CHINESE HERBAL PATENT MEDICINE INDONESIA Kopie 2

Download as pdf or txt
Download as pdf or txt
You are on page 1of 89

CHINESE HERBAL PATENT

MEDICINE
INDONESIA
KIKI SULISTYO
CHINESE HERBAL
PATENT MEDICINE
• TESTIMONI !

• INFORMASI PROBLEM !

• MARKETING BUSINESS ORIENTED !

• DIAGNOSA DAN ISTILAH ISTILAH WESTERN MEDICINE , THERAPY DG


CHINESE HERBAL PATENT MEDICINE ???

• PENGGUNAAN TANPA INDIKASI , TARGET DAN KOMPETENSI YANG JELAS !!

• DISKREPANZ ANTARA HARAPAN DAN REALITAS !!!


AKUPUNTUR DAN CHINESE MEDICINE BERADA DIMANA ?
EVIDENCE-BASED MEDICINE (EBM) IS "THE CONSCIENTIOUS,
EXPLICIT AND JUDICIOUS USE OF CURRENT BEST EVIDENCE IN
MAKING DECISIONS ABOUT THE CARE OF INDIVIDUAL PATIENTS".
REAL WORLD EVIDENCE MEDICINE >< EVIDENCE BASED MEDICINE
REAL-WORLD EVIDENCE (RWE) IN MEDICINE

refers to the use of data derived from real-world settings,


such as clinical practice, electronic health records (EHRs),
claims databases, patient registries, and other sources, to
generate evidence regarding the safety, effectiveness, and
value of medical interventions. RWE complements traditional
randomized controlled trials (RCTs) by providing insights into
how treatments perform in real-world populations, beyond
the controlled settings of clinical trials.
1.Research Questions: Real-world evidence can address various research questions, such as comparative effectiveness
(comparing different treatment options), safety monitoring (detecting adverse events), treatment patterns (evaluating
how treatments are used in practice), and economic evaluations (assessing the value and cost-effectiveness of
interventions).

2.Strengths and Limitations: RWE offers several advantages, including large sample sizes, diverse patient populations,
longer follow-up durations, and the ability to capture real-world treatment patterns. However, it also has limitations,
such as potential bias, incomplete data, and the inability to establish causal relationships due to the lack of
randomization.

3.Clinical Decision-making: Real-world evidence can assist healthcare providers in making informed treatment
decisions by providing insights into real-world treatment outcomes, patient characteristics, and treatment patterns. It
can also support shared decision-making between healthcare professionals and patients.
BENEFITS FOR ACUPUNCTURE THERAPISTS TO HAVE KNOWLEDGE OF CHINESE HERBAL PATENT MEDICINE

1.Comprehensive Treatment Approach:


Acupuncture and Chinese herbal patent medicine are two pillars of Traditional Chinese Medicine (TCM). Acupuncturists
who are knowledgeable about Chinese herbal patent medicine can offer a more comprehensive and integrated treatment
approach by combining acupuncture with herbal medicine. This allows for a more holistic and targeted approach to
addressing the patient's health concerns.

2.Synergistic Effects:
Acupuncture and Chinese herbal medicine have a synergistic relationship. By incorporating both modalities, practitioners
can enhance treatment outcomes.
Acupuncture can help regulate the body's energy flow and address specific imbalances, while herbal medicine can provide
ongoing support and nourishment to promote healing and restore balance.

3.Tailored Treatment Plans:


With knowledge of Chinese herbal patent medicine, acupuncturists can develop customized treatment plans that
incorporate both acupuncture and herbal remedies.
This personalized approach allows them to address the unique needs and patterns of each patient's condition, providing
targeted and individualized care.
3.Broadening Treatment Options:
Acupuncturists who are familiar with Chinese herbal patent medicine have a broader range of treatment options at
their disposal. This expands their ability to address various health conditions and symptoms effectively. They can select
specific herbal formulas that complement and enhance the effects of acupuncture, providing patients with a more
diverse range of treatment options

4.Enhanced Therapeutic Effects: Integrating Chinese herbal patent medicine with acupuncture can potentially
enhance the therapeutic effects of treatment. Herbal remedies can help prolong the effects of acupuncture sessions,
support the body's healing processes between treatments, and address underlying imbalances that may contribute to
the patient's condition.

5.Improved Patient Outcomes: By combining acupuncture and Chinese herbal patent medicine, acupuncturists
may improve patient outcomes. The synergistic effects of both modalities can lead to more significant improvements
in symptoms, faster recovery, and better overall health outcomes.

6.Comprehensive Patient Care: Having knowledge of Chinese herbal patent medicine allows acupuncturists to
provide comprehensive care to their patients. They can address a wider range of health concerns, including internal
imbalances, chronic conditions, and complex patterns that may require ongoing herbal support.

It is important to note that the use of Chinese herbal patent medicine should be within the scope of an acupuncturist's
training and licensure. Acupuncturists may need additional education, training, or collaboration with qualified herbal
medicine practitioners to ensure safe and effective use of herbal remedies.
INDICATION ?
INSOMNIA PROBLEM
TIDUR TERGANGGU
CHRONIC SAKIT KEPALA
MIGRAENE
CHRONIC
LOW BACK PAIN
CHRONIC MERIDIAN –ZANG FU –
QI DYNAMIC
LOW BACK PAIN BI SYNDROM
THEORY
KEMUNGKINAN 1

KEMUNGKINAN 2

SYMPTOM TCM TCM


KELUHAN INTERPRETASI KEMUNGKINAN 3
ANALISA
UTAMA
KEMUNGKINAN 4

SEKUNDER
SYMPTOM
TAMBAHAN KEMUNGKINAN 5

CHINESE MEDICINE VIEW


CHRONIC FATIGUE
SYNDROM
KASUS 1 CHRONIC FATIGUE

WANITA UMUR 22 TAHUN , BMI 20,1 , SEJAK 1 TAHUN KELUHAN : MUDAH LELAH TERUTAMA PADA SORE HARI
KELUHAN LAIN : SERING FLU , SELERA MAKAN BERKURANG , BERAT BADAN TURUN ( 2 KG DALAM JANGKA WAKTU 1
TAHUN ) , PERUT KEMBUNG , SERING DIARRHAEA
MENSTRUASI SERING TERLAMBAT 1 MINGGU HINGGA 10 HARI DURASI 3 HARI , TIDAK NYERI , KUANTITAS SEDIKIT
PEMERIKSAAN LAB : SEMUA OK HB 12,1 USG OK
PULSE : LEMAH DISEMUA POSISI
LIDAH :

TCM DIAGNOSA : ?

BA ZHEN WAN
TERAPI STRATEGI DAN TARGETS : TO TONIFY QI AND BLOOD
TO TONIFY ZANG SPLEEN
KASUS 2 CHRONIC FATIGUE

LAKI LAKI UMUR 67 TAHUN BMI 23,2 SEJAK OPERASI PROSTATA ( BPH BENIGNE PROSTATA HYPERPLASY) KELUHAN
UTAMA
CEPAT LELAH , TERUTAMA SETELAH MAKAN SIANG , NAIK TANGGA TERASA BERAT
KAKI TANGAN DINGIN , SERING FLU , SERING DIARRHAEA , PERUT KEMBUNG , ABDOMINAL DISTENSION , INGIN
MINUMAN HANGAT
SERING SAKIT PINGGANG ( MRI : OKAY ) , POLLAKISURIE , NYKTURIE ( 3X SETIAP MALAM ) , PENDENGARAN
BERKURANG
SAAT SAAT TERACHIR TIDAK BERKENAN MELAKUKAN KEGIATAN KEGIATAN DILUAR RUMAH
PULSE : LAMBAT , DEEP , EMPTY DISEMUA POSISI TERUTAMA CHI POSISI
LIDAH :

SHI QUAN DA BU WAN


KASUS 3. CHRONIC FATIGUE

WANITA UMUR 37 TAHUN , BMI 24,1 KELUHAN UTAMA SEJAK 6 BULAN MERASA SERING LELAH TERUTAMA PADA
SORE HARI DAN SETELAH BANYAK KEGIATAN
PEKERJAAAN SBG KEPALA BAGIAN DI SUATU BANK INTERNASIONAL ,BANYAK STRES DI PEKERJAAAN DAN PRIBADI .
HOBBY : JOGGING ( 2-3 JAM / MINGGU ) SETELAH JOGGING MERASAKAN LEBIH FIT DAN NYAMAN .
MENSTRUASI TERATUR 28/29 HARI- 4 HARI : SELALU MERASA NYERI PADA HARI PERTAMA DAN KE 2 ( PAIN KILLER )
PMS , ABDOMINAL DISTENSION , EMOTIONAL KEARAH DEPRESSIV SEJAK 7/8 BULAN , BAHU DAN LEHER TEGANG
TIDUR TERGANGGU SERING BERMIMPI , TEETH GRINDING , SERING MIGRAENE
PULSE : WIRY DI GUAN POSISI KIRI
LIDAH :

XIAO YAO WAN


TIGA PASIEN DENGAN KELUHAN : CHRONIC FATIGUE

TIGA MACAM CHINESE HERBAL PATENT MEDICINE ???

APA DASAR DASAR PEMIKIRANNYA ?


CHRONIC FATIGUE
SYNDROM
THERAPY STRATEGY
• 1. HE FA - TO HARMONIZE
• LIVER QI STAGNATION AND COMBINATIONS AND THEIR
• CONSEQUENCE PATHOLOGIES AND CLINICAL MANIFESTATIONS
• 2. BU FA – TO TONIFY /NOURISH
• QI – BLOOD- YIN - YANG
• 3. CHRONIC BI SYNDROM AND PAIN
• 4. STROKE
• 5. OTHERS
XIAO
XIAO YAO
YAO WAN
WAN
FREE AND EASY WANDERER
STRES, GANGGUAN HAID DAN PENCERNAAN
FREE AND EASY WANDERER
Secara TCM digunakan untuk :

Membantu mengharmoniskan Qi zang hati, memperkuat


zang limpa, menambah zat vital tubuh darah ( TCM ) ,
menyelaraskan Zang Organ hati dan limpa.

Digunakan untuk melancarkan ,eliminasi stagnasi Qi zang


hati dengan Xue/darah zang hati dan defisiensi Qi zang
limpa, dengan gejala nyeri dada-iga, sakit kepala, kurang
nafsu makan dan gangguan haid , terutama yang ada
hubungan dg stres atau gangguan emosional.
SUMBER : Informasi SARAS SUBUR ABADI modifikasi sulistyo
Pulse : Guan posisi kiri wiry / tegang
CHINESE MEDICINE
THERAPY
STRATEGY

• 1. To calm Zang Liver , eliminate liver


Qi Stagnation
• 2. To harmonize the communication
between Zang Liver and Middle Jiao
• ( Zang Spleen and Fu Organ Stomach )
• 3. To tonify Spleen Qi , to nourish Vital
Subtance Blood
CHINESE MEDICINE THEORY
• 1. YIN YANG THEORY – BA GANG ( DALAM – EMPTY )
• 2. ZANG FU ( LIVER – SPLEEN – STOMACH )
• 3. QI DYNAMIC ( STAGNATION – REBELLION )
• 4. VITAL SUBSTANCE ( QI – BLOOD – JIN YE )
• 5. PATHOGENIC FACTORS
TO HARMONIZE AND CALM LIVER :LIV 3- LI 4
TO TONIFY MIDDLE JIAO /SPLEEN :SP 3- UB 20/21 , ST 36 – REN 12 –PE 6 – REN 6
TO NOURISH BLOOD : SP 6 – ST 36 –UB 17
TO HARMONIZE MIDDLE JIAO AND LIVER : LIV 13-14 . ST 36 – REN 12 – PE 6
DIAGNOSA WESTERN ? TCM ?
INTERPRETASI PATHOMECHANISM ?

ANALISA

DENGAN THEORY APA ?


WESTERN ?
TCM ?
SYMPTOM
KOMENTAR DAN DISKUSI
• 1. TIDAK MUNGKIN ! (WESTERN MEDICINE ) TESTIMONIAL MEDICINE ?
• 2. PASTI BISA UNTUK SEMUA PROBLEM ( ????? CHINESE MEDICINE)
• EVIDENCE NYA ADA ATAU TIDAK ?
• 3. INDIKASINYA APA SAJA ? ( DIFFERENSIASI !!! KRITIS !!! , EVALUASI ,
• MENIMBANG NIMBANG ! )
• 4. APA SYARAT SYARATNYA ? ( EFFEKTIFITAS , COST , KOMPETENSI , RESIKO ?)
• 5. DENGAN MEMAKAI SYSTEM BERPIKIR APA ? THEORY APA ?
• 6. DIAGNOSANYA ? ( INTEGRATIV , WESTERN , BIAN BING , BIAN ZHENG )
• 7. PATHOMECHANISM – THERAPY STRATEGY ?
• 8. BEN DAN BIAO
• 9. MONITORING DAN EVALUASI HASILNYA !
Xiao Yao Wan
• BUPLEURI RADIX CHAI HU
• ANGELICAE SINENSIS RADIX DANG GUI
• PAEONIAE ALBA RADIX BAI SHAO
• ATRACTYLODIS MACROCEPHALAE RHIZOMA BAI ZHU
• PORIA FU LING
• ZINGIBERIS RECENS RHIZOMA SHENG JIANG
• GLYCYRRHIZAE PRAEPARATA RX ZHI GAN CAO
• MENTHAE HERBA BO HE
XIAO YAO WAN Secara TCM digunakan untuk :

LIVER QI STAGNATION THERAPY DENGAN


SEMUA SYMPTOM, KELUHAN ,MANIFESTASI
DAN BIAO DISEMUA AREA , ZANG ORGAN
DAN ZAT VITAL TUBUH

Cara pakai dan dosis :


Diminum sehari 3 x 8 pil.

Kemasan
Botol berisi 200 pil.
DR ZHU DAN ZHI
YIN – YUAN DYNASTY

Clinical 100 MACAM


KELUHAN DAN

symptoms PENYAKIT
LIVER PATHOLOGY

LIVER
PATHOLOGY
QI DYNAMIK DISORDER Cough
LUNG
PATHOLOGY – CLINICAL SYMPTOM Dyspnoea

Insomnia
Manic
HEART
SHEN Anxiety
depression
LIVER

SPLEEN STOMACH
Gerd
Syndrom
PMS – Dysmenerrhoea SMALL
Distension
Shoulder – Cervical Pain INTESTINE
Obstipation
Cephalgie Diarrhaea
KIDNEY UB LARGE
INTESTINE Tennesmen
Miction
Disorder
LIVER QI STAGNATION PATHOMECHANISM
TYP 1 : MALFUNCTION
lack of support from liver qi for the qi
dynamic for the other Zang Fu Systems

1 TYP 2 : QI REBELLION
Rebelling Liver Qi
Attacks the other Zang Fu Organs und
3
Areas

2
TYP 3: TEMPERATURE HEAT/ FIRE
Suppressed heat produces fire and other
pathological heat
( dampf heat-phlegm heat – toxic heat )

TYP 4 : BLOOD STASIS


COMBINATION TYP 1-2-3-4
CLINICAL MANIFESTATION
XIA YAO WAN
BEN THERAPY
SHU GAN WAN •


Cyperi Rhizoma
Aurantii Fructus
Pericarpium Citri Reticulatae
Xiang Fu
Zhi Ke
Chen Pi
QI STAGNATION , BLOOD STASIS
SYMPTOM MIDDLE JIAO , UPPER ABDOMEN
• Magnoliae Officinalis Cortex Hou Po
• Glycyrrhizae Radix Gan Cao
• Lignum Aquilariae Resinatum Chen Xiang
• Paeoniae Alba Radix Bai Shao
• Corydalis Rhizoma Yan Hu Suo
• Moutan Cortex Mu Dan Pi
• Aucklandiae Radix Mu Xiang
• Curcumae Longae Radix Jiang Huang
• Alpiniae Katsumadai Semen Cao Dou Kou
• Amomi Fructus Sha Ren
• Pericarpium Citri Reticalate Viride Qing Pi
• Bupleuri Radix Chai Hu
• Citri Fructus Xiang Yuan
• Citri Sarcodactylis Fructus Fo Shou
• Lignum Santali Albi Tan Xiang
DEFICIENCY PROBLEM
BU FA THERAPY

QI – BLOOD – JIN YE DEFICIENCY SYNDROMS , TO TONIFY ZANG SPLEEN


YIN/YANG – JING DEFICIENCY SYNDROM , TO TONIFY ZANG KIDNEY

CHINESE HERBAL PATENT MEDICINE


PATHOMECHANISM : KUANTITAS PROBLEM –THERAPY STRATEGY TO TONIFY , MANIFESTATION
ZANG FU , ZAT VITAL TUBUH :QI-BLOOD-YIN/YANG-JIN YE – JING
QI AND BLOOD DEFICIENCY PROBLEM
• 1. BU ZHONG QI QI WAN ( QI – PLUS DYNAMIC)
• 2. XIANG SHA LIU JUN WAN ( QI–DAMPF-DYNAMIC)

• 3. BA ZHEN WAN ( QI + BLOOD)


• 4. GUI PI WAN ( QI+ BLOOD – BLEEDING/ SHEN )

• 5. SHI QUAN DA BU WAN ( QI – BLOOD – YANG )


QI DEFICIENCY SYNDROM
DAN
PATHOMECHANISM

XIANG SHA LIU JUN WAN

GUI PI WAN

BU ZHONG YI QI WAN
GUI PI WAN

BA ZHEN WAN
BLEEDING

KUANTITAS PROBLEM ZAT VITAL TUBUH BLOOD DAN MANIFESTASI


BA ZHEN WAN • Codonopsis Radix Dang Shen
• Atractylodis Macrocephalae Rz Bai Zhu
• Poria Cocos Fu Ling
• Glycyrrhizae Radix et Rhizoma Gan Cao
• Angelicae Sinensis Radix Dang Gui
• Paeoniae Alba Radix Bai Shao
• Chuanxiong Rhizoma Chuan Xiong
• Rehmanniae Preparata Radix Shu Di Huang

TO TONIFY QI
TO NOURISH BLOOD

MANIFESTATION ?
SYMPTOM ?
KELUHAN ?
PULSE : EMPTY
LIDAH : PUCAT/SANGAT PUCAT , TEBAL ,TAPAK GIGI
COATING OKAY
SPLEEN QI DEFICIENCY – TRANSFORMATIONSDISORDER – BLOOD DEFICIENCY

GUI PI WAN
1. INSOMNIA – ANXIETY ( SHEN DISHARMONY )
2. BLEEDING PROBLEM

• Astragali Radix Huang Qi


• Atractylodis Macrocephalae Rz Bai Zhu
• Poria Cocos Fu Ling
• Longan Arillus Long Yan Rou
• Polygalae Tenuifoliae Radix Yuan Zhi
• Ziziphi Spinosae Semen Suan Zao Ren
• Jujubae Fructus Da Zao
• Codonopsis Pilosulae Radix Dang Shen
• Angelicae Sinensis Radix Dang Gui
• Aucklandiae Radix Mu Xiang
• Glycyrrhizae Rx et Rz Praeparata Zhi Gan Cao
SPLEEN QI DEFICIENCY

SPLEEN QI DEFICIENCY +
BLOOD DEFICIENCY

BU ZHONG YI QI WAN
BA ZHEN WAN
GUI PI WAN
BA ZHEN WAN
INSOMNIA
ANXIETY SYNDROM
HYPERMENORRHEA

GUI PI WAN
TONIFY QI

SHI QUAN DA BU WAN


NOURISH BLOOD
STRENGTH YANG

• Codonopsis Radix Dang Shen


• Astragali Preparata Rx Huang Qi
• Paeoniae Alba Rx Bai Shao
• Atractylodis Macrocephalae Rx Bai Zhu
• Poria Fu Ling
• Rehmanniae Preparata Rx Shu Di Huang
• Angelicae Sinensis Dang Gui
• Cinnamomi Cortex Rou Gui
• Chuanxiong Rhizoma Chuan Xiong
• Glycyrrhizae Preparata Rx Zhi Gan Cao
INDICATION :
1. CHRONIC FATIQUE SYNDROM
2. DEFICIENCY SYNDROM QI/BLOOD/YANG
3. PULSE : EMPTY –DEEP IN ALL POSITION
• Aucklandiae Radix Mu Xiang

XIANG SHA LIU JUN WAN •• Amomi Fructus


Codonopsis Pilosulae Radix
Sha Ren
Dang Shen
• Atractylodis Macrocephalae Rhizoma Bai Zhu
• Poria Fu Ling
• Glycyrrhizae Radix Gan Cao
• Pericarpium Citri Reticulatae Chen Pi
• Zingiberis Recens Rhizoma Sheng Jiang
• Jujubae Fructus Da Zao

1. TO TONIFY SPLEEN QI
2. TO TRANSFORM AND TRANSPORT DAMPF
3. TO ELIMINATE STAGNATION IN THE MIDDLE JIAO

SYMPTOM / KELUHAN ?
PULSE ?
TONGUE ?
INDICATION ?
XIANG SHA LIU JUN WAN

• SPLEEN QI DEFICIENCY
• + DAMPF ACCUMULATION
• + STAGNATION IN THE MIDDLE JIAO
• PULSE : EMPTY
1. STAGNATION QI DYNAMIC IN THE MIDDLE JIAO
2. BY DAMPF ACCUMULATION
XIANG SHA YANG WEI WAN 3. SPLEEN QI DEFICIENCY AND
TRANSFORMATIONSPROBLEM

• Aucklandiae Lappae Radix Mu Xiang


• Amomum Villosum Fructus Sha Ren
• Atractylodis Macrocephalae Rhizoma Bai Zhu
• Pericarpium Citri Reticulatae Chen Pi
• Poria Cocos Fu Ling
• Cyperi Rotundus Rhizoma Xiang Fu
• Aurantii Immaturus Fructus Zhi Shi
• Amomi Rotundus Fructus Bai Dou Kou
• Pogostemonis Herba Huo Xiang
• Glycyrrhizae Glabra Radix Gan Cao
• Zingiberis Recens Rhizoma Sheng Jiang
• Ziziphus Jujubae Fructus Da Zao
JIAN PI WAN
INDICATION :
1. SPLEEN QI DEFICIENCY
2. FOOD STAGNATION
3. DYNAMIC PPROBLEM IN THE MIDDLE JIAO
( UPPER ABDOMEN /EPIGASTRIGUM )

• Codonopsis Rx Dang Shen


• Crataegi Fructus Shan Zha
• Atracylodis Macrocephalae Rz Bai Zhu
• Aurantii Immaturus Fructus Zhi Shi
• Pericarpium Citri Reticulatae Chen Pi
• Hordei Germinatus Fructus Mai Ya
• 1. AGING > 50
• 2.MICTION - POLLAKISURIE- NYKTURIE –
CHRONIC LOW BACKPAIN
• 3. PENDENGARAN BERKURANG
KIDNEY • 4. POSTCLIMATERIC SYNDROM
DEFICIENCY • 5. HAIR
SYNDROM • 6. INSOMNIA
• 7. PULSE CHI POSITION DEEP AND EMPTY
• 8. TOUNGE :
• 9. QI – JING – YIN/YANG DEFICIENCY
INDIKATION :

LIU WEI DI HUANG WAN KIDNEY YIN DEFICIENCY

• Rehmanniae Glutinosa Radix Shu Di Huang


• (Sheng Di Huang ?)
• Dioscoreae Rhizoma Shan Yao
• Cornus Officinalis Fructus Shan Zhu Yu
• Poria Cocos Fu Ling
• Paeoniae Alba Radix Bai Shao
• Alisma Plantago Rhizoma Ze Xie
KIDNEY YIN DEFICIENCY

QI JU DI HUANG WAN PROBLEM : MATA KERING

• Lycii Fructus Gou Qi Zi


• Chrysanthemi Flos Ju Hua
• Rehmanniae Preparata Radix Shu Di Huang
• Cornii Fructus Shan Zhu Yu
• Moutan Cortex Mu Dan Pi
• Dioscoreae Rhizoma Shan Yao
• Poria Fu Ling
• Alismatis Rhizoma Ze Xie
INDIKASI : INSOMNIA
KIDNEY YIN DEFICINECY – HEART YIN DEFICIENCY
TIAN WANG BU XIN WAN HEART – KIDNEY COMMUNICATION DISHARMONY

• Codonopsis Pilosulae Radix Dang Shen


• Schisandrae Chinensis Fructus Wu Wei Zi
• Ophiopogon Japonicus Radix Mai Men Dong
• Asparagi Cochinchinensis Radix Tian Men Dong
• Rehmanniae Glutinosa Radix Shu Di Huang
• Ziziphi Spinose Semen Suan Zao Ren
• Salviae Miltiorhizae Radix et Rhizoma Dan Shen
• Angelicae Sinensis Radix Dang Gui
• Poriae Cocos Fu Ling
• Rehmanniae Radix Sheng Di Huang
• Schophulariae Ningpoensis Radix Xuan Shen
• Polygalae Tenufoliae Radix Yuan Zhi
• Platycodi Grandiflora Radix Jie Geng
JIN SUO GU JING WAN
INDIKASI :
ASTRINGENT
LOSS SYNDROM – INCONTINENCE BY KIDNEY
DEFICIENCY

• Astragali Complanati Semen Sha Yuan Zi


• Euryales Ferocis Semen Qian Shi
• Nelumbinis Nucifera Stamen Lian Xu
• Nelumbinis Nucifera Semen Lian Zi
Gui Fu Di Huang Wan INDIKASI :
KIDNEY YANG DEFICIENCY

(Jin Kui SHEN QI WAN)

• Rehmanniae Preparata Radix Shu Di Huang


• Corni Fructus Shan Zhu Yu
• Cortex Moutan Mu Dan Pi
• Dioscoreae Rhizoma Shan Yao
• Poria Cocos Fu Ling
• Alismatis Rhizoma Ze Xie
• Cortex Cinnamomi Rou Gui
• Lateralis Preparata Radix Fu Zi
Er Long Zuo Zi Wan KIDNEY DEFICIENCY
LIVER QI STAGNATION
ANXIETY SYNDROM

• Rehmanniae Preparata Rx Shu Di Huang


• Dioscoreae Rhizoma Shan Yao
• Alismatis Rhizoma Ze Xie
• Bupleuri Radix Chai Hu
• Corni Fructus Shan Zhu Yu
• Cortex Moutan Mu Dan Pi
• Poria Cocos Fu Ling
• Magnetitum Ci Shi
Bai Zi Zi Xin Wan SHEN DISHARMONY
HEART YIN AND BLOOD DEFICIENCY

(Bai Zi Yang Xin Wan)


• Biotae Semen Bai Zi Ren
• Lycii Fructus Gou Qi Zi
• Scrophulariae Rx Xuan Shen
• Ophiopogonis Rx Mai Men Dong
• Angelicae Sinensis Rx Dang Gui
• Poria Cocos Fu Ling
• Glycyrrhizae Rx Gan Cao
• Rehmanniae Preparata Rx Shu Di Huang
• Acori Graminei Rhizoma Shi Chang Pu
CHUAN QIONG CHA TIAO WAN
SAKIT KEPALA
Secara TCM digunakan untuk :

Eliminasi pathogenic factor angin ,


melancarkan Qi dan Xue , mengatasi nyeri.

Digunakan untuk sakit kepala

Cara pakai dan dosis :


Diminum sehari 3 x 8 pil.

Kemasan
Botol berisi 200 pil.
DU HUO JI SHENG WAN INDICATION :
CHRONIC BI SYNDROM
BY DEFICIENCY SYNDROM ( QI + BLOOD )

• Angelicae Pubescentis Radix Du Huo


• Taxili Herba Sang Ji Sheng
• Codonopsis Radix Dang Shen
• Poria Cocos Fu Ling
• Eucommiae Cortex Du Zhong
• Angelicae Sinensis Radix Dang Gui
• Rehmanniae Preparata Radix Shu Di Huang
• Cinnamomi Cortex Rou Gui
• Glycyrrhizae Radix Gan Cao
• Zingiberis Recens Rhizoma Sheng Jiang
BUCHANG - REMASILIN BI SYNDROM :
PLUS BLOOD STASIS

• Herba Erodii Herba Geranii Lao Guan Cao


• Herba Visci Hu Ji Sheng
• Radix Dipsaci Xu Duan
• Radix et Rhizoma Clematidis Wei Ling Xian
• Radix Angelicae Pubescentis Du Huo
• Flos Carthami Hong Hua
Research Traditional Chinese Medicine—Review
Traditional Chinese Medicine as a Treatment for Rheumatoid Arthritis:
From Empirical Practice to Evidence-Based Therapy
https://www.sciencedirect.com/science/article/pii/S2095809918306684#!
Buchang Naoxintong Capsule
PEMULIHAN ISCHEMIC STROKE
digunakan untuk :
POST ISCHEMIC STROKE

Kemasan
Cara pakai dan dosis : Botol berisi 252 kapsul.
Untuk pengobatan diminum sehari 3 x 4 kapsul. Botol berisi 36 kapsul.
Dus berisi 2 blister, @18 kapsul.
Contents
1.Astragalus membranaceous (Radix
astragali) Membranous milkvetch,
2.Salvia miltiorrhizae (Radix salvia
miltiorrhizae)
3.Red sage, Paeonia lactiflora (Radix
paeoniae rubra) Red peony,
3.Ligusticum chuanxiong (Rhizoma
chuanxiong) Szechwan lovage,
4.Angelica sinensis (Radix angelicae sinensis)
Chinese angelica,
5.Carthamus tinctorius (Carthami flos)
Safflower,
6.Prunus persicae (Semen persica) Peach
seed,
7. Polygala tenuifolia (Radix polygalae)
Thinleaf milkwort,
8.Acorus tatarinowii (Rhizoma
acoritatarinowii) Grassleaf sweetflag.
BU YANG HUAN WU TANG
• Dang Gui
• Chuan Xiong
• Chi Shao
• Tao Ren
• Hong Hua
• Huang Qi
• Di Long
• Indication : Blood Stasis + Spleen Qi deficiency

F. Sulistyo, Dormagen
Chinese Experts Consensus on Clinical Application of
Naoxintong Capsule (脑⼼通胶囊)
Liu Long Tao
Chinese Journal of Integrative Medicine volume 24, pages 232–236 (2018)
TCM CONSTITUTION TYPES,
1: gentleness type,
2: qi-deficiency type,
3: yang-deficiency type,
4: yin-deficiency type,
5: phlegm-dampness type,
6: dampness-heat type,
7: blood- stasis type,
8: qi-depression type, and
9: special diathesis type
The top THREE PATHOLOGICAL CONSTITUTION types in the FIVE CHRONIC DISEASES were

1.qi-deficiency type (19.00%),


2.phlegm-dampness type (10.90%), and
3.yin-deficiency type (9.10%) in HYPERTENSION PARTICIPANTS;

4.qi-deficiency type (17.30%),


5.phlegm-dampness type (14.70%), and
6. dampness- heat type (10.20%) in HYPERLIPIDEMIA PARTICIPANTS;

7.qi- deficiency type (19.20%),


8.dampness-heat type (11.90%), and
9.phlegm-dampness type (11.40%) in DIABETES MELLITUS PARTICIPANTS;

10.qi-deficiency type (30.80%),


11.yang-deficiency type (11.10%), and
12. blood-stasis type (9.40%) in HEART DISEASE PARTICIPANTS;

13.phlegm-dampness type (19.90%),


14.qi-deficiency type (15.70%), and
15.dampness-heat type (11.10%) in OBESITY PARTICIPANTS
1.DIFFERENSIASI !
2.KAPAN CHINESE MEDICINE THEORY ? , KAPAN WESTERN
MEDICINE THEORY ? KAPAN INTEGRATIV MEDICINE ?
3.PROSES DAN POLA PIKIR !
4.JANGAN HANYA TESTIMONIAL MEDICINE !
MUNGKINKAH EVIDENCE BASED MEDICINE ?
REAL WORLD EVIDENCE ? LEVEL MANA ?
5.INGAT BATAS BATAS KOMPETENSI KITA !

You might also like