Tortoise shell is also called soft-shelled turtle, tuanyu, water fish and tortoise.
Sexual taste and efficacy
Taste, sex. Efficacy: nourishing yin and suppressing yang, softening and resolving hard mass.
Traditional application
Indications: deficiency of kidney yin, hot flashes, night sweats, hyperactivity of yang due to yin deficiency, dizziness due to excessive internal heat, fever and yin injury, wind movement due to yin deficiency, malaria, lump, chest and hypochondriac pain, rash accumulation, and menorrhagia.
This medicine is commonly used in the following traditional prescriptions:
(1) another Wan Jian (synopsis of the golden chamber):
Carapax Trionycis, Radix Aconiti Lateralis Preparata, Scutellariae Radix, Bupleuri Radix, Fructus Rhamni, Zingiberis Rhizoma, Radix et Rhizoma Rhei, Radix Paeoniae, Ramulus Cinnamomi, Semen Lepidii, Folium Pyrrosiae, Cortex Magnolia Officinalis, Cortex Moutan, Herba Dianthi, Rhizoma Osmundae, Rhizoma Pinelliae, Fistula, Colla Corii Asini, Beetle, Chi Xiao and feces.
② Cimicifuga Biejia Decoction (Synopsis of the Golden Chamber):
Cimicifuga Rhizoma, Carapax Trionycis, Radix Angelicae Sinensis, Fructus Zanthoxyli, Radix Glycyrrhizae, and Realgar for the treatment of yin-yang toxic diseases;
(3) Carapax Trionycis powder (sacred book of Shen Shi):
Carapax Trionycis, Bupleuri Radix, Rhizoma Anemarrhenae, Radix Gentianae Macrophyllae, Radix Angelicae Sinensis, Herba Artemisiae Annuae, Mume Fructus and Cortex Lycii for treating bone steaming;
④ Artemisia annua Biejia Decoction (on febrile diseases):
Artemisia annua, Carapax Trionycis, Radix Rehmanniae, Rhizoma Anemarrhenae, and Cortex Moutan are used to treat fever, such as late fever and early cooling, sweating to quench thirst, and malaria with shaoyang is often heavier than heat. ⑤ Biejia Pill (Taiping Shenghui Formula):
Carapax Trionycis, Radix et Rhizoma Rhei, and Amber are used for treating irregular menstruation of women.
There are turtle shells in the famous prescriptions such as Gentiana Biejia Powder and Qinggu Powder, which are all used to treat pulmonary tuberculosis with deficiency heat and bone steaming.
In the treatment of lower jiao fever, turtle shell is also used in Erfumai Decoction and Sanjiafumai Decoction.
major constituent
Carapax Trionycis mainly contains colloid and various inorganic elements.
1. Carapax Trionycis contains animal colloid, keratin, aspartic acid, serine, glutamic acid, glycine, alanine 17 amino acids, etc.
2. Inorganic elements include iron, copper, zinc, magnesium, phosphorus, chromium, manganese, aluminum, selenium and iodine.
3. It also contains vitamin D, fat, sugar and other ingredients.
pharmacological action
1. can improve immune function, promote the formation of immunoglobulin and prolong the existence time of antibody.
2. It can inhibit the proliferation of animal connective tissue.
3. It can protect animal liver injury, relieve anemia caused by liver injury, promote protein synthesis in animal liver and increase plasma albumin content.
4. It can inhibit transplanted tumor and liver cancer cells in mice.
clinical application
1. Treat low-grade fever caused by chronic infection, tuberculosis, tumor and other diseases.
2. Treat chronic hepatitis, early cirrhosis and hepatosplenomegaly.
3. After tumor surgery and radiotherapy, you can continue to treat, enhance the body's resistance and fight cancer.
Dosage and usage
Pharmacopoeia dosage: 9 ~ 24g.
Clinical dosage: 9 ~ 15g.
Large dose: L5 ~ 30g.
Usage: decoct in water and paste.
clinical experience
(1) Carapax Trionycis is a tonic, not an antipyretic.
Traditionally used for yin deficiency, fatigue and heat accumulation.
First of all, turtle shell is a medicine for nourishing yin and tonifying deficiency, which is flat in nature and is often used for patients with low fever and internal heat.
Chronic infection, tuberculosis and tumor often have low fever, and turtle shell is a commonly used medicine to treat this kind of fever.
Gentiana macrophylla Biejia powder and Artemisia annua Biejia decoction are famous prescriptions for treating low fever.
It can be seen that for patients with fever, turtle shell alone can not reduce fever, so turtle shell is not a cooling and antipyretic drug.
In ancient times, when treating bone steaming hot flashes, turtle shell was used in the compound prescription, and most of them were antipyretics, such as Anemarrhena asphodeloides, Artemisia annua, Gentiana macrophylla, Cortex Lycii and Bupleuri Radix. And tortoise shell played a comprehensive role.
When the lower energizer is hot and the wind is deep, Dima Fumai Decoction uses raw oysters and raw turtle shells, and Sanmai Decoction uses raw oysters, raw turtle shells and raw turtle versions, which are equivalent to Radix Rehmanniae, Radix Ophiopogonis, Colla Corii Asini and Fructus Cannabis, nourishing water to reduce fire, calming the liver and calming the wind, and is used for body fluid and relieving spasm.
The patient is in a critical period, and nervous system complications occur under the conditions of high fever, dehydration and electrolyte disorder. Under the medical conditions at that time, these drugs were used to replenish body fluids, improve immune function, improve hormone levels in the body and prevent spasms.
If the patient's own health foundation is good, some patients may be saved. Unfortunately, there is no case introduction of treatment in Treatise on Febrile Diseases.
(2) About anti-bacteria and anti-tuberculosis
The mortality rate of ancient tuberculosis was relatively high, so the four terminal diseases of ancient tuberculosis and diaphragmatic bulging all contained consumption.
Modern times have made some breakthroughs in anti-bacteria and anti-tuberculosis, but a small number of patients still die for various reasons. If you take turtle shell and its compound prescription, such as Radix Gentianae Macrophyllae turtle shell powder and Artemisia annua turtle shell soup, you can improve your immune function, improve your symptoms, and be beneficial to disease control and rehabilitation.
(3) About anti-cancer
In ancient times, it was used to treat a kind of diseases with stagnation. Biejiajian Pill is a famous ancient prescription for treating these diseases.
Scab accumulation includes tumors. Patients with malignant tumors often have low fever and internal heat. Nowadays, turtle shell is a commonly used Chinese medicine for tumor patients, which can not only resist cancer, but also improve immune function, which is conducive to clearing away low-grade fever.
The anticancer effect of turtle shell has been paid attention to by clinical Chinese medicine and people, and it is often used.
Commonly used for liver cancer, lung cancer, intestinal cancer, cervical cancer, ovarian cancer, bone tumor and so on.
(4) About improving immunoglobulin
Carapax Trionycis has the function of improving immunoglobulin. We have observed hyperglobulinemia in clinic, and it is difficult for patients who often take turtle shell and turtle to reduce γ -globulin and immunoglobulin. It was also observed that the condition of patients with lupus erythematosus who often took turtle shell and turtle was not easy to alleviate, and the transaminase of some patients with chronic hepatitis was not easy to decrease.
We realize that roasted tortoise shells should be used for autoimmune diseases, such as lupus erythematosus and chronic nephritis. Patients with tumor, tuberculosis and chronic infection should use baked turtle shell.
(5) Similarities and differences between tortoise shells.
Tortoise shell and turtle shell are both drugs for nourishing yin. Tortoise shell nourishes kidney yin and turtle shell nourishes liver yin.
Chinese medicine theory holds that liver and kidney are homologous, and liver yin and kidney yin nourish each other. Taking these two medicines can nourish the liver.
Both herbs are used for tonifying kidney, so they are often used for nourishing yin, such as Sanjia Fumai Decoction in Treatise on Febrile Diseases.
The emphasis of the two drugs is still different.
Tortoise shell nourishes kidney yin and can improve adrenal cortex function, which tortoise shell does not have.
Tortoise shell combines hard and soft, mainly fighting cancer, which tortoise shell can't do.
This is the reason why tortoise shells are used in Dabuyin Pills and tortoise shells are used.
It can be seen that in the application of tortoise shells, the ancients observed it very carefully and distinguished it very clearly.