signs of heart failure have generally improved or disappeared. Then use the maintenance amount. After taking some drugs, some patients showed changes in effect of digitalis on the electrocardiogram, the ST segment declined obliquely, and fused with the anterior segment of the T wave. Side effects and toxic reactions: mainly in the digestive tract, with nausea and diarrhea most common; if it can be reduced in time, the reaction can be reduced or disappeared, otherwise it will continue to develop and vomiting. The main side effects of the heart are bradycardia and premature contractions, which can disappear after a timely withdrawal.

3 treatment of edema

Apocynum root 4 to 5 money Shuijianbi, 2 times a day, observed 34 cases of edema caused by various reasons, proved to have a certain diuretic effect. Observations included renal edema, cardiac edema in 10 cases, cirrhosis in 6 cases, edema in 5 cases, and other edema in 3 cases, most of which were critically ill patients. Other diuretics were not effective. After taking apocynum root, 10 cases were markedly effective and 19 cases were effective. In addition to pregnancy edema, other patients generally have increased appetite, improved sleep, increased urine output, edema, and lower blood pressure. In the treatment should pay attention to the phenomenon of potassium deficiency.

4 prevention and treatment of cold

500 grams of lacquer and hemp, 5000 ml of water, and 2500 ml, add preservatives. Take 2 times daily, 50 to 100 ml each time. Or make a 50% injection, 2 to 3 times a day, 2 ml each time, intramuscular injection. A total of 120 cases were treated and cured in 107 cases, accounting for 89.2%. Wind cold type effect is better than wind heat type. In the treatment, it was found that zepa marijuana has a relaxing effect on tracheal smooth muscle. Part of those who have asthma, who have taken the drugs for the third time, have relieved or disappeared. Prevention of each use of 50 to 100 ml, decoction, 2 times a day, seems to be effective, but the cases are still small, yet to be further verified.


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