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L^ongy TUB TINH
DONG Y TRI U E U
JiKt
THUOC IMAM
VI THUOC THONG DUNG
m/VIFiNTINHBIHHTHl
NXB H O N G DUG
Hgi LUAT GIA VIET NAM
NHA
XUAT B A N HONG 2D
L Y T H A I
Ta
- H Q A N
K I E M
-
H A
OUfC Npi
OlEN T H O A I : 0 4 . 3 g 2 e D D 2 4
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LU<tng Y T U E T I N H
DONG Y T R ! LIEU
G A V T H U O G NAM V A V! T H U O C CH!U
I NOI DAU
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TRACH NHIEM XUAT BAN: BUI V I E T
BAG
CHjU TRACH NHIEM NOI DUNG: L Y B A TOAN
Bien tap
:
Quynh T r a n g
Sufa ban in
:
Minh Huy
Ve bia
:
A.P
C
o the noi nhd s i / Uu da! cua thien nhien nen d Viet Nam ChungIta ton tai rat nhieu loai cay tu'di tot va hufu dung khong nhQng cho moi traci,.g ma ca cho con ngudi. Trong so do khong the khong ke den cay thuoc nam. Su' ton tai cua Chung da mang den mot tiem nang rat to Idn trong viec cham soc va bao ve siJc khoe con ngu'di. That vay, tren thu'c te da c6 rat nhieu lUdng y iJng dung cong dung va l0i I'ch cua nhiJng cay thuoc nam vao viec chu'a benh cho con ngu'di va hieu qua dgt du'dc rat dang ke. Khong nhu'ng the, trong dan gian con ton tsii rat nhieu bai thuoc hay dUdc bao che X\S chi'nh nhQng cay thuoc ton tsii ngay d xung quanh ndi chung ta dang sinh song ma vi mot ly do nao do, chung ta chu'a nhan biet ra chung. Quyen sach nay se cho ban thay ro xung quanh chung ta CO nhQng loai cay nao ma hang ngay chung ta thu'dng thay, thu'dng dung lam thQc an nhung khong biet rang do cung la mot cay thuoc c6 tac dung chQa benh cho chung ta. Quan trgng hdn, sach chi ra mot so' vi thuoc nam cu the de chu'a cac benh thong dung nhu cum, ho, giai doc, tieu ddm, tieu chay, an thai, ... va hudng dSn each thQc bao che nhQng bai thuoc hay de tranh sQ tu'dng ky va mang Igi ket qua tot nhat cho viec chQa benh. Hy vgng sach se la mot cam nang hQu I'ch cho ban trong viec tim hieu va Qng dung nhQng cay thuoc de tim quanh ta.
In 1.CC0 ban kho 14.5cm x 20.5cm tgi Cty T N H H in Nhat Nam. So D K K H X B : 1092-2013/CXB/31-44/HD. In xong va nop luu chieu quy IV nam 2013.
Tac
gia.
[DONGT] TRI LIEU
Cay Thuoc Nam va V| Thuoc
T I E U Stf T U E T I N H Tue Tinh Thien SM* (1623-1713), thtfcfng difcfc goi t a t la Tue T i n h hoac Hue T i n h , ngLfcfi l a n g Nghia Phu, tong Van T h a i , huyen Cam Giang, phii Thifgng Hong (p^ay la t i n h H a i Diiong) difcfc phong la ong to nganh dtfcfc V i e t N a m va la ngif&i m d dau cho nen y difcfc C O t r u y e n V i e t N a m . Cac bo sach N a m Difoc t h a n hieu va Hong Nghia giac t\i y thuf ciia ong k h o n g chi c6 y nghia t r o n g lich suf y hoc ma ca t r o n g l i c h sijf van hoc Viet N a m . N h i e u the k y lua, Tue T i n h difcfc ton la v i t h a n h thuoc N a m . Tai H a i Difong c m den thcr ong d xa Cam V a n , Cam V u ; d chua H a i T r i e u l a n g Yen T r u n g , nay la chua G i a m , xa Cam Scfn, huyen Cam Giang, c6 tifong Tue T i n h . TIEU
sCr
Neu nhiJng k e t qua nghien cufu v a n hoc, ngon ngi? hoc V i e t N a m sau nay k h o n g dxia t h e m bang chufng gi m d i t h i t r u y i n thuye't dia phLfOng va nhiJng cong t r i n h n g h i e n cufu chuyen mon khac cho phep k h a n g dinh Tue T i n h l a mot n h a n v a t ' d o i T r a i l . Ong ten la Nguyen Bd Tinh, biet hieu la T r a n g TiJ V6 Dat, que d l a n g Xifa, tong V a n T h a i , huyen Cam Giang, phu Thifcfng Hong (nay la t h o n Nghia Phii, xa Cam V u , huyen Cam Giang, t i n h H a i Difang). Mo coi cha me tU luc 6 tuoi, N g u y i n Ba T i n h dufgc cac nha isif chua H a i T r i e u va chua Giao Thuy nuoi cho an hoc. N a m 22 tuoi, ong dau T h a i hoc s i n h difdi t r i e u vua T r a n D u Tong, nhufng k h o n g ra l a m quan ma d l a i chua d i tu lay phap hieu la Tue T i n h . Nh'jfng ngay di tu cung la nhufng ngay ong chuyen hoc thuoc, l a m thuoc, chufa benh ciVu ngtfcfi.
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N a m 55 tuoi (1385), Tue T i n h b i difa di cong cho t r i e u d i n h nha M i n h . Sang T r u n g Q u o c , ong v i n l a m thuoc, noi tieng, difcrc vua M i n h phong la D a i y T h i e n sir, mat or do, k h o n g ro n a m nao. Bia van chi d l a n g Nghia Phii (do Nguygn D a n h Nho soan nam 1697) cung cac t\i lieu khac d dia phifcfng deu ghi n h i / vay.
C O N G ^ I N H Y-DJOC N h f l n g nam d t r o n g ni/dc, Tue T i n h da cham chu nghe thuoc: t r o n g cay thuoc, sifu tarn k i n h nghiem chiJa b e n h t r o n g dan gian, huan luyen y hoc cho c a c tang do. Ong da tong hgp y difgc d a n tpc CO truyen t r o n g bo sach gia t r i la bo N a m di/gc t h a n hieu chia l a m 10 khoa. Dac biet, ong c6 bo H o n g N g h i a giac tif y thif (2 quyen) bien soan bang quoc am, t r o n g do c6 ban thao 500 vi thuoc nam, vie't b§ng thcf Nom Bifang luat, va b a i "Phu thuoc Nam" 630 v i cung bang chOf Nom. Tha van Nom dcfi T r a n r a t h i e m , neu qua thiTc do la tac phani ciia Tue T i n h t h i chung k h o n g chi gia t r i t r o n g y hoc ma con la tac p h a m quan t r o n g t r o n g l i c h suf van hoc bdi v i day la cac tac p h a m d thcfi k i dau cua van hoc chCf N o m .
Tue T i n h da k h o n g difng l a i d v i t r i mot thay thuoc chuTa benh, ong con tif m i n h truyen ba phifcfng phap ve s i n h , to chufc ccf sd chaa b e n h t r o n g nha chua va t r o n g l a n g xom. Co t a i lieu cho biet, t r o n g 30 nam boat dpng or nong t h o n , Tue T i n h d a x a y difng 24 ngoi chua, bien cac chua nay t h a n h y xa chCta benh. Ong tap hpp nhieu y an: 182 chijfng benh difpc chffa bang 3.873 phifcfng thuoc. Ong cung luon luon nhac nhd moi ngifcfi chu y nguyen n h a n gay benh; t i m bien phap phong benh t i c h cifc. Tue T i n h n h a n m a n h tac dung viec r e n luyen t h a n the va sinh hoat dieu d p . Ong neu phifcfng phap difSng s i n h t o m t a t t r o n g 14 chOf: Be tinh, duang khi, ton than Thanh tdm, qua due, thu chdn, luyen hinh. Tue T i n h con tap hpp nhffng bai thuoc chffa b e n h cho gia sue. Co the noi, ong da gop phan dat ccf sd cho nganh t h i i y dan tpc cua V i e t N a m .
TiJf bao dcfi nay, gidi y hoc Viet N a m va n h a n dan deu cong n h a n Tue T i n h c6 cong lao to Idn trong viec xay ditag mot quan diem y hoc doc lap, tir chu, sat vdi thiTc te V i e t N a m . C a u noi ciia ong: "Nam dugc tri Nam nhan" the h i e n quan diem day bien chijfng ve moi quan he mat t h i e t giifa con ngiTcri vdi moi trifcfng song xung quanh. Q u a n diem, ay d § n dat ong len ngoi v i cao n h a t ciia nen y hoc co truyen V i e t N a m : Ong T h a n h thuoc N a m ! T r o n g trUdc tac ciia m i n h , ong khong rap khuon theo c a c trifdc tac ciia cac di/i tv\i6c. Ong khong difa k i m , moc, thiiy, hoa, tho len dau ma xep cac cay c6 tru'dc t i e n ! Ong cung phe phan tuf tifdng d i doan ciia nhffng ng\ibi chi t i n vao phu chu ma k h o n g t i n thuoc. Ong da neu ra nhieu phifcfng phap khac nbau de chijta benh nhif: cham, chich, chifcfm, bop, xoa, an, uong, hcf, xong, v.v.
6 •:• 'T^t^Ji}'\^^<LUiu.rs,4u.
Aa^
(LkOu ^d^k
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f)6nfl Y Nguyen
gTrt
nhdn
ai|u
-
Mac dii CO horn 200 virus c6 the gay r a cac trieu chijfng cam lanh, song rhinovirus la thii pham hay gap nhat va r a t d§ lay.
Dieu
PHAN Md DAU
K h o n g CO thuo'c chfla khoi cam l a n h . K h a n g s i n h khong c6 tac dung cho'ng l a i virus gay benh. C a c thuo'c khong ke don dimg de
D A I Cl/dNG MOT SO BENH THONG THl/ClNG '
chOfa cam l a n h khong chiJa khoi benh cung nhxi khong l a m cho benh n h a n h khoi hofn. Difdi day l a nhijttig iJu va nhixcfc diem ciia mot so' loai thuo'c hay dimg de dieu tri c a m l a n h .
-oOo-
1. BENH CAM LANH C a m l a n h la mot benh n h i l m trung duomg ho hap t r e n . Co h a n 200 virus k h a c n h a u c6 the gay r a c a m l a n h vcJi nhOfng trieu chijfng k h a c nhau.
Dau hi^u va tri^u chiiCng T r i e u chufng thiTorng xuat h i e n khoang 1 - 3 xuc v(Si virus v a bao gom:
ngay sau k h i tiep
• Ngat mui hoac chay niiac mui • Hong ngiia va dau •
Ho
• Dau ngUdi hoac dau dau nhe • Hat hai • Chdy nude mdt • Sot
• Thuo'c gidm dau. Cac thuo'c gidm dau khong ke dan nhu acetaminophen thudng dugc sii dung de dieu tri sot va dau " dau khi bi cam lanh. Can nha rang acetaminophen c6 thi gay ton thuang gan, nhat la khi dung d lieu cao keo ddi. Khong dung aspirin cho tre em vi thuo'c c6 the gay ra hoi chiing Reye — mot benh hiem gap nhUng c6 the gay tH vong. • Thuo'c xit mui de gidm xung huyet mui. NhUng thuoc nay khong nen dung keo ddi vi c6 the gay viem niem mac mui man tinh. • Xi ro ho. Cdc loai xi ro ho khong c6 tdc dung dieu tri nguyen nhdn gdy ho trong cam lanh. Mot so loai chiia nhUng thdnh phdn Idm gidm ho, nhiing vai luang qud it nen khong du tdc dung hoac c6 the gdy hai cho tri. Trung tdm phbng chdng benh dich My (CDC) khuyen khong nen diing xi ro ho cho tre dilai 2 tuoi. Ho do cdm lanh thubng keo ddi it nhat la 2 - 3 tudn. Neu ho keo ddi Idu han, can cho tre di khdm bdc S I . Cdc bien phdp tU chdm soc khi hi cdm lanh
nhe
• Met moi nhe.
tri
,
•
gom:
Udng nhieu nUdc.
• Nghi ngai day du. • Gin cho phong d luon dm vd dm. 8
•
t/u,.^c
ez-wju/ge^w'.
T.Wt
C/wZrt ^a,J<.
•
9
t)6n9 Y gTrt •
Siic hong nhieu Idn trong ngay bang nUdc muoi dm
hoqc
udng ni/ac chanh dm pha vai mat ong de lam diu chS hong bi viem vd gidm ho. • Nh6 mui hhng nUdc mudi sinh ly di lam gidm xung mui. Phong
huyet
benh
• Rda tay thudng
xuyen.
• Ve sinh nhd ciia sach se thong thodng, nhdt Id khi trong gia dinh CO ngiidi bi cam lanh. • Vdt bd khdn gidy ngay sau khi dung. • Khong khdc.
dung chung bat dua, vat dung cd nhdn vai ngitdi
• Trdnh
tiep xuc Idu v6i ngubi bi cam lanh.
2. BENH CUM B e n h ciim la benh viem n h i l m cap tinh diTomg ho hap gay nen bori virus cum lay truyen n h a n h , thucfng t h a n h dich.
Trieu chiXng B e n h cum c6 nhieu the lam sang, the thUcfng gap l a : sau thcri gian nung benh ngan, khoang mot ngay, benh khdi phat rat dot ngot: sot, ret r u n nhieu Ian trong ngay, than nhiet tang len 39-40° ngay ngay dau, keo dai 3-5 ngay kem theo la met moi, dau nhiJc toan than, dau dau n h u biia bd, dau cac cor xuorng khdp, chan tay r a rori, da kho nong, mat bimg bitog, mat choi, chay nUdc mat, so mui,
• Ngodi ra con nhieu the khong rd trieu chdng hoac the nhe, gidng cdm lanh: chi c6 hat hai, sd mui, ho; cd the gap the ndng, rdt ndng do bien chiing ho hdp, tim mach, than kinh. Bien
chufng
• Ho hdp Id bien chitng chii yeu vd ndng nhdt: viem phdi tien phdt vd thii. phdt trong do viem phdi tien phat Id nang nhdt: nhiet do khong gidm vdo ngdy 3-5 ma tiep diin, kem kho thd, thd gap, tim tdi, khac ddm cd khi Idn mdu, nhanh chong ddn den suy hd hdp, suy tudn hodn roi tii vong neu khong dieu tri. • Benh cum con ddnh thiic nhUng benh tiem tdng nhU viem tai, viem xoang, viem nhiem di/dng tiet nieu... • Benh cum d phu nd. mang thai hay gay bien chdng phdi hoac sdy thai. Neu mac trong 3 thdng dau c6 the gap benh ly thai, nhdt la ve he thdn kinh trung Uong, khong gay qudi thai. • Benh cum dc tinh hiem gap nhUng tit vong cao, khdi dau nhu cum thudng, roi xudt hien hoi chdng suy ho hdp do phu phdi cdp tinh gay tit vong do thieu oxy mdu khong khdc phuc duac. Dieu tri • Chii yeu la dieu tri trieu chitng ddi vdi the khong bien chiCng: dieu tri tai nhd, nghi ngai, ndm giudng, udng nhieu nUdc, dung thiCc an Idng dm, bd, dil vitamin, gidu vitamin C
mau cam, mieng dang, buon non, tao bon. Sau do nhiet do giam
• Sit dung thudc ha sot khi benh nhdn bi sot cao. Khong khdng sinh de du phbng bien chitng boi nhiim
dan, cac trieu chufng toan than giam dan trong 5-7 ngay. Mot so"
•
ngat mui, dau rat hong, c6 k h i ho tiirc ngUc, khac dcfm hoac chay
benh n h a n cao tudi hay bi met nhugc keo dai, s u binh phuc cham.
• Benh cum d tri em dudi 5 tudi thudng nhe, sot nhu cdm lanh. u tr& so sinh, bieu hien: viem tai, viem chum, viem thanh qudn cap, cd khi nhi&m doc than kinh nang ne. 10 • r/«..:v/v«,v
e/;^
diing
Tdi Id mot loai gia vi vd cung Id dugc lieu chda cdm cum rdt tot. Til xUa ong cha ta dd biet dung tdi de chda benh cum. Khdng nhUng vdy tdi con Id dUgc lieu hd trg dieu tri huyet dp, md mdu cao, tot cho tim, mach, hd trg tieu hoa. Chat alicin trong nhUa dau tdi ditgc cho Id cd tdc dung diet vi rut n^,^
e / u i w ' ^ ( j ' ^ / v <•
n
chinh, chat nay rat di bi phd huy ngay cd d nhiet do thubng VI vdy nen ngdm rilau, ngdm dam hoac uong vien nang mem chiCa nhua ddu nhu vien ddu toi Tue Link (dang vien nen bgt toi hi mat hit tdc dung doi v6i vi rut cum). Toi tia , Viet nam cung diCgc cho Id c6 chiia nheu alicine nhdt
•
Khi cham benh cum, can kip thbi trien khai phong benh ngdn chdn dich Ian truyen
•
Khi phdt hien benh nhdn, tan khong tap trung
•
Khi tiep xuc vdi benh
•
mang
ngiM
benh
Khi
benh
trUang •
Dung feron,
khdu Ian trdn
cdc bien
phdp
nen cdch li tai nhd, cdch li
phdn
nhdn
trang
d khodng
hoc, khong
n h a m hoac nuo't k h a n .
C<fn dgng kinh loan the - C a n v a n g y thufc (dong k i n h con n h o ) , dac t r i f t i g b a i c a i n h i n c h a m c h a m , nhiJng ciif dong k h o n h a n t h a y va m a t y t h i l c t h o a n g qua.
Phong lay nhiem:
phdi
n h t t n g ciif d o n g k h o n g co muc dich, nhiT be t a y , h e m m o i , n o i l a m
thi ngUdi
dich,
du phong
vien y te
tiep
xuc vai
dong
cila cdc
Im).
can tam thbi
to chiic cdc budi tap trung
cdc bien phdp vacxin...
nhdn
day 4 I6p gac, trdnh
cdch gdn (dudi thdnh
Idnh,
dac hieu:
dong
khdng
ngudi
virus,
inter-
- Ccfn d o n g k i n h co. Thucfng bieu h i e n n h u nhumg d o n g tac g i a t cue d o t n g p t a c a n h t a y va chan. - Ccfn d o n g k i n h m a t triTcfng luc, k h i e n b e n h n h a n d o t n g p t nga q u i . - D o n g k i n h con I d n , l a d a n g n a n g n h a t , dac t r u i i g b d i m a t y thiifc,
CO
Cling
v a co g i a t t o a n t h a n , d o i k h i b e n h n h a n c a n p h a i
liTori hoac t i e u t i e n k h o n g tiT ehii.
Nguyen nhdn - N h i e u t h e d o n g k i n h co l i e n quan den khuye't t a t a gen dieu k h i e n each t r u y e n t h o n g t i n giQa eac te'bao nao, nhiTng c h i co m o t v a i t h e h i e m gap l a p h a t s i n h tilf nhChig khuye't t a t g e n dac t h u . Mac d u m o t so' t h e b e n h dong k i n h co t i n h c h a t g i a d i n h , song d i
3. B E N H D Q N G
KINH
D o n g k i n h la m o t ro'i l o a n p h a vd qua t r i n h t r u y e n t i n h i e u d i e n t r o n g nao. B e n h thuomg gay r a nhOng can co g i a t va m a t y thijfc. T u y n h i e n t r i e u chiJng b e n h c6 t i l e r a t k h a c n h a u .
Dau hieu va trieu chitng Cofn d o n g k i n h c u e b o - Ccfn d o n g k i n h cue bo dcfn g i a n : k h o n g gay m a t y thiJc. C h i i n g CO t h e t h a y d o i c a m xiic hoac t h a y d o i each n h i n , ngiiri, c a m giac, n e m hoac nghe. - Corn d o n g k i n h cue bo phiJc t a p . NhiJng corn n a y l a m t h a y d o i y t h i l e , k h i e n b e n h n h a n b i ma't y thufc t r o n g m o t thcri g i a n . Can dong k i n h cue bo phiifc t a p thifcfng gay r a cai n h i n c h a m c h a m va
t r u y e n e h i d o n g m o t p h a n v a i t r o gay b e n h - co le t h o n g qua viec k h i e n ngircfi b e n h m a n c a m h o n v d i eac ye'u to' gay b e n h t r o n g m o i trufofng. - T r o n g n h i e u trifomg h p p , dong k i n h co t h e b a t n g u o n t i r m o t t a i n a n , b e n h hoac c h a n thu'orng - nhuf d o t q u i - k h i e n nao b i t o n t h u a n g hoac t h i e u o x i . T r o n g m o t so' i t trUorng h a p , d o n g k i n h co the CO n g u y e n n h a n l a kho'i u t r o n g nao. T u y n h i e n , k h o a n g V2 so' b e n h n h a n k h o n g xae d i n h dupc nguyen n h a n gay b e n h .
Xet nghi^m vd chdn doan •
Mo td chi tiet can dong nhd ditgc nhUng ciia nhUng
kinh.
Do ngUdi
benh
co the
ngUdi da chiing
kien ccfn dong
kinh. e/«j« i^M,^k
12
•
X/Wve/wZtt/^c^v
khong
gi xdy ra, nen thay thudc se can nghe Idi ke
13
f)6ng
• Khdm than kinh kiem tra phdn xa, triiang lUc ca, ca lUc, cam gidc, dang di, tU the, phoi hap dgng tdc vd thdng bang, cung nhu mot so cdu hoi de kiim tra khd ndng tU duy, nhan thi2c vd tri nhd. • Xet nghiem mdu de loai trii nhUng nguyen nhdn c6 the gay con CO giat nhU nhiim triing, ngo doc chi, thieu mdu hoac tiiu dUdng. • Cdc xet nghiem hinh dnh di phdt hien bat thuang trong ndo: dien ndo do, chup CT, chup cong hudng til (MRI), chup cat lap phdt positron (PET), chup cat lap vi tinh phdt photon dan (SPECT). Dieu tri • Thuoc chong dgng
kinh.
• Phdu thuat cdt bo vung ndo gay ra can dgng
kinh.
• Kich thich day phe vi. • Che do an kieng nghiem ngat gidu chat beo, protein carbonhydrat de gidm sdn sinh xeton trong ca thi.
vd it
Benh gut, hay viem khdfp gut, la mot dang v i e m kh6p dac tritog hai nhufng corn dau dOf doi dot ngot, do va sung or khd'p. Day la mot ro'i loan phiJc tap CO the xay ra d bat ciif ai, song nam giori d l bi benh hon phu uuf. Phu nu: se bi tang kha nang mac benh sau k h i man k i n h .
• Khdp bi sUng, ndng vd dd. Nguyen
nhdn
Nguyen nhan gay benh gut la do viem or khdrp do sir tich luy cac t i n h the urat. Acid uric la mot chat dugc h i n h thanh t\X qua t r i n h giang hoa purin. Chat nay c6 mat t u nhien trong ccf the cung nhu trong mot so' loai thuc pham, nhat la phii tang dpng vat. B i n h thiforng acid uric hoa tan trong mau va di/cfc t h a n bai xuat ra ngoai qua mi6c tieu. Neu v i ly do nao do cor the san sinh qua nhieu hoac bai xuat qua i t chat nay t h i acid uric c6 the tich luy, tao thanh nhOfng t i n h h the h i n h k i m sac nhon (urat) trong khdp va cac mo xung quanh khdp, gay dau, viem va sUng. Xet nghiem
vd chdn
dodn trong
Dieu tri • Bd'i vdi can gut cap, cdc thuoc chdng viem phi steroid (NSAID), nhu ibuprofen vd naproxen co thi lam gidm dau.
>
-'rHc/./v
cila dau ma lai
• Xet nghiem mdu do nong do acid uric trong mdu
Dau hieu va trieu chiifng ciia gilt hau nhiT luon la cap t i n h , xay ra dot ngot - thuomg vao ban dem - va khong c6 dau hieu bao tru'dfc. (2./v<ii4
• Bau khdp dU dgi. Gut thubng dnh hudng den khap I6n ngon chdn cdi nhung c6 thi xdy ra d bdn chdn, co chdn, goi, bdn tay vd c6' tay. Bau thUbng keo ddi 5 den 10 ngdy sau da hit. Khd chiu gidm dan sau mot hai tudn, di khdp CO vi rat binh thudng vd khong dau.
• Xet nghiem nUdc tiiu di do lilang acid uric dugc bai xuat •
Dau hi^u va trieu chu'ng
T / w j ;
gfrt
• Lay dich tie khap bi benh de tim tinh thi acid uric bach cdu
4. BENH GUT
14 •
Y
• Vdi nhUng triiang hap nung, co thi diing corticosteroid nhU prednisone. Cung co thi tiem cortisone vdo khdp bi benh di gidm dau. NhUng phuang phdp nay c6 nhUng tdc dung phu vd ndi chung khong nen tiem qud 3 Idn/ndm. • Khi can gut cap dd dugc kiim sodt, co thi dp dung nliUng bien phdp phong ngiia di Idm cham tdc do sdn sinh acid uric ciia ca thi hoac tang 13c do bdi xuat.
Tt^c
<2./v^« '^^«./t •> IS
t)6ng T gfrt 3 ^ "
• Hy thiem thdo, day dau xUang Id hai vi thuoc y hoc cd truyin quy cua dan toe c6 tinh mat, tdc dung khu phong, trit thdp, hoat huyet, gidm dau, lai gdn cot, tri khap sUng nong do dau, cdc trUdng hap dau lUng moi gdi, dau minh mdy, di lai van dgng dau nhiCc do benh gut. Benh gout bi gay ra do qua nhieu axit uric trong mdu (con goi Id da axit uric): tren 420 pmol/L (d nam) hay 380 pmol/L (d n0. Vi vay viec thai tril Axit Uric Id rat cdn thiet. Thd phuc linh, Ty gidi, Hodng bd c6 tdc dung tang cUdng chiic ndng bdi tiet cua gan than, thdm thdp, lai nieu giup ddo thdi acid uric trong mdu vd chuyin hoa cdc chat khdc Id nguyen nhdn Idm tdng acid uric gay nen benh Gut. DUa vdo nhUng dac tinh cua cdc cay thudc tren da Idni ra sdn phdm la Gut Tue Linh. Gut Tue Linh cdn c6 sU ket hap bdi ban cua Nhdn sdm, Hodng ki, Thuc dia, NhU huang, Ddo nhdn c6 tdc dung bd khi, gidi doc, gidm dau, tdng ciCdng tudn hodn mdu, bdi bd ca the, chdng met moi, suy nhilgc, cdi thien cdc hoat dgng the luc vd tinh than ciia benh nhdn. Phong
b^nh
K h o n g CO each nao chae chan ngan ngiTa difcfc corn gut cap b a n dau hoac ve sau, nhUng bac s i c6 the ke dan mot so' thuoc de l a m giam nguy cof hoac mufc do nang ciia cac dot benh xay r a sau nay. Nhu-ng thuoc n a y gom allopurinol va probenecid. K h i dirge dung h a n g ngay, thuoc l a m cham toe dp h i n h t h a n h acid uric v a day n h a n h viee thai trijf chat nay r a khoi ca the. Noi chung, giu" nong dp acid uric trong gidi h a n binh thuomg la chia khoa de phong ngifa benh gut.
5. BENH COI X a O N G - SUY DINH DUClNG Mot so' cong t r i n h nghien cuu cho tha'y, tre coi xUcfng khong xay r a rieng le m a di k e m vdfi suy dinh dueng, thie'u v i t a m i n A , thieu mau...
16 • tiJ^cy\^,^e.iui«.>^pX
Nguyen
nhdn tre cdi xUcfng
• Thieu dnh me giU gin (do yeu td nhd d chat
sdng mat trdi: Nhieu tre bi cdi xiiong chi vi cha qud ky hoac khong c6 dieu kien cho tdm ndng dia ly khi hdu, mda dong, vimg nui silang md, chgi, 6 nhiem moi trUdng...).
• Tinh trang thieu hut ndng vitamin D cua ngudi m.e trong thdi gian mang thai. • Che do an cua tre thieu cd vitamin D vd canxi, ty le canxi I photpho thdp: Che do an nhieu phytat (c6 nhieu trong tinh bgt), oxalat (c6 nhieu trong rau) vd chat xa cung Idm gidm hap thu canxi. TRE BI COI
XlfONG
Bieu hi^n c6 nguy ca hi cdi xiCafng • Be CO the vdn du cdn ndng vd chiiu cao, tuy nhien phu huynh cdn chii y cdc trieu chiCng: rang cham mgc, toe rung, hay giat minh, biit nit, gc sUa. Ngu khong yen gidc, hay khdc dem, dd mo hoi dau. Xuang bi mem, di bien dang nhU: dau bep, long ngUc gd, tay chdn cong, trdn do, cd 2 budu d dinh dau, thdp cham dong; dac biet, tuy tre bu bam nhUng CO nhdo... Ngodi ra, ca the cdn gidm siic de khdng, tre hay bi nhiim trung ho hap. Neu khong dieu tri kip, be se cdi xi/ang that siX nhU: bi tay cdn vd, chdn cong vdng kieng, ngUc do hoac lep... • Khi thdy be cd nhUng biiu hien tren ban cdn xem lg,i coi mdn an cd du cdc chat cdn thiet vd phu hap vdi Ida tudi, sd thich ciia be khong? Mdi ngay, trUdc 10 gid sdng, be cd dugc cdi bd qudn do de phai ndng 5 phut (vdi tre dudi 18 thdng) hoac diioc chai ngodi trdi it nhdt 30 phut (vdi tri Idn han)? Dm be den bac si de dugc tU vdn hoac chl dinh diing thudc. Da sd cdc be khi cd bieu hien tren khong phai chl cdi xUang ma cdn cd the bi suy dinh djJdn^Jzemj}]^^ trung khdc do ca the ^ia^t-sif^p^^fikfi^^^^^
THUAM
Phong b^nh cbi xitorng • Trong thdi gian c6 thai va cho con bu, ngudi me nen danh thdi gian tdm ndng, di dao ngodi trbi. Nen an uong hap ly, chu y thiCc phdm gidu vitamin D, canxi de phdng trdnh cdi xiCang sam cho tre til trong bdo thai vd trong nhUng thdng ddu sau de. • Cho tre bu me ngay sau sinh, bu hodn todn trong 6 thdng , , ddu, sau do cho an bd sung. Chii y cho an ddu ma, thUc hien to mdu bdt bqt. Hang ngdy phdi cho tre tdm ndng 5-10 phut de CO du vitamin D. • Bd sung vitamin D 400 dan vi/ngdy cho tre de non, de thdp can. Mot trong nhUng bien phdp phdng benh cdi xiiong Id tang cUdng vitamin D vdo thiic phdm cho bd me vd tre em. DIEU
TRI TRE COI
XlfONG
Bo xung canxi cho tre - Canxi luon can diTofc cung cap cho ca the trong suo't cac giai doan ciia cuoc song, t\i trong bao thai cho den k h i trifdng t h a n h va ngudi gia. Theo khuyen cao cua Vien D i n h dudng quoc gia Viet Nam va RDA ciia My, m6i ngay tre em can khoang 500 -l.OOOmg canxi tiiy th^o do tudi. - SQa va cac che pham ciia sUa n h u sUa chua, banh flan, phomai... la ngudn cung cap canxi quan trong, sau do la dau hu, hai san (ca nho nguyen xUcfng, tom tep nguyen v6 mdi chufa nhieu canxi), dau cac loai, me, rau xanh... Can chii y la canxi trong sUa t h i d l hap thu hon la canxi tilf cac ngudn thuc pham khac. Bo xung vitamin D cho tre cdi xUang - Ngoai viec cung cap day du cac thUc pham giau v i t a m i n D nhu sufa, t n l n g , gan, bor... tre em moi do tudi deu can phai dugc tam nang nhe 15-20 phut mdi ngay. A n h nang nhe la nang trudc 9 gicf sang hoac 4-5 gid chieu. Can boc 16 da cang nhieu cang tot de anh
18 • r W c / w e A , ^ > § ^
nang trUc tiep chieu vao da t h i se tao ra nhieu v i t a m i n D. Sau jj^hi ra nang vai phut cho be am ngUcfi rdi me nen cdi bdrt non, vd, v^n ao hoac quan be cang nhieu cang to't. Khong phai nang qua cda k i n h . Tre nho chua di dugc t h i ba me can bong be' tre ra ngoai trdi de tam nang, ne'u tre da t u di duorc t h i can nhac nhd va tao (Jieu k i e n cho tre ra moi trudng ben ngoai. Ba me dang cho con bu sGa me cung phai t a m nang hang ngay de dam bao cho nhu cau vitamin D ciia chinh ngUdi me ddng thdi c6 dii v i t a m i n D trong sOa me de cung cap cho tre. TRE
SUY DINH
Nguyen
DWNG
nhdn
- M o t so cong t r i n h nghien ciJu cho thay, cdi xUomg khong xay ra rieng le ma di kem vdi suy dinh dudng, thie'u v i t a m i n A, thie'u mau. Tre suy dinh dudng thudng hay ro'i loan hap thu cac chat, ke ca v i t a m i n D va muo'i khoang; ddng thdi thie'u hut enzym chuyen hoa v i t a m i n D. Ngugc l a i , t i n h t r a n g thie'u v i t a m i n D cung se lam giam sufc de khang ciia ccf the, tang cam n h i l m vdi v i khuan, do do tang nguy ca suy dinh dUdng. Nhieu nghien cilu da chufng minh, tre suy dinh dUdng c6 nguy ca cdi xUang cao han so vdi tre binh thudng. - Tre CO can nang liic de thap (dudi 2.500g) c6 nguy ca coi xUang cao han tre c6 can nang luc de binh thudng. Nguyen nhan la ca the khong du triJ dii muo'i khoang va vitamin D trong thdi ky bao thai, ddng thdi he tho'ng men tham gia vao chuyen hoa v i t a m i n D con ye'u. - Co hoi chijfng kem hap thu: Tinh trang thie'u v i t a m i n D de xay ra d nhOng tre c6 hoi chufng nay. Cac benh tieu chay keo dai, n h i l m k y sinh trimg dudng ruot, viem gan tac mat deu c6 anh hudng den hap thu vitamin D va tang nguy ca cdi xUang. Dieu tri tre suy dinh dU&ng • Tang so bda an trong ngdy: Cho trk an 5-6 bUa mdi ngdy, X k u ^ c n^,^
(Ll^
' ^ p / . / v •:•
19
<S)6nq r gfrt 9lU?u
tlic ngoai 3 bUa chinh, can them 2-3 bUa phu bang sHa, che, bdnh... • Cho them chat beo vdo thiic an: Cho them 1-2 mudng ddu An vdo chen chdo cho tre nhd hoac tang cdc thiic dn che bien nhieu chat beo, thiic dn chien xdo... • Cho dn dac han: Bot dac c6 ndng lugng cao han bpt Idng hay chdo long. Vdi tr& dd du rang nen cho dn cam tdn nhuyin. • Cho tre dn bu sau giai doan benh. • Tdng so luang thiic dn trong mdi bda, vi du: Sau khi dn 11 2 chen cam, cho tri dn 112 chen ml...; dn them 1 hu yaourt, 1 mieng pho mai... hay uong them 1 ly sUa. • Sii dung cdc thiic dn dac biet: Co the cho tri dn them mot so loai thiic dn dac biet c6 ndng lugng cao han thiic dn thong thiidng, vi du bot dinh dudng cao ndng liigng PediaPlus vdi cong thiic tdng trUdng tdi Uu, khd ly tUdng cho tre hap thu toi da cdc duang chat dephdt triin cd the chat, tri tue vd bat kip dd tdng trUdng so vai cdc ban dong trang liia. Chufng liTofi an la nguyen nhan dan tdi tinh trang coi xiTcfng, suy dinh diTdng d tre em, do khong an uo'ng deu dan nen cof the thirdng thieu cac Acid amin, vitamin, lysin, kem,... Vi vay viec bo sung cac chat thiet yeu cho ccf the la dieu ma moi ngifdri deu mong muon. San pham siro Tue Linh gom c6: Bot nam men bia thiiy phan CO chiifa 70-75% cac acid amin, trong do ham liiong Lysine rat cao (4%), vitamin nhom B, Canxi na khoang chat, cac chat chong lao hoa dac biet la Se, Glutathion... cung cap duSng chat can thier cho ccf the, chong coi xucfng, suy dinh di/5ng, tre em cham Idn, bieng an. Dam diTofc thiiy phan tiT men bia khong nhilm hoa chat va dl hap thu hon. hern nOa san pham diioc bao che' dirdri dang siro nen rat dl uo'ng bcJi vi noc c6 vi ngot. Khong nhuCng vay ma siro Tue Linh con c6 tac dung: tang circmg silc de khang cua cor the tre em, giup tre an ngon mieng, tre met moi, ngiTori gia yeu siJc de khang giam. 20 •:• T w . . / U u , v e^.^/g^A,
f)6ng T STrj at|u 6. B E N H H E N P H E Q U A N
Khdi qudt Ngifcri bi hen thiforng kho thor, khong so't, khong lay. • Hen xdy ra d moi liia tudi. Hen thudng ndng vdo mot so thdng trong ndm vd hay len can hen vdo ban dem. • Can hen c6 the den khi dn hoac hit phdi vat gi gay di ling vdi ngUdi do. d tre em, can hen thUdng bdt ddu bdng cam lanh thong thubng. XvCly • • Khi len can hen: Cho ngUdi benh ra chd nai thodng khi, nai khong khi trong lanh • Cho uong nhieu chat long, nhii nUdc Idm ddm loang ra se di thd, hoac hit hai nUdc. • Can hen nhe: diong ephedrin hoac teophylin • Can hen ndng: tiem adrenalin (ngUdi Idn 1/2 dng; tre em 114 dng. Co the dimg lien nhu the 3 Idn, mdi Idn each nhau niia gid theo chi ddn cila thdy thudc). Ne'u ngiTofi o'm c6 so't, hoac nen com hen keo dai tren 3 ngay: cho uo'ng khang sinh tetroxyclin hoac erytrcmjrxin. Phong h^nh • NgUdi bi hen can trdnh dn hoac hit nhUng vat gi thUdng gay can hen. • Can gin sach se r\hd d nai lam viec. • Khong de gd vd cdc loai sue vat khdc nhU chim, cho, meo trong nhd. • Phai ndng giudng, dem, chdn gdi. • Ne'u can thi chuyen den nai d trong lanh han.
nii^^ CAou
• 21
f)6ng r g'rt c ^ u
7. BENH NHOI MAU CCl TIM Nhdi mau ca t i m hay com dau t i m xay ra k h i dong mach vanh cung cap mau cho t i m bi tac nghen do cue mau dong. Dong mau nuoi duSng co t i m bi gian doan c6 the gay ton thiTOng hoac pha huy mot vung co t i m . Tri^u chiXng • Cam gidc ttic, nang hoac dau thdt vung giUa ngUc Mo ddi mot vdi phut • Bau Ian til ngUc len bd vai, cdnh tay, xuyen ra sau lUng hocLC tham chi len rdng vd ham, c6 the dau keo ddi d vung thuang vi •
Khothd
• Todt mo hoi • Chodng
nhdn
sieu dm
• Aspirin. Aspirin ngdn can sU hinh thdnh huyet khdi, nhd do duy tri dong mdu chdy qua chd dong mach bi hep. Bay dugc xem Id thuoc du phong huyet khdi duac sH dung nhieu nhdt hien nay. • Thuoc tieu huyet khdi pha vd cue mdu dong dang Idm tac dong
mdu.
• Cac thudc chdng dong mdu ngdn cdn siC hinh thdnh huyet khdi nhu clopidogrel (Plavix) vd cac thudc chen thu thi tiiu cdu lib/Ilia. _
CO
Bay Id thudc thudng dung de dieu tri dau
tac dung Idm gidn mach tqm thdi, cdi thien
lugng
mdu den tim. khi
• Co thdt mach vdnh, nhdt Id do mot so loai ma tuy cocain.
nhu
• Chat chen beta Idm gidn ca tim, cham nhip tim vd gidm huyet dp giiip tim
Chan doan diTa tren trieu chiing, benh s\i va tham k h a m thiTc the. Cac xet nghiem giiip ich cho chan doan gom: • Dien tdm do: do ca tim bi ton thuang khong ddn truyen xung dien nhu binh thUang, nen dien tdm do c6 the giiip phdt hien vd theo ddi tien trien ctla nhoi mau ca tim. • Xet nghiem mau phdt hien sU c6 mat cda mot so enzym diigc gidi phong ra khi ca tim bi td'n thiiang.
e/«2« > § i W v
ngUc,
Cac thuoc thirdng dung dieu t r i con dau t i m gom:
ngUc,
• Tac nghen mach vdnh do cue mau dong hinh thdnh mdng bam cholesterol trong dong mach bi vd ra
•
chup X quang
£)ieu tri
• Nitroglycerin.
Xet nghiem vd chd'n dodn
22
nhU
• Thudc gidm dau.
ngdt
• Buon non vd non Nguyen
• Mot so xet nghiem khdc tim, chup mach vdnh.
bam
• Thudc gidm cholesterol,
mdu
de
ddng
hern.
bao gom statin, niacin, fibrat
vd
acid mat. Phdu thuat vd cdc thu thudt khdc - Tao h i n h mach vanh va dat stent: trong thii thuat nay bac si luon mot ong thong c6 dau gan mot qua bong tiT mot dong mach, thirong la d chan, vao ch6 dong mach tac nghen. Sau do qua bong diroc bom cang de md thong dong mach b i tac. Dong thcfi mot stent mat lirdri k i m loai se duac dat vao de giOr cho dong mach khong b i tac tror l a i . - Phau thuat noi t a t mach vanh: trong do bac sy dung mot doan t i n h mach hoac dong mach khau no'i vao dong mach vanh T^c
n^u.y e/uJa >Se»v/v <'
23
vugt qua cho tac nghen (no'i tat qua doan tac nghen) de k h o i phuc dong chay cua mau den t i m . Phong ngiCa
*"
- Nho'i mau cof t i m : rat nguy hiem den t i n h mang ngifcfi benh dac biet or ngi/ori gia v i vay viec dung thuoc de phong ngiira mot each thifcfng xuyen la dac biet quan trong. Nhung cac thuoc tay y t r o n g dii p h o n g n h d i mau cof t i m dung lau t h i T o r n g mang l a i nhieu tac dung khong mong muo'n: n h u aspirin gay loet da day ta trang, thuoc tieu huyet k h o i gay chay mau, cac thuoc con l a i chi c a i thien trieu chutng. - De tang cudng hieu qua va lam giam tac dung khong mong muon trong phong ngira nhoi mau ccr t i m tren t h i trifdng hien nay CO nhieu che pham nhu: cac s a n pham tir Giao co lam lam ha huyet ap, tang lifu thong k h i huyet. - Cac che pham tif hoa hoe nhif Du9ng mach kien nao: giup lam ben viJng thanh mach mau, tang ciTomg sufc chiu diing cua mao mach, giam md mau; phong n g i T a nhoi mau cor t i m , dau t h a t ngyc, t a i bien mach mau nao. Cac che' pham c6 c h u f a Nattokinase (HOMICIS): dac t m h sinh hoc c i l a nattokinase rat giohg v6i plasm i n (enzym duy nhat trong ccf the lam tieu huyet kho'i). - Nattokinase nang cao kha nang tir nhien cua cof the de lam tan cac cue mau bang mot so' each: Hoa tan fibrin mot each triic tiep. Nattokinase cung c6 the lam nang cao sir san xuat eiia ccf the vdi plasmin va cac tac nhan hoa tan cue mau dong, bao gom ca urokinase (noi bao). - Nattokinase c6 the ngan chan s U chai c u f n g eiia mach mau d lieu l u o f n g 100 mg/ngay. (5 mot khia canh nao do, nattokinase thufc s i r to't h o n thuo'c TPA (plasmin mo), thuo'c hoa tan cac cue mau truyen tho'ng, va urokinase.
24 •
Tt^^r^^cLi^i^p^^
8. BENH PARKINSON B e n h P a r k i n s o n thuofng tie'n trien nang dan, bat dSu bang dau hieu run kho nhan thay c5r mot ben ban tay. Tuy run la dau hieu noi b^t nhat, song benh cung la nguyen nhan pho bien gay cuf dong cham va Cling nhae. Trieu chvCng •
Run.
Thildng bdt dau d mot ben ban tay. Tuy nhien
nhieu
benh nhan khong bi run rd ret. •
ca
dong cham chap. Benh lam giam kha ndng bdt dau cac
cji dong tuy,
dan dan khien cho ngay ca nhitng cu: dong dan
gidn cUng trd nen kho khdn va mat nhieu thdi gian. •
Cling ca. Thiidng xdy ra d chi va d cS. Ciing co Idm gidm tarn van dong vd gay dau.
•
Bien dang'vd
mat thdng bdng. Trong giai doan muon,
nhan co the bi gu veo vd khong giU diiac thdng •
Mat cdc dong tdc tU dong nhu chdp mdt, cubi vd vung khi di. Benh
benh
bdng. tay
nhan co net mat cilng dd, mdt khong chdp vd
mdt kha ndng dien td bdng dieu bp. •
Thay ddi gigng noi. Gigng noi trd nen yeu at, nhanh
hodc
dan sac, noi liu nhiu, lap lai td hodc ngap ngdng tritdc khi noi. •
Sa sut tri tue. Trong giai doan muon,
mot so benh nhan bi
gidm sut tri nhd vd tdm than.
Nguyen
nhan
- Cac trieu chijfng ciia benh Parkinson la hau qua cua thie'u hut mot chat dan truyen than k i n h la dopamin trong nao. Dieu nay xay ra k h i cac te'bao nao dac hieu san sinh dopamin b i chet hoac
(Liui^i^d.J. • 25
f)6nfl r
gfrt
suy giam chufc nang. ChiTa ro nguyen n h a n cua h i e n tLTcfng n a y . NgUcfi ta cho r a n g cac dot bien di truyen hoac doc chat trong moi trufofng dong v a i tro trong can benh n a y .
Xet nghiem
vd chart dodn
• Do nhieu nguyen nhdn c6 the gay ra cac trieu chiCng giong benh Parkinson, nen benh rat kho chdn dqflu, nhdt la trong glai doan sdni. Hien chila c6 xet nghiem nao chdn dodn xdc dinh can benh nay • Chdn kinh, cOng Chdn •
dodn benh thudng dUa vao tien sit vd khdm than bao gom ddnh gid khd nang di bo, phdi hap dgng tdc nhu thUc hien mot so nhiem vu dan gidn bdng tay. dodn sa bo thUdng duqc dat ra neu benh nhdn c6:
It nhdt 2 den 3 trieu chiing chinh la run, chdm cil dong vd Cling CO
• Trieu chiing chi khdi phdt d mot ben ca thi • Run thdy ro hern khi nghi ngai • Phdn ling tot vdi thuoc levodopa DIEU
TRI
Dieu tri ngi khoa Levodopa h i e n l a thuoc dieu t r i hieu qua n h a t . Thuoc difqfc chuyen h o a t h a n h dopamin trong nao. T u y n h i e n k h i benh tien trien, hieu qua ciia levodopa c6 the bi giam di. T a c dung phu ciia levodopa gom lii i S n , hoang tirdng, ao giac v a ro'i loan v a n dong..
• Chat chii van dopamin, gom pramipexole (Mirapex), ropinirole (Requip), apomorphine (Apokyn). NhUng thuoc nay bdt chuac tdc dung cua dopamin trong nao. Tuy gdn nhU khong CO hieu qua dieu tri cdc trieu chiing cda benh, song thuoc lam giam phdn nao hieu qua that thubng cua levodopa. • Cdc chat lie che MAO B. Nhom thuoc nay gom selegiline (Eldepryl) vd rasagiline (Azilect). Thuoc lie che hoat dong
26 • T / W ^ / w e ^ ^ * ^ ^ ^
cua enzym monoamine oxidase B (MAO B), nha do ngdn ngUa gidng hoa dopamin tao thdnh til levodopa. Tdc dung phu hiem gap nhUng c6 the gom tuang tdc nang vai cdc thuoc khdc nhu thuoc dieu tri tram cam vd thuoc ngii. • Cdc chdt lie che catechol 0-methyltransferase (COMT), gom tolcapone (Tasmar) vd Entacapone (Comtan). NhUng thuoc ndy lie che enzym gidng hoa levodopa, nhd do keo ddi tdc dung cua levodopa. Thuoc c6 the gay ton thuang gan vd suy gan. • Cdc chdt chdng tiet acetylcholin, nhU trihexyphenidyl vd benztropine (Cogentin). Tuy nhien, Igi ich khiem ton ciia thuoc CO the khong tUang xiing vdi nhUng tdc dung phu nhU III Idn vd hoang tUcmg, nhdt Id d benh nhdn tren 70 tudi. NhUng tdc dung phu khdc gom khd mieng, buon non, bi tieu vd tdo bon. • Thuoc chdng virus. Amantadine (Symmetrel) cd the lam gidm nhdt thbi benh Parkinson nhe giai doan ddu. Thuoc cung CO the dugc ket hap vdi lieu phdp carbidopa-levodopa cho benh nhdn giai doan muon, nhdt la khi bi rdi loan van dgng do carbidopa-levodopa. Tdc dung phu gom sUng ne cd chdn vd not xudt huyet tren da. Phau
thuat
- K i c h t h i c h nao sau l a thu that pho bien n h a t de dieu t r i benh. T h u thuat n a y bao gom cay mot dien ciic vao sau trong vimg nao c h i pho'i v a n dong. D i e n ciTc dirge no'i vdi mot thiet bi cay ngoai da se dieu chinh liTcfng k i c h t h i c h phat r a . - T h i i thuat thirdng dircfc c h i dinh cho benh n h a n bi benh giai doan muon cd dap ufng khong on dinh vdi thuoc (levodopa). K i c h thich nao sau khong c6 hieu qua vdi benh n h a n khong dap ijfng vdi carbidopa-levodopa.
9. BENH PHOI TAG NGHEN MAN TINH Benh phoi tac nghen man t i n h (COPD) la thuat ngil chung chi mot nhom benh phoi man t i n h gay tac nghen dufofng thc5r trong phoi. COPD thiicfng dugc dung de chi t i n h trang tac nghen do viem phe quan man, k h i phe thung va viem phe quan do hen. Tri^u
chiing
COPD thirofng khofi dau tham lang. Benh nhan c6 the khong bieu hien dau hieu va trieu chufng g i cho den k h i phoi b i t o n thiforng dang ke. Nhung mot k h i da xuat hien t h i trieu chiJng thifdng nang dan theo t h d i gian. Cac trieu chiifng COPD c6 the gom: • Tdng tiet ddm ddi • Kho thd, nhdt Id khi hoat • Thd kho khe trung ho hdp thiibn '
• Khi phe thUng. Bay Id ben nang, phd huy thdnh phe nang vd cac sgi chun, khien cac tiiu phe quan bi xep xuong khi tha ra vd Idm gidm lugng khi lUu thong trong phoi. • Viem phe quan man tinh gdy viem vd chit hep phe quan vd tieu phe quan, tdng tiet ddm khien phe quan bi bit tac. • Khoi thudc la vd cac chat kich ling khdc. O dai da so cac triidng hap, ton thilang phoi ddn tai COPD la do hut thuoc 28
•
"tw./Vu,ve/v.?«/g^,^
• Xet nghiem cfiiic ndng phoi. Do phe dung c6 the phdt hien COPD trUac khi xudt hien trieu chiing benh. Xet nghiem ndy cung thudng diiac ddng de theo ddi tien trien benh vd hieu qua dieu tri. • Chup X quang phoi de phdt hien khi phe thung - mot trong nhUng nguyen nhdn chink gdy COPD cung nhil loqi trie cac benh khdc d phoi hodc suy tim. • Phdn tich khi mdu dong mgch. Xet nghiem may ndy ddnh gid lugng oxy dUgc ph6i dUa vdo mdu vd lugng khi cacbonic thai ra. ,
• Chup cdt l&p vi tinh (CT). Chup CT c6 the giup phdt hien khi phe thUng vd xdc dinh nhUng benh nhdn c6 the phdu thuat. Dieu tri
• TiCc ngUc
Nguyen nhdn
Xet nghi^m vd chd'n dodn
• Xet nghiem ddm. Phdn tich cac te bdo trong ddm giup xdc dinh nguyen nhdn vd logi tril mot so dang ung thu phoi.
• Ho dai ddng
• Nhiim
la Idu ngdy gdy ra. NhUng nhieu chat kich lic khdc cu-ng c6 the gdy COP nhu 6 nhiem khong khi vd khoi bui nghi nghiep.
- B6 thuo'c la la bifdc dau tien cof ban trong ket hoach dieu t r i COPD va la each duy nhat de giuf cho benh khong nang them. Dieu tri noi khoa • Thuoc gian phe quan c6 tdc dung gidn ca d phe quan, Idm gidm ho vd kho thd. Tiiy theo miCc do benh, c6 thi' ddng thudc gidn phe quan tdc dung ngdn trildc khi heat dgng, thudc gidn phe quan tdc dung keo ddi ddng hang ngdy hodc cd hai. • Steroid dgng hit Idm gidm viem dudng ho hdp vd gidm kho thd. Song dung thuoc keo ddi c6 the gdy mot so tdc dung phu nhu lodng xUang, tdng huyet dp, due thuy tinh the vd tieu dudng. Xl^c
A'u^
(LUM
/t^eVv/v
•
29
•
Khdng
Dieu
sink
chong
tri ngog.i
•
Phdu
thuat
•
Ghep
bgi
•
nhiem.
gidm
the tick
phSi.
phd'i.
T r i l a b e n h t r o n g do cac t i n h m a c h 6 h a u m o n va triJc t r a n g b i siftig va
va tri^u
thucmg
tri.
ran hoac
khi
c6 thi' khien
T r T n g o a i ; Dang the li lai trong
khong
nhin
kich
do phdn
cam
thdy
di qua
bui tri noi sa ra ngoai
bui tri ngoai
hoac chay
Khi
c6
gdy dau.
vd tao thdnh
bi kich
thich,
Boi
hau khi
the viec
mon. mdu
cue mdu dong,
bui tri ngoai
bui
c6 the
c6 gdy bi
•
30 •
Tieu
chay vd phai
T/iwi: n « « v e < u «
vd sinh vd chdn
di dodn
- T r i n g o a i c6 t h e n h i n t h a y b a n g m a t thUcmg. T r i n o i c6 t h e
x e t n g h i e m k i e m t r a p h a n d u d i ciia d a i t r a n g g o m soi h a u
Dieu
TRI tri
nqi
- N e u b u i t r i c h i gay k h o c h i u d o i c h i i t , c6 t h e d u n g cac l o a i k e m h a y thuoc m 5 b o i t a i cho hoac c o r t i c o i d , k e t h o p v6i t a r n nirdc a m h a n g n g a y de l a m g i a m t r i e u chuCng. Dieu •
tri
That
ngog,i bui tri. Bdc si se dung
tri noi di cdt diit •
nhdn
bon ddn den phai
bon
diTcfc p h a t h i e n b a n g t h a m trUc t r a n g , n h u n g d o i k h i t h a m trUc
mdu.
T r i CO t h e x a y r a do t a n g ap liic t r o n g cac t i n h m a c h d dau dU(Ji t r i i c t r a n g . N h Q n g n g u y e n n h a n h a y gap n h a t gay t a n g ap lire va gay t r i l a : Tdo
nghen
nghiem
DIEU
thdy hoac
thich
tri ndy thuang
dau, siCng vd viem.
•
Thai
ngoi
c h i of trirc t r a n g m a con d t o a n bo d a i t r a n g .
gdy ton thUcmg be mat bui tri vd gay chay mdu. B6i khi
Nguyen
•
thiCcmg xuyen
n g h i e m n a y giup l o a i t r i r nhCfiig t o n t h u o n g gay c h a y m a u k h o n g
chvCng
T r i n o i ; Binh
ngiia
phi
la khi
gom soi d a i t r a n g o'ng m e m de k i e m t r a t o a n bo d a i t r a n g . X e t
T r i e u c h i i n g ciia t r i thiTomg t u y thuoc vac v i t r i
•
Beo
- Co
t a n g ap luc a cac t i n h m a c h nay t r o n g k h i
ran manh
•
Idu, nhat
m o n , soi triTc t r a n g hoac soi d a i t r a n g sigma. K i e m t r a r p n g h o n
m a n g t h a i va m o t so' n g u y e n n h a n k h a c .
Nhung
Idu do tdo
diing
m e m va k h o p h a t h i e n .
r a n qua miifc t r o n g k h i d i n g o a i hoac do
•
toilet
Xet
hoac
t r a n g k h o n g g i i i p diTa r a c h a n doan xac d i n h v i t r i n o i thirorng r a t
viem.
T i n h t r a n g n a y c6 t h e do t h i r d n g x u y e n
hi^u
nhieu
khoa
10. B E N H T R I - N G U Y E N N H A N , D A U H I E U N H A N B I E T VA H U d N G D I E U T R !
Dau
Ngoi
ran
tdng phdn
ra ngoai
lien
tuc
xa: tiem
•
Chieu
tia hong
tri noi nhd chdy Phdu khong
thuat CO kit
mdu vd Idm
quanh
goc
bui
bui tri xep
di.
mach
de
lam
di cdt diit tudn hodn mdu d nhUng
bui
hoa chat
bui tri thu nho
•
nhieu
Tiem
tudn hodn
day cao su thdt
vdo xung
quanh
mdu
lai. ngoai
mdu.
cdt bui tri trong qua hoac
bui tri
trUbng
hap cdc bien phdp
khdc
Ian.
T/wv
r\,u.. (LKoa
i^d,.u •:•
31
f)6nfl Y g'rt gt^u •
Kep
bui tri ngan
phuang
phdp
khong
khd mai
nguy ca tdi phdt
" ' chat
•
An nhieu
•
Uong
•
Thubng
•
Trdnh
ngoi nhieu
•
Trdnh
ran manh
nhieu
den
so' nhugc
bui tri. Bay diem
vd sa bui tri cao hon ca vai phdu
Phong benh
•
cho mdu chdy vd c6 mot
> b j i ! «<• u t
la
nhu
gay
thuat
md.
dodn
B e n h n h i n h a t l a n a m g i d i , sot cao, m o t hoac h a i b e n goc h a m sUng,
dau, k h o n h a i v a nuo't, dac b i e t l a c6 s U n g n o n g do dau t i n h
h o a n m o t hoac h a i b e n t h i chac c h a n l a b i q u a i b i . N g o a i r a c u n g
i
gap quai
xa
chiJfng
nU6c
xuyen
Chan
of t r e nU, n h u n g n o i c h u n g h i e m v a cung gay b i e n
v i e m b u o n g triifng.
X e t n g h i e m : k h o n g c6 x e t n g h i e m dac h i e u nao.
tap thi
due
hoac ditng vd nhin
thd khi di
Di ngoai ngay khi can. Nhin khd vd kho ran.
Bieu tri: trong thdri gian hi h^nh phdi:
Idu
di ngoai
• ngoai. Idu se khien
cho
phdn
NAm
nghi,
tuyet
doi.
dac
•
Chiiam
•
Dung
•
Sue mieng
Q u a i b i l a m o t l o a i v i e m t u y e n nirdfc b o t m a n g t a i do m o t l o a i
•
An
nhe.
v i r u s , l a y I a n qua d u d n g ho h a p . V i r u s c6 a i t i n h dac b i e t v d i
•
Neu
CO bien chiing
t u y e n niXdc bot, t i n h h o a n va he t h a n k i n h . B e n h t h i / d n g gap d
•
Dac biet phdi
1 1 . BENH QUAI Bj
t r e n a m t u o i t i r 5-15.
Tri^u
chiing
- G i o n g nhu ta't ca cac b e n h do v i r u s k h a c , k h i b i n h i l m b e n h , b e n h n h a n sot cao c6 t h e l e n den 40°, dau v a sung ( k h o n g do) m o t hoac h a i b e n goc h a m . Sau 7-10 n g a y cac t r i e u chiJng t h u y e n g i a m d a n v a k h o i b e n h . d m o t so truomg h o p dac b i e t c6 t h e k e m luon v i e m t i n h hoan. - V i e m t i n h h o a n c h i l a m o t t r o n g n h U n g b i e n c h i l n g h a y say r a n h a t cua q u a i b i . Sau 7-10 ngay, b e n h q u a i b i da t h u y e n g i a m , d o t n h i e n b e n h n h a n l a i sot cao 39-40°, t i n h h o a n m o t hoac h a i
nong
biet khi
thuoc
vung goc
c6 siCng tinh
hoan
thi phdi
ham.
ha sot, an thdn, giam
dau.
niXde muoi hoac cac chat sdt trung
viem
tinh hoan
cdch ly benh
nhan,
khdc.
c6 the dung vi rat hay
corticoid.
lay.
Bien chvCng Thuorng g a p n h a t l a v i e m t i n h h o a n , n g o a i r a m o t so' t r U o m g hofp h i e m
c6 b i e n c h u f n g v i e m m a n g n a o , v i e m n a o , v i e m t u y
tang.
T r o n g d a n g i a n , thucfng h a y t r u y e n m i e n g l a b e n h q u a i b i gay v6 s i n h , n h u n g thuc te' k h o n g h o a n t o a n d u n g n h u v a y . V i : •
Khong
phdi
trUcmg hap nao cung
c6 bien
chiing
viem
tinh
hoan. •
Neu CO bien chiing
b e n s u n g n o n g do dau. Sau k h o a n g 10 n g a y t r i e u chiJng n a y c u n g
vd dung
t h u y e n g i a m va k h o i .
sinh. •
cdch
viem tinh hoan md duac dieu tri kip
thi benh
Du CO bien chiing
viem
cung
khoi
khong
gay
di chiing
tinh hodn gay teo, nhiCng chUa
da bi teo ca hai ben, vi vay vdn c6 thi c6 con. Trong hap nang
32 •:• c . w ^ e / v « « ^gc.w'v
nghi
bien
chiing
viem
tinh
hodn Tluc^c
khong y\»j^
dugc i^dt^k
thdi vd chdc
tri/dng dieu
tri
•
33
f)6ng r
,
gfrt at|u
ho&c dieu tri khong v6 sinh.
dung
each gay teo cd hai tinh
hoan, gay
Ichoa hoc da xac d i n h difgrc m o t so' k h u y e t t a t g e n c6 l i e n q u a n vdri b e n h . G i a d i n h c6 m o t t r e b i t i f k y c6 1/20 k h a n a n g c6 dufa con thiif h a i cung b i b e n h .
12. BENH T i ; KY
T r e CO t r i e u chiJng t i f k y cung c6 nguy ccf cao b i cac b e n h sau:
Tir k y l a m o t r o i l o a n d nao d i
•
Hoi chiCng X, gay cham
•
Xa Cling dang
•
Hoi chxing
h a y gap of cac be t r a i gap 4 I a n
•
Dong
cac be g a i .
Xet nghiem vd chdn dodn
k e m v d i m o t l o a t nhOng v a n de ve p h a t t r i e n , chu ye'u l a ve giao t i e p v a tifcfng tac v d i x a h o i . B e n h
Dau
hi^u va tri^u
t)6nfl Y gfrt
chvCng
- N h i n c h u n g , t r e tiT k y thiTcfng c6 nhijfng v a n de t r o n g 3 l i n h vyc q u a n t r o n g cua qua t r i n h p h a t t r i e n l a k y n a n g giao t i e p , n g o n ngfir v a h a n h v i . N h i J n g t r e b i b e n h n a n g c6 t h e m a t h o a n t o a n k h a n a n g giao t i e p hoac t u a n g tac v d i ngiTori k h a c . - T r o n g v a i t h a n g hoac v a i n a m dau sau k h i r a dcfi, t r e c6 t h e h o a n t o a n b i n h t h i r d n g , n h i f n g sau do t r e d a n trd n e n k e m dap
phat
triin
cu, gay ra nhUng
tarn than
Midi
u trong
^.^, nao
Tourette
kinh
- V i b e n h c6 miifc dp n a n g v a bieu h i e n r a t k h a c n h a u , n e n c6 the r a t k h o c h a n doan. K h o n g c6 x e t n g h i e m dac h i e u nao de p h a t h i e n r a b e n h . K h a m x e t bao g o m q u a n s a t t r e v a h o i ve sir p h a t t r i e n v a t h a y d o i t r o n g k y n a n g giao t i e p , k y n a n g n g o n ngO va h a n h v i cua t r e qua thori g i a n . T r e c6 t h e difgc l a m m o t so' t r a c n g h i e m ve n o i chuyen, n g o n ngfif v a cac v a n de t a m l y . - M a c dii dau h i e u b e n h thiTomg bieu h i e n k h i t r e diXcfc 18 t h a n g
lifng v d i ngiTcfi k h a c . T r e cung k h o chia se t r a i n g h i e m \6i ngiTcfi
t u o i , nhiTng c h a n doan c6 k h i p h a i dgri d e n k h i t r e difgrc 2 hoac 3
k h a c , v i du k h i difgc nghe ngifori k h a c doc t r u y e n , t r e k h o n g c h i r a
t u o i , k h i b i e u h i e n c h a m p h a t t r i e n n g o n ngif da tror n e n r o r a n g .
difgrc biJc t r a n h t r o n g cau chuyen do. K h i I d n l e n , m o t so'tre c6 t h e
C h a n doan sdrm l a r a t quan t r g n g v i c a n t h i e p sdrm - trifdrc 3 t u o i
h o a n h a p horn v d i ngirc/i x u n g q u a n h v a c6 t h e c6 cuoc s o n g b i n h
- thifcfng m a n g l a i k h a n a n g phuc h o i to't n h a t .
thuforng hoac g a n b i n h thudrng. T u y n h i e n m o t so' t r e k h a c t i e p tuc b i suy g i a m k h a n a n g n g o n ngO v a giao t i e p , v a c6 nhOfng ro'i l o a n hanh v i tram trong han. - D a so' t r e tiT k y c h a m hoc ducfc cac kie'n thiifc v a k y n a n g m d i . T u y n h i e n m o t so' t r e c6 t r i t u e b i n h thuofng hoac k h a t h o n g
Dieu tri Chifa CO each chiJa k h o i b e n h t i f k y , v a k h o n g c6 b i e n p h a p nao p h i i hcfp cho t a t ca. Cac lifa chon dieu t r i c6 t h e g o m : •
m i n h . M o t so' n h o t r e con difgfc x e m l a nhufng " t h a n d o n g " v a c6 nhufng k y n a n g dac b i e t t r o n g m o t l i n i i vUc n h a t d i n h , nhiT nghe
•
phap
Thudc:
•
hanh
ve giao thuoc
ky, nhUng
t h u a t hoac t o a n hoc.
Nguyen nhdn
Lieu khan
vi va giao
tiep, ngon khong
c6 the giiip
Cac lieu phap
tiep nhhm
ngU vd hanh
cdi thien kiem
quyet
dugc cac dau hieu
sodt cac trieu
hd trg, nhu nghe
dac biet, bo sung vitamin
gidi
thuat,
vd mudi
nhUng
kho
vi cua tri.
dm nhac,
khodng
chu ye'u tU
chiing. che do &n
v.v...
- B e n h tiT k y k h o n g c6 m o t n g u y e n n h a n duy n h a t . B e n h c6 ve l i e n q u a n d e n nliOfng b a t thi/cfng or n h i e u v u n g n a o , v a cac n h a 34
•
t w . = e / v « w
(Lkiu.i^^k
•
35
Tre thiTcfng dap ling to't vdri cac chiTorng t r i n h giao due dugrc cau true ehat che, c6 sir tham gia cua mot nhom cac chuyen gia va bao gom nhieu hoat dpng khac nhau de cai thien k y nang ufng xuf, giao tiep va hanh v i . 13. B E N H U
XOTCTCUNG
U xor tuT cung la mot kho'i u l a n h t i n h CO nguon go'c tir to chile ccr trofn tuf cung. Tuoi thi/orng gap tir 35-50 tudi. Day la loai u chiu anh hiidng ciia noi tiet to" buong trting k h i Estrogen trong CQf the tang cao. U xcf tiif cung thiTorng to ra dien h i n h la trong thai ky, thi/cfng tuf cung b i xof eo nhieu nhan kich thich to nho khae nhau. U xof tuf cung CO the gay ra rong k i n h , rong huyet, dau vung chau va tieu l a t nhat. U xo tuT cung hiem k h i phat t r i e n t h a n h ung thiT. Nhiftig no gap nhieu hon d nhflng phu nu" sau tudi man k i n h . Dau hieu bao dong thifofng gap nhat la khdi u phat t r i e n nhanh va can phai p h l u thuat. Nguyen
•
Co kinh nguyet Idn dau trUdc 10 tudi.
•
NgUdi My goc Phi (gap 3-9 Idn so vdi ngildi My da
Tri?u chvCng Hau he't u xcf tuf cung, ngay ca k h i ehung r a t Idn, cung c6 the khong CO trieu chufng. Thircfng ban se phat hien benh k h i d i k h a m phu khoa d i n h k y . NhiJng trieu chufng thircfng gap bao gdm: •
Chay
mdu am dao bat thiCdng hoac chdy mdu kinh
nhieu
han binh thUcmg, con duqc ggi la rong kinh, rong huyet,
doi
khi con kem theo mdu cue. •
Tang dp lUc d bang quang c6 thi gay tiiu nhieu Idn va c6 cam gidc mudn di tiiu vd doi khi bi tieu.
•
Tang dp lUc d trUc trdng, ddn den tdo bon.
•
Tang dp lUc d khung bung
•
chau, cam thdy trhn bung diCdi, dau
dudi.
Thdy bung Idn ra, tdng vong eo. (Co the ban phai ndi rong quan, tang ca quan khi mac nhiing khong c6 dau hieu
tdng
can rd ret)
nhan
•
- U xcf tuf cung phat t r i e n dudri sir kich t h i c h cua hormon estrogen diroc san xuat tir nhien trong cof the. Sir phat t r i e n nay c6 the bat dau or tudi day t h i khoang 20 tudi va thu nho l a i sau tudi man k i n h k h i ccf the ngirng san xuat mot so' liTorng Idn estrogen. - U xcf tuf cung CO the nho va khong gay trieu chiing nhimg chung cung c6 the phat trien den mi'c c6 the nang den 3-4 kg. Chung phat t r i e n cham. Mot so' phu nOf b i nhieu u xa c6 the la do di truyen.
V6 sinh,
diCac dinh nghia Id tinh trang khong
phdp •
Khi bdc si khdm benh c6 the phdt hien ra mot khdi d khung chau.
Khi ndo can den sU can thi^p cua y hqc Ban nen den bac si k h i c6 nhufng bieu hien sau: •
Kinh
nguyet
huyet giUa ky
khong deu hoac luang mdu ra nhieu han, xuat kinh.
ThiCa can, beo phi
•
Dau khung chau hoac dau
•
ChUa tiing sinh
•
Sot hoac vd mo hoi
'Zf^^„na.^<Lka^/Sf4'^^
bien
trdnh thai ndo.
•
con
the c6 thai
sau 1 n&m cd gdng thu thai vd khong sii dung bat ky
Mot so' yeu to' l i e n quan den sir phat t r i e n cua u xcf tuf cung:
36 •
trdng).
bung.
dem Xu^c y\t^ < 3 / ^ i^d^k •
37
^6nfl r
• Tdng vdng bung.
..^
• Lo Idng ve thai ky hoac khong c6 khd ndng mang Hay l i e n lac vdri b a c si ngay lap neu CO nhufng bieu hien sau:
tuTc
thai.
hoac den phong cap
cuTu
• Mdu kinh thdm qua nhieu han 3 mieng bdng ve sinh nwi gid. • Bau bung hoac khung chau nang hoac keo ddi. • Chong mat, chodng vdng, thd gap, hodc dau ngUc c6 lien quan den chdy mdu dm dao. • • Chdy mdu dm dao c6 lien quan den thai ky hoac c6 khd ndng mang thai. Dieu tri - Dieu t r i u xcf tuf cung phu thuoc vao trieu chufng, k i c h thudc va v i t r i c i i a khoi u, tuoi cua ban (khoang thcfi gian tir hien t a i cho den luc man k i n h ) , y muo'n c6 con va the trang ciia ban. - Trong hau het cac triXcrng hcfp, viec dieu t r i l a khong can thiet, dac biet l a neu n h i r ban khong c6 trieu c h i i n g , kho'i u nho hoac ban da qua tuoi man k i n h . Neu benh nhan ra mau am dao nhieu do u xcf tiT cung c6 the can phai ap dung phuang phap nao cam mau budng tuf cung. Neu khong c6 bang c h i i n g ac t i n h (ung thif), thifomg CO the dieu t r i chay mau am dao bang thuoc hormon. - Theo ddi: bac si se theo doi kich thirdc va sir phat t r i e n ciia kho'i u xof theo thcfi gian de chac chan do khong phai la ung thu. Neu ban khong c6 nhiJng trieu chiJng n h u chay mau am dao, vimg chau va neu kho'i u khong phat trien nhanh, t h i ban khong can dieu t r i . Tuy nhien, ban cung phai t a i kham va k h a m phu khoa thifomg xuyen sau m6i 6 thang de kiem tra sii thay doi ciia kho'i u. Dung
thuoc:
- Thuoc khang viem khong steroid nhif ibuprofen (Advil hoac m o t loai khac) c6 the lam giam dau vung chau do u xof tii cung. 38
•
tvwv=
;T««V
e/«2«/S^v/v
STrt gtgu
. Thuoc kich thich tie't hormon gonatropin (GnRH) c6 tac dung che tuye'n yen lam cor the giam tie't estrogen. Su sut giam nong (Jo estrogen trong cor the lam giam kich thudfc ciia kho'i u. Loai thuoc nay thudng duoc dimg tnrdc p h l u thuat nham lam kho'i u co lai de giam so' liTcfng mau mat qua qua t r i n h phau thuat hoac cai thien cong thiifc mau trudc p h l u thuat. Kich thiTdc ciia kho'i u c6 the giam khoang 50% trong 3 thang sijf dung thuoc. Nhirng kho'i u CO the phat trien trdr l a i neu ngirtig dieu t r i . Han che siif dung each dieu t r i nay lau dai v i chiing c6 nhOfng tac dung phu gay ra do t i n h t r a n g giam estrogen trong co the (gio'ng t i n h t r a n g m a n kinh do thuo'c) n h u loang xUcrng, nong bitog va kho am dao. - Thuo'c khang hormon R U - 486 (mifepristone). Loai thuo'c nay con cho thay c6 tac dung lam giam dau vung chau, giam ap life d bang quang, va giam dau vimg lifng difdfi. Suf dung lieu thap de lam giam k i c h thudc kho'i u trUdc p h l u thuat cat bo. Thuo'c con CO the giiip t r a n h khong phai phau thuat do no c6 the l a m thu nho k i c h thudc kho'i u. Nhilng tac dung phu ciia thuo'c do giam estrogen tuang t u nhu tac dung phu ciia GnRH nhung c6 the i t gap han. R U - 486 c6 the gay say thai do do can can trong k h i siif dung thuo'c neu muo'n c6 thai. - Thuoc nguon goc thdo diCac: Cac dUcfc lieu c6 chiia cac saponin ca'u true dammaran thucfng c6 kha nang tang m i l n dich CO the manh, giai doc va chong u tot n h U Nhan sam, Tam that, T r i n h niit hoang cung, Giao co lam... Trong dan gian T r i n h nuf hoang cung dirge s i i dung de chiJa ung thuf vu, ung thir tuf cung, ung thir tien l i e t tuye'n. Giao co lam dirqfc chufng m i n h la co tac dung k i m ham sir phat trien kho'i u manh va ducfc suf dung cho benh nhan ung t h u nao, phdi, tien liet tuye'n, tuf cung, vii. Viec ke't hofp cac dirge lieu thiTofng dem l a i ke't qua kha quan hofn cho sufe khoe so v6i k h i diing mot loai. Hien t r e n t h i trUcfng co nhieu san pham bao che' tir cay T r i n h nilf hoang giiip ho t r g dieu t r i u v u , tiif cung va buong triifng co hieu qua nhiT san pham That diep l i n h (pho'i hop 2 dugc lieu quy co tac dung tic che manh s U phat trien c i i a khoi u). x/u..^c
e/v^4
/^^../v •:• 3 9
Phdu thuat
torn cua, ca; m o t so' thuo'c n h u a s p i r i n , q u i n i n ; hoac v i k h u a n : h e n
- P h S u t h u a t boc n h a n xcf : Phuofng p h a p n a y c6 t h e thiTc h i e n
cau, t u eau, triTc k h u a n coli...
qua n o i soi b u d n g tuf cung, n o i soi o b u n g v a i t gap h.an l a m d h d ( r a c h duorng t r e n b u n g ) . D i e u t r i trUdrc phSu t h u a t b a n g thuo'c G n R H CO t h e l a m g i a m l i / o n g m a u m a t v a g i a m t h d i g i a n thuc h i e n cuoc p h l u t h u a t .
Tri?u chvCng . H a t h o i , so m u i , tae m u i keo d a i , t h i r d n g k e r n theo b o i n h i l m . P h a n l o a i : c6 h a i l o a i
- C a t tijf c u n g l a p h l u t h u a t l a y di t o a n bo tuf c u n g (ciing v d i
V i e m m u i d i tfng do p h a n h o a : t r i e u chuTng r o r e t ,
kho'i n h a n xor). D a y p h i r o n g p h a p thifomg t h a y n h a t t r o n g dieu t r i
hi^n
u xof tuf c u n g v a diTgrc x e m l a each dieu t r i duft d i e m . N e u kho'i u l a
thanh thi, x u a t h i e n vao
u n g t h i r hoac k e r n theo u b u d n g trufng, tuf c u n g se dirge cat h o a n
•
t o a n c u n g v d i b u d n g trufng va o'ng d i n trufng.
m i n h p h u h o p vdi chieu cao.
dang, d i e u tri
c6
hieu qua.
B e n h gap
thcfi k y d a u c u a m u a
gib, nUdc
Udt ddm mili xoa, nhitng khong gay
hoen
6; ngat mui, c6 cam gidc ngiia kho chiu; nhiic dau, ddi khi t u d i v a eo' g a n g gia
can n a n g
C a n n a n g cua ccf t h e eo t h e
cua anh
cam gidc cdng d vung xoang •
cung p h a t t r i e n . B a n n e n t a p t h e due de k i e m soat can n a n g va eon l a m g i a m san x u a t h o r m o n k i c h t h i c h p h a t t r i e n u xa tuf cung.
•
- Thuo'c l a v a n ehiTa diTcfc chufng m i n h l a c6 l i e n q u a n d e n t a n g
Can xuat hien nhieu Idn trong ngdy, tdi diu di. Cdc
trieu
chiing ndng them khi benh nhdn di ra ngodi, dao pho
hoac
nhd hodc khi trdi mUa. Viem
mui ndy it khi gap d tri
Viem mui di vCng khong c6 chu ky: rat thUatng gap So mui thudng xuat hien khi thUc day, giam di trong
ngdy
vd xuat hien trd lai khi gap luong gio, gap lanh, tiep xuc vdi
B e n h v i e m m u i d i l i n g l a b e n h d i ufng
bui. Thdi gian dau nUdc mui trong,
sau do dac lai
cua t o a n t h a n c6 b i e u h i e n t a i ehd, thi/omg
md, nUdc mui chdy thdnh tilng dot, c6 khi viem
l a nhufng com h a t h o i , so m u i v a tac m u i .
tiin •
Nguyen nhan gay b e n h bao g d m :
em
dudi 10 tudi.
•
14. BENH VIEM MUl D\G
khi
ve ndng thon vd ngUdi benh thay di chiu khi ddng ciCa trong
b a n neu b a n b i u xo tuf cung. k h o a n h a m p h a t h i e n sdrm b e n h .
Cam gidc rat bdng d ket mac, vdm hong, mdt do, nUdc mdt thiCc day.
u xor tuf cung. N h u n g n g i r n g h u t thuo'c l a se eai t h i e n siJe k h o e ciia - B a n n e n d i k h a m sufc k h o e d i n h k y dac b i e t l a k h a m p h u
mat.
rdn rua, benh nhan so dnh sang nhat Id vdo buoi sdng
huorng d e n sir g i a t a n g n d n g do cua e s t r o g e n , do do se l a m u xor tuf
- D i nguyen
of ngi^cfi
hoa.
T r i e u chufng: hat hai tiing can ddi, trong nhiiu mui trong, nhieu,
Phong ngiia - T r a n h t a n g c a n sau 18
dl
phat
pha'n
hoa, b u i n h a , n a m mo'c, v a i sgi, l o n g g i a
dinh
thdnh
loet
vung
mui.
Hat hai xuat hien trUdc s6 mui, hat hai hdng trdng, hap ndng hat hai lien tuc nhieu gid trong
trUdng
ngdy, gay
met
mdi, giam tri nhd.
sue, gia c a m ; m o t so' thuTc a n nhiT dau, dufa, 40
•
/w
e/U?«/^e^A
tku^c
AMH.
(LkOu
i^pJ^
•
41
• Ngat mui thay doi tuy tiing thdi gian, thdi tiet va theo miia, mui tdc khong diu nhau, phdi thd bhng mieng dan den viem hong, viem phe qudn.
xoang sang, x o a n g t r a n , xoang bufdm. D o i k h i x a y r a v i e m n h i e u xoang c i m g m o t luc. Nguyen
-••i
nhdn
• Ngodi ra con xudt hien cdm gidc ngiCa trong mui, dau thdt d goc mui, CO tiet dich li dgng trong vom hong lam benh nhdn ludn phdi khac nho.
k h i do v i e m h o n g , do r a n g . N g o a i r a c6 t h e do t d m ( n h a y cau,
•
Ian) do c h a n t h i i o n g , do ap liTc t h a y d o i d o t n g o t k h i d i m a y b a y
Thdm khdm niem mac mui: phd ne, nhgt nhgt, phii dich nhdy lodng, hoac mu dac trdng, vdng, xanh khi c6 bgi nhiem, ngodi ccrn niem mac binh thiidng, khong c6 thay doi gi ddng ke. Co the c6 polip to nhdn khong chdy mdu.
Dieu
tri
- T a i c h o : g i a i quyet ne n i e m mac, sung h u y e t , xuat t i e t , n h i l m t r u n g or m u i , xoang. Chpc rufa xoang de c h a n doan va dieu t r i . - T o a n t h a n : dung khang h i s t a m i n : phenergan (promethazine) 2 5 m g x 2 - 6 v i e n / n g a y ; h i s m a n a l ( a s t e m i z o l e ) : ngu'di I d n l O m g x l v i e n / n g a y , t r e e m t r e n 2 t u d i 2 m g ( 1 m l sire) 1 0 k g c a n nang/ngay hoac m o t so' thuo'c cho'ng d i l i n g k h a c n h i f t e r f e n a d i n , primalan... - K h a n g s i n h k e t h o p v6\d ne'u c6 b o i n h i l m . D i e u t r i d a c h i e u : giai mSn cam P h o n g b e n h : k h o , chii ye'u l a bao ve m o i triTdng song, t r a n h cac yeu to' tac d o n g cua d i nguyen. NgiTori c6 b e n h d i iifng can s o n g 6 ncfi t h o a n g m a t , k h o n g k h i t r o n g l a n h . B e n h c6 t i n h c h a t d i t r u y e n n e n n a m nuf c6 ccf dia d i ufng k h o n g n e n l a y nhau.
15. BENH VIEM XOANG CAP VA MAN TINH B e n h v i e m x o a n g cap v a m a n t i n h l a b e n h r a t p h d bie'n d V i e t N a m , p h a n l o a i v i e m xoang cap v a m a n t i n h thiTc chat c h i l a p h a n b i e t each xuf t r i : cap thiTcfng dieu t r i n o i k h o a , con m a n t h i p h a i dieu t r i n g o a i . V i e m x o a n g cap theo t h i i tir thuofng gap l a : v i e m xoang h a m , 4 2 • t:^u^^ n,.^ e/«j«
- N g u y e n n h a n p h d bie'n n h a t l a do v i e m m u i , do c a m , c u m , d o i
do d i v a t d mui... do bie'n c h i i n g gay v i e m x o a n g ciia cac b e n h c u m , sdi, ho g a , v i e m p h d i do phe cau k h u a n . - V i s i n h v a t g a y v i e m xoang cung l a nhiJng v i s i n h v a t gay v i e m n h i l m dircfng h o h a p t r e n . - Ye'u to' t h u a n Igri: m o i trUcfng 6 n h i l m , a n or k e m ve s i n h , veo vach n g a n , d i iirng, u l a n h , u doc d m u i ; t i n h t r a n g ciia p h d i , phe quan: v i e m x o a n g - g i a n phe q u a n , k e t h o p v i e m x o a n g - g i a n p h e quan vdri d i t a t t i m sang p h a i . Cdc the viem xoang - Viem xoang
tran
cap
tinh
cap: i t k h i dcrn t h u a n , thuomg pho'i hcfp v d i
v i e m x o a n g sang trudc. K h d i dau nhiT m o t sd m u i t h o n g thifomg keo d a i 5-6 ngay r d i x u a t h i e n nhufng ccfn d a u dac b i e t ciia v i e m xoang t r a n : ccfn dau p h i a t r e n o m a t , m o t b e n v a c6 2 c h u k y m S i ngay. Corn d a u t a n g d a n tiT sang d e n giSa tnTa t h i d a t mufc to'i d a , luc do m u i chay n h i e u m i i , xoang v o i d i va con d a u d i u xuo'ng, d e n chieu l a i t a i d i e n con dau do. D o i k h i k e m chay nUdrc m a t , m a t diTa di dira l a i c u n g dau, da v i i n g x o a n g t u t i g c a m giac, c h i sor c u n g dau, a n d a y t h a n k i n h t r e n ho' m a t d goc t r e n - t r o n g d m a t c u n g d a u nhoi - Viem
xoang
ham cap: b a t d a u nhiT s d m u i t h o n g thircfng
n h u n g k e o d a i r d i x u a t h i e n con dau or v u n g dirdi d m a t , m o t b e n , dau x u y e n ve m o t p h i a h a m r a n g , dau t a n g k h i g a n g sufc, k h i i i h a i , k h i n a m . Co d i e m dau ro dirdri d m a t , hoc m u i x u n g h u y e t , thirdrng tie'n t r i e n to't t r o n g 10 ngay.
TAu^c
&/u2a i^pJ^ •:• 4 3
- TnJcfng hcfp viem xoang do rang, thiJdng c6 sau rang h a m nho hoac rang ham, o ap xe quanh rang, mil chay vac trong xoang. Benh nhan dau nhufc rang dCf doi, Igri quanh rang thucrng siftig, v a i ngay sau mii tho'i do o at vao xoang. Nho bo rang sau benh khoi nhanh chong. - Viem xoang sang cap & tre em: Co the gap d thori k y 2-4 tuoi. Trieu chuCng bieu hien chii yeu d mat: sau k h i so mui, m l mat t r e n va dudi ne do, sitog hup, khong mor dirac mat, nhiet do khong cao, vach m i khong thay c6 t6'n thifong nhan cau. Viem xirong tiiy ham t r e n , gia dang viem xoang h a m : xuat hien d tre con bii thiTcrng t\i 1-3 thang, thi/omg do n h i l m tu cau khuan cua xiXcfng ham tren. Trieu chiicng: n h i l m khuan nang: m i mat dudfi mong do, ma sifng, mui chay m i i , Icfi rang cung thay siftig, CO k h i CO 16 ro.
Dieu tri - Chong nhiem khuan va dan litu: khang sinh k e t hcfp vdi cac thuo'c chong viem, corticoid difcfc dung k h i c6 uf dpng mu, dung thuoc giam xung huyet.
Viem xoang man tinh Viem xoang t r d thanh man t i n h la do 6 viem xiTcfng or thanh xoang nhu viem xoang do rang. M a n t i n h lien quan den sir bien doi khong phuc hoi ciia niem mac. ii
Bieu tri: tuy thuoc niem mac lot c6 ton thiromg khong ma dieu t r i bao ton hay dieu t r i ngoai. Bieu tri bao ton: khang sinh, khang histamin, thuoc co mach. choc rufa xoang, v i phau thuat qua mui, cat polip, mo veo vach ngan, chiJa rang. Bieu tri ti$t can (sau k h i dieu t r i bao ton t h a t bai) bang cac loai thu thuat xoang: nao sang qua mui hoac qua diTcrng ngoai, nao s a n g ham, mo xoang t r a n , xoang birdm, mo l i e n xoang, dung
phiTcfng phap v i p h l u nham t a i tao l a i sinh ly b i n h thuorng ciia xoang.
16. D A I T H A O D a C i N G Dai thao dirorng hay tieu diTorng, la mot nhom benh ro'i loan chuyen hoa cacbohydrat k h i hooc mon i n sulin cua tuy h i thieu hay giam tac dong trong cof the, bieu hien bang mijfc dircfng trong mau luon cao. Benh tieu dircfng la mot trong nhifng nguyen n h a n c h i n h ciia nhieu benh hiem ngheo, dien h i n h la benh t i m mach vanh, t a i bien mach mau nao, mil mat, suy t h a n , l i e t diTofng, hoai tuf...
Phdn loQ,i 1 do tuy tang khong tiet insulin, va loai 2 do tiet giam insulin va
Trieu chiing:
de khang insulin.
•
Nhieu ngubi khong nhiic viing mat.
•
Ngat mui, mui chay nhdy mu Mo dai tdi phat.
cam thdy dau, nhUng nhiic ddu
d trk nhd do nud't phdi chat dick tiet thudng gay viem quan tdi diin,
gfrt Slt?u
- Benh tieu dircfng c6 hai the benh chinh: Benh tieu dirdng loai
Nguyen nhan: tiTcfng tiT viem xoang cap.
•
f)an8 r
viem da ddy-rugt
hoac
phe
non, ho tilng can.
L o a i 1 ( T y p 1)
- Chi CO khoang 5-10% tfi'ng so' benh nhan benh tieu dircfng thuoc loai nay (loai 1), phan Idn xay ra d tre em va ngirofi tre tuoi (< 20T). Cac trieu chiirng thucfng khdi phat dot ngot va tien trien nhanh neu khong dieu t r i . Giai doan toan phat c6 t i n h trang thieu insulin tuyet doi gay tang dircfng huyet va n h i l m Ceton. Tfu^c:
• 1 '-'^
(L'/^U
^4^k
•
45
NhC?ng trieu chiing dien h i n h cua Benh tieu ducfng loai 1 la: A n nhieu, uo'ng nhieu, tieu nhieu, gay nhieu (4 nhieu), md mat, di cam va sut can, tre em cham phat trien va d§ bi nhiem trung. L o a i 2 (Typ 2) - Benh tieu difcfng l o a i 2 chie'm khoang 90-95% trong tong so benh nhan benh tieu duomg, thuofng gap d lufa tuoi tren 40, nhulig gan day xuat hien ngay cang nhieu or lila tuoi 30, tham chi ca liJa tuoi thanh thieu nien. - Benh nhan thiTdng i t c6 trieu chufng va thu'omg chi dugc phat hien bori cac trieu chtlng ciia bie'n chiJng, hoac chi diTcfc phat hien t i n h cor k h i di xet nghiem mau tmdc k h i mo hoac k h i c6 bien chufng nhir nhoi mau ccf t i m , tai bien mach mau nao; k h i b i n h i l m trimg da keo dai; benh nhan ni? hay bi ngiifa vimg k i n do n h i l m nam am ho, benh nhan nam bi liet difomg. Tri^u
chvlng
- Tieu dam ban dem do da nieu c6 the la dau hieu khori phat cua dai thao diTorng (loai 1) or tre nho. Vdi benh nhan dai thao diiorng loai 2 thirorng khong c6 bat ky trieu chufng nao or giai doan dau va v i vay benh thirorng chan doan muon khoang 7-10 nam (chi c6 each kiem tra difcfng mau cho phep chan doan diTgrc or giai doan nay). - Cac trieu chuCng tieu nhieu, an nhieu, uo'ng nhieu, sut can nhanh la cac trieu chijfng thiTomg thay d ca hai loai. Lu'cfng nifdc tieu thirorng tiT 3-4 l i t hoac horn trong 24 gior, nirdc trong, k h i kho thirorng de l a i vet ban hoac mang trang. - Chan doan: Chan doan Dai thao diTorng thircfng suf dung phircfng phap dinh lirgng dircfng mau huyet tircfng: - Dirdng mau luc doi > 126mg/dl (> 7 mmol/l) thilr i t nhat 2 Ian lien tiep. - Difcfng mau sau an hoac bat k y > 200mg/dl (> 11,1 mmol/l). Test nay diXtfc thirc h i e n nhir sau: - Dieu k i e n : an 3 ngay l i e n dii liTcfng carbonhydrat (> 200g/ngay), khong dung thuoc l a m tang dirorng mau, diTcfng mau liic doi binh thircfng, khong b i stress.
46 •
/w
/g^v
. ThUc hi?n: N h i n doi 12 gior, uong 75 gam dirdng glucose trong 250ml nirdc (khong nong - khong lanh). D i n h liromg diTomg mau sau 2 gior. ^, Doc k e t q u a : •
Neu dudng mau 2 gid sau uong dudng glucose chdn doan
•
>ll,lmmol
BTB;
Neu dudng man 2 gid sau uong dUdng glucose nhmg
< 11,1 mmol/l: khong
>7,8
mmol/l
nhQng ngUcfi nay duac xep loai
dung nap dudng glucose. glucose
/1:
Ngi/di mdc gidm dung nap
gidm ditdng
nhttng c6 nguy ca cao tien trien thdnh
BTB
sau nay, md con tang nguy ca mdc cac benh tim-mach
nhu
tang huyet dp, nhoi mdu ca tim, tai bien mach mdu
Bien chvCng
nao.
*
•
Toan xeton do dai thdo
•
Suy
•
Benh
vong
•
Hoai
thu
•
Nhiim
dubng
than mac
khudn
DiSu tri Lo'i song v a t h a i do a n uong Che do an tot cho bat ky ngirori tieu diiomg cung can thoa man cac yeu to' cor ban sau: •
Bu chat Bam - Beo - Bot - Budng - Vitamin
- Muoi
khodng
- Nude vdi khdi luang hap ly. •
Khong
Idm tang dudng mdu nhieu sau an.
•
Khong
lam ha dudng mdu luc xa bUa an.
•
Buy tri duac hoat dgng the lUc binh thudng hdng
•
Buy tri duac cdn nang d miCc can ndng ly tudng hoac
ngay. gidm
cdn den miCc hap ly. Xku^c
/w,v
(Lkoa y^&a.
•
47
f)6nfl r
gfrt
at|u
• Khong lam tdng cdc yeu to nguy ca nhu roi loan ma mau, tdng huyet dp, suy than ...
• Nhom 2: c6 tdc dung Glipizid, Gliclazid.
• Phu hop tap quan dn uong cua dia du, dan toe cda bdn than vd gia dinh.
• Phan ling phu khi dung: ha Glucose mdu, di ling, roi loan tieu hoa, tan mdu, mat bq,ch cdu hat.
• Ban gidn vd khong qud ddt tien.
C h i l a b e n h b S n g D o n g y:
• Khong nen thay ddi qud nhanh vd nhieu ca edu cung nhu la khoi lugng cda ede bUa dn. Thud'c dieu tri T h u o c d u n g cho D a i thao du^oTng loai 1: • Insulin. nhom:
Cdn cit vdo tdc dung, gidi chuyen
• Insulin tdc dung nhanh: gom Insulin dieh Insulin-kem • Insulin lin
mon chia ra 3
hydrochlorid,
tdc dung trung binh: Isophan Insulin,
• Insulin tdc dung cham: Insulin kem tdc dung cham
Protamin
Lente kem.
nhu InsuInsulin
• Insulin dugc chi dinh dung cho benh nhdn ddi thdo dicbng thuoc Typ 1, no chi dung cho benh nhdn ddi thdo dubng Typ 2 khi da thay ddi che do dn, luyen tap vd dung cdc thuoc dieu tri ddi thdo dudng tdng hap md khong hieu qud Phan ling phu cua Insuhn: D i iifng (sau k h i t i e m Ian dau hoac nhieu Ian tiem), ha Glucose mau (thiTorng gap k h i tiem qua lieu), phan ijfng t a i cho t i e m (ngufa, dau, ciJng vimg tiem). Do gay r o i loan chuyen hoa md t a i vung tiem, tang sinh m9 d l gay u md, giam se gay xo ciirng (kho tiem, dau). T h u o c d u n g cho D a i thao difcfng loai 2: Cac din xuat cua Sulfonylure, chia lam 2 nhom: • Nhom 1: c6 tdc dung yeu, gom - Tolbutamid, Tolazamid, Clopropamid. 48
•
TA^CJ^^C^^^^
Acetohexamid,
manh
han, gom
-
Glibenclamid,
. Ngoai phirong phap dieu t r i quen thuoc la tiem insulin hoac tiem thud'c kich t h i c h tuyen tuy san sinh insulin, gan day cac nha khoa hoc trong va ngoai niTdc dang nghien ciiru theo xu hudng dieu t r i ttf go'c, giup ccf the cung co' va t u sufa chOfa cac te bao bi ton thirtfng giiip hoi phuc kha nang san sinh insulin npi sinh, sufa chOfa nhOrng ton thuomg or mang te' bao giiip tang kha nang dung nap. Cac ducfc lieu cung r a t diTofc quan t a m v i c6 tac dung dn dinh benh va cho'ng bien chiJng to't. - Gan day cac nha khoa hoc t a i Hoi khoa hoc Thuy dien, vien nghien ciifu Karolinski da tim thay mot hoat chat hoan toan m6i trong cay Gynostemma pendata c6 xuat x i i tir Viet Nam, chat nay CO ten phanosid c6 tac dung ha diTorng huyet manh theo cof che kich t h i c h tuy tie't insulin dong thdri lam tang sU nhay cam v(5i insulin v d i te bao dich. Cac nghien ciJu cung chiifng m i n h cac saponin khac trong Gynostemma lam ha md mau, dn dinh huyet ap va tang luc manh, dieu nay r a t quan trong cho viec phong chdng bien chuCng ciia benh tieu duofng gay ra (Gynostemma pendata con dugfc goi vdi ten Giao cd lam).
17. DAU THAN KINH TQA Than k i n h toa la day than k i n h dai nhat trong ccf the, chay tir vimg that liTng qua mong xuong mat sau diii va chan. E)au t h a n k i n h toa la thuat nguf dung de chi t i n h t r a n g dau bat ngudn doc theo ducfng d i ciia day t h a n k i n h nay - tir lirng xudng mong va chan. / U . V e/u«
/g?«/v •:• 49
^6nfl Y
Dau hieu vd trieu
chiing
D a u bat nguon tir vung that lUng chay doc xuo'ng mong va m a t sau c h a n l a dau hieu dien h i n h cua dau t h a n k i n h toa. C a c trieu chijfng k e m theo c6 the gom:
• Te hoac yeu ca doc theo di/dng di cua day than kinh d chan hoac ban chan. Mot so trudng hap benh nhan c6 the bi dau d mot vung cua chan vd te d mot vung khdc. • Cam gidc kien bo hoac cam gidc nhu bi kim chdm, hay gap nhdt d ngon chan hoac mot phdn ban chan. • Mat kiim sodt dai tiiu tien. Bay Id dau hieu cila hoi chiCng duoi ngUa, mot tinh trang hiem gap nhung nang can dieu tri cap ciiu. Nguyen
nhdn
Dau t h a n k i n h toa thUcfng xay r a k h i re than k i n h d vung cot song t h a t luttig bi chen ep. C a c nguyen n h a n h a y gap gdm:
• Thodt vi dla dem •
Hep ong tuy vdng cot song thdt lUng
• Trat dot song
Dieu tri C a c b i e n phap t u cham soc gom nghi ngcfi, chuorm l a n h , chUcfm nong, keo gian v a thuo'c giam dau.
• Vat ly tri lieu. • Tap luyen thudng
•
Tiem steroid ngodi mdng ciing.
* Phdu thuat cdt bo phdn dla dem thodt vi gay chen ep day than
kinh.
C a c b i e n phap k h a c :
•
Chdm ciiu
• Bam huyet • Xoa nan cot song • Thoi
mien
• Khoi u d cot song
• Luyen tap thubng
day than kinh toa
• Chup X quang xUang song c6 the phdt hien duac khoi u, hep dla dem hoac trat dot song. • Chup cong hudng tiC: Id xet nghiem nhay nhdt di ddnh gid dau day than kinh toa. Xet nghiem c6 thi phdt hien diigc ton thuang dla dem vd day chdng cung nhii khoi u. T/Wt
benh xuyen.
• Gia dung tu the khi ngoi, diCng hoac ndng vat nang.
thuang
Xet nghiem vd chan dodn • Cac xet nghiem ca bdn kiim tra siic manh vd phdn xa.
•
xuyen.
• Khi dieu tri bdo ton khong lam giam dau, c6 thi thic nhiing bien phdp quyet liet han:
Phong
• Khoi u hoac chan thiimg
50
• Chup cdt Idp vi tinh c6 thi phdt Men dugc thodt vi dla dem vd khoi U. ffj}^ •.::•:•':'/
• Hoi chjing ca thdp • Chan
gfrt
-'^e/^v
18. SOI THAN S6i t h a n l a mot khoi r a n bao gom mot tap hgp cac h a t t i n h the nho. Co the c6 mot h a y n h i l u soi xuat h i e n cung luc trong than h a y trong nieu quan.
Nguyen
nhdn, ti
mac, vd cdc yeu
to CO tinh nguy cor - Soi t h a n c6 the h i n h t h a n h k h i nUdc (Ll^^ K^dt^k •
51
^)6nfl Y
tieu ciia ban trd nen qua c6 dac vdi cac chat nhat dinh nao do. NhCfng chat nay c6 the tao ra cac t i n h the nho va t r d thanh soi than. Soi than c6 the khong tao ra cac trieu chufng cho t d i k h i chiing di chuyen xuong nieu quan, gay dau. Can dau thifomg la nang va thiforng bat dau d vung sifcrn, sau do di chuyen xuong hang.
Cdc tri?u
- Soi than la mot benh l i pho bien. Khoang 5% phu nu" va khoang 10% nam gidi se mac i t nhat trong mot giai doan trudc tudi 70. Mot ngifdri da tijfng c6 soi than thong thuforng se l a i c6 trong tUcfng lai. Soi than phd bien d nhOfng tre sinh non. - Cac ye'u to' c6 t i n h nguy ccf bao gom nhiem axit ong than va n h i i m canxi than thuf cap. - Mot so' loai cua soi than c6 xu hurdng hoat dong trong cac gia dinh. M o t so' loai c6 the lien quan tdi benh diTcfng ruot, cac khie'm khie'm khuye't cua ong than. Cdc loai ciia soi than bao
gom:
- Soi canxi la phd bien nhat. Mufc dp phd bie'n gap 2 den 3 Ian or nam gidi, thudng xuat hien d do tudi t\i 20-30. Tai phat la c6 the xay ra. Canxi c6 the ket hop vdi ca chat khac nhuf oxalat (chat phd bien nhat), phosphat hay carbonnat de tao thanh soi. Oxalat xuat hien trong mot so' thiirc an. Cac benh cua ruot non lam tang xu hirdng tao soi oxalat canxi. - Soi axit uric phd bien hcfn d nam gidi. Chung cd lien quan vdi benh gout hay hoa t r i lieu. Soi axit uric chic'm khoang 10% tat ca cac loai soi. - Soi xystin cd the h i n h thanh d nhOng ngiTdi mac xystin nieu. La mot rd'i loan di truyen anh hirdng den ca nam va nOr. - Soi struvite chu ye'u ducfc t i m tha'y d phu nff la ket qua cua n h i i m t r u n g dirdng tiet nieu. Chung cd the Idn leu nhanh chdng va lam tac t h a n , nieu quan, hay bang quang. - Cac chat cd the ket t i n h , ket tiia va h i n h thanh soi.
52 •:• r w ^ / w e ^ v g ^
g f r t Sttfu
chiing
sUdn hay dau lUng
•
Bau
•
Mot hay ca hai ben sUdn
•
Bau
tang
•
Bau
nang
•
Bau
bung (gidng co thdt)
•
Co thi
dan >
toa ra hay di chuyen
xuong
chau, hang, ca quan sinh due
vung di/di sUbn,
khung
ngoai
• Buon non, non •
Bi tieu thxlbng xuyenjhhdn
cdp, gia tdng (cdm gidc muon
di
tiiu keo ddi) Mdu trong nUdc tieu Ban d viing
.
bung
Bi tieu dau Ngdt quang khi di Bau Bau
tinh
tiiu
hodn
hang
Sot On Mdu
Chudn
lanh nUdc tieu bat binh
thudng
doan
- Can dau c6 the dii nang de yeu cau thudc gay me. Co sir m i n i mai d bung hay lirng k h i sd vao. Neu soi nang, dai dang, hay t r d lai lien tuc, c6 the do la dau hieu cua suy than. - Loc nirdc tieu c6 the thu diTcfc soi tir dirdng t i e t nieu k h i chiing <Juac t h a i ra. - Xet nghiem soi cd the cho tha'y mot so loai soi. - Xet nghiem nirdc tieu cd the cho thay cac t i n h the va cac hong cau trong nirdc tieu. TWt
n,u..
(LUa^
)^6tJ^
53
- A x i t uric tang len - Soi hay tac nieu quan c6 the diforc n h i n thay k h i : - Sieu am than - Chup X quang than nieu quan qua diforng t i n h mach (IPV) - Chup X quang than nieu quan hoi lifu - CT scan bung - Chup M R I bung.than - Cac xet nghiem c6 the cho thay miifc canxi trong mau hay nirdc tieu cao. Dieu tri - Muc tieu cua dieu t r i la lam nhe di cac trieu chufng va ngan chan cac trieu chufng khac (soi than thiXcfng t u no mat di). Dieu t r i se thay doi tuy thuoc vao loai soi va mufc do cua cac trieu chufng hay bien chufng. Nhap vien c6 the di/grc yeu cau neu cac trieu chufng la nang. - K h i soi bat ra, niTdrc tieu phai diXcfc loc va soi dugc liAi giOf de xet nghiem xac dinh loai soi. - Uong du nUcJc de san sinh mot lufang nxidc tieu cao. I t nhat 68 coc/ngay. Chat long qua difofng truyen t i n h mach cung c6 the ducfc yeu cau. - Cac thuo'c giam dau c6 the can thiet de dieu t r i cac cofn dau bung do than (cac com dau lien quan Wi sir bat ra ciia soi). Cac can dau nang c6 the doi hoi den thuo'c giam dau gay me. - Tiiy thuoc vao dang cua soi, cac thuo'c c6 the dugc ke de giam sir h i n h thanh soi va/hay t r g giup pha vd va thai ra ngoai ciia cac chat gay ra soi. Cac thuoc c6 the bao gom thuo'c Icfi tieu, cac dung dich phosphat, allopurinol (dimg cho soi axit uric), cac thuo'c khang sinh (danh cho soi struvite), va cac thuo'c kiem hoa niTofc tieu nhiT muo'i bicarbonat, hay muo'i citrat.
54 •:•
Ti^cyu.^(Lk^^^dfj^
. Neu nhu soi khong tir bat ra, phSu thuat lay ra c6 the diTcfc ygu cau. Thu thuat t a n soi c6 the la mot giai phap thay the phau thuat. Song sieu am hay song xung kich dirge suf dung de t a n nho f.^c vien soi do vay chiing c6 the dirge than day ra nirdc tieu (tan goi bang song xung kich tir ben ngoai) hay soi c6 the dugc lay ra bang mot o'ng noi soi dirge dira vao than thong qua vet rach nho or sir&n (ggi la mo than lay soi qua da). - Ban CO the can thay doi che do an cua ban de ngan chan mot so' loai soi khong cho chiing t a i phat. Tien litgrng - Soi than gay dau d6n nhimg thiTcfng dirge thai ra ngoai ma khong gay ra cac hir h a i lau dai cho than. Chung c6 xu hirdng t a i phat trd l a i , dac biet k h i cac nguyen nhan ngam khong dirge t i m ra va dieu t r i . * Cdc bien chtXng • S6i tai phat Nhiem trung dubng tiet nieu Tdc nieu qudn, benh It tdc mot ben nieu quan cap Suy than, hinh thanh seo Suy giam hay mat chiic ndng than cua than bi dnh hudng bod soi Ngan
chan
- Neu CO tien suf b i soi than, chat long dirge khuye'n k h i c h uo'ng de san sinh dii so' lirgng nirdre tieu loang (thircfng tir 6-8 co'c/ngay). Tiiy thuoc vao loai soi, cac thuo'c hay cac phiTofng phap khac eo the dugc yeu cau de ngan chan t a i phat.
TiM^e
e/Utt
»»/v •
55
^6nfl r
19. SOT RET
chiing
Benh dac triftig bdi nhflng can t a i dien vdi cac daii hieu va trieu chifng sau: • Ret run ti( vtia den nang
Xet nghi^m vd chdn dodn . Xet nghiem k i n h phet: Lay mau lam tieu ban di/cJi k i n h hien v i de t i m k y sinh trung. 2 mau mau 6 giof CO the xac nhan sir c6 mat ciia k y sinh trung Icy sinh trung nao. Cung mot liic ngiTofi benh c6 nhieu loai Plasmodium khac nhau. Dieu tri
'
nhuom v a soi lay each nhau sot ret la loai the b i n h i l m
'
- Benh so't ret, nha't la so't ret do n h i l m P. falciparum, can
• Sot cao • Todt mo hoi ddm dia khi het sot
g^u
• p. ovale. Chil yeu gap d vimg Tdy Phi. Tuy hiem gap nhUng Cling CO the gdy benh tdi phdt.
So't r e t la mot benh n h i l m ky s i n h trung lay truyen tiT ngif&i nay sang ngi/cfi khac do mu6i dot. Benh gay ra nhOrng ccfn sot kem theo ret run t a i d i l n va c6 the gay tilr vong. Ddu hi^u vd tri^u
gfrt
difgfc k h a m va dieu t r i k i p thdi. Cac thuo'c cho'ng so't ret hien nay /I
• Cam gidc kho d
.
Cac trieu chufng khac gom dau dau, buon non, non, tieu chay. Nguyen nhdn Nguyen nhan gay benh sot ret la k y sinh trung dan bao Plasmodium. Co khoang 170 loai Plasmodium, nhiAig chi c6 4 loai gay so't ret cf ngirori la: • P. falciparum. Chu yen gap d chdu Phi, gay trieu chiing nang nhdt vd chiem phdn Idn cac trildng hap t^ vong do sot
ret.
gom: • Chloroquine • Quinine •
sulfate
Hydroxychloroquine
• Phoi hap sulfadoxine •
*
vd
pyrimethamine
Mefloquine
• Phdi hap atovaquone
vd proguanil
• Doxycycline - M o t nhom thuo'c khac thuorng difcfc ke dcfn d chau A hien nay la cac dan xua't cua artemisinin, v i du nhif artesunate.
• P. vivax. Chu yen gap d vimg nhiet ddi cua chdu A, gdy trieu chiing nhe hon nhiCng c6 the ton tai trong gan vd gdy tai phdt benh trong nhieu nam.
- Halofantrine doi k h i cung dirac dung de dieu t r i so't ret. Khong dung halofantrine cho ngudi dang dung mefloquine de phong sot ret hoac ngiTcfi bi benh t i m .
• P. malariae. Bugc phdt hien thdy d chdu Phi, c6 the gdy trieu chiing sot ret dien hinh nhung trong mot so it trUdng hap CO the nam yen trong mdu ma khong gdy trieu chiing. Benh nhdn c6 the Idm Idy ky sinh trung sang ngUdi khdc qua vet dot cua muoi hoac qua truyen mdu.
- Primaquine c6 the diigc dimg de cho'ng l a i dang ky s i n h trung an trong gan va phong ngiTa tai phat. Khong dimg thuo'c cho phu niJ CO t h a i hoac nguori b i thie'u men G6PD (glucose-6-phosphate dehydrogenase).
56 • t w ^ / w e ^ / * ^ ^ ;
T/u^c
/W,v
'gc^.A. •
57
Phong
b?nh.
thdnh thdp, ddy dUgc coi Id yeu to nguy ca quan trong
nhdt
• Hien chiXa c6 vaccin phdng sot ret. Cdch phbng berth chd yeu Id ngdn khong cho muSi dot, bao gom ntm man tdm thudc diet muoi vd phun thudc diet mudi trong nhd.
tt hoat dgng the luc, it hoat dgng ngodi trdi (cdc tien vita-
• Dieu tri du phbng bdng cdc thudc chdng sot ret.
Sinh
• Boi thudc xua con triing nhit DEET thudc diet mudi tai nai d.
Bi cdc benh mdn tinh dudng tieu hod (do, ddy, rugt...) Idm
len vung da hd vd phun
• Mac qudn do bdo ho.
'
• Nam mdn khi ngu.
di nhieu Idn, nuoi con bdng sUa me md khong
dn
udng du chdt ddc biet Id Protid cd Calci de bii ddp lai. han che hap thu calci, vitamin D, protid...
dudng tieu hoa.
L o a n g xi/crng l a mot ro'i loan chuyen hoa
Thieu ndng cdc tuyen sinh due nam vd nU (suy buong trdng sdm, mdn kinh sdm, cdt buong trdng, thiiu ndng tinh hodn...).
xifcfng difa den tang nguy cof gay xifcfng cho
Bdt dgng qud Idu ngdy do benh tat (chdn thiCang cot song, phdi bdt dgng), do nghe nghiep (nhUng ngiCdi du hdnh vu tru khi tdu vd tru di ra ngodi khong gian) vi khi bdt dgng Idu ngdy cdc te bdo huy xUang tdng hoat tinh.
con ngifcfi. Sufc m a n h cua xUomg bao gom sir toan v e n ca ve kho'i lirgng ciia xiTOng.
Lodng xitomg la gi? L o a n g xUcfng la mot rol loan chuyen hoa cua bo xUcfng l a m ton thiTofng siifc m a n h ciia xuang dua den tang nguy cof gay xUOng cho con ngucfi. SiJfc m a n h ciia xiTtfng bao gom sir toan v e n c a ve k h o i lirgng ciia xufcfng.
Cdc yeu to nguy cof cua b^nh lodng xiiang
'"
• Benh lodng xUang se trd nen ndng ne hen, sdm hem, nhieu bien chdng han... neu ngitdi benh c6 them mot hoac nhieu yeu to nguy ca dildi day: • Kem phdt trien thi chat til khi con nhd, ddc biet Id coi xUang, suy dinh dudng, che do dn thieu Protid, thieu Calci hoac ty le Calci / Phospho trong che do dn khong hap ly, thieu vitamin D hade ca the khong hap thu diCgc vitamin D... vi vdy khoi liCgng khodng chat dinh cua xiCang d tu6i trUdng 2
min D nen dnh hudng toi viec hap thu calci).
tdng thdi calci qua dudng than vd gidm hap thu calci d
cua bo xifofng l a m ton thiTcfng sdc m a n h ciia
<
xilong.
Co thai quen sii dung nhieu rilau, bia, cd phe, thudc Id... Idm
•
20. L O A N G X a O N G
58 •:• T i W ^
cda benh lodng
y
«
j
a
^
,
Bi cdc benh ngi tiet : cUdng tuyen gidp, eUdng tuyen gidp, cUdng tuyen v6 cUdng than, tieu dudng...
can
Bi benh suy than mdn hoac phdi chay than nhdn tao Idu ngdy gdy rdi loan chuyen hoa vd mat calci qua dudng tiet nieu. Mdc cdc benh xUang khdp mdn tinh khdc ddc biet Id Viem khdp dang thdp vd Thodi hod khdp Phdi sit dung ddi han mot so thudc: chdng dgng kinh (Dihydan), thudc ehUa benh tieu dudng (Insulin), thudc chdng dong (Heparin) vd ddc biet la cdc thudc khdng viem nhom Cortiosteroid (cortiosteroid mot mat de chetrUc tiep qud trinh tao xUang, mat khdc lam gidm hap thu calci d rugt, tdng bdi xudt calci d than vd lam tdng qud trinh huy xUang).
Tu^c(^/Urt
/^^o/v •
59
f)6na Y gfrt
Tri^u Chang
C a c bac s i chuyen khoa se cho k i e m t r a :
• Bau mdi ma ho d cot song, dau doc cac xi/ang ddi (ddc biet xUang cdng chdn), dau mdi ca bap, dn Iqnh, hay bi chuot rut (vqp bi) cac ca... • Bau thuc sU cot song, dau Ian theo khoang lien siidn, dau khi ngoi Idu, khi thay ddi tU the. Co the dau man tinh hoac cap tinh sau chdn thiCang (gay xUang cd tay, gay lun dot song, gay cd xUang dui...)
• Chup X-quang
• Bo khdi luang xUang (Bone Mass Bensity • Lam cac xet nghiem kiim
kinh
• Gil veo cot song, bien dang long ngUc... • Gay xUang cd tay, gay lun dot song, gay c6 xicang dui • Gidm khd ndng van dgng, dnh hudng nghiem trgng tdi chat liCgng song cua ngicdi c6 tudi.
de phdt hi?n s&m b?nh
1. P h a t h i e n cac yeu to" nguy cor gay loang xifcfng thuf p h a t (da neu tren) 2. D i k h a m benh sdrni, ngay k h i c6 cac dau hieu dau moi mof ho Of cot song, or he thong xiiong khdp, doc cac xi/ong dai (dac biet xuong cang chan), dau moi co bap, vgp be...
L u o n CO y thuTc phong benh (suo't cuoc dcfi)
Che do sinh hoqt, tap luyen tdng cUdng hoqt dgng ngodi trdi, tap van dgng thudng xuyen vd phu hap vdi siCc khoi, duy tri loi song ndng dgng, trdnh cdc thoi quen xdu: udng nhieu bia, rilau, cafe, thudc Id... • Che do dn udng luon luon bdo dam mot che do dn udng day da Protein vd khodng chat, ddc biet la Calci. Vi vdy sUa vd cdc che phdm til sUa (Ba, Phoma, Yaourt...) Id thiic dn ly tudng cho mot khung xitang hhoe mqnh. K i e m soat to't cac benh ly a n h hirdng v a cac yeu to nguy cO cua benh
So* dung cdc thuoc dieu tri lodng xiiofng 1. K e t hop thuoc cho'ng hiiy xuong v a thuoc tang tao xiTOng: - Bisphosphonate + C a l c i v a V i t a m i n D - Calcitonin + C a l c i v a V i t a m i n D - Hormon thay the + Calci v a V i t a m i n D 2. K e t hop cac thuoc cho'ng hiiy xirong v a thuoc tang tao xiTOng: - Isphosphonate + Hormon thay the' + C a l c i & V i t a m i n D - Calcitonin + Hormon thay the' + C a l c i & V i t a m i n D - Biphosphonate + Calcitonin + Hormon thay the + C a l c i & Vitamin D
60 •
T/^-^Aa.^C,/^^^^
tra
he do n a y c a n ducfc duy t r i suo't cuoc dori mOi ngifofi.
Bien chvCng ciia lodng xUcfng
Lam thenao
BMB)
K h a m benh v a theo doi dinh k y (tuy mijfc do benh)
• Gil liCng, gidm chieu cao
• Bau keo ddi do chen ep than
-
• Kham vd phdt hien cac yeu to nguy ca
• Bay bung cham tieu, nqng ngUc kho thd • Tuy nhien, lodng xUang la benh diin bien dm thdm, ngudi ta thiCdng vl benh gidng nhu mot ten dn cdp thdm Idng, hdng ngdy cti Idy dan calci trong ngdn hang du trU xUang cila ca thi con ngUdi. Khi c6 ddu hieu lam sang, thitdng la liic dd CO bien chiing, ca the da bi mat tdi 30% khoi lugng xUang
xUang hodc cot song
f)6nfl
Y
gfrt
at|"
^6nfl Y
Cac bac si chuyen khoa se cho cac chi dinh dieu t r i , tuy thuoc vao tutig ca the, mure do loang xUcfng, t i n h trang sufc khoe, thoi quen sinh hoat, kha nang k i n h te'... cua mSi ngiTcfi benh.
Phong h^nh
- Tuy nhien, phong benh se k i n h te hofn chOfa benh r a t nhieu, day la giai phap to't nhat cho moi quo'c gia, dac biet cac nifdc ngheo nhiT niTdc ta. - Hay phong ngtfa benh loang xuong bang viec "dau tif cho xufong ciia ban" va "dau t\i cho xUOng ciia con ban" cang s6m cang to't. Do'i vdi nhufng ngiTofi thuoc nhom c6 nguy ccf cao ke tren, ngoai mot che do an hcfp ly, c6 the sijf dung thifc pham chuTc nang nhiT cao xUcfng ngifa, mot difcfc lieu da duforc ong cha ta suf dung hang ngan nam nay phong ngilfa va dieu t r i cac benh ve xUcfng khofp. Cao xiTorng ngiTa da diTofc khoa hoc hien t a i chufng m i n h c6 ham lifcfng cao calci hOfu co, acid amin va cac nguyen to' v i lufcfng khac, CO tac dung bd sung di/dng chat cho cof the dac biet la he xUOng khdp. H i e n nay tren t h i triTdng da co san pham Cao xiToing ngiTa Tue L i n h , san xuat tiT ngudn xUcfng ngiTa bach.
21. Xa VUfADQNG MACH Xor vffa dong mach la t i n h trang xuat hien mang bam ben trong dong mach. Mang bam nay diTcfc tao ra bdri m5, cholesterol, canxi va nhOfng chat khac co trong mau. Theo thofi gian, mang bam se cutng dan len va lam hep dong mach la giam liTong mau giau oxy den nuoi /A.i/,v
di^^ng cac ccf quan va nhufng bo phan khac cua ccf the d i n den nhieu hau qua nang ne bao gdm nhdi mau ccf t i m , dot quy hoac tham chi co the tur vong.
Tri$u chiing
- Loang xUOng hien la van de mang t i n h toan cau, benh loang xirong va cac bien chilng nang nhii g§y co xuorng dui, g l y xiicfng cd tay, gSy xep dot song... la mot ganh nang do'i vdi y te cong dong v i chi p h i dieu t r i cho benh loang xi/ofng r a t 16n, viTgrt qua kha nang ciia phan Idn benh nhan (phan Idn cac thuoc cho'ng hiiy xi/ong deu dat tien).
62 •:•
at|u
gfrt
>§£,./v
• Xo vUa dong mach thudng khong gay ra nhUng dau
hieu
hay trieu chiing ndo cho den khi no lam cho dong mach bi hep nang hoac bit tdc hoan toan. Nhieu
ngUai tham
chi
khong biet rhng ho co benh cho den khi phdi vao phong
cap
ciiu do nhoi man ca tim hoac dot quy. •
Mot so ngudi co nhUng bieu hien va trieu chitng ciia benh tuy thuoc vao dong mach nao bi hep hoac bit tdc.
•
Dong mach
vdnh:
- Dong mach vanh cung cap mau giau oxy cho t i m nen k h i b i mang xcf vQa gay hep hoac b i t tac (tinh trang nay difgfc goi la benh mach vanh) t h i trieu chufng thirdng gap se la dau ngiic hoac CO cam giac kho chiu or ngUc k h i ccf t i m khong dxigc cung cap dii mau. Benh nhan cung co the cam tha'y b i de nen hoac co t h a t of long nguc. Nhilng cam giac nay cOng co the xuat h i e n d vai, tay, cd, ham hoac lUng. - Corn dau CO the nang hon k h i van dong va k h o i k h i nghi ngcfi. NhiJng stress ve cam xiic cung co the lam khori phat com dau. - Cac dong mach canh cung cap mau giau oxy cho nao nen k h i bi mang xa vufa gay hep hoac b i t tAc t h i benh nhan co the se b i dot quy. Benh nhan co the dot ngot co cam giac te, yeu va hoa mat, chong mat.
Nguyen nhan - Nguyen nhan chinh xac gay xor vufa dong mach van chiTa dirorc biet den. Tuy nhien, co mot so' nghien cufu cho tha'y rang xo vfla tJgng mach la mot tien t r i n h tien trien cham, phiifc tap va co the bat dau tir luc benh nhan con nho. No se tien t r i e n nhanh horn k h i tudi ngay cang Idn horn. T/Wc
y\tutv
(LUOa
i^dt^k
•
63
. N g i A i g t h d liic n g i i . L a k h i b a n ngCmg t h d hoac t h d r a t n o n g
- Xof viJa d o n g m a c h c6 t h e b a t dau k h i c6 m o t so' tac n h a n gay t o n t h i f o n g Idp t r o n g ciia d o n g m a c h . N h O n g tac n h a n do bao gom:
tang h u y e t ap, d a i t h a o difcfng v a t h a m c h i l a n h o i m a u co t i m hoac dot quy.
•
Hut thuoc Id.
•
Liiang
•
Tdng huyet
•
Luang dudng trong mdu cao do de khdng thdo dudng.
Nhiing
j j i i d a n g n g u . N e u k h o n g difcfc d i l u t r i c6 t h e l a m t a n g n g u y ccf b i
" '
chat beo vd cholesterol
cao trong
. Stress.
mdu.
. Rugfu b i a .
dp.
ngitcfi c6 nguy
insulin
hoac
ddi
dodn
Bac S I se c h a n doan x o viJa d 6 n g m a c h difa vao cac yeu t o :
cct
- B e n h m a c h v a n h ( m a n g xor vOfa x u a t h i e n or m a c h v a n h ) l a n g u y e n n h a n gay tijf v o n g h a n g dau t a i M y . - B a n CO t h e k i e m soat durgc h a u h e t cac yeu to' n g u y co giup n g a n ngiifa hoac l a m c h a m l a i t i e n t r i n h ciia b e n h . M o t so' y e u to' n g u y cor k h o n g t h e k i e m soat difoc.
•
•
Tien sH benh tat vd gia
•
Yeu to nguy ca
• Ket qua khdm lam sang vd cdc xet Khdm
Idm
nghiem
sang
T r o n g qua t r i n h k h a m , bac s i se d u n g o'ng n g h e d a t l e n nhuTng t h i / d n g k h o n g . T i e n g r i t l a sir b i e u h i e n cua d o n g m a u b i n g a n trof
•
Nong
•
Tdng huyet
•
Hut thuoc Id.
ccf t h e b a n ( c h a n g h a n nhiT chan) c6 yeu hoac m a t k h o n g .
•
Be khdng
yeu hoac m a t l a b i e u h i e n ciia t i n h t r a n g d o n g m a c h b i b i t tac.
•
Bdi thdo dudng. Thiia can hoac beo phi.
•
Thieu
van
trong mdu bat
thudng.
do m a n g x o vijfa.
dp.
Bac S I c u n g co t h e k i e m t r a x e m m a c h of m o t v i t r i nao do t r e n
insulin.
Cdc
dong.
xet nghi?m
vd thu
Tuoi. Tudl cdng cao thi nguy ca bi xa vUa dong mach cdng tdng.
•
O nam gidi, nguy ca gia tdng sau 45 tudi.
•
U nU gidi, nguy ca gia tdng sau 55 tudi.
Dien tdm do (ECG -
•
Tien sii gia dinh bi benh tim mach
X quang
cung
sdm.
gom:
diroc sir tie'n t r i e n cua b e n h v a chuan b i k e h o a c h dieu t r i to't n h a t . • Xet nghiem
Tl^;^cy\u,.(L/^i^^^
mdu. Electrocardiogram).
ngUc.
Do chi so huyet dp d mdt cd chan Icdnh Sieu dm CT
•
thudt
doan b e n h . N g o a i r a nhOCng x e t n g h i e m n a y con g i u p bac s i b i e t
•
t a n g n g u y ca b i xo viifa d o n g m a c h bao
Mach
Cac bac s l co t h e thirc h i e n m o t hoac n h i e u x e t n g h i e m de c h a n
- N g o a i r a c u n g cd m o t so ye'u to' nguy ccr k h a c c6 t h e l a m gia
64
dinh
dong m a c h b i a n h h i i d n g de nghe x e m co nhiJng t i e n g r i t b a t
- Nhufng yeu to' nguy co c h i n h : do cholesterol
Chan
.
tay.
tim.
scan. Xu^c
/ W v (LtuiA
•
65
f)6na Y gfrt Stgu
• Nghiem phdp gang siic. • Chup mach mdu. Dieu tri Dieu t r i xor viJa dong mach bao gom thay doi l o i song, uong thuo'c, thu thuat hoac p h l u thuat. T h a y doi loi song • Thay doi loi song thiCcmg c6 thi giup ngan ngila hoac dieu tri xa vUa dong mach. Boi vdi mot so ngubi, nhUng thay dot nay c6 the du di dieu tri diigc benh. • An nhUng thiic dn c6 it chat beo bao hoa vd nong do cholesterol thdp.
dugc dung nhieu nhdt do da dugc chiing minh bdi ket qud nghien ciiu til thii nghiem lam sdng keo ddi trong 11 nam qua. !/. NgUng hut thudc. Tdp the thao, gidm can, vd thay ddi che do dn cung lam ngdn ngiia tien trinh xa vSa.
Aspirin cung nen dUgc dung deu dan d nhUng ngubi dd c6 mdng xa vUa d bat ky dong mach ndo vd nhitng ngudi c6 nguy CO cao. Aspirin ngdn khong c6 cdc tieu cdu c6 trong mdu ket dinh Igi vdi nhau hinh thdnh huyet khdi vd Idm bit tdc nhUng dong mcich dd bi hep til trildc do mdng xa vUa.
^hau thuat
• Khong dn mudi trong bUa dn neu bi tdng huyet dp.
!• Phdu thuat tgo hinh mach mdu bang bong,
• An nhieu thiic dn c6 chiia chat xa (iihu ran qua vd trdi cay).
i* Bat stent.
• An cd it nhdt 2 Idn/tudn.
Phdu thuat bdc cdu.
• Bo thudc Id. • Gidm can neu thiCa can.
^
• Tap the due diCdi sU tu vdn cda bdc si. • Neu benh nhdn cd nong do dudng trong mdu coo, can phdi theo doi dubng huyet vd HbAlc thu&ng xuyen. Dieu tri Muc tieu cua qua t r i n h dieu t r i la phuc h o i l a i dong chay cua mau den nori b i anh hirdng het mufc c6 the. Muc tieu nay c6 the dat diToTc bang each giam nhttng yeu to' nguy co qua mot so" hxidc sau: •
Udng thudc de dieu hoa huyet dp neu bi tdng huyet dp.
•
Udng thudc di dieu hoa dUdng huyet, ddc biet d nhUng benh nhdn bi ddi thdo dubng.
•
Udng thudc de gidm lipid mdu neu nong do chat ndy trong mdu cao. NhUng loai thudc ndy giup Idm gidm LDL va triglycerid vd tdng HDL. Statin la loai thudc ha lipid mdu
66 •:•
X.i^cy\^(Lkci^i^pj^
giup
^Phong ngiia - Thirc hien de kiem soat cac yeu to' nguy cO c6 the giup ngan ngira hoac lam cham xor vOfa dong mach va nhfifng benh lien quan. Kha nang b i benh se tang len cung vdi so liTOng yeu to' nguy ccf ma ban c6. - Thay doi loi song va dung thuo'c theo toa la nhutng biTdfc quan trong can thie't. - Biet ducfc tien sijf gia dinh va nhOtog van de sutc khoe cua minh c6 l i e n quan den xor vufa dong mach. Ne'u ban hoac ai do trong gia d i n h b i benh nay, hay noi vdi hac si. Ngoai r a cung bao cho bac si biet ne'u nhiT ban c6 hut thuo'c la. Xo vufa dong mach la qua t r i n h d i l n bien lang le va lau dai, sir boi dap dan dan cac chat cholesterol, triglycerid... lam cho Idp xcf rat ben va kho loai bo. H i e n nay cac chat saponin c6 cau true triterpen trong thao diTcfc diTcrc cho la c6 kha nang "hoa t a n va tay rufa" dan dan cac Idp l^ng dong do, trong k h i cac chat flavonoid t h i l a i CO tac dung lam deo dai thanh mach mau, cho'ng thoai hoa va bie'n dang te bao thanh mach. T/Wt
^dt^A.
•:•
67
PHAN I M O T SO V I T H U O C NAM CHL/A B E N H T H O N G D U N G
Cdch che bien: Cay moc hoang nhieu noi trong n U d c , ngi/cfi ta jgy canh dem ve trong cho dat am mat, nhieu mun. Co the t h u j i ^ i 4 Ian trong nam vao thang 6 - 7, 8 - 9, 10 - 11 va 2 - 3. H a i ve phori tai xong dem cat t i n h dau. T i n h dau Bac ha la loai thuoc quy, CO gia t r i xuat khau, can khuyen khich trong va cat t i n h dau.
2 - TIA TO Ten hhac: Tuf to. Ten
-oOo-
khoa
hqc:
P e r i l l a Ocymoides L . thuoc ho hoa
moi
(Labiatea). Thanh phdn
hoa hgc: Toan c a y c6 chuTa t i n h d a u mui therm
h ^ c c h u ye'u la perilla-andehyt va limonen.
1-BAC HA Ten hhac: Bac ha nam, rau Hiing cay, Doc mung. Ten khoa
HQC: Mentha Arvensis
Linn,
thuoc ho Hoa moi (Lamiaceae). Thanh phdn hoa hgc: Hoat chat chu ye'u la t i n h dau Bac ha nhu menthol, la loai t i n h dau quy, c6 gia t r i de xuat khau. Cong dung: ChUa cam sot, ho viem hong CO sot, chOfa dau bung tieu chay, an khong tieu. Ngoai ra dung de xoa bop noi dau nhiJc khdp xiTOng, nhiJc dau, so mui, dau nhufc rang. Cdch dung: La tuori moi ngay 4 - 8g sac uong, hoac nau niTdc xong. Neu dung t i n h dau, m6i Ian uong vai gipt, ngay uong 2 - 3 Ian. Neu la con Bac ha t h i uong m6i Ian 5 - 10 giot. Dung xoa ben ngoai thucfng la cac loai cao nhif cao sao vang con ho... deu c6 t i n h dau Bac ha. Ngoai ra con dung lam keo Bac ha de ngam ho, viem hong va pha vao thuoc danh rang cho thcfm. T i n h dau Bac ha cham vao cho rang dau. 68
•
TAu^^nn^CAou/^f^A.
Cong dung: ChOra cam cum, sot ho, lam ra m d hoi, giai cam, t r i non muTa, dau bung, c6 tac dung an thai dung cho nhufng trirofng hcfp dong t h a i , giai doc k h i an phai ca, cua doc. Cdch dung: La hoac qua kho, m6i ngay 5 - lOg sac uong, neu dung canh la kho t h i lieu gap doi, c6 the dung la txidi g i a nho vat lay nUdc uong m6i Ian 2030g. (Cam k y : kieng an ca chep) Cdch che bien: Tia to la loai cay diXofc trong khap ncfi vira de lam gia v i trong cac mon rau song vira de lam thuoc. Trong bang hat vao dau xuan, sau hai thang CO the h a i la gia, m6i nam h a i 2-3 Ian, cuo'i cung chat lay canh va hat gia. Cac t h i l do phori kho, diTdfi nang nhe, de rieng tifng loai va bao quan chohg am moc.
3- KINH Gldl Ten khdc: Canh gidi, Khirong gidi, K i n l i gidi tue, Gia to. T/u^c
(LkdM.
/^c«/v
69
Ten khoa hgc: Elsholtzia cristata W i l l d , thuoc ho hoa moi (Lamiaceae). . Thanh phdn hoa hgc: Thanh phan chu yeu la t i n h dau n h u menton va 1 i t limonen c6 v i cay, mui thcfm, khong doc. Cong dy,ng: ChOra cam cum, nhufc dau, viem hong, non mufa... chay mau cam, di tieu ra mau, dai tien c6 mau trong cac chiJng l y , bang huyet sau de. Cdch dung: Dung la tiroi 1 nam gia nho vdi 1 mieng GiTng, vat lay nirdc uong, lay ba con l a i xoa bop m i n h may chan tay de chila cam sot, hoac canh la kho, do 20g sao vang sac uong. Phu nuf bang huyet t h i dung hoa phoi kho sao den 15g sac uong. Canh la sao den s^c uong thifdng dung cam mau trong cac benh khac. Cdch trong, thu hdi vd che bien: Trong bang h a t vao dau xuan, nho ca cay phoi kho vao miia thu neu lay hoa rieng goi la K i n h gidi tue. Nen phoi nang nhe, bao quan cho'ng am moc. 4-HaClNGNHU Ten khdc: Huong nhu t i a , HiTorng nhu trang, Idn la, Hiing gioi tia.
ritog,
t i a , t,
Ten khoa hgc: Ocimum sanctum L i n n . (HiTorng nhu tia) thuoc ho hoa moi (Lamiaceae). Huong nhu trang: Loai cay nho cao horn loai t i a , la moc do'i treo chuf thap, mep khia rang ciTa, dau nhon dai, c6 long. Hoa mau trang, moc thanh chum of ke la hoac ngpn canh. H a t nho h i n h cau, khong c6 chat nhay bao quanh k h i ngam trong n\idc. Thdnh phdn hoa hgc: Ca 2 loai hiTOng nhu noi tren deu c6 t i n h dau ogenola, nhitog loai trang cho t i n h dau cao hcfn. Loai t i n h dau nay diTpc dung lam thuoc te trong nha khoa va dieu che chat thom vani (vanilin). Cong dung: Chufa cam cum, so't nhufc dau, dau bung non, tieu chay, dau rang. Cam k y : nhflfng ngiTofi am hif, k h i hiT (suy nhiTcfc) khong dung difofc. 70
•:•
e/«j«/^e^v
Cdch dung: M6i ngay dung 3-8g (than va canh la phoi kho) g^c uong. Co the uong tLfori va dung l a ti/ofi nau nirdc xong. Dung tinh dau cham vao chS rang sau cho dd nhuTc. Cdch che bien: Gieo h a t vao thang 11-12, t r o n g vao mua xuan. Thu hai liic cay dang ra hoa, phoi kho diTdi nang nhe hay trong r a m . Cay tiroi cat lay t i n h dau dung trong midc va xuat khau. <.
5 - GL/NG Ten khdc: Khi/ong, Sinh khirong (Gitog song), Can khiTOng (Gitog kho). Ten khoa hgc: Zingiber officinale Roseoe, thuoc hp Gitog (Zingiberaceae). Thdnh phdn hoa hgc: Thanh phan chij yeu la t i n h dau c6 camphen va phelandren, mot so' chat cay khac. Cong dung: K i c h t h i c h tieu hoa dung trong nhiJng trUomg hop kem an, kho tieu, non mufa, dau bung tieu chay, chufa cam cum, so't ho, viem hong, dung trong cac triTcfng hop cam l a n h va xoa bop dau nhufc xi/ong, viem khdp, nhfifng cho chan thuong bam dap. Thifomg dung trong cac bai thuo'c khac c6 tac dung dieu hoa am duong v i Gitog c6 t i n h on, v i cay phu hcfp cho nhflng ngUofi c6 tang han (kem chiu lanh) m a l a i c6 tac dung giai bieu nen l a i chUa dupfc cam so't.
Cdch dung: Gitog tuoi (sinh khucrng) 4-8g 1 ngay. Gitog kho (can khuong) 0,6-4g 1 ngay. Sac uong hoac gia nho ngam rUcfu uong. Dung xoa bop t h i gia oho GUng tuoi xoa bop dap len cho dau hoac pha vdi rUpu lam cho Giifng ngam nhanh vao ch6 dau. Cdch che bien: Chpn nhufng cii GUng c6 nhieu mau, dem u rom cho len mam roi dem trong vao mua thu va t h u hoach vao dip TA^t:
/ U i / . » (Z/Uiu
/^C/v/v •
71
te't de CO Gitog non lam murt; muon c6 Gitog gia t h i de sang mua xuan. K h i cay gan t a n l u i dao lay cu ve c S t bo r l con, rufa sach phori kho, ta c6 Gitog xam, neu cao v6 phori kho, ta c6 GiJfng trang de xuat khau. Con de dung hang ngay t h i de ngay tren nen dat trong nha cho den k h i trdng vu sau. Co the l u i xuong 1 Idp cat kho mong, bao quan to't horn.
6
- cue
HOA
Ten khdc: Cue hoa trang. Bach cue hoa, Cam cue hoa, cue diem vang, Hoang eiic, K i m cue. Ten khoa hgc: Chrysanthenum Simense Sabine. Cue hoa trang: Chrysanthenum Morifolium. Cue hoa vang: Chrysanthenum Indicum L i n n , thuoe ho cue (Asteraeeae). Thanh phdn hoa hgc: Trong hoa cue c6 adenin, cholin, stachydrin, vitamin A, t i n h dau va sac to'. Cong dung: Chffa cam mao, nhiife dau, dau mat, cao huyet ap, chfifa mun nhot. Cdch dung: Moi ngay 9-15g sac uong, hoae dimg ngoai de nla vet thifong, dap mun nhot. Cdch chebien: Thiromg trdng bang canh, hoae gieo hat, trdng vao thang 5, thu hoach hoa vao thang 9. Co the trdng vao thang 3 den thang 6 chat t r u i di cho nay mam l a i , thu hoach hoa vao thang 10, hai hoa ve dem say diem sinh do 2-3 gior k h i hoa chin mem t h i dem nen do 1 dem k h i thay nifdc den chay ra la duac. Dem phori 3-4 nang, ne'u trori khong nang t h i dem phai say diem sinh. K h i phori gd ra ditog cho dong cue, phori kho. Bao quan cho'ng ^m mo'e.
7-SA Ten khdc: Co sa, Sa chanh, Hirorng mao.
72
•:•
T^^cruo^&Axia^^
Ten khoa (Giamineae).
hgc:
Cymbopogon nardus Rendl thuoe ho l i i a
Thanh phdn hoa hgc: Trong Sa c6 1-2% t i n h dau, nhif geraniola va citronellola. Cong diing: Chufa cam so't, giup tieu hoa to't, Icfi tieu, sat trung, cho'ng dau nhufc, lam chat thorm dimg trong cong nghiep. Cdch dung: M 6 i ngay 15-30g than r l hoae la t\i&\c uong hoae nau nifdc xong giai cam. Cdch chebien: Trong bang than re vao miia xuan. Thu hai quanh nam lam thudc, rang vcfi muoi lam thufe an va cat lay tinh dau.
8 - KIM NGAN
. .
Ten khdc: K i m ngan hoa, day Nhan dong. Ten khoa hgc: Lonicera, japonica. Thumb, thuoe ho k i m ngan (Capri Joliaeeae). Thanh phdn hoa hgc: Mot so tac gia tim thay inozit, glucozit la lonixerin va saponozit, ngoai ra chifa thay hoat chat gi dac biet. Cong dung: Co tac dung khang khuan, dimg c h i J a cae benh nhigm t r i m g nha mun n h p t , ta, ly, triJc t r i m g , thiTcfng han, viem dUcfng ho hap, giai doc, giai di iJng dung t r o n g cac benh d i ufng, ndi me day ngufa ngay. Cdch dung: Dimg hoa, la hoae ca than canh phoi kho sac uong. M o i ngay 5-lOg hoa hoae 10-20g l a , canh, CO the dung tori 80g 1 ngay, khong doe. Cam ky: Ngifcfi yeu met suy nhiforc (ty v i hif han) va khong c6 nhiet doc khong nen dimg.
Ti^c
-n«.,v e / u ? «
«^^»/v •
73
f)6na r
sTrt atgu
Cdch chebien: La loai cay moc hoang t r e n niii doi thap, v i la loai thuo'c c6 gia t r i nen dem ve trong trong vUcfn, trdng bang than day vao miia xuan va mua thu. Thu hoach hoa vao dau mua he, canh va la thu hoach quanh nam. Hoa, la va canh lay ve phcfi kho hay say kho la difcfc, bao quan cho'ng am moc, hoa de rieng, t r a n h lam nat vun.
9 - SAI DAT Ten khdc: Hung t r a m . Cue nhap, Cue giap, NgS mui, Hoa muc. Ten khoa (Asteraceae).
hQc:
W e d e l i a Calendulaceae, t h u o c ho
cue
Thanh phdn hoa hoc: Hoat chat chinh chifa xac dinh diTgrc, mdi thay eo 1 chat lacton vifa la 1 Flanovit vijfa la 1 Cumarin, ngoai ra eo nhieu muo'i v6 cof va tinh dau. Cong dying: Chufa mun nhot, viem ca, viem v i i , rom say, lof loet. Cdch dung: Lay cay la tiTori gia nho vat lay nirdfc uo'ng moi ngay 25-30g. Ba dap len cho viem dau, nau lay mrdre tam rufa mun nhot, ghe sai. La kho sac uo'ng hoac tam riifa nhif tren. Co the pho'i horp vdi cac v i khae nhu K i m ngan, Bd cong anh... Cdch che bien: Cay moc hoang ncfi dat am, mat, lay canh c6 r i dem t r d n g chd dat am mat hoac tu6i luon, t h u h a i canh la quanh nam, dung tirai hoac phori kho.
10- BO CONG ANH Ten khdc: M u i mac, Diep dai, M u i cay. M o t met, Bd coc. Ten khoa hgc: Lactuca India L i n n , thuoc ho cue (Compositae). Thanh phdn hoa hgc: Loai Bd cong anh eua ta chiTa c6 ai nghien ciJu. Mot so' t a i lieu mrdfc ngoai nghien cufu cac loai Bd cong anh khae thay c6 chat lactuxerin va mot so' chat dang n h i / axit lacturic, lactueopicrin va lactuxin. 74 •
't/^^y\^ejui«.J^4,j^
Cong dung: ChOa viem tuyen vu, tac tia sOfa, mun nhot, dinh rau, viem diJcfng tie't nieu, an uo'ng kho tieu, dau da day. .. Cdch dung: Dung la tuori 20-40g gia nho vat lay nudc uo'ng, ba ^Ip len ehd sung dau.
.
H-KEDAUNG^A Ten khdc: Thirang n h i . Ten khoa hpc: Xanthium Strumarium L i n n , thuoc ho cue (Compositae). Thanh phdn hoa hgc: ngoai mot so' chat thong thiTofng c6 thay 1 glucozit la xanthostrumarin, ehu'a thay hoat chat dac biet, ma dac biet la eo ham lifcfng io't k h d eao, I g l a hoac t h a n c6 khoang 200 mierog, trong qua c6 220-230 microg io't. Cong dung: Co tac dung giai cam, chOfa sot, trir phong thap, dau nhiirc te moi chan tay, ehOa d i ufng, mun nhot lof ngufa, dau nhiirc rang, chOfa h\idu cd do thie'u io't. Cdch dung: Dimg qua, canh la kho ngay 4-20g sac uo'ng, dimg chOfa dau rang t h i sac ngam nhieu Ian. Cdch che bien: Cay moc hoang khap nori. Co the lay h a t trdng vao mua xuan. Thu h a i la canh vao mua he, qua vao mua thu, dem ve phcfi hoac say kho. Bao quan cho'ng am, moc.
12-MA
BE
Ten khdc: M a de thao, Xa tien. Ten
khoa
hgc:
Plantagor asiatia L i n n , thuoc ho ma
de
(Plantaginaceae). Thanh phdn hoa hgc: Toan cay eo ehu'a 1 glucozit goi la ancubin hay r i n a n t i n . Ngoai cac thanh phan thong thi/cfng, trong hat CO ehiia axit plantenolic, adenin va eholin. Cong dung: Co tac dung lofu tieu, ha huye't ap, t r i ia chay, l y , chufa ho, long dorm. T/uaff yXtu^ (Lluiu. i^4.,J^ •:• 75
$)6nfl
Cdch dung: D u n g hoa phcfi k h o , sac uo'ng n g a y 6-12g, c6 t h e d u n g M tuai n a u c a n h a n Igri t i e u . Cdch
che Men:
Cay moc hoang, l a y h a t
d e m ve gieo t r o n g vao m u a t h u , t h u h a i qua c h i n vao t h a n g 7-8. Cay l a t h u h a i q u a n h
Cam
dung- P h u nuf c6 t h a i vSn d u n g duofc. Cdch
che
Cay moc h o a n g k h a p n o i , t h u h a i qua c h i n
bien:
v^o t h a n g 8-12, d e m ve p h a i k h o .
14- HOACHadNG Ten khdc:
Q u a n g hoac hucfng, T h o hoac hucfng.
p h o i k h o , dap l a y h a t r d i phcfi k h o l a i . Bao
Ten
hgc:
Thanh
Ten khoa hgc: (Simarubaceae).
Brucea j a v a n i c a M e r r , thuoc ho T h a n h t h a t
hoa hgc: H a t SAu
doc, CO tac d u n g d i e t t r i m g va d i e t g i u n san. D u n g l i e u cao se b i ngo doc c h e t n g u d i . N g o a i r a con c6 1 so' m e n n h u a m i d a l i n , m o t so' c h a t k h a c n h i f t a n i n , q u a s i n v a s a p o n i n . diing:
L a 1 v i thuoc chijfa l y a m i p da di/cfc d u n g t i f thofi
Tue T i n h , c6 tac d u n g d i e t k y s i n h t r u n g a m i p or d a n g h o a t dong, con d a n g k e n t h i i t cong h i e u . N g o a i r a con d u n g de chiJa so't r e t , t i e u chay v a u n g thiT. Cdch
diing:
M6i ngay d i i n g 10-14 qua (c6 t h e t d i 20 qua), t a n
t h a n h b o t hoac l a m t h a n h v i e n de uo'ng, uo'ng l i e n t r o n g 1 t u a n le. Co t h e d i m g n h a n h a t da l o a i bo dau ( l o a i bo tac d u n g gay n o n v a d i l o n g ) b a n g each khijt dau hoac ep bo dau. Co t h e d u n g de t h u t vao h a u m o n , l a y 20-30 qua gia nho n g a m vao t r o n g 2 0 0 m l nirdc b i c a b o n a t N a 1% sau 1-2 giof g a n loc l a y nudc t h u t giijf.
76
•
phdn
T/iw-^: ; % u « . eA
Cong
hoa
hgc:
T h a n h p h a n chu ye'u l a t i n h dau c6
ChOfa r o i l o a n t i e u hoa, a n k h o t i e u , dau b u n g ,
dung:
tieu chay, n g o a i r a d u n g de chffa c a m c u m . Cdch
M 6 i n g a y d u n g 6-12g difcJi d a n g b o t , hoac
dung:
sac
uo'ng, CO t h e pho'i hgrp v d i cac v i k h a c . Cdch
dau r i r n g chiifa c h a t dau l o n g
m a u t r a n g , t r o n g qua c6 1 glucozit gpi l a k o s a m i n . C h a t n a y k h a
Cong
Pogostemon c a b l i n ( B l a n c o ) B e n t h , thuoc ho
n h i e u c h a t n h u con p a t c h o u l i (goi l a l o n g nao) v.v...
Ten khdc: Sau dau r i t a g , Sau dau cuft chuqt, N h a d a m tuf, h a t K h o s a m , K h o l u y e n tijf, C h u m e n , S a m duc, Cuft c6. H a t b i n h , Xoan rirng.
phdn
khoa
hoa m o i ( L a b i a t a e ) .
1 3 - K H O SAM
Thanh
gTrt SLi$u
ky.: NgUofi suy nhuofc ( t i v i h u nhirac) n o n mufa k h o n g n e n
n a m , d u n g l a tUcri h a y phcfi k h o . Qua c h i n quan cho'ng a m moc.
Y
che
bien:
cay ducfc t r o n g n h i e u nofi t r o n g nufdc, t r o n g
bang each g i a m c a n h vao m u a x u a n . T h u h a i c a n h v a l a sau 3 t h a n g , phcfi hoac say k h o d i i n g l a m thuo'c. N g o a i r a con cat l a y t i n h dau, l a 1 n g u y e n l i e u quy t r o n g k y n g h e nudfc hoa.
1 5 - RIENG Ten khdc: Ten
khoa
Cao lucfng khuorng, T i e u liTcfng khucfng, P h o n g khucfng. hgc:
A l p i n i a officinarum Hance, thuoc ho
gitog
(Zingiberaceae). Thanh
phdn
hoa hgc: T h a n h p h a n chu ye'u l a t i n h dau l o n g
sen set, m a u v a n g x a n h , t r o n g do eo c h a t x i n e o l a v a m e t y l x i n a m a t . Ngoai r a c6 1 c h a t dau v i cay l a galangola v a m o t so' c h a t t i n h the d a n c h a t ciia p l a v o n . Cong
dying:
ChOra r o i l o a n t i e u hoa: a n k h o t i e u , d a y b u n g ,
tieu chay, dau b u n g , dau da day. N g o a i r a eon d u n g de ehtta c a m sot, l a m g i a v i cho cac m o n t h i t ea t a n h . Xiu^c
'^?<*A
77
t)6ng Y gfrt
Cdch dung: M 6 i ngay uong 3-lOg bot rieng kho hoac thai mong sac uong. •' • Cdch trong, thu hdi va chebien: Trong bang cu v a than vao dong xuan, thu hai quanh nam. Dao cu rijfa sach cat bo r e con, cat thanh titog doan ngan phoi kho hoac do chin r o i phoi kho. Khi diing t h i ngam nUdc, t h a i l a t phofi kho t a n bot hoac sac uong. 16 - M O T A M T H E Ten khdc: Day M o long, day Mo tron, cay Tho'i dit. Ten khoa hqc: Paederia Tomentosa L i n n , thuoc h o ca phe (Rubiaceae). Thanh phdn hoa hgc: Cay c6 chiifa 1 t i n h dau r a t t r a n g c6 miii bisunfua cacbon. NgiTcfi ta da chiet ditcfc 2 ancaloit la paederin anpha va be ta. Cong dy,ng: ChiJa ly triTc trung, or P h i l i p p i n ngifofi ta con dung de chiifa b i tieu tien, soi than. Cdch dung: Dung 30-50g la tiroi rufa sach, thai nho, tron vdi 1 qua triJng ga goi vao la chuo'i niTdng chin hoac cho vao chao (khong cho m d ) bac len bep cho chin de an. Diing lien tuc 1 tuan. Cdch che bien: Cay moc hoang khap bui bor, lay tiTng doan day dem ve trong nhiT trong khoai lang, an chat dat, t\i6i nifcJc luon de chong ben r l . K h i cay leo cao t h i cam choai hoac lam gian cho no bo. Co the thu h a i la tifcfi quanh nam.
17-Mac
HOA T R A N G
Ten khdc: Moc hoa trang, MiJc long, Mird'c, Thitag m U c , cay Stfng trau.
Conesin i t doc c6 tac dung diet amip tot hcfn ametin v i no diet di/cfc ken amip.
'
'
••
.
Cong dung: Chffa ly amip cap va man t i n h (the ken). Cdch dung: Co the dung cac dang sau: - Bot v6 cay ngay uong lOg Bot h a t cay ngay uong 3-6g Cao long ngay uong l - 3 g Con hat (ty le 1/5) ngay uong 2-6g Cdch che bien: Thi/ofng thay hat r o i xuong va t u moc hoac ta lay hat de gieo, trong vao mua xuan. Boc lay v6 cay k h i cay rung la (vao mua dong), khong nen boc het de cay k h o i chet va c6 the boc Ian khac. Thu hoach qua gia vao mua thu dong. Qua hoac v6 deu di/cfc phofi hay say kho ngay, khong phori k i p se bi tho'i. I S - C O S Q A N H O LA Ten khdc: Thien can thao. Ten khoa hgc: Euphorbia thymifolia B u r m , thuoc ho thau dau (Euphorbiaceae). Thanh phdn hoa hgc: Chira thay c6 t a i lieu nghien cufu. Cong dving: Chflfa ly triTc trung v i c6 tac dung khang sinh, ngoai tac dung chiJa ly con chiifa cac nhiem trung khac nhir ho, viem phe quan, cac viem n h i l m mun nhot khac va t r i bang huye't. Cdch dung: Diing cay va la ti/cri hoac kho sac uo'ng m6i ngay 25-30g CO the dimg t d i 50g. ThiTofng pho'i hdp vdfi rau sam de chiia ly. Neu dimg de cam mau t h i sao den, sac dac. Cach trong, t h u h a i va che bien: Cay moc hoang d cac ncfi c6
Ten khoa hgc: Holarrhena antidysenterica W a l l , thuoc h o true dao (Apocynaceae).
soi da, cac ke san gach, cac bof t h a n h ao ho. Co the dem ve trong
Thanh phdn hoa hgc: Ngu&i ta d a chie't diTdc cac ancaloit nhir: conesin, norconesin, conesimin... conkurchin v a holarhenin.
Bao quan cho'ng am moc.
78 •
n««v'e/«j«
va t h u h a i quanh nam. Dimg tiTcri phoi kho hoac say, sao vang.
Ti^^
n « « v C^kcu. i^p^
79
^6nfl Y gTrt <ii$u
19-HYTHIEM Ten khdc: Cay c6 D i , Cho de hoa vang, H y kiem thao, hy tien, Hy thiem thao. Ten khoa hqc: Siegesbeckia orientahs L i n n , thuoc ho cue (compositae). Thanh phdn hoa hpc: Mdi t i m thay 1 chat dang goi la darutin. Cong dicing: ChOfa thap khdrp, chan tay te moi, dau liftig, nhufe xiTcfng. Ngoai ra con gia d^p cho ong do't, r a n can, mun nhot. Cdch dung: Moi ngay 6-16g sac uo'ng hoac naiu cao long de uong hoac dung pho'i hop trong cae bai thuoc thap khdp khac. > Cam kyj NhiJng ngi/ori yeu sufc, thie'u mau, suy nhuac (am huyet khong du) khong nen dung. Cdch che bien: Cay moc hoang khap nofi, gieo h a t mua dong, trong cay mua xuan. Thu hai k h i cay ra nu hoa sap nd, cat than va canh la ve phai kho. Bao quan cho'ng am moc.
20 - NGUU TAT Ten khdc: Co Xirde, Hoai nguu tat. Ten khoa hgc: Achyranthes Bidentata Blume, thuoc ho den (Amaran thaeae). Thanh phdn hoa hqc: Da chiet xuat ducfc Saponin va c6 ecdysteron, inokosteron va muo'i kali. Cong dung: Chufa dau xiTcfng, thap khdp, dau bung k i n h , be k i n h , ro'i loan k i n h nguyet va lam sach huyet tu sau k h i sinh de. Ngoai ra con c6 tac dung cho'ng viem nhiem trong mom, hong, viem difcfng tiet nieu, Igi tieu. Cdch dung: M 6 i ngay dung 6-12g re sao gion hoac phcfi kho s^c uo'ng. Co the dung pho'i hcfp trong cac bai thuo'c thap khdrp. Cam ky\g dung cho phu nOf c6 thai.
80 •
TAwi. ;
w e/u«/^^^
Cdch che bien: Loai ducfc trong hien nay d mot so' ncfi la dugc di thifc tCr Trung Quo'c. O ta con c6 1 loai c6 Xufdrc cung ducfc goi la j^gi/u ta't nam, moc hoang la Achyranthes aspera L i n n cung c6 cong dung nhu loai noi tren, nhung re ciifng, cong queo va i t t h i t . Trong bang each gieo hat vao thang 10-12. Thu hoach re sau y i i la vang. Dao re ve u thanh dong 3-4 ngay sau dam ngam nUdc 1 buoi (do 4 gior) ruTa sach, say diem sinh 1 dem, k h i eii mem la diTcfc. Cat bo r i eon dem phcfi hoac say kho. Bao quan cho'ng am, ra't de bi mo'c.
21 - LA LOT Ten khdc: Tat bat. Ten khoa hgc: Piper lolot C D C , thuoc ho tieu (Piperaceae). Thanh phdn hoa hpc: mdi thay c6 t i n h dau, cac hoat chat khac chiTa ro. Cong diJLng: chifa thap khdrp, cac ehufng phong thap, non mijfa, day hcfi, tieu ehay do lanh. Cdch dung: la tuoi 15-30g, la kho 5-lOg 1 ngay, sac uo'ng. Co the dimg lam gia v i de nau cac thufc an tanh, mat, l a n h nhif xao vdi t h i t trau, hoac nau canh vdi m i t non. Khong nen dimg cho nhilng ngiTofi c6 tang nhiet. Cdch trong, thu hdi va che bien: Cay moe hoang nhieu ncfi, hay di/orc trong trong vudn de lam gia v i . Trong bang canh nori dat am mat. Thu hai la quanh nam, lay ca cay liic sap ndr hoa. Rl, than, hoa qua deu dimg duoc, phoi trong r a m hoac nang nhe den kho. Bao quan cho'ng am moc.
22 - fCH M A U Ten khdc: Sung uy, cay Choi den. Ten khoa hqc: Leonurus Heterophyllus Sw. thuoc ho hoa moi (Libiatae). H i e n nay nhieu t a i lieu goi ten khoa hoe ho hoa moi 1^ Lamiaeeae.
XUxuSc
/ ' W . v (LkOu.
/^e<^v
•
81
f)6nfl r
gfrt
Thanh phdn hoa hqc: cay Ich m l u or ta chuTa ducfc nghien ciJu ky. U mot so' niCdc da nghien cufu cay ich m l u Leonurus Sibiricus thay CO 1 vai loai ancaloit, tanin, chat dang saponin va t i n h dau. Cong dung: ten ich mau la c6 ich cho ngiTcfi me, nen thiTofng dung cho phu nU sau k h i sinh de va dung l a m thuo'c dieu k i n h . Co tac dung cam mau, chiJa bang huyet sau k h i sinh de, tang cUorng CO bop tuf cung giup cho sinh de d l horn, lam cho nhau d l bong va lam sach huyet uf sau k h i de; lam tan huyet tu k h i b i sang cha'n bam t i m ; chiifa cac chiJng dau bung k i n h , be k i n h , rong k i n h , rol loan k i n h nguyet. Ngoai ra con dung lam thuo'c chufa cao huyet ap, tror t i m , Igri tieu. Cdch dung: M 6 i ngay dung 3-8g hat, hoac 6-12g canh, la kho sac uo'ng. Co the pho'i hop trong cac bai thuo'c dieu k i n h khac dudi dang vien hoac cao long. Co k h i na'u rieng cao ich m l u .
C «
f)6nfl r
iing de tam rucfu xoa bop, bo xUcfng gay. Long ciia la kho dung iin ngai cufu de do't moi ngai tren 1 l a t Gufng tUcfi dat vao chS uyet de cufu, v i vay c6 ten Ngai cufu. Cdch dung: Canh la tiTori d e m sao gion hoac dung canh la
kii6, sac uo'ng hoac t a n bpt mSi ngay 5-lOg toi da 20g. Neu r o i loai k i n h nguyet t h i uong 1 tuan le trudc ky k i n h . TrUcfng hgrp dau bung k i n h rong huye't t h i uo'ng ngay trong k h i dang h a n h k i n h . C6 the dung pho'i hop trong cac bai thuo'c dieu k i n h khac. Cdch che bien: Cay moc hoang khap ncfi va dxxac trong trong cac vUorn thuo'c va vUcfn nha. Co the trong bang t h a n ngam hoac giSm canh. Trong quanh nam va thu hai quanh nam. Lay canh Id phofi hoac say kho. Bao quan cho'ng am mo'c.
24-HUNG CHANH
Cdch che bien: Cay mpc hoang nhieu nai, c6 the trong bang hat. Thu h a i k h i cay mdi ra hoa, vao thang 5-9. Lay hat vao thang 8-10. Phtfi hoac say kho, Bao quan cho'ng am mo'c.
tuf to.
22-NGAICUfU
(Labiatae).
Ten hhdc: Ngai diep, cay Thuo'c ciifu. Ten khoa hgc: Artemisia vulgaris L i n n , thuoc ho cue (Compositae) Thanh phdn hoa hgc: Tuy Ngai cufu difofc dung r a t pho bien nhung chua ducfc nghien ciifu ky. Hoat chat ciia Ngai cufu chua dirge xac dinh. Chi mdi biet c6 t i n h dau nhiT Xineol va anpha thuyon, ngoai ra con CO 1 i t adenin va cholin. Cong dung: Co tac dung dieu hoa k i n h nguyet, chGa dau bung k i n h , rong k i n h bang huyet. Co tac dung an thai, chi3a dong thai. Ngoai ra dung chufa dau bung do l a n h , cam mau trong tho huyet, mau cam va con
82 •:• T/wi= A t u M e/uj«/g^/wl
gfrt
Ten khac: Rau Tan day la, rau Tudng, rau Therm long, DiTomg Ten khoa hgc: Coleus aromatieus Benth, thuoc ho hoa moi Thanh
phdn
hoa hoc: Cac hoat chat khac ehiTa t i m thay,
mdi thay t i n h dau c6 chat eacvaerola va c6 1 chat mau do la colein. Cong dung: Co tae dung khang sinh, diTorc dimg chufa ho, viem hong, cam cum. Ngoai ra con dung dap len vet r e t va bo cap can, d i n g lam gia v i trong cac mon rau so'ng. Cdch dung: Dung la tiTcfi rufa sach, gia nho, ep lay nirdc uong hoac n h a i vdi muo'i roi ngam, nuo't nudc. M 6 i ngay dimg 5-7 la khoang 10-16g. Cach trong, thu hai va che bien: Trong bang go'c eo r l hoac giam canh, to't nhat vao miia xuan, thu h a i quanh nam. Co the Phai kho dung dan, la kho de mo'c, can eho'ng am mo'c.
T/xu^t;
( L k O u yS>4.iJx
83
2 5 - RE QUAT Ten khdc: Xuang quat, Xa can. Ten khoa hoc: Belamcanda Chinensis L i n n thuoc ho Lay an (Iridaceae). Thanh phdn hoa hqc: Ngucfi ta da chie't dirge mot chat Glucozit goi la Belamcandin va Teetoridin va con c6 1 loai glucozit khac la i r i d i n va shekanin. Cong dung: Dung chfira viem co hong, amidan, viem vu, tac tia sffa. Ngoai ra dung de uong Icfi tieu, chufa co trirdng. Cdch dung: Dimg cii tirai gia nho, vat lay niTdc uong dan. Than r l kho moi ngay 3-6g sac uong. Neu thay co non nao kho chiu t h i ngCrng ngay, khong di/gc diing lieu cao. Cam k y ngiTcfi yeu. suy nhirgrc (ty v i huf han) khong diing dirge. Cdch trong, thu hdi vd che bien: Cay moc hoang va diroc trong lam thuoc va lam canh. Dao lay than r l cat bo r l con, phoi kho. K h i dung t h i dem ngam mldc gao 1-2 ngay cho mem, thai mong phcri kho sac uong dan.
26- SAN DAY Ten khdc: Cat can. Ten khoa hoc: Peuraria thomsoni Benth, thuoc ho canh birdm (Papilienaceae). Thanh phdn hoa hoc: Thanh phan chii yeu la t i n h hot, ngoai ra co chat Saponozit va mot flavonozit la puerarin. Cong dung: Co tac dung giai nhiet, chffa cam so't, mat nude, tieu chay, ta ly. Ngoai ra CO tac dung giai doc va con dimg trong cae benh phat ban, sori thuy dau, lam cho ban chong phat ra ngoai, de phong bien chiifng. 84 •
T^^n»^CAa».i^d^
Cdch dung: Cu s^n kho 20g sac uong, hoac hoa t i n h bot cho ^ g m i t dirorng ma uong. Cdch trong, thu hdi vd che bien: Qui ritog. Lay titag doan day, hay cii ve ixam sau t h u hoach cu, gia nho lay t i n h ngoai r o i chat khiic, say diem sinh roi
Cay moc hoang khap ncfi trong vao vu dong xuan, 1 bot, hoac rufa sach, boc v6 say hoac phcfi kho.
27 - CO Ml/C Ten khdc:
Co Nho ndi, Han lien thao.
Ten khoa hqc: Echpta alba Hassk, thuoc ho eiic (eompositae). Thanh phdn hoa hoc: Co 1 aneoloit goi la ecliptin (co sach noi do la nicotin), ngoai ra co t i n h dau, chat dang, tanin, caroten va wedelolacton la 1 cumarin ciia lacton. Cong dung: Co tac dung cam mau, dung chffa rong k i n h , t r i r a huyet, ho ra mau, ehay mau cam. Ngoai ra con dimg chufa ho hen, viem CO hong, boi de kich thieh moc toe, l a m den rau toe... Cdch dung: dung la tiiori 1 ngay 20-30g gia nho, ep lay niide uong 2-3 Ian de cam mau, cay la phoi kho moi ngay 6-12g sac uong. Cdch che bien: Cay moc hoang khap nai, thich hgp nhat la nori am mat. Thu ha i quanh nam, dimg ca cay phoi kho.
28 - MACH MON Ten khdc:
Mach mon dong, Mach dong, cay L a n tien.
Ten khoa hoc: Ophiopogon faponicus w a l l , thuoc ho hanh t o i (liliaceae). Thanh phdn hoa hqc: ngoai cac chat thong thircfng, chua thay CO hoat chat gi dac biet. Chi mdi thay be ta xitosterola. Cong dung: chQa ho, long dcfm, ho ra mau do lao. Ngoai ra dung la m thuoc Igi sOfa, chOfa tac t i a siifa.
TWt
CJuiu i^iiJ^ •
85
Cdch 6-12g.
d u n g r l c u , sao hoac phcfi k h o sac u o n g , m o i ngay
dung:
(Liliaceae).
C a m k y : N h i J n g ngifofi s u y nhiTorc, d i l o n g ( t y v i h i f h a n ) k h o n g nen dung. Cdch
che
bien:
C a y moc h o a n g v a duac t r o n g l a m thuo'c.
T r o n g b a n g n h a n h c6 r l vao m u a x u a n , t h u h o a c h cu vao dau t h u k h i cay difcfc 2-3 n a m . C a t bo r§ con, tirdrc bo l o i , cii to t h i bo d o i phori k h o . Co ngiTcri r a n g c h u n g v6i gao den k h i gao v a n g l a diTcfc, bo gao, l a y cii M a c h m o n sac uong.
Ten khoa hqc: cfn ( I r i d a c e a e ) . Thanh phdn Eleutherin. Cong
hgc:
D a c h i e t x u a t diTorc 4 c h a t t h u o c
chiJa h o , v i e m h o n g , m u n n h o t , choc \d. N g o a i r a d u n g de chOa c h a m , v a y n e n , to dia va con d u n g l a m thuo'c bo m a u . N g a y d i m g 15-30g cu tucfi h a y 4-12g cii k h o s a c
diing:
u o n g , CO t h e n g a m lOOg cii k h o t h a i m o n g t r o n g 1 l i t riTcfu, n g a m 1-2 t u a n m 6 i n g a y u o n g 1 co'c con, c h i a 2 I a n t r i / 6 c biJa S n , u o n g t r o n g 2-3 t u a n . Cdch
che
C a y moc h o a n g v a diTcfc t r o n g l a m thuo'c,
t r o n g b a n g t h a n cii vao mua x u a n , t h u h o a c h cii k h i cay sap t a n
tirai
h a y phcfi k h o . Bao q u a n
cho'ng moc.
86 •
T(^c
d i m g l a m thuoc bo, chufa ho h e n , ho lao, so't, Icfi
dung:
C u phori k h o , m 6 i n g a y 6-12g sac uo'ng, thudmg
tieu. Cdch
dung pho'i hcfp t r o n g cac b a i thuo'c bo va thuo'c ho k h a c . Cay moc h o a n g va dirge t r o n g l a m thuo'c va l a m
che bien:
31- C A G A I L E O Ten
Ca q u y n h , Ca q u d n h , Ca v a n h .
khoa
Thanh
Solanum Procumbens
hgc:
Lour
(solanum)
hoa hqc: Cay c6 a n c a l o i t , n h i e u n h a t t r o n g r e ,
phdn
t r o n g r l con c6 t i n h b o t sapanozit v a Cong
flavonozit.
Chfjfa p h o n g tha'p, n g o a i r a con d u n g chiJa dau
dung:
rSng, chay m a u c h a n r a n g , g i a i doc rUcm v a chOfa r a n c a n . Cdch
R l k h o m o i n g a y 16-20g sac uo'ng. Chufa r a n c a n :
dung:
n h a i re nuo't nudc, l a y ba dap l e n c h l c a n . Cdch
che bien:
Cay moc h o a n g k h a p ncri. D a o l a y r l q u a n h
32- D!A LIEN Ten Ten
30-THIEN MON khdc:
dung:
nSm, riira sach, t h a i m o n g phcfi hoac say k h o .
Men:
l u i . C i i rijfa sach, t h a i m o n g d u n g
Ten
Cong
H a i n a n e n s e H a n c e thuoc ho ca (Solanaceae).
k h a n g cac l o a i v i k h u a n n h i f p h e cau, t u cau, l i e n cau... d u n g de
Cdch
chifa t i m tha'y h o a t c h a t g i dac b i e t t r o n g cii t h i e n m o n .
Ten khdc:
Cac h o a t c h a t n o i t r e n c6 tac d u n g k h a n g s i n h ,
dung:
hoa hqc: n g o a i cdc t h a n h p h a n t h o n g thirorng,
phdn
sach bo l o i , c6 t h e do c h i n r o i t h a i m o n g phori hoac say k h o .
E l e u t h e r i n e s u b a p h y l l a G a g n e p thuoc ho l a y hoa
v
canh. T r o n g b a n g cii. T h u hoach cu vao t h a n g 9-10. Dao l a y cii r i i a
T o i do, K i e u do, T o i lao, H a n h l a o , s a m cau.
khdc:
Thanh
Cdch
29- SAM DAI HANH Ten
Ten khoa hqc: Asparagus cochinchinensis M e r r , thuoc ho h a n h
T h i e n m o n dong, T h i e n dong, day Toe t i e n .
(LU^ i^pj^
T a m n a i , Sorn n a i , T h i e n l i e n , Sa khiJcfng.
khdc: khoa
hqc:
K a e m f e r i a galanga L i n n , thuoc ho
Giifng
(zingiberaceae). Thanh
phdn
hoa
hqc:
T r o n g D i a l i e n c6 t i n h d a u g o m
-tw^
n « « v e/ujA
•:•
cac
87
^6nfl r
gfrt
at|u
c h a t n h u bocneola m e t y l p c u m a r i c , a x i t e t y l este, x i n a m i c a x i t e t y l este... Cong dung: ChOra p h o n g t h a p , k i c h t h i c h t i e u h o a , t i e u chay do l a n h , dau b u n g , dau r a n g . T i n h d a u d u n g t r o n g k y n g h e niTdc hoa. Cdch
Cu D i a h e n , t h a i m o n g phcfi k h o , m o i n g a y 4-8g
dung:
sac uong h a y t a n b o t l a m v i e n hoac n g a m r u g u uong. Cdch
C a y moc h o a n g v a dugrc t r o n g k h a p nori, t r o n g
chebien:
b a n g cii vao m u a x u a n . Dao cii vao m u a d o n g x u a n , nhuCng cay da duofc t r o n g t r e n 2 n a m . Cii dao ve d e m rufa sach, c a t bo r l c o n , t h a i m o n g , x o n g d i e m s i n h 1 ngay r o i phori k h o . ( K h o n g say t h a n v i cu se d e n , k e r n thofm). Co t h e c h i t h a i m o n g phori k h o c u n g duac. Cu Dia lien d l
-VyAo
q u a n k h o n g sof moc m o t .
khdc:
tiir, Tucrng t\l dau, Tucfng tM d a n g . Ten khoa hqc: A b r u s precatorius L i n n , Thanh
(Papilionaceae).
hoa hgc: R l v a l a ciia
phdn
khdc:
D a u cang, T a m t a n g .
Ten khoa hgc: M o r u s alba L i n n , thuoc h o dau t a m (Moraceae). Thanh
hoa hgc: T r o n g l a , r l , qua c6 c h i i a cac c h a t
phdn
t h o n g t h u d n g n h u c a r u t i n , t a n i n , v i t a m i n C, m o t i t t i n h d a u v.v..., c h U a t h a y h o a t c h a t gi dac b i e t . Cong
d^ng va lieu dung:
day C a m thao c6 chuTa m o t chat n g o t tufcfng t u n h u g l y x y r i n z i n c6 t r o n g r i C a m t h a o
Itfi t i e u , chiJa p h u t h u n g , c6 tac d u n g c a m m a u , chfla h o r a m a u , bang h u y e t . N g o a i r a con chCfa so't, cao h u y e t a p : m l i n g a y dung 618g sac uong. L a dau ( T a n g diep) chufa c a m sot, h o , v i e m h p n g , cao huyet a p , l a m cho sang m a t . M o i ngay d i m g 6-8g sac uong. Q u a d a u ( T a n g t h a m ) bo, a n t h a n , k i c h t h i c h t i e u h o a , chUa tdc
M§i n g a y 12-20g sac u o n g . To bo n g U a t r e n cay dau ( T a n g p h i e u t i e u to c o n n g U a trcfi) chfla d a i r a t , d a i d a m , Icfi t i e u , d i t i n h , l i e t ducfng, b a c h d d i . M 6 i ngay 6-12g t o bo n g U a d e m n u d n g d o n r o i t a n b o t u o n g 2 I a n . N h f l n g ngUofi n o n g , u a t ( a m h u n h i e u hoa) k h o n g d i m g dugc. Cach t r o n g , t h u h a i v a che b i e n : t r o n g b a n g c a n h vao m u a t h u a , cay song l a u n a m , t h u h o a c h cac bo p h a n n o i t r e n q u a n h
bac. H a t c6 chiJa m o t p r o t i t doc g o i l a
nSm, sao v a n g sac uong.
a b r i n v a m o t glucozit l a a b r a l i n , m o t c h a t
35- NHOT
l a m dong v o n m a u l a hemaglutinin va m o t v a i loai m e n khac. Cong
dung
va cdch
dung:
D i m g t r o n g cac dorn thuoc n a m , c6
tac d u n g dieu h o a cac v i thuoc. N g o a i r a d u n g chOa c a m so't, h o , v i e m n h i l m . R l l a v a t h a n phori k h o m l i ngay 8-16g, sac uong. Cdch
chebien:
V 6 r l dau ( T a n g bach b i ) c6 tac d u n g
s i n h ) t h u o c bo g a n t h a n , lori sOfa, a n t h a i , dau liTng n h i l c xUcrng.
D a y CiTorm ciTcrm, Tucfng t i r
thuoc h o c a n h hxidm
Ten
rau bac sdm. M o i n g a y 12-20g a n qua t u o i . T a m gilfi d a u ( T a n g k y
33- CAM THAO DAY Ten
34- DAU TAM
C a y moc h o a n g v a diforc t r o n g k h a p n a i . T r o n g
Ten
khdc:
Ten
khoa
Cay L o t . hgc:
Elaeanus
L a t i f o l i a L i n n , thuoc ho n h o t
(Elaeagnaceae). Thanh
phdn
hoa hgc: T r o n g qua c6 a x i t hufu cor, t r o n g c6
t a n i n , saponosit, p o l y p h e n o l . T r o n g l o a i n h o t E . A n g u s t i f o l i a t h a y
b a n g d a y hoac b a n g h a t vao m u a x u a n . T h u h a i k h i cay m d i r a
CO 2 l o a i a n c a l o i t l a d i h y d r o h a r m a n v a 2 m e t y n t e t r a h y d r o beta
hoa, phori k h o .
cacbohn.
88 • t / W t / w . e/«2«/ig^
T/«^<p -n«/,v e / v ^
•:• 89
f)6na r
gfrt
gt|u
Cong dung: N g o a i viec d u n g qua n h o t de n a u c a n h chua ngufoi t a d u n g N h o t de chOfa l y , i a chay, l a n h o t cung dirge chOfa l y , ia c h a y v a chOfa c a m sot, ho h e n c6 n h i e u dofm. D i m g re n a u nUoc t a m chCa m u n n h o t . L a , qua, r l d u n g t u a i hoac p h o i k h o m 6 i n g a y 6-
Cach dung: l O g sac uo'ng.
Cdeh che bien: T r o n g b a n g h a t qua c h i n . L a , qua, re d u n g tucfi hoac p h o i k h o . Qua c h i n a n l u o n k h o n g can che b i e n , c6 the n a u v d i ca.
36- BA KICH Ten khoa (Rubiaceae).
hgc:
M o r i n d a o f f i c i n a l i s H o w , t h u o c h o ca
phe
Cong diJing: Co tac d u n g bo t h a n k i n h , cifdng diTofng, l a m m a n h g a n co't, chila cao huye't ap. D i m g cho nhOng ngiicfi g i a yeu, d i m p n g t i n h , l i e t duofng. N g o a i r a con chiJa p h o n g t h a p , k i n h n g u yet k h o n g deu. dung:
hgc:
Rhinacanthus
nasuta
(L) thuoc ho
oro
(Acanthaceae). Thanh
phdn
hoa hgc:
Cay c6 h o a t c h a t l a R h i n a c a n t h i n , c6
jjiau do a n h dao, k h o n g m u i , k h o n g v i . Cong
ChOfa hac lao, choc I d ,
dung:
j-^n cSn, c h a m (eczema) chOra t h a p k h d p , cao h u y e t dp. Cdch
l O g r l gia n a t , n g a m rirgfu
dung:
hoSc g i a m . D i m g b o i n g o a i , c6 t h e pho'i phe nifd'c c h a n h . Co the n a u t h a n h
Thanh phdn hoa hQc: Re Ba k i c h c6 c h a t a n t h r a glucozit l a t h a n h p h a n chu yeu.
Cdch
khoa
hcfp v d i I g b o t l o n g nao va nura t h i a ca ..
B a k i c h t h i e n , cay R u o t ga.
Ten khdc:
fen
R l Ba k i c h k h o m§i n g a y 4 - l O g sac uo'ng. Co the
d u n g pho'i hcfp t r o n g cac b a i thuoc bo diTdng, t r i r p h o n g t h a p k h a c . Cam ly,: K h o n g d i i n g cho nhijtng ngiTofi a m h i r, h o a t h i n h d a i t i e n tao b o n .
cao
long de dap. Cdch
che
bien:
Cay moc h o a n g v a ><
dugc t r o n g a n h i e u nofi, t r o n g b a n g go'c. :• Miia hoa qua t h a n g 1-5. R l t h u h a i q u a n h n a m , d i m g tiicfi h a y phcri k h o .
38- BACH BQ Ten khdc:
D a y d e t ac, day ba m u o i .
Ten
hgc:
khoa
S t e m o n a , tuberosa, L o u r , thuoc h o b a c h bo
(stemoraceae). Thanh
phdn
hoa hgc: N g o a i cac t h a n h p h a n b d dirdng, t r o n g
cu b a c h bo c6 n h i e u ancalo it, chii yeu l a s t e m o n i n . Co tac d u n g ufc che t r u n g t a m ho v a k h a n g s i n h .
Cdch che Men: Cay moc h o a n g t r e n r i f n g n u i , d d i r a m , d n h i e u t i n h m i e n Bac, da t i m t h a y d B i n h T r i T h i e n k h a n h i e u . Dao l a y r l q u a n h n a m , rufa sach phcf g a n k h o r d i dap dep, r o i phori l a i cho t h a t k h o .
thuo'c t r i ho lao, n h i e m t r i i n g diicfng r u o t , t r i g i u n dua, g i u n k i m
37- BACH HAC
5 n g a y , sau do t a y b a n g thuo'c muo'i. N a u t h a n h cao sen seL uo'ng
Ten khdc:
90
•
T/u^c
yu^
K i e n c6, cay Lac, Thuoc l a n h o l a , U y l i n h t i e n . (L/uia
^44j,
Cong
dung:
Co tac d u n g l a m d i u nhiJng com h o , d i m g l a m
va d i e t con t r i m g nhiT r u d i , r a n , r e p , m u d i , bo cho, d o i . Cdch
dung:
ChuTa g i u n dua, n g a y 7 - l O g cii k h o sac uo'ng t r o n g
1 n g a y 2-3 t h i a de chOfa ho va ho lao. ^
Cdch
che
bien:
Cay moc hoo-ng t r e n r i r n g , hoac t r o n g t r o n g TUu^c /w*v
(Li^
i^iU.
•
91
vUcfn. cao
Cdch dung: Ban ha che (xem phan bao che) lieu tCr 2-4g c6 ^ 1 tdfi 12g 1 ngay, s a c uo'ng. Co ngUori gia cii ban ha tuai, r d i loc j^y t i n h bot quay vdi ducfng ma an, hoac vo vien nau che Ban ha. jQii b i r a n can, lay cii tuoi gia nho dap vao cho r a n can khong ke
Dao lay cu vao m u a dong, rufa sach, be tudc ra, bo loi, n a u
k h i con
39- B A C H
tiTori hay
xSt phofi ho^c
D O N G
NQ
Ten khdc: Mo trang.
say
kho.
Cay leo trang, man trang, Ban trang, Vay trSng,
Ten khoa hgc: Clerodendron fragans Vent ( l o a i hoa mam xoi), Clerodendron Squamatum L i n n (loai hoa moc choi len cao), thuoc ho CO roi ngua (Verbenaceae). Thanh phdn hoa hgc: chira diTgrc nghien cufu ky, mdi thay c6 nhieu muo'i canxi. Cong dung: ChOa k h i h i i , chiJa cao huyet ap, ngoai ra con dung chOfa chutng vang da l i mat, va dung la nau niTd'c tarn rura mun nhot, ghe, choc lor. Cdch dung: thucfng dimg r l phcfi kho mSi ngay 20g s a c uo'ng, C O the dung ca t h a n va la. V i thuoc nay thUcfng duqrc dung pho'i hgfp trong cac bai t h u o c chufa k h i hiT khac. Cdch che bien: Cay moc hoang or cac bui bof. Thu h a i quanh nam, to't nhat la liic cay sap ra hoa, dao lay r l phcfi kho. 40- B A N
HA
Ten khdc: Cii Choc, cii to goi la nam t i n h , cii nho la ban ha (cii nay sinh ra giiJa mua ha). Ten khoa hgc: Ban ha Viet Nam: Typhonium divaricatum. Ban ha Trung Q u o c : Pinellia ternata, thuoc ho ray (Araceae). Thanh phdn hoa hgc: Cu Ban ha c6 chiifa t i n h bot la thanh phan chu yeu, ngoai ra c6 mot i t t i n h dau, 1 ancaloit, 1 chat cay phytostenin. Cong diJLng: ChCa ho, long dam, chOfa non mira of nhiJng ngadi phu nOf CO t h a i , chijfa dau da day do tac dung cho'ng co that ciia no, ngoai ra con dimg dap chiifa ran can. 92 •:• r w ^ ; x « ^ e A ^ ^ ^
i j l u liTcmg.
^
Cdch che bien:
Cay moc hoang khap nori trong n U d c , thich
dS't hcfi am. Thu hoach cii vao giffa mCia he. 41.BE0CAITfA Tin khdc: Tii phii binh, Dai phu binh, Beo van, Beo t a i tiTcfng,. B6o tia. Ten khoa hgc: Pistia Stratiotes L i n n thuoc ho ray (Araceae). Thanh phdn hoa hgc: Trong tro beo cai chufa tdi 75% kaliclorua va 25% kalisunfat. Chua t i m thay hoat chat gi dac biet. Cong dung: Tac dung lofi tieu, tieu doc, cho'ng di iifng, t r i hen suyln.
Cdch
dung:
- Dung canh. Beo cai tia phofi kho, s a c lay nudfc uo'ng, cat diTofc can hen suyln. - Canh Beo tia tUcfi rufa sach 200g gia vat lay niTdfc t h o i corm nep an tir 10 ngay den 1 thang t r i di/ofc can hen lau dai. - Dimg ngoai, dun niTdc t a m , hoac gia tiTofi dap len t r i mun iihot, man ngijfa. Cdch che bien: Beo cai moc t u nhien of khap ncfi c6 ho ao d nuofc ta. Dung toan cay, thu h a i quanh n a m , tot nhat vao m i i a ha l a m i i a cay c6 hoa. Thudng dung tiTcfi hoac phcfi kho de diing d a n . 42- B[
NGO
Ten khdc: B i do, b i ra. Ten
khoa
hgc:
Cucurbita pepo L i n n , thuoc ho bau b i
(Cucurbitaceae). T/^j-^
^M^-
9*
Thanh
phdn
hoa
N g o a i n h t t a g t h a n h p h a n d i n h duSng,
hQc:
c h i r a t h a y c6 h o a t c h a t g i d a c b i e t . Cong
j-a con d u n g d e n a u nUdc t a m g h e .
H a t b i n g o c6 t a c d u n g d i e t s a n scf m i t ( s a n b o v a
dung:
s a n I g n ) t u y k h o n g m a n h n h i f t i g k h o n g doc v d i n g u o r i . L a b i n g o CO t a c d u n g t i e u v i e m . Cdch
trudc
t
.
— —
sau d u n g 300g h a t
soi nho
lilfa, s a u d o g a n
ca
Ten
1 gior l u c b u n g d o i , n a m n g h i 3 g i d r o i t a y b a n g 3 0 g s u n f a t n a t r i h a y sunfat m a g i e , d i ngoai n g a m d i t t r o n g 1 chau nudc a m . Muoji t a y t o ' t h o n t h i 2 gicf s a u k h i u o n g h a t B I n g o t h i u o n g 8 0 g h a l C a u (sac l a y nirdc u o n g ) . T r e e m t u y t h e o t u o i , ca h a t B i v a h a t
mun
a n v a i c h u c h a t . G i a n h o l a b i x o n g c h o v o i v a m u o ' i g i a l a i cho n h u y i n r o i d a p l e n m u n n h o t c h u a c6 m i i , se b d t s U n g d a u v a t i e n mun
B o m a y , D a i t h a n h . D a n g cay. M a y k y cay, T h a n h
khdc:
hgc:
C l e r o d e n d r o c y r t o p h y l l u n T u r e z t h u o c h o c6 r o i
(Vecbenaceae). phdn
hoa
hgc:
c h U a d u o c n g h i e n cufu k y , mdi t h a y c6
ancaloit. Cong cho 94
hoa
hgc:
T r o n g qua
bo nay
v a k e t t i n h dUcfc c h a t S a p o g e n i n v a m o t so' chat khac. dung:
Co t a c d u n g k h a n g s i e u v i
t r u n g v a t r i m g r o i a m d a o , chiifa h o ,
mun
n h o t , c h i J a l y , d a u nhufc r a n g , n h u a n t r a n g . Cdch
dung:
hat)
sao
t o n t i n h , t a n b o t uo'ng
Q u a bo
ke't (bo
moi
cac m u n I d . H a t b o k e t : sao v a n g t a n n h o , m S i n g a y u o n g
5-lOg
t i n h , m S i n g a y u o n g 5 - l O g d u d i d a n g t h u o c sac chOfa v i e m v u , u n g n h o t , t a c t i a sOfa. Cdch thang
che
hien:
Cay moc h o a n g hoac t r o n g , t h u h a i qua
1 0 - 1 1 , p h o i k h o , d e l a u c6 m a u d e n . G a i b o
d u n g l a m thuoc k i c h t h i c h tieu hoa, a n n g o n
Tku^cn^(Lka«.i^&tU^
cam
h a y say
vao
ket thu hai
q u a n h n a m , t o t n h a t v a o t h a n g 9 d e n t h a n g 3, t h a i m o n g dung:
n h U n g p h u n U s a u k h i s i n h de. NgUcfi T r u n g Quoc d u n g •:•
phdn
chxia m u n n h p t v a k i e t l y . G a i B o k e t ( t a o g i a c t h i c h ) s a o d e n t o n
hhoa
Thanh
Thanh
(Caesalpiniaceae).
chiifa nhufc r a n g , s a u r a n g ( n g a m x o n g r o i n h o d i ) ; t a n n h o r a c v a o
thao tam.
ngua
Gleditschia australis
n g a y 0 , 5 - l g , chiJa h o , t r u n g p h o n g c a m k h a u ; d a p v a o c h a n r a n g
43- B p NET
Ten
hgc:
k e t CO c h a t S a p o n i n t h i i y p h a n . C h a t
v a n g h a y sao
nhot.
Ten
khoa
Cong
I6n.
la b i ngo tuoi, n o n 30g v o i a n t r a u 15g, muoi
nhgt:
C h a m ke't, Tao g i a p , T a o giac.
H e m s l , thuoc ho v a n g
t h e m i t duofng, a n h e t t r o n g v o n g
Dan
khdc:
Ten
tron
C a u , h e u t i r 1/3 d e n 1/2 l i e u n g i r M
Cay moc h o a n g k h a n h i e u d 2 b e n dudng, n o i
Men:
44- BO KET
lay
nude, cho t h e m i t duomg r d i uong, hoac boc v6 l a y n h a n g i a n h o
che
cay
10-15g.
sac u o n g . C a n n g h i e n cufu t h e m v e t a c d u n g chOta g h e .
v 6 , g i a n h o cho t h e m 2 p h a n nirdc dun
C o t h e l a y l a n o n n a u c a n h a n , h o a c l a y ca
dung:
c6n h o a n g . C h a t c a c a y v e p h c f i k h o , c6 t h e sao v a n g c h o t h c f m de
t h u t thao hoac uong thuoc T a y nhe, sang h o m
Cach
(hc^i h a y s a y k h o , sac u o n g m 6 i n g a y Cdch
chieu h o m
dung:
chiJa so't p h a t b a n , v i e m h o n g , a m i d a n , c h U a l y , trUc trung. N g o a i
phoi
kho.
d§ t;/U^<= y\(y'^ (^koa. i^pJv
•
95
Ten khoa hgc: Gossypium sp, thuoc ho bong (Malvaceae). Thanh phan hoa hqc: Trong hat Bong c6 dau khong no nhu: p a l m i t i n , stearin, olein, linolein, c6 hai chat doc la gossypola vang va gossypola do. H a i chat nay h i giam doc k h i dun nong. Trong v6 re cay Bong cung c6 gossymola va v i t a m i n K , mot i t t i n h dau va tanin. Cong dung: H a t Bong c6 tac dung Icfi siJa. V6 re cay Bong dung lam thuoc cam mau tuf cung va c6 tac dung dieu k i n h , diing lam thuoc chong thu thai cho nam gidi, cho ket qua tdfi 99%. Cdch dung: H a t Bong ngay 5g sao vang sac uong. V6 r l kho, ngay 3-5g sac uong. Co the nau cao lam thuoc chufa bang huyet, da k i n h , rong k i n h . Chiet lay chat gossyphola tii hat va v6 re uong 1 ngay 20mg trong 2 thang de k i m ham sii phat t r i e n ciia t i n h trung. Sau do uong duy t r i 2 ngay trong 1 tuan, uong nhu the trong 1 thang. N g h i thuoc 2-3 thang, t i n h trung se phat trien trof l a i b i n h thucfng. Cdch trong, thu hai va chef Men: NgiTori ta trong Bong de det vai, sau k h i can Bong, hat Bong difgrc loai bo mot each lang phi. Gan day nguM ta ep lay dau de thap den, nau xa phong va c6 the de an sau k h i loai chat doc bang each dem dun nong gia (goi la khir dau). Lay re, boc v6 phcri kho, dung l a m thuoc, h a t Bong cung phai kho, chong am mo'c.
46- B a d M BAG .
Ten khdc: Hoa
hxidm,
BiTcfm
h\l&m.
Ten khoa hoc: Missaenda pubesscens (Rubiaceae).
Ait.f...,
thuoc ho ca phe
Thanh phan hoa hgc: chiTa thay ai nghien cijfu. Cong dung vd lieu dung: hoa diing lam thuoc Icfi tieu, chOa ho hen, so't. M o i ngay dung 6-12g kho, sac uong. Ngoai ra dimg 96
•
T/u^cT^
yu».
gia n a t dap len ch6 mun nhot viem tay, xUcfng gay cho dd (Jau. BiXdm bac dung lam thuoc giam dau, chufa thap khdp, k h i j j j . M6i ngay dung 10-20g re kho, sac uong, canh v a la c6 tac dung ohn r l . Cdch chebien: Cay moc hoang or cac vimg niii thap, van rilng. Thu hai hoa, than r l quanh nam phori hoac say kho. jxoa
45- CAY BONG HAT BONG
47- CA DQC DLTOC Ten khdc: Ca difcfc. Ten khoa hgc: Datura metel L i n n , thuoc ho ca (Solanaceae). Thanh phan hoa hqc: trong la, qua, t h a n va r l deu c6 chat hyosxin hay scopolamin, ngoai ra con c6 hyosyamin va atropin. Cong dung: cac hoat chat noi tren deu c6 tac dung iJc che sir dan truyen t h a n k i n h , tranh chap vdi Acetycholin, lam liet day pho giao cam. Nhof tdc dung do ngUori ta dung chiJa dau da day, giam CO that da day, ruot, chong non mijra, say tau, xe va l a m gian phe quan chong hen suyen. Cdch dung: dung la banh te (la khong non va cung khong gia qua) phai kho t a n bot uong moi ngay 0,3-0,5g chiJa dau da day, non mufa. Co the ngam trong con v6i t y le 1/10 (1 phan bot la 10 phan con) uong moi ngay 10-30 gipt. K h i len corn hen t h i lay la quan thanh dieu de hut n h i / thuoc la. Chu y: la loai cay r a t doc phai dung dung lieu lir<?ng qui dinh. Khi CO trieu chting ngo doc, mat do bifng, t i m dap nhanh t h i phai thoi ngay. K h i b i n h i l m doc se gay r o i loan tarn t h a n va t h a n kinh, n h i l m doc nang se liet cof ho hap va ngitog thor, phai dua di capcijfu. Cdch che bien: Cay moc hoang kh^p nori, va diTgrc trong l a m *hu6'c. La loai cay d l moc, d l trong, thich dat hoi am. Cac bo XA^C
y\4u^ (Luoa. i^iO. •>
97
f)6ng Y STrt gtgu
*
p h a n n h u hoa, l a , h a t , t h a n v a re deu d u n g dircfc, n h u n g l a hay duofc d u n g n h i e u n h a t . H a i l a phori k h o c h o h g a m mo'c ( r a t d§ b| mo'c). K h i d u n g t h i t a n h o t hoac t h a i t h a n h sofi q u a n t h a n h die'u de h u t .
(gyngnathidae).
48- CA ROT
h g p b e n l a u , chtta l i e t dirang, t h a n k i n h suy nhirgc, t r e t r a i ye'u
Ten khoa HQC: (Umbelliferae). Thanh
phdn
DOCUS Carota L i n n , thuqc
ho
hoa t a n
hoa hqc: ngoai cac t h a n h p h a n t h o n g thuofng c i j
ca ro't CO C a r o t e n , l a 1 t i e n s i n h to' A . N g o a i r a con c6 m o t so' m e n n h u pectaza, oxydaza, cac e n z y m va con c6 i n s u l i n t h u c v a t l a m h a dirdrng huye't, m o t so' muo'i k i m l o a i q u a n t r o n g k h a c . T r o n g c u , qua v a hoa Ca ro't c6 chufa t i n h dau. Cong
Cu Ca ro't l a m o t l o a i :hu6'c bo, m o t n g u o n cung
dung:
Ten
khoa
Thanh
sp,
thuoc
ho
hai
long
hoa hpc: Chira t h a y t a i l i e u n g h i e n cufu.
phdn
Cong
Hippocampus
hqc:
L a m o t l o a i thuo'c b d , c i T d n g d i r a n g , g i i i p cho giao
dung:
duo'i, c h a m d a y t h i . N g o a i r a c6 t h e l a m thuo'c t a n g liTc cho p h u nflf Ichi s a n h de k h o , do r a n ye'u v a tuf cung e o bop ye'u. Cdch
m S i n g a y d i i n g 4-12g ( k h o a n g 1 d o i ca n g i T a n h o )
dung:
s^c uo'ng hoac sao g i o n t a n b p t uo'ng. Co t h e n g a m r u g u theo l i e u noi tren. C a m k y : k h o n g d i m g cho p h u nuf c6 t h a i . Cdch dirge
che hien:
cac v i m g b i e n n i T d c t a deu e o ca ngira v a b a t
q u a n h n a m c i m g vo^i cac l o a i ca k h a c k h i keo l i T d i , n h i e u n h a t
cap n g u y e n l i e u t i e n v i t a m i n A , c6 tac d u n g to't cho h o a t d o n g c i i a
la vao t h a n g 8-9. B a t d i r g e m d vuft r u g t , uo'n eong duoi cho dep r o i
t h i giac, g i i i p cho s U p h a t t r i e n ccf t h e v a h o a t d o n g s i n h due, s i n h
phori k h o . Bao q u a n cho'ng a m mo'c.
san c u n g n h u chiJe n a n g bao ve da. Co tac d u n g dieu t r i i a c h a y t r e e m . Q u a ca ro't con d u n g l a m thuo'c t h o n g t i e u , dieu k i n h va chOfa ehijfng dau t h a t ngiic. Cdch
De chOra t i e u chay t r e e m , l a y 5 0 g h o t cii Ca rot
diing:
50- CAY CAI CU Ten khdc: Ten
(Crueiferae).
1 k g t h e t r o n g cho 1 0 0 - 1 5 0 m l xup do, c h i a l a m 6 I a n t r o n g ngay,
Thanh
x i i p Ca ro't 2 0 % sflfa me hoac sOa bo, n g a y thuf 3 6 0 % x u p Ca r o t , n g a y thuf tiT 4 0 % xup Ca ro't, p h a n con l a i l a sflfa hoac chao loang cho t h e m muo'i. Cdch
che Men:
Ca ro't dirge gieo t r o n g b a n g h a t vao m u a t h u .
K h i g i a c6 qua t h i l a y h a t va cu. H a t phori k h o , cu d u n g t u a i hoac t h a i m o n g phcfi k h o .
49- CA NGl/A Ten 98
•
khdc:
H a i ma, H a i long, Thuy ma.
Tiuuicn^cLiuiui^&u.
r a u L u b i i , Cu C a i , L a bac tiir, L a i phuc tijf.
khoa
k h o hoac 5 0 0 g Ca ro't tiTcri, n a u v d i 1 l i t nifdc, dirge x u p Ca ro't. Cii t r o n g 1-2 n g a y dau c h i cho a n xiip ca ro't, n g a y thu" 2 (hoac 3) 80%
^
hqc:
phdn
hoa
Paphanus hoc:
Sativus L . thuoc ho
chif t h a p
T h a n h p h a n chu ye'u cua h a t l a c h a t
dau, t r o n g do c6 h g p c h a t sunfua. H o a t c h a t k h a c c h i T a r o . Cong Cdch
dung:
G i i i p t i e u hoa v a chflfa h o , n o n m u f a , I g i t i e u .
dung:
• D u n g c a C u cai phori k h o h a y say k h o v d i l i e u 10-15g, 1 n g a y dirdi d a n g thuo'c sac, hoac l a C a i c i i phori h a y say k h o v d i l i e u 1015g 1 n g a y cung dirdri d a n g sac de l a m t h o n g t i e u t i e n , chflfa p h i i thung, giai nhiet, r a m d hoi. - D i m g pho'i h g p v d i Tuf t o ( h a t t i a t o ) l O g sao, b a c h g i d i tuf ( h a t cSi cay) 3g sao, l a bac tuf ( h a t cu cai) l O g sao, t a t c a t a n n h o , cho
T/u^t
e/v^
^£fJ^
•
9 9
f)6ng r
g'rt
vao t i i i v a i , t h e m 5 0 0 m l nudrc, sac con 2 0 0 m l , c h i a l a m 3 I a n uo'ng t r o n g n g a y , chQa cho ngUcfi gia ho l a u n g ay . Cdch
che bien:
m u a hoa tCr t h a n g 4 d e n t h a n g 7. M u a qua tir
t h a n g 6 den t h a n g 7. Cay diTgrc t r o n g k h a p n o i t r o n g niTdc t a de l a y r l cu a n , l a l a m diia, h a t l a m thuo'c.
51- CAU Ten
B i n h lang. Tan lang.
Ten khoa HQC: A r e c a Catechu L i n n , thuoc ho cau dufa (Palmae hoac Arecaceae). phdn
hoa
hpc:
T r o n g h a t c6 n h i e u t a n i n , liic x a n h
d en 7 0 % , liic c h i n con l a i 15-20%. H o a t c h a t c h i n h l a 4 a n c a l o i t : a r e c o l i n , a r e c a i d i n , g u v a x i n v a guvacolin. Cong
dung:
H a t Cau d u n g de chaa s a n , g i u n dua, dau b u n g ,
day b u n g , k h o t i e u . R l Cau l a m thuo'c Igri t i e u m a n h , d u n g t r o n g cac trifcfng hcfp p h i i t h u n g . Cdch
dung:
H a t Cau m 6 i n g ay 3-lOg sac uo'ng chOfa dau bung,
r l cau n o n 8-12g sao v a n g sac uo'ng.
Cdch
C h o i r a n h , C h o i xue, T h a n h hao, C h o i t r e n .
ffen khoa hgc: Beackea frutescens L . , thuoc h p s i m (Myrtaceae). T r i tha'p k h d p , dau b u n g do l a n h , dieu k i n h , chfla
6ng dung:
ky,: k h o n g d u n g cho t r e sa s i n h v a p h u nOf c6 t h a i . che
bien:
D u n g qua gia c h i n v a n g , t r o n g n g a y hoac
uang, k h i cay cao do 8 0 c m t h i h6i d i t r o n g d nofi k h a c vao mu a x u a n . Sau 5-6 n a m m6i t h u h o a c h l a y qua chiTa g i a ve got v6 x a n h bo r a phori k h o , hoac say k h o chu ye'u de a n t r a u . K h i ca n l a m thuo'c t h i l a y h a t m a d u n g goi l a B i n h l a n g , cung CO t h e l a y V6 qua cau
(Xac
cau k h o - goi l a D a i phiic b i ) cung CO tac d u n g nhiT h a t Cau. L i e u l i i o n g gio'ng nhiT h a t cau.
Thanh
phdn
hoa hqc: T r o n g cay c6 t i n h dau m a u v a n g n h a t ,
m u i l o v a n g c6 m u i x i n e o l a g a n gio'ng t i n h dau k h u y n h die p. Cdch
dung
va lieu
litgfng:
- H o a C h o i se m 6 i ngay 6-8g dnidi d a n g sac uo'ng de dieu k i n h . - Hoa v a l a n g a m rugfu lOOg/lit uo'ng ngay 2 I a n 1 I a n 2 0 m l , t r i dau b u n g do l a n h hoac xoa bop or ngoai. - Do't ca cay de x o n g hori k h i dau b u n g , n o n mufa do l a n h .
- C a t l a y t i n h dau hoac cat chung vdfi t r a m , t r i c a m c u m v a ky,: K h o n g d i m g cho p h u niJ c6 t h a i .
Cam
53- CHUT CHIT Ten khdc:
T r u t t r i t , L i r d i bo, Ngifu t h i e t , Duorng de.
Ten
hqc:
khoa
R u m e x W a l l i c h i i M e i s s n , thuoc ho r a u r a m
(Polygonaceae). Thanh
phdn
hoa hqc: T r o n g r l C h u t
c h i t CO a n t r a g l u c o z i t , n g o a i r a c6
â&#x20AC;¢
Ti^^n^^CLl^i^iU.
chat
t a n i n v a nhiTa. Cong
dung:
Co tac d u n g l a m t a n g
n h u d o n g r u o t , n e n c6 tac d u n g n h u a n t r a n g , chufa chufng a n uo'ng c h a m
tieu.
N g o a i r a con d u n g de chiifa hac lao, m u n o h o t lor ngufa. Cdch
diing:
d u n g de t a y : 8g r l C h i i t
c h i t da phori k h o , t h a i m o n g sac 100
,
diing n g o a i .
day b u n g . D u n g chiJa s a n pho'i hop v d i B i ngo ( x e m muc b i ngo), Cam
Ten khdc:
cam c u m . C a n n g h i e n cufu ve tac d u n g cho'ng t h u t h a i .
khdc:
Thanh
52- CHOI SE
uo'ng TWt
101
f)6na T gfrt atgu n h i e u I a n t r o n g ngay. ChiJa hac lao, m u n . Id: hot r e c h u t c h i t lOOg n g a m v d i 5 0 0 m l rUofu t r o n g 10 ngay, boi vao ch6 hac lao v a m u n Id da njfa sach. Cdch che Men: Cay m p c h o a n g k h a p n o i of c a c v i i n g d a t a m \i6t. Dao l a y r l ve m u a t h u dong, riira sach cat bo r l con t h a i m o n g p h o i h a y say k h o . 54- C O Ten
che
Men:
Cay moc h o a n g k h a p ncfi, t h u h o a c h q u a n h
56-
C6C
Ten
khoa
Thanh
hgc: Bufo M e l a n o s t i c t u s , thuoc ho coc
(Bufomidae).
hoa hgc: T r o n g nhira Coc c6 n h f f n g c h a t doc n h u
phdn
bufogin, b u f o t o x i n , b u f o t e n i n ... c6 the l a m n g i t o g t i m . T r o n g t h i t
BO khdc:
Cdch
nam, cuoc l a y t h a n re ve d i m g tUcfi hoac p h o i k h o de d a n h .
C6c CO 5 3 , 3 7 % c h a t d a m , 12,66% c h a t m d , t r o n g c h a t d a m c6 T h u y t a n , c6 C h a d i e n , r a u Bof nirdc, r a u T h a p t u .
Ten khoa hgc: M a r s i l e a Q u a d r i f o l i a L i n n , thuoc ho r a u bg nude (Marsleaceae). Cong can.
d^ng:
ChUa soi t h a n , k h o t i e u t i e n , chOfa b a c h d d i , r a n
Cdch
dung:
ChCa soi t h a n : cay tucfi gia n h o , c u n g vdi bup n o n
du-a d a i 20g, N g a i cufu l O g , P h e n den l O g , t h e m niTdc, g a n uong. M 6 i n g a y 2 0 - 3 0 g cay k h o , d u n g cay tiTofi l i e u l u o n g t a n g gap 34 Ian.
nhieu l o a i a x i t a m i n c6 gia t r i . N h i f v a y t h i t Coc c6 g i a t r i d i n h dU9ng r a t cao. Cac n g u y e n to' nhiT k e m , m a n g a n d coc r a t cao. Cong
dung:
NhiTa Coc c6 tac d u n g l a m t i e u doc, chflfa d i n h r a u
hdu bo'i, v i e m h o n g , dau r a n g . T r o n g dcfn thuoc "luc t h a n h o a n " c6 nhifa coc ( t h i e m to). V i n h i f a coc r a t doc k h i d u n g n e n t h a n t r o n g , c i n CO sir c h i dSn cua t h a y thuoc. T h i t coc CO tac d u n g chfla suy d i n h dirdng (cam com) d t r e e m rS't h i e u n g h i e m . Cdch
dung:
B a t Coc l a y dao cat xeo tir ngnc x u o n g l i f t i g , bo
d i u v a v a i c6 ca h a i t u y e n n h i f a , x o n g l o t da, bo h e t r u o t g a n , 55-
C6TRANH
Ten
khdc:
Ten khoa (Gramineae). Thanh
trufng, c h i l a y tir p h a n liTng tror x u o n g v d i h a i d i i i sau, d e m riJta
hgc:
phdn
I m p e r a t a , c y l i n d r i c a B e a u v , t h u o c ho
hoa
hgc:
t r o n g t h a n re c6
glucoza, fructoza v a a x i t hOu co, chiTa t h a y h o a t c h a t g i dac b i e t . Cong
dung
t h a t sach n h i e u I a n dvCdi nifdc chay (de p h o n g nhiTa Coc con d i n h
B a c h mao, B a c h moa can ( r l c6 t r a n h ) .
vd cdch
lua
\ko t h i t ) . X o n g d e m b a m n h o , r a n (chien) md cho t r e e m a n m 6 i ngay do 4 con a n l i e n t r o n g 1-2 t u a n . N e u b a t duac n h i e u Coc t h i cung l a m n h i r t r e n , d e m say k h o , t a n b p t , cho t h e m 1 i t dau n a n h r a n g d o n , t h o r n , t a n b o t , dong goi cho t r e a n d a n , m 6 i n g a y l O g chia 2-3 I a n . Co t h e l a m b a n h cam coc, t r o n b o t Coc vdri b o t H o a i scfn, Y d l ( r a n g v a n g ) v a diTomg l a m t h a n h b a n h i n cho t r e a n .
dung:
Co tac d u n g
g^Nhung l i e u 1 n g a y k h o n g qua lOg bot Coc.
Igri t i e u v a t a y doc, b e n h n h a n n o n g , tao b o n t h i d u n g tirai, m l i ngay 20-40g s^c uong; neu l a n h , day b u n g t h i sao v a n g m 6 i n g ay 8-12g, s a c uong. Co tac d u n g cam m a u , t i e u t i e n c6 m a u , t h o huye't, m a u cam.
102
•
T/uU^^A^C^^^i^
57- C O C
TINHTHAO
Ten
khdc:
Co d u o i cong, cay Coc t i n h , c6 D i l i t r o n g .
Ten
khoa
hgc:
E r i c o c a u l o n , Sexangulare
L i n n , thuoc ho
coc
•:•
103
^ i i i h t h a o (Ericocaulaceae). :
^kaui'M^^
Thanh phdn hoa hgc: Chira thay ai nghien cufu. Cong dung: Dung de chOfa dau mat, do mat, nhufc mat, chQa sot nhufc dau, thien dau thong, dau rang, viem hong va c6 tac dung Igri tieu. Cdch dung: moi ngay dung 6-lOg hoa kho, sac uong hay tan bot uong. Co the dung hoa tan bot tron vdi ho dan vao ncri dau. Cdch chebien: Cay moc hoang or cac vung dat am Udt, thifcfng moc vao mua he, sau vu gat, k h i ra da tan l u i , hoac d cac ruong hoang. Thu h a i hoa ca can hoac bo can (goi la coc t i n h chau), phoi hoac say kho.
58- DANH DANH Ten khdc: Chi tOf, Sorn chi tijf. Ten hhoa hqc: Gardenia jasminoides Elhs, thuoc ho ca phe (Rubiaceae). Thanh phdn hoa hgc: qua Danh danh chin c6 mot glucoza mau vang goi la gacdenin, ngoai ra con c6 t i n h dau, t a n i n va mectin. Cong dung: chufa vang da do uf sac to' mat, c6 tac dung giai nhiet, Igi tieu, cam mau va c6 tac dung khang sinh. Dimg de chQa ly ra mau, viem tiet nieu, viem hong, do mat. Mau vang ciia qua Danh danh khong doc, dung lam pham nhuom trong ngauh banh keo. Cdch dung: H a t Danh danh ti/oi hay kho sac uong de chCa so't va cac chiJng viem, n h i l m triing, m6i ngay 6-12g sac uong. Con dung de cam mau t h i sao den sac uong lieu nhiT tren. La tiroi gia nat dap len ch6 siftig dau va dau mat. Cdch chebien: Cay moc hoang or nhieu ncfi, hay thay cs cac bcf ruong, bcf ao, bd rao, ven song, ven suoi. Thu h a i qua chin vao thang 8-11, lay hat phcfi hay say kho, chu y chong am moc, v i qua nay d l hut am, de moc. La tirori thu h a i quanh nam, dung de dap ben ngoai. 104
•:•
Tkcacr^cLUiuK^iU.
f
59- DAM B g j Ten khdc: Cay Bong can, Bup, Xuyen can b i . Ten khoa hgc: Hibicus rososinensis L i n n , thuoc ho bong (Malvaceae).
Thanh phdn hoa hgc: chua thay c6 hoat chat gi dac biet, mdfi thay trong hoa c6 chat antoxyanozit. ^ Cong d^ng va cdch dung: Dimg la va hoa tifori gia nho dap Ign mun nhot cho d9 dau va chong v9 mu. R l Dam but sac uong dung de chufa ly, bach ddfi, k h i h u va dimg rufa mun nhot. Cdch che Men: Cay moc hoang hoac dircfc trong l a m canh va lam hang rao. Trong bang canh vao mua xuan, thu h a i la, r l quanh nam.
60- DIEP CA Ten khdc: Giap, rau Giap ca, Ngif t i n h thao. Ten
khoa
hgc:
H o u t t u y n i a cordata T h u m b , ho la giap
(Saururaceae). Thanh phdn hoa hgc: trong cay CO chirng 0,0049% t i n h dau va mot i t chat ancaloit goi la cocdalin, thanh p h a n chii y e u ciia t i n h dau l a metylnonylxeton, mycxen, axit caprinic va laurinandehjrt. Cong dung: ha, nhiet, chOfa dau ; mat, Icfi tieu, chiJa mun nhot, t r i loi dom. Cdch dung: dimg lieu 6-12g la kho mot ngay difdi dang sac, bot, vien. Nhan dan dung cay Diep ca trong nhufng triTcfng hgp t u mau nhir dau mat, gia la tiToi ep giufa 2 Ian vai sach, dap len mat k h i
Tiu^c
(Lkou.
•
105
f)6n9 Y gfrt
ngii. Hoac trong benh t r i loi dom 0,6-12g la kho sac uo'ng va na'u song va rufa.
nudfc
Cdch che Men: Cay moc hoang d ch6 am udt nhiT chan r u p n g nude, v a n suo'i, bof mUOng. Trong bang than n g S m vao mua xuan. Mua hoa qua thang 5 den thang 7, dung ca cay t n r r l , thu hai quanh nSm, dung tiTcfi hoac phoi kho.
61-DAI Bong suf, Hoa suf trang, Bong suf do, cay Hoa dai.
Ten khoa HQC: Plumeria acutifolia, Poir, thuoc ho true dao (Apocynaceae). Thanh phdn hoa hqc: T r o n g v6 cay c6 m o t glucozit la Agoniadin, nhua cay c6 mot axit phumeric. Hoa dai c6 chat khang sinh dat ten la Funvoplumierin c6 tac dung life che sir phat t r i e n ciia triTc khuan lao, va c6 t i n h dau mui therm d l chiu. Cong dung va cdch dung: Co tac dung tay va thao ni/dc, c6 the dung n h i f a mu 0,5-0,8g dirdi dang nhu dich (pha vdi nude) hoac v6 cay hay v6 r l 5-lOg sao vang sac uo'ng. Co tac dung ha huyet ap, dung hoa tiToi hoac kho 6-12g sac uo'ng; c6 the dung 60g hoa tiTcfi 1 ngay. Hoa dai con dung uo'ng de chOa ho, n h i t o g tac dung t r i lao chiTa di/orc n g h i e n cufu ky. Ngoai ra con dung hoa dai gia d^p chfla sai khdp, bong gan, mun nhot, nhiTa c6 the boi chCfa vet loet va chai chan. Cdch che bien: Cay difcfc trong lam canh or cac dinh, chua, cong vien... Thu hai hoa dang nd, hay blip ve phdi kho. V6 cay sao vang sac uo'ng hay deo ve phai kho de danh.
62- DAU SANG
thuoc chufa s o t , g i a i d o c ,
^jgu thuy, d a i d e m , b a n sdi. Cdch dung: Ngay dung 10 den 20g r l hay h a t diTdi dang sac uo'ng- La sac uo'ng t r i ban sdi lam cho sdi chong moc ra ngoai, de phong bien chufng. tai nhieu nori. NgUcfi ta dung hat va r l l a m thuo'c, h a t thu or qua chin, r l dao quanh nam, dao v e rijfa sach, t h a i mong, phoi hay say kho.
63- DAU VAN TRANG Ten khdc: Bach bien dau, Dau bien, Bien dau, Bach d a u . ,j ^ Ten
khoa
hqc:
Dolichos
l a b l a b L i n n , ho
canh
bi/dm
(Papilionaceae). Thanh phdn hoa hqc: Trong Bach bien dau c6 men Tyrosinaza, vitamin A, B2, C va nhieu vitamin B l , axit xyahidric, ngoai ra CO nhieu axit amin nhu tryptophan. Cong dung: Bd, mat, giai doc, chong non, chufa dau bung, thd ta.
'
Cdch dung: Moi ngay 8-16g, s^c hoac t a n bot uo'ng. L a tucri nhai ngam vdi muo'i, nuot nUdc, chtfa yet hau sufng dau, hoac gia nat t r p n vdi niTdc vo gao dac, gan uo'ng, ba dap chufa r a n can. H a t cung diTpfc dung gia nho cho them nifdc, dap chCa r a n c a n . Cdch che bien: Cay diTcfc trong d khap ncfi, lay qua n o n an va hat gia l a m thuo'c. Trong bang hat vao m i i a xuan.
64- DINH LANG Ten khdc:
Ten khdc: Dau chieu, Dau coc rao. I.-
Ten khoa hqc: Cajanus indicus Sprang, thuoc ho canh birdm (Papilionaceae). •
lam
Cdch che bien: Cay m o c hoang dai va diTcfc t r o n g l a m hang
Ten khdc: Bong suf ma.
106
Thanh phdn hoa hqc: ChUa c6 nghien cufu.
(jlcon^ diJing: H a t va r l difcrc dung
XM^cy\^CJ^^£,j^
! ^>-'
Cay Gdi c a . Nam diTcfng l a m .
Ten khoa hqc: Nothopanax fruticosum M i q thuoc ho nhan s^m (Araliaceae).
f)6nfl
Thanh phdn hoa hqe: Co nhieu Saponin, hoac chat chua biet. Cong dung: L a m thuoc bo, tSng ciTorng sijfc deo dai ciia co the, cho'ng moi met, cho'ng doc. Cdch diing: Ngay uong 0,25-lg, bot r i CO the dung r l tifcri ngam rifOu uong hoac dung pho'i hop trong cac bai thuoc bo khac. Cdch che bien: Trong lam canh, noi dat cao rao hcfi am, nhieu mau. Trong bang canh hoac bang hat, chu yeu la giam canh; chpn nhOfng canh gia, chat thanh doan ngan 10-20cm cam nghieng xuong dat. Mua gieo trong tot n h a t vao thang 2-4 hoac thang 8-10. R l t h u h a i sau k h i cay da trong dirge 3 nam trd len. Cay de cang lau nam cang tot. Than canh va la cung diing dirge nhutig khong CO gia t r i bang r l .
65- DU DU Ten hhoa hqc: Carica papaya L . , thuoc ho du dii (papayaceae). Thanh phdn hoa hqc: Ngoai nhufng t h a n h phan bo dirdng ciia qua chin, dac diem dang chii y la cay Du dii c6 mot thuf nhga trang, k h i m6i chay ra t h i loang, s a u do dac l a i . Trong nhua c6 nhieu chat ma chat chu yeu la men Papain. Men nay co nhieu nhat la trong qua xanh, co tac dung tieu t h i t . N h i e t do thich hgp cho men nay tac dung 80-85°C, tren 90°C se m a t tac dung. Cong dimg: Qua du dii chin, ngoai tac dung bd dirSng con co tac dung giup cho sg tieu hoa cac thuf t h i t va trufng. Qua Du du xanh dimg de n a u vdi t h i t cho chong nhir va an d l tieu. R l Du dii dung de chOfa ran doc can. Hoa Du dii dgc dimg de chOra ho ga va cac chufng ho khac. La Du dii ho n o n g de bop sufa cho phu nuf mdi
108 •:• t w ^ n««v e/uj« >g^,wv
Y gTrt gtgu
girih, b i tac sCfa hoac viem tuyen vu. NhUa Du dii co tac dung tay giun nhirng doc, kho dimg nen chung toi khong gidi thieu. Cdch dung: De chOfa ran doc c^n: dao lay 1 nam r l Du du, nJa gach, g i ^ nho, vat lay nudre uong, ba dap len cho co vet can, sau jjjii da chich va nan mau. Hoa Du du dgc dimg de chOfa ho ga: lay \m hoa tiTcfi hoac kho, cho vao bdt cho them i t mrdfc, chimg each thuy vdi diromg phen, gan lay nirdc cho tre uong ngay 2-3 Ian. Co the pho'i hgp trong cac bai thuoc chOfa ho ga va cac chufng ho khac. Cay Du du dgc thirdng i t gap hon cay cai va thirdng bi nhd viTt di. Ta nen giuf l a i , lay hoa phcfi kho, bao quan cho'ng mo'c.
66- GAI Ten khoa (Urticaceae).
hqc: Boehmeria nivea (L) Gaud, thuoc ho gai
Thanh phdn hoa hqc: Hoat chat chii yeu chira xac d i n h dirge, mdfi tha'y co axit clorogenic, la 1 loai tamin. Cong dung: A n t h a i , dung de chOra dong t h a i , co tac dung khang t r i m g , Igi tieu, dimg chiJa viem diTdng tie't nieu, viem tuf cung, l o i dom. Ngoai ra ngUori ta dung la l a m banh gai. Cdch diing: R l Gai tirori hoac kho 30g sac uo'ng vai ngay chiJa dong t h a i , khong nen keo dai. Co the dimg r l va la lieu 10-30g sac uong ehfifa viem tie't nieu, Igi tieu. Cdch che bien: Cay dirge trong nhieu nofi trong nirdc chu yeu de lay l a l a m banh gai va sgi lam chi. R l dirge dimg phoi kho lam thuoc.
67- G A C Ten khdc: Tat tuf, Thd mgc miet, Moc biet tuf (hat gae). Ten khoa hqc: Momordica Cochinehinensis, thuoc hg bau b i (Cueurbitaceae). Thanh phdn hoa hgc: Trong t h i t Gae co nhieu chat bd diTdng, trong do t h a n h phan quan trong la B earoten. Trong h a t gae tfci,.
tw*: >xu«. e/«?a >g^f^v
•:•
109
^6nfl
t h a n h p h a n c h i i yeu l a dau beo ( c h i e m 55,3%) c h a t d a m va duforng
68- HA THU
n g o a i r a con c6 cac m e n n h u phosphotaza, i n v e c t a z a , peroxydaxa.. T r o n g m a n g do h a t gac c6 8% dau m a u do m a u . M a n g va n h a n h a t Gac deu c6 chiia B caroten, la m o t c h a t t i e n v i t a m i n A
cai]
cho h o a t d o n g ciia te bao t h i giac va sir p h a t t r i e n co t h e . Cong
dung:
^ • 9
N g o a i tac d u n g bo
6
khdc:
X i c h t h i i 6, D a giao dang. D a h o p d a n g .
Ten
khoa
hgc:
ram
Thanh
phdn
n g u d i t a d u n g dau h a t Gac
I
chiirng c h a m Idn d t r e em, k h o m a t . ga,
l a m cho ve't t h i f o n g
^
chong l a n h , d u n g cho p h u nOr co t h a i , d a n g thofi k y cho con b u . N h a n h a t Gac d i m g de chQa sUng v u . Dau h a t Gac
d u n g de b o i l e n v e t
thuong
c h o n g l e n da n o n . R l Gac co tac d u n g chiJa sitog kh(5p. Cdch
dung:
d u n g d i n h diicfng, c o n co
crysophanola,
trong
do
x a t vdfi gao cho t a n deu t r o n g gao, de ca h o t , d e m do x o i , k h i xoi c h i n t r o n t h e m i t ducfng m a a n .
dirofc dau m a n g Gac, d i t o g vao c h a i , day n u t k i n t r a n h oxy hoa.
Cong
dung:
D u n g l a m thuoc bo, t a n g
siifc, chila suy nhuoc t h a n k i n h , k h o e g a n c6t, bo dirdng s a u k h i s i n h de, o'm m d i k h o i v a CO tac d u n g song l a u , toe lau bac. Thi/cfng duoc d u n g c h u n g v d i cac v i k h a c Cdch
dung:
M 6 i n g a y d i m g 12-20g sac
uong, hoac d u n g d a n g bot, hoac n g a m che Men:
t h a p k h d p , m o i n g a y 4-8g. C h o n h a t Gac to d e m gieo vao m u a x u a n , k h i
n a y m a m l e n cay r o i d e m t r o n g n o i co' d i n h , m 6 i hoc 2-3 cay. K l u cay cao p h a i l a m g i a n . H a t Gac da do x o i r o i d e m t r o n g v i n moc.
T/u«?v: n « / « v
e/«j«/Ig^wV
riTOu
bo H a t h u 6.
dong x u a n dao l a y cii rijfa sach, che ba, che tiT d e m p h o i k h o , co t h e
69- HATHU OTRANG
u o n g chiJa
goi l a
d a y hoac h a t nhiTng p h a i sau 4-5 n a m mdfi t h u hoach duoc, den v u
L i e u d u n g dau h a t h a y dau m a n g Gac: uong m o i I a n 5 giot, n g a y 2-3 I a n .
rifcfu
Cay moc h o a n g d r i f t i g n u i , co t h e t r o n g b a n g
h a p cho c h i n r o i p h o i k h o .
no •
la
e m o d i n va r e i n , chiTa t i m
H a t Gac bo v6 d e m ep (nhiT ep dau lac) diTOc dau h a t Gac.
chebien:
chat
ye'u
t h a y h o a t c h a t dac b i e t g i k h a c .
Cdch
Boc m a n g Gac, say k h o t a n bot t r o n vdfi dau lac v a d u n n o n g s e
Cdch
chu
t r o n g cac t h a n g thuoc bo.
N g a m gao nep xong, bo qua Gac r a bo v 6 , t r o n va
R l Gac sao v a n g sac uong h a y t a n b p t n g a m mau
m u l t i f o r u m T h u m b , thuoc ho r a u
hoa hgc: N g o a i cac c h a t
antraglucozit,
quang
Poligonum
(Polygonaceae).
CO t a c
suf d u n g c a r o t e n co t r o n g do de chfla
g f r l Sltgu
DO
Ten
durdng n h i r cac l o a i hoa qua k h a c , nham
Y
Ten
khdc:
B a c h h a t h u 6, H a t h i i 6 n a m , day Sufa bo, cii V u bo,
CEiy Sirng bo, day Moc, D a giao dang. Thanh Cong
phdn dung:
hoa
hgc:
ChiTa xac d i n h k y .
D u n g l a m thuoc bo, diTOc coi co gia t r i n h i f H a t h i i
6 do, n h i f n g n h i e u ngiTcri iTa t h i c h H a t h u 6 do h o n . Co ngiTcfi d i m g l a m thuoc l o i sufa.
Cdch dung: Dao lay cu, rijfa sach che doi, bo loi roi phtfi kho va che bien nhif Ha thu 6 do. Co ngUori chi phcfi kho va tan bot. Cdch che bien: Cay m o c hoang khap nui nifng nhieu nhat la cac r i y san mdi k h a i pha. Sau k h i do't r i y xong, nguori ta trdng san, k h i san m p c cao t h i thay chiing cung m o c va bo len cac goc cay. Co the dao lay cu quanh nam nhung to't nhat la vu dong xuan.
70- HANH Ten khdc: Hanh hoa, Dai thong, Thong bach, Thai ba. Ten khoa hgc: A l l i u m fistulosum L i n n , thuoc ho hanh toi (Liliaceae). Thanh phdn hoa hgc: Trong Hanh c6 axit, malic, p h y t i n va chat alyllsinpit, thanh phan chu yeu la t i n h dau c6 chat khang sinh a l i y x i n . Cong dung: T r i cam so't, Igi tieu, sat trung, chffa dau rang, dau dau, kich thich tieu hoa. Caeh dung: Dung du&i hinh thufc thuoc tUcfi h o a c pho'i hop nhif sau: - H a n h 30g, Giing song lOg dun soi vdi 300ml niTdc, gan bo ba, uong nong t r i cam ciim, so mui nhiJc dau. - H a n h 60g, Gitog song lOg, hai thuf gia nat, them mot co'c nirdc soi that nong vao, lay hori xong mui mieng, ngay nhieu Ian. - Hanh tiTcfi g i a nat tron v6i mat, dap len mun nhot. Cdch che bien: Hanh diTcfc trong khap nai trong n u d e ta, chii yeu lam gia v i va lam thuoc. Miia chu yeu la vao thang 10-11 nhitog C O the thu hai quanh nam. Dung tUori hay kho deu di/gc.
7 1 - HE Ten khoa (Liliaceae). •
Cong d u n g va Cdch dung: La va cu hap v6i diTcfng phen hoac difcfng k i n h trong noi corm hoac d u n each thiiy, d u n g de chufa ho or tre em, lieu d i i n g 20-30g 1 ngay. Hat He trong nhan dan dirge dung de chijfa m p n g t i n h , di t i n h , dau l i A i g , moi goi, heu diing 6-12g. Ngoai ra con dung He ehfla cac benh di tieu nhieu Ian, tieu ra mau, kiet ly. • Cdch che bien: Dirgrc trong khap ncfi or nifdc ta de lam gia v i ' hoac lam thuoc. Dung ca cay tUcri hay kho.
72- HOANG DANG Ten khdc:
Hoang l i e n nam, day Vang giang, Thich hoang
lien.
Ten khoa hgc: Fibraurea tinctoria Lour thuoc ho t i e t de (Menispermaceae). Thanh phdn hoa hgc: Trong Hoang dang chu yeu la panmatin v6i t i le 1 den 3%, ngoai ra con mot i t patrorrhizin, columbamin. Cong dung: Chfira ly, ia chay, dau mat.
i
Cdch dung: ChGa sot ret, kiet l y : 6-12g tan bot uong. - ChiJa viem t a i c6 mu: hot Hoang dang 20g tron vdri phen chua lOg, thoi vao t a i . - ChiJa dau mat: bot panmatinchlohydrat (hoat chat chiet tir r§) pha che thanh nUdc nho mat. - Ngoai ra ngUcfi ta con diing cao hoang dang chufa bong rat to't.
Ten khdc: Nem tau, Cufu thai. Phi t ^ .
112
Thanh phdn hoa hgc: Co mot hoat chat la Odorin c6 tac dung khang sinh tot, ngoai ra la va r l con c6 ancaloit, saponin va ^(j-p chat sunfua.
hgc:
A l l i u m odorum L i n n , thuoc ho h a n h t o i
Tku^^nm^CLl^i^^J^
Cdch che bien: Cay moc hoang or ritog nui, cho am mat, miia hoa qua thang 5-7, r l va than gia thu hai vao miia thu, phoi kho.
<Zka..r3,^^. •
113
73- HOAI SON
dich te' bao, chOa t h a p k h 6 p , b e n h t i m m a c h , cao h u y e t ap, suy (jinh diro'ng. N h i e u tac g i a cho r a n g tac d u n g chii yeu cua cay H d
Cu m a i , K h o a i m a i , Scm duac, C h m h h o a i .
Ten khdc:
Ten khoa hqc: Dioscorea P e r s i m i h s P r a i n e t B u r k , thuoc ho cu n a u (Dioscoreaceae). Thanh phdn hoa hgc: N g o a i cac t h a n h p h a n c6 tac dung d i n h diiSng chua t i m t h a y h o a t c h a t g i k h a c . Cong
N g o a i viec a n de c h o h g d o i , H o a i scfn con l a mot
dung:
v i thuoc b d t y , d u n g t r o n g triTorng hgrp k e m a n , k h o t i e u hoa, hap t h u k e m . ThiTomg d u n g cho t r e e m suy d i n h diT&ng, ngirdi 6 m mdi khoi. Cdch dung: ThiTcfng d u n g c h u n g t r o n g cac t h a n g thuoc bo, K h o a i m a i k h o n g a m cho m e m x a t m o n g , sac uong, hoac t a n bot d u n g c h u n g t r o n g cac thuoc v i e n h o a n . Cdch
che
Men:
Cay moc h o a n g t r e n riTng, dao C u m a i vao
cuo'i n a m v a dau x u a n , dem ve che b i e n ngay. RiSra sach d a t , got v6 cho vao 16 saiy d i e m s i n h t r o n g 2 n g a y d e m r o i d e m phcfi kho. M u o n cho t o t ngiTcri t a con i i va n g a m r o i say d i e m s i n h I a n thuf 2, r d i thuf 3. N h i m g thirc r a c h i can 1 I a n l a dugc. K h i d i i n g t l i i n h i i n g nif6c va u cho m e m de d l x a t m o n g .
phdn
v 6 i dac t r i m g l a h a m lirgng Selen r a t cao chuta t r o n g cay. Cong
dung:
A n t h a n , t r i p h o n g t h a p , nhufc xufong.
Cdch
dung:
R l cay chat t h a n h tiTng k h i i c n h d , phofi k h o . N g a y
dung 20g r a n g sau do t a r n rirgu 35-40o r d i l a i r a n g k h o , t h e m 6 0 0 m l nirdc sac con l a i 2 0 0 - 3 0 0 m l , uong 2-3 I a n t r o n g 1 n g a y , uong t r o n g 4-5 n g a y , t r i nhiifc xiTcmg. D u n g l a 6-12g dvCdi d a n g thuoc sac, u o n g trirdrc k h i d i n g u c6 tac dung a n t h a n t o t . Cdch
che
Men:
Cay moc h o a n g k h a p n o i , l a y ca t h a n , c a n h
(chi bo l a ) rijfa sach t h a i m o n g , p h o i k h o hoac say k h o , c h d n g a m moc.
75- HUdNG PHg Ten khdc: Ten Thanh
Ten khdc: Cay Xa'u h d , cay M a c ca, cay t h e n , cay T r i n h nu. H a m t h u thao.
Thanh
xiic^ng. N h i e u cong t r i n h n g h i e n cilu da v a d a n g c h i i y t 6 i cay n a y
Co gau, Co cu.
khoa
Cyperus
hgc:
rotondus
L i n n , thuoc
ho
Cdi
(Cyperaceae).
74- HO NGLTOl
Ten khoa hgc: (Mimosaceae).
ngtfai l a do c h a t Selen, dac b i e t t r o n g b e n h t h a p k h d p , dau nhiJc
M i m o s a pudica L i n n , thuoc ho t r i n h
u((
hoa hoc: Ngircfi t a l a y r a dxxgc 1 h o a t c h a t ancaloit
goi l a m i m o s i n . G a n day n h i e u tac gia da t i m t h a y h a m lirmig n g u y e n t6' Selen t r o n g cay H d ngifcri r a t cao, d i i n g h a n g thvl h a i
phdn
hoa
hgc:
Cu c6 t i n h dau m a u v a n g therm nhe
dac b i e t ciia h i r a n g p h u . T h a n h p h a n t i n h dau g d m c y p e r e n , rirgu cyperola, p h e n o l v a a x i t beo, chua t h a y h o a t c h a t g i dac b i e t . Cong
dung:
D i e u k i n h , t r i dau b u n g , n o n muTa, a n k h 6 n g t i e u .
Cdch
dung:
N g a y d i m g 6-12g d\idi d a n g thuoc sac, thuoc b o t ,
ihudc v i e n hoac thuoc ru'gu. Co t h e p h d i h g p vdri cac v i k h a c t r o n g cac b a i thu6'c dieu k i n h k h a c . Cdch
che Men:
Co gau moc h o a n g k h a p n o i t r e n d d n g r u o n g ,
sau C h u sa ( t h f i n sa), t h a n cay c6 h a m l i r g n g cao h a n cac ph§n
v e n ducrng, v e n b i e n , dat cat xo'p, cu t o , d l dao hcfn.
k h a c , theo thuf tiT t h a n , hoa, l a , h a t , r l , qua. Selen c6 tac dung
Dao cu ve m u a x u a n , m u a t h u cu c h i c v a t6't hcfn.
n g a n c h a n sir k h d i p h a t ciia qua t r i n h u n g thir, k i c h t h i c h mi&n
114 •
eA«>«
T/u^c
/
/-w
••• 115
^finq Y
Sau k h i dao toan cay, phcfi kho, vun thanh do'ng de do't, la va re con chay he't, con l a i cu, lay rieng rufa sach, phori hay say kho. K h i dung c6 the dung song hay ngam rUgru, tan hot, hoac che bien theo cac phuang phap cua Dong y (xem phan bao che"). 76- K E O D A U Ten khdc: Cay Keo, Bo ket dai. Ten khoa hgc: Leucanea glauca (L) Benth, thupc ho t r i n h nu (Mimosaceae). Thanh tinh.
phdn
hoa hoc: Chat leuxenin hay leuxenola c6 do(
Cong dijing: Tay giun dua, diing rieng hoac pho'i hop vdi sir quan. Cdch dung: H a t Keo dem rang chin r o i tan thanh bot. Lieu dung m6i ngay cho nguori Idn 25-50g, tre em tCr 3-5 tuoi ngay uong 5g, 6-10 tuoi: 7g, 11-15 tuoi: lOg, 15 tuoi t r d len dung lieu ngirdi Idn. Dung lien trong 3 ngay vao buoi sang luc doi. Co the dung tay giun cho heo. Chu y: dung qua lieu se b i ngo doc. Cdch che Men: Cay moc hoang va duorc trong de l a m hang rao. Co nori trong doc bd de, lay la lam phan xanh. Cay Ua dat cao rao, mau md, thoat nirdc. Trong Keo dau bang hat vao mua xuan he. Chon nhftng hat to, den rac xuong dat da xdi nho. K h i hat moc thanh cay non, danh di trong thanh hang d ncfi co' dinh. H a t thu hai vao mua ha, thu, k h i v6 qua da gia, kho.
Ten khdc: Bach dan.
116 •
hgc:
Eucalipus globulus L a b i l l , thuoc ho
ti^cru^(Lkctu)^i,j^
Thanh phdn hoa hgc: La 3ach dan chila t a n i n , nhua va t i n h dau. T i n h dau mau vang 0 h a t , rat long, mui thom, v i cay nong, t h a n h phan chu yeu ciia t i n h dau la xeneola hay eucalypota, hay cafeputola. Cong dt^ng: ChCfa ho, cum, kich thich tieu hoa. Cdch
cam
dung:
- La Bach dan dung difdi dang thuoc ham 20mg trong 1 l i t nirdc. - Con thuoc de xong mui, nho 2-lOml con vao nudc xoi. - T i n h dau dung boi xoa ngoai nhu t i n h dau t r a m , xua dugc ruoi mu6i. - Dung la tacfi na'u nudc xong t r i cam so't. Cdch che bien: Bach dan dugc di thuc trong d vimg lay, am thap de cai tao dat, la cat t i n h dau, thu hai vao miia he, phori d nori ram mat (hai la gia, tranh hai la non). 78-LA VANG Ten khdc: Che vang, Che nudc nam, day Cam van, cay Dam trang, day Vang, cay La ngon, Mo se. Thanh phdn hoa hoc: ChiTa thay t a i lieu nghien cufu. Cong dung: Co tac dung hoat huyet, dimg cho phu nOf sau k h i sanh de, c6 tac dung khang khuan, dimg tam cho tre em b i mun nhot ghe Id, dap len vu de chQa viem tuyen vu, ap xe vu, hoac ode dinh nhot da nung mu.
77- K H U Y N H DIEP Ten khoa (Myrtaceae).
gfrt
sim
Cdch dung: Phu nOf sau k h i de uong hang ngay, mdi ngay 2\ - 30g t h a n va la kho, sac uong lien tuc trong vai tuan l l . Ngirdi T/U^t: n « « v C^Axia. )^pJ^
117
f)6ne T g'rt ^{1"
ap xe vu, mun nhot, sac uohg do 5 - 7 ngay, ben ngoai t h i lay la tuai gia nho dap len cho siftig tay, hoac gia nho cho them niau roi dap ngay 2 - 3 Ian, dem 1 - 2 Ian.
Cong diJing: Co tac dung kich thich ^.jgu hoa, nhuan trang, nhuan mat va ^ y , dung l i l u cao se b i ngo doc.
Cdch che Men: Cay La vang moc hoang khap noi, nhieu nhat cac vung niii ddi c6 cay thap. Co the trdng bang canh, r a t de moc or dat hori am. Day va La vang c6 the thu hoach quanh nam, chat nho phoi kho, mdi ngUcri phu niJ moi Ian sinh de can 1 thung la kho.
Cdch dung: Lay 2 - 3 la boc v6 ogoai r d i cham vdi difdng an song, lioac ho; hap tren ndi ccfm vdri di/ofng de , dimg lam thuoc nhuan trang hoac
If
| I
fy-
Thanh phdn hda hgc: Chira duorc nghien cu!U.
Cdch che bien: Cay moc hoang lay diTgrc t r d n g l a m canh, ngircfi ta trdng nhieu de xuat khau. Cach chM bien khac nhau, muc dich de lay nhufa va c6 dac (chung toi khong gi(Ji thieu or day), each sijf dung dofn gian nhat la an song hoac chitog vdi difofng de an.
Cong dt^ng: ChOa mat ngii, budn phien, hoi hop.
81-CAYLUU
79- LAC TIEN Ten khdc: Day Nhan long chum bao, c6 Hong tien. M a m nem. Ten khoa hgc: Passiflora hispida DC, thuoc ho lac tien (Passifloraceae).
Cdch dung: M o i ngay 8 - 16g nau cao hoac sac uong. Thucfng pho'i hop vdi la vong, la dau, t i m sen. Cdch chef bien: Cay moc hoang d bai trong, bof bui, trdng bang day vao mua xuan. Miia hoa tir thang 5 - thang 7, qua tiT thang 8 - thang 10.
t
Ten khdc: Long t u , Tirgng dam, DiTcfng t i n h thong, Lirdi ho, Ho thiet, Long thu (tay rdng) LiTu hoi. Ten khoa hgc: Aloe sp, thuoc ho hanh toi (Liliaceae). Thanh phdn hoa hgc: Trong la L6 hoi c6 t i n h dau mau vang, chira thay tac dung. Nhira chiem 12 - 13%, hoat chat chii yeu la aloin gdm nhCfng chat antraglucozit c6 tac dung tay.
118 • T/w^/w e/«j«
liTu,
thach
lUu,
thap lim, luu chua thap.
Ten khoa hgc: Puncia granatum L i n n , thuoc ho liru (punicaceae). Thanh phdn hoa hgc: V6 r l , v6 than va v6 canh c6 chufa 22% nin (axit galatanic hoac digalic va axit punicoitanic), ngoai ra con chufa cac ancaloit peletierin, Isopeletierin, metylpeletierin, pseudopeletierin.
Thu hai ca cay vao mua xuan, ha, phcfi kho. Bao quan chong am, moc.
80- L6 HOI
Ten khdc: Bach
Cong dung: Dung tay san (phu nS c6 thai va tre em khong dirac dimg). ^
Cdch
dung:
- Chufa ly man t i n h va t r i ra mau. V6 qua LiTu va r l Co trang mSi thiif 20g, nghien chung thanh bot m i n , them diTcfng cho viTa 3u, sac vdi nirdc, chia ra uong lam 3 Ian hoac dimg rieng v6 qua Luu, nudrng gion t a n bot, mdi Ian uong 8g vdi n\i6c com. - Chora
viem amidan, viem
hpng,
sue mieng bang mrdfc sac v6
qua luu. XAW^ / W
(^kaa i^4.^x •
119
^6nfl r - T a y s a n : 2 5 g v 6 r l cay LiTu d a diTcfc cao sach Idrp v 6 l u c ngogj
(v6 k h o ) n g a m vao 3 0 0 m l niTdrc, b u o i to'i n g u d i b e n h k h o n g daac an c a m (hoac a n m o t i t chao) s a n g s d m h o m sau uo'ng 2 0 - 2 5 g m a g i e s u n f a t , d e n 9 gicf dem v6 r l Lifti da n g a m 3 0 0 m l ni/dc sac lijfa n h o c o n 1 0 0 m l loc qua mdri uo'ng, each 1 gicf d e n 2 gicr l a i uo'ng
gfrt g[t|u
83- MAU CHO Ten khoa
hqc: K n e m a corticosa l o u r , thuoc h o n h u c d a u k h a u
(l^yristicaeae). Thanh
phdn
hoa hoc: D a u h a t M a u cho c6 m a u do s § m , m i i i
20 - 2 5 g m a g i e s u n f a t . Sau k h i s a n r a r o i m d i a n n h e , t a r n k i e n g
h^c, r a t n h a y . N g o a i cac t h a n h p h a n t h o n g t h u d n g , ehua t i m
c h a t beo. N e u n h u dau san chiTa r a , each 3, 4 t u a n l l l a i t i e n h a n h
tha'y h o a t c h a t g i dac b i e t , t r o n g p h a n k h o n g x a p h o n g h o a t h a y
d i e u t r i I a n nOfa.
CO p h y t o s t e r o l v a l e x i t i n , n g o a i r a c6 cac m e n n h u invectazac v a
NgUdi CO b e n h v i e m d a day k h o n g n e n d i m g .
phosphotaza.
che Men: Duorc t r d n g k h a p nori de l a m c a n h v a l a y qua,
Cong
dung:
Chufa ghe r u d i .
t r o n g b a n g each g i a m c a n h . V 6 hoc ve phcri k h o de d a n h . D i i n g cang sdrm c a n g t o t .
Cdch
dung:
G a i v a t a m cho sach b a n g x a p h o n g , l a u k h o r d i
Cdch
ngay l a k h o i .
82- MAI MUC Ten khdc: Ten khoa (Sepiidae).
H o y l e , t h u o c h o ca m u c
Thanh phdn hoa hgc: T r o n g M a i m i i c eo cac m u o i nhiT canxi cacbonat, c a n x i p h o t p h a t , n a t r i c l o r u a , eae c h a t hCfu cor v a c h a t beo. Cong dung: Chfla dau da day, of chua, c h a y m a u da day, t h o huye't do l a o p h o i , chCfa coi xiTorng t r e e m . V o t t h a n h b u t c h i de danh m a t hot. Cdch diing: N g a y uo'ng 4 - 8 g b o t M a i m i t c , c6 t h e d u n g chung t r o n g cac b a i thuoc chiifa dau da day. Cdch
che Men: NgiTori t a c6 t h e cau v a keo l\i6i hit ducfc q u a n h
n a m or cac v u n g b i e n n\l6c t a , n h i e u n h a t v e m i i a h e . Sau k h i a n mirc, l a y m a i riira sach, phori k h o , k h i d i i n g d e m cao bo v 6 curng, t a n n h o de uo'ng.
che Men: C a y m p c h o a n g k h a p n o i . T h u h a i h a t v a o
Cdch
M u c n a n g , H a i t i e u p h i e u , 6 tac cot. hgc: S e p i a e s c u l e n t a
boi 1 l(5p m o n g l e n v i m g c6 ghe, m 6 i ngay b o i 1 I a n , b o i do 3 - 4
t h a n g 9 t h a n g 10, l a y h a t ve gia bo v 6 , l a y n h a n h a t gia n h o cho t h e m muo'i ( 1 k g m u o i cho 1 0 k g h a t ) t r p n deu cho vao h o n g n h i i x o i , d e m r a ep l a y d a u n h u ep dau p h u n g . N e u k h o n g ep dau t h e o qui m o \6n t h i l a y 5 0 g h a t M a u cho g i a bo v 6 , g i a t h a t n h o r d i cho vao 2 0 0 m l rUgru t r a n g dem d u n nho liifa cho den k h i di/ofc 1 c h a t s e n s e t de b o i vao v i i n g c6 ghe n h u t r e n .
84- MANG CUT Ten khdc: Ten
Son t r u e tijf.
khoa
hgc: C a r e i n i a m a n g o s t a n a
L i n n , t h u o c h o biJa
(Cuttiferae). Thanh
phdn
hoa hgc: T r o n g
v6 CO chufa tiT 7 - 1 3 % t a m i n , c h a t nhiTa v a c h a t m a n g o s t i n c6 t i n h the h i n h phie'n n h o , m a u v a n g tucfi, k h o n g v i , t a n t r o n g riicfu ete va chat k i e m .
120
•
T/W^ n««v
tw..
<Lka«. i^d^ •>
121
Cong dung: Chfla dau bung, di ia long, chiJa kiet ly va doi k h i chiifa vang da. Cdch dung: Cho 10 v6 qua Mang cut vao noi dat hay noi dong (khong dugc dung noi sat hay kem) cho ni/dfc vao ngap, dun 15 phut, ngay uo'ng 3 - 4 chen \6n. Cdch ehe bien: Cay dugc di thuc tiT nudc ngoai vao, dugc trong nhieu d mien N a m nUdc ta. V6 qua phoi kho lam thuoc, ao hat an boi duSng r a t to't.
85- M A N raoi Ten khdc: Hi/ong thao, L a n thao. Ten khoa hgc: Eupatorium staechadosmun Hance, thuoc ho cue (Compositae). '
Thanh phdn hoa hqc: Co t i n h dau.
Cong dung: Giai nhiet, Igi tieu, giiip tieu hoa, dieu k i n h , xua con trung. Cdch dung: Ca cay rufa sach, bam nho, sac uohg l a m 2 lan trong ngay. NgiTofi Idn dung 100 - 200g, tre em tuy tuoi tiT 20 50g. Dieu k i n h , chfla dau bung k i n h : dung 10 - 20g cay kho s^c w6'\ 600ml nude, chia 2 - 3 lan uong trong ngay. Dung rieng hay pho'i hgp vdi nhffng v i thuo'e dieu k i n h khac nhu Ngai ciifu, Huong phu, Bach dong nuf. Cdch trong vd thu hdi: Man tirai dufgc trong of nhieu noi, dung lam rau an, cay ira dat cao rao mat, thoat midc, trong bang canh cat thanh titog doan 20 - 30cm, cam xuo'ng dat, chu y lam c6, c6 ncfi trong bang hat. Thdi vu gieo trong thiTcfng vao mua xuan.
86-
MAT
GAU
Ten khoa hgc: Pel U r s i la mat ciia cac loai gaii Ursus sp, thuoc ho gau (Ursidae). 122 •:• T^^^
^pj.
Thanh phdn hoa hoc: Cung nhiT cac loai mat dong vat khac, ]y[^t gau CO cac thanh phan sau: muo'i k i m loai cua cac Eixit cholic, cholesterol, axit cholic, axit cheno deoxycholic. Dac biet trong ]y[|it gau con C O loai axit usrso deoxycholic ma d cac dong vat khac y^dng thay c6. Nhof dac diem nay ma ngiJori ta phan biet dugc pidt gau that hay gia. Dac diem cua mat gau: - K h i nem luc dau c6 v i dang, sau nggt mat va dinh lugi, mat cac dong vat khac dang ma khong mat, khong d i n h luoi va tanh, kho ngufi. - Lay v a i h a t mat gau tha tren mat nudc, mot luc thay c6 nhuCng sgi mau vang thong thang xuo'ng day co'c nudfc. Co k h i hat mat gau quay t i t tren mat nudfc, do la mat tot. - M a t gau dot khong chay. Cong dung vd cdch dung: Co tac dung sat trung, hoat huye't, lam tan mau u", chUa dau nhufc, kich thich tieu hoa, chfla dau da day, giai doc, moi ngay uo'ng 0,5-2g. Lay mot chut M a t gau bang hat gao mai vofi n\x6c dun soi de nguoi chOfa do mat, bam mau or mat. Lay 5g M a t gau hoa trong 100ml rugu t r a n g de xoa bop cac cho bam t i m , thuong tich tu mau va cac chS sUng dau. Cdch che bien: K h i san ban dugc gau, mo lay m a t boo tach cho kheo de t r a n h rach t i i i mat, lay chi buoc phia cuo'ng r o i dem phai diidi nang nhe hay phoi trong ram cho that klio, r o i cho vao hop chong am de bao quan, trong hop c6 chat cho'ng am nhU silicagen hoac voi chua t o i . 87- M A T O N G V A S Q A O N G
CHUA
Ten khdc: Bach hoa cao, Bach hoa t i n h , Phog ducrng, Phong mat. :.j Ten khoa hgc: Mel. TA«^^
<^l^
^4-'^
123
Thanh phdn hoa hgc: M a t ong la mat di/oc dan ong thcf lay ^, cac loai hoa mang ve che bie'n va c6 dac l a i . Trong M a t ong thufdng CO 65 - 75% diTcmg glucoza va fructoza, 2-3% dufcrng Saccaroza. Ngoai ra con c6 muo'i v6 cor, axit hflru car, mot so' men tieu t i n h bot tieu m e , men chuyen hoa diTcfng, mot i t t i n h bot, chat proti, 1 so v i t a m i n , sap, sac to', chat thofm, phan hoa... Trong mat Ong chua. hay sura chua (la loai thiJc an danh rieng cho Ong chua) t h i ty 1(> chat diforng ft hofn, chat dam, chat md va vitamin l a i nhieu han Mot con ong non difoc nuoi bang sQa chua t h i to hcfn ong thor, soiii lau gap 50 Ian va de dugc r a t nhieu trufng. Cong dung: Co t^c dung bo duomg, chufa loet da day, c6 tac dun<r an than, chufa nhiirc dau, suy nhiforc than k i n h , c6 tac dung khans trung, chOfa ho khan, viem hpng, ia chay tre em, tifa ludi va dung dc dap vet thi/cfng. Sufa ong chua la 1 loai thuoc bo cao cap. Ngoai ra M a t ong diroc dimg rat nhieu de san xuat cac loai vien hoa trong cac bai thuoc bo cung nhiT thuoc chufa benh, pho'i hofp \6i cac v i thuor khac trong cac bai thuo'c chufa viem loet da day. Cdch dung: M 6 i ngay uo'ng 20 - 50ml c6 the t d i 100 - 150ml, SGa chiia tron vdi M a t ong vdi t i le 2 - 4%, m6i ngay uo'ng 2 - 4ml. ngam trong mieng, nuo't dan. 88-MO QUA
Ten khde: Hoang lo, Vang 16, Xuyen pha thach. Ten khoa hgc: Cudrania tricuspidata, thuoc ho dau tan) (Moraceae). Thanh phdn hoa hgc: Chi m6i tha'y Flavonoit. Cong dung va cdch dung: Dung de dap vet thirong, chong thanh seo, rijfa vet thiTomg bang nifdc nau la trau khong (40 la trau trong 2 l i t n\Xdc), gia la Mo qua tirori dap len vet thirang bang lai. Moi ngay rufa va thay bang, dap la 1 Ian. R l kho dimg lam thuoc hoat huyet, chufa mau bam, mau tu k h i bi chan thiTOng, phu niJ be k i n h . M 6 i ngay dung 10 - 30g r l kho sac uo'ng. 124
•
/ V u , v e/u»« > § ^ v
C a m ky.: Phu nuf c6 thai khong nen uo'ng. Cdch chebien: Cay moc hoang hay dugfc trong l a m hang rao, 5iig bang canh to bang ngon tay, tirdi nifdc luon cho t d i k h i moc I . Loai cay nay chiu han r a t khoe. 59- M U O N G T R A U
fen khdc: Muong lac. Ten
khoa
hoc:
Cassia a l a t a L i n n ,
thuoc
ho
Vang
(Caesalpiniaceae). Thanh phdn hoa hqc: Co chufa chat antraglucozit. Cong dung: Nhuan trang, tay, chOfa hac lao. Cdch dung: V d i lieu 4 - 5g bot la hoac bot than. La Muong trau tiTcfi gia nat, xat vao vet hac lao chi vai Ian la khoi.
Cdch che Men: Cay iTa da't cao rao, am mat, cay c6 kha nang sinh trirdng bang canh va bang hat. Trong bang canh, cay moc to't, khoe va nhanh, chat tirng doan dai 20 - 30cm. Thori vu trong vao mua xuan he. Den miia dong la rung nen chat bo than chi de lai phan goc, r o i vun xdi, bon phan. Sang xuan cay se dam nhieu choi han. L a , than thu h a i vao miia he - thu triTdfc k h i cay c6 hoa, dem ve phdi nang cho kho.
^ 0 - MUCJP Ten khdc: Mi/dp ngot, Mudrp huofng t y qua, Thien t y qua, Bo ty, Ty lac. Ten khoa hqc: Luffa cylindrica (L) Roem, thuoc ho bau b i (Cucurbitaceae). Thanh phdn hoa hoc: Qua c6 Saponin v i t a m i n B, C, K a h , Nitra. H a t c6 chat dau va Protein. Cong d^ng: Co tac dung lofi tieu, Icfi sffa, giai doc, chufa dau bung, cam mao, cam mau. Tiu^c
n^,^
'^c^w'v •:•
125
Cdch che Men
va si? dung : Nifdc Day
mirdp: lay dao cat ngon miTcJp roi cam p h a n con lai vao 1 cai lo de yen, hufng lay nudc nguyen, cho t h e m diTorng dun soi, de uo'ng chiJa ho, dau dau, dau bung, cam mao, giai
doc rugu, lori tieu. BQt Id mitdp: La mudp rxia sach, phcfi kho, v6 nat, thanh bot, ray m i n , phai lai cho kho, diing de cam mau vet thuong. Xcf mitdp: Sau k h i bo hat, con l a i Xof mirdp
92- NGHE Ten khdc: Nghe vang, Uat k i m , Khifomg hoang.
•
Cdch
bpt Nghe uong 2 Ian, c6 the pho'i hgrp vdfi
A l l i u m ascalonicum L i n n , thuoc ho hanh toi »^ hgc:
dung:
- ChUa dau da day, non ra mau: 2 - 4g
Ten dia phifcfng: Nem, Hanh tam.
Bach truat. - ChOa vang da: 6 - 12g cu Nghe phcfi kho tan bpt cung v6i HiTOng phu. M a t ong v6 vien.
Co 1 t i n h dau tufcmg tiT h a n h hay toi,
- L a m mat seo: Cu tiTori gia nho, lay n\i6c boi len nhang vet thifcfng luc bat dau thanh seo.
Cong dung: T r i cam cum, ha nhiet.
Cdch che Men: Cay diTpc trong lay cii l a m gia v i va l a m # t h u o c . Trong bang cii vao miia dong xuan. Miia hoa qua thang 3 5. Thu h a i vao mua dong xuan, thai mong, phori kho, k h i dung t h i tan bpt.
Cdch dung: Cho tre em bi cam so't uo'ng niTdc ep hoac midc sac cu Nen vdi lieu 15 - 30g. Cho tre con nho mang cac chu6i cia Nen d co tay chan, hoac gia nho dap vao thop trudc, thai duang, t r a n , ngUc, bung hoac long ban tay, ban chan, khong h a n che lieu liTcrng.
93- NGU GIA BI
NgiTcfi Idn bi cam so't thucfng dung cu Nen de xong hcri, nau
Ten khdc: Thich gia b i , Xuyen gia b i .
chao, nau che hoac nau canh de an vdi lieu 100-200g/ngay.
Ten khoa hgc:
Cdch trong: Dirge trong thanh luo'ng 6? dong bang hay nilcfng rSy, Nen trong nhieu of Tay nguyen, Trung va Nam Trung bo. Trong bang cu vao vu dong xuan, thu hoach cii k h i cay da tan lui.
126 • t / W i :
thu6c ho Gitag (Zingiberaceae).
da, giup len seo, kich thich tieu hoa.
91-CAYNEN
hoa
Curcuma longa L i n n ,
Cong dung: Dieu t r i dau da day, vang
dung lam thuoc thong sOfa, lofi tieu, dieu k i n h .
Ten khoa hgc: (Liliaceae).
khoa hgc:
Thanh phan hoa hgc: Trong Nghe ngi/di ta da p h a n t i c h duac chat mau curcumin 0,3%, t i n h dau mau vang nhat l(Pl(thanh p h a n g d m 5% p a r a t o l y m e t y l carbinol va 1 % long nao hiJu tuye'n).
trang phofi kho sac uo'ng m6i ngay 4 - 15g
Thanh phan khong doc.
Ten
Acanthopanax aculeatus, thuoc hp Ngu gia b i
(Araliaceae). Thanh phan hoa hgc: Chtfa dirpc nghien cufu. Cong dung: Dimg lam thuoc chufa phong thap, dau nhilc xuong khdrp, dau litog, yeu gan cot, sufc liTc yeu kem, tre con cham biet d i .
•
f)dnfl Y gTrt Cdch
V 6 re cay N g u gia b i phcfi k h o , d e m b a m n h o , d(
dung:
song hoac sao v a n g sac uong m S i ngay 6 - 12g. Co t h e x a y boi t h o , n g a m rirau goi l a rifgu N g u gia b i . V 6 r l N g u gia b i 100 g sai v a n g t a n b o t n g a m t r o n g 1 l i t riTou t r a n g t r o n g 10 n g a y , m o i n g a y lac t r p n 1 I a n . U o n g 1 l y con trudc bufa ccfm chieu. Co tho d i i n g pho'i h a p t r o n g cac b a i thuo'c chQa p h o n g t h a p k h a c . Cdch
che
hien:
Cay moc h o a n g or r i f t i g n u i . Dao l a y r l vao
m i i a he h a y m u a t h u r o i p h a i k h o , h i e n n a y ngiTori t a l a y v6 t h a i , cay cung g o i l a N g u g i a b i . Bao q u a n cho'ng mo'i m o t .
N a m h o a n g ba, cay B o n g b a c h , So do t h u y e n , Mot
khoa
Oroxylum indicum, thuoc
hgc:
ho
chum
d1
(Bignoniaceae). Thanh
phdn
hoa hQc: V6 cay Nuc nac c6 chiia a n c a l o i t , t a n i i i
v a 1 so' d a n x u a t f l a r o n o i t , t r o n g h a t Nuc nac c6 1 c h a t k i e m m a u v a n g v a m o t c h a t dau beo. Cong
diJing: Co tac d u n g cho'ng d i (tag, lor ngufa do t i e p xuc v o i
scrn h a y a n uo'ng p h a i nhiJng c h a t hoac thiifc a n gay d i lifng, n o i me day, ngufa ngay. N g o a i r a c6 tac d u n g chufa h o , v i e m p h e m a n t i n h , i a c h a y l y , dau da day, dau b u n g , v e t thuorng l a u l i e n m i e n g . Cdch
dung:
h a t Nuc nac, m§i n g a y sac
uo'ng 2 - 3 g hoac say k h o t a n n h o de uo'ng hoac rac v e t t h i f o n g . V6 cay Niic nac phori k h o , m o i n g a y 5 - l O g sac uo'ng. V6 N i i c nac tmi g i a n a t cho t h e m 3 p h a n rirgu n g a m do 2 - 3 gior, b o i vao ch6 lor loet d i t i n g ngufa che
hien:
Cay moc h o a n g hoac
dugfc t r o n g de l a m choai cho c a y t r a u k h o n g . 128
95- 6 DLTOC Ten khdc:
Cay D a u d a n g , 6 diforc n a m .
Ten
hgc:
aao
khoa
quan
L i n d e r e a m y r r h a (lour) M e r r , thuoc ho
long
(Lauraceae). phdn
Cong
hoa
hgc:
V i 6 dirgrc n a m chiTa t h a y c6 t a i l i e u
• ChOfa dau b u n g , day hcfi, or hori, n o n mufa, k h o t i e u ,
dung:
Ufa dau b u n g k i n h , dau b u n g sau k h i s a n h de. N g o a i r a con d u n g te chCfa l y , i a c h a y , v a d u n g pho'i hcfp chCfa t h a p k h d p . Cdch
Re 6 dugrc t h a i m o n g , p h o i k h o sac uo'ng, hoac t a n
dung:
hot, hoac l a m t h a n h v i e n . Thuofng d u n g pho'i htfp t r o n g cac b a i thuo'c d i e u k i n h , h a u san, t h a p khdrp, r o i l o a n t i e u hoa. M 6 i n g a y dung 2 - 6g. Cdch
che hien:
Cay moc h o a n g n h i e u nofi t r o n g nude.
96- 6 i Ten
khdc:
Thanh
O s i d i u m guyava L i n n , thuoc ho s i m ( M y r t a c e a e ) .
phdn
hoa
hgc:
Qua d i
" n CO n h i e u c h a t bd dirdng va v i t a C, t r o n g h a t c6 c h a t dau m u i ||. Qua x a n h v a bup n o n c6 n h i e u i n l a 1 c h a t gay tao b o n . Cong
dung:
Blip di non la 1 v i
|»idc diwc d u n g t i r l a u dori de chOa o da. Qua d i x a n h cung c6 tac d u n g
ngay. Cdch
danh.
n g h i e n cilu.
hd diep. Ten
Jioach qua c h i n vao t h u dong, phcfi k h o , b d l a y h a t r o i phcfi k h o de
Thanh
94- NUC NAC Ten khdc:
y 5 Nuc nac t h u h o a c h q u a n h n S m , bo vo n g o a i , p h o i k h o . T h u
•:• TAW^
e/uia
i a c h a y , nhiTng k h i c h i n l a i c6 tac n g n h u a n t r a n g . Nirdrc sac vo t h a n
T/u^^ru^C^i^^4*^<,
•
129
t)Onfl
cung dung chfla thao da va rufa vet thucrng.
98-QUE
Cdch dung: Blip non hay La oi non m6i ngay dung 15 - 20g, v6 cay 15g, cho them i t l a t Gifng, sac uong. Cdch che Men: Cay moc hoang hoac trong l a m cay an qua. Trong bang each gieo h a t hoac chiet canh (cui). Thu h a i quanh nam, dung bup non tuai hoac phcfi hay say kho.
Ten khdc: Que' thanh. Que quy, Nhuc que. Ten khoa hqc: Cinnamomum loureirii Nees, thuoc h p long jjjio (lauraceae).
97- C A Y CIT
Thanh phdn hoa hgc: Ngoai cac chat thong thifcfng khac, v6 que c6 t i n h dau, trong do c6 chat andehyl xinnamic.
Ten khdc: 6t chi thien, 6 i chi dia, 6t sitog trau, 6t dai, (3t tay ((St Hung), Cft tau, Cft ca, Cft t i m .
xia thich cho n h i J n g benh nhan c6 tang
Ten khoa hoc: Capsicum frutescens L , thuoc ho ca (Solanaceae). Thanh phdn hoa hgc: Cft c6 chufa cac chat sau: - Capsaixin la 1 ancaloit t i le 0,12% v i cay. - Capsaixin la chat dau thuoc 1 loai ancaloit long, chiem t y lo 25% gay xung huyet da. - Capsantin la mau do dac biet cua est.
*
Ngoai ra con c6 chat beta caroten, chat nay vao ccf the se bieii thanh V i t a m i n A, trong Oft c6 chiifa nhieu V i t a m i n C (0,30% 61 chin) V i t a m i n B l , B2. Cong dung: Ngoai cong dung l a m gia v i , Cft con la v i thuoc giijp tieu hoa, kich thich than k i n h trung iTcfng. Cdch
dung:
- Ngay dung 0,05g chia l a m r h i e u Ian uo'ng de chOra phong thap, dau liftig, dau khdp, ho. - Dung ngoai khong t i n h lieu lugrng. - L a Cft gia nho dap vao nori vet thuofng do r a n r e t can.
Cdch chebien: Trong of moi ncri, hang nam, hai qua dung tiToi hay phofi hoac say kho, gia nho. L a dung tiTcfi.
1 3 0 •:• T A W *
e/u?«
T gTrt gtgu
Cong dung: Que c6 v i cay, t i n h nong, ban, kem chiu lanh, con nhijfng ngiTcfi nong (tang nhiet) t h i khong nen dung. V i vay Que diTOc dung trong cac t h a n g thuoc Bac cho phu hop v d i the benh. Cung c6 the dung dofn doc de chOra dau bung ia chay do lanh, hoac chCfa cam mao. Ngoai ra Que dufcrc coi la 1 v i thuoc bo de lam tang hoat dpng ciia t i m , liTU thong huye't mach, tang ciTcfng ho hap, kich thich tiet dich va co bop da day, ruot, l a m cho an ngon, tieu hoa t o t hdn, boi bo va l a m lifu thong huye't mach cho phu nOr sau k h i de. Cdch dung: Ngoai viec dung pho'i hgfp trong cac bai thuo'c de s^c uo'ng hoac vien hoan v.v... ngiTori t a got Que t h a n h n h i J n g mie'ng mong hoac t a n thanh bot, roi do niTdrc s o i v a o chen day k i n <JQ 1 0 - 1 5 phut r o i gan nudc uo'ng. M6i Ian chi d i i n g 1 - 2g, ngay uo'ng 2 - 3 Ian. Cam k y : NgUdi am hu' diforng t h i n h (co tang nhiet, mat kem), phu mi CO thai khong nen dung (vi co the say thai). Cdch che Men: Que moc hoang d nui riTng va diTorc trong trong ^Uorn l a m thuo'c. NgUdi ta t i n nhiem nhat la que Thanh (of Thanh ^oa) sau do l a que Quy (Phii Quy, Quy Chau, Nghe A n , giap ^hanh Hoa), cac t i n h khac cung co nhifng khong nhieu. 0 Quang n o i tie'ng la que Tra M i . Trong que' bang h a t , h a i ve t h a v a o xixu^t n<u^ C v U a
• 131
n\i6c c h o n qua c h i m , d e m rilra nxidc v o l r d i t r o n g ngay. C u n g c6 t]
. H a t Q u y t p h o i k h o (Quat h a c h ) chiJa v i e m t i n h h o a n n g a y
c h i e t c a n h (cui) nh\X t r d n g c a m q u y t , n h i t o g k h o n g t o t b a n g t r o i
dung ^ •
h a t . Boc v6 que v a c t h a n g 5 - 5 v a 9 - 10. V6 boc each m a t d a t 2
chfla b e n h dau da day.
- 120cm goi l a que h a cSn (thupc l o a i k e m ) ; tiT 1,2m tror l e n d e n
Cdch
^°
P^°^ ^"^P
chebien:
n h i e u v i thuo'c k h a c n h a u d u n g
Dupe t r d n g k h a p n o i t r o n g nudc t a , de l a y qua
ch6 c h i a c a n h thuf n h a t goi l a que thucfng chau, to't n h a t , t r e n nua
an, h a t v a v6 p h o i k h o d u n g l a m thuo'c. Co t h e l a y qua n o n p h o i
l a quoc t h u o n g b i e u , Que d cac c a n h n h o goi l a Que c h i . Cac l o a i \
jjlio ( T h a n h qua tijf h a y Ca t h a n h bi) hoac qua t r u n g b i n h hoc lay
n o i t r e n , n e n de r i e n g v i gia t r i k h a c n h a u . Boc x o n g n g a m nu(
v5 phcfi k h o ( t h a n h b i ) .
l a n h 1 n g a y , vdrt r a de k h o h e t niTdfc r o i xep vao sot l o t l a chu( k h o , l o t n h i e u Idp x u n g q u a n h cho k i n , xep v6 Que vao, day k ;
100-RAUMA
bupc c h a t , CO t h e boc k i n b a n g tarn n i l o n g b e n n g o a i . U n h u v;r,
Ten
khdc:
k h o a n g 3 n g a y d e m neu l a m u a n o n g v a 7 n g a y d e m n e u l a m m
Ten
khoa
l a n h . X o n g d e m r a n g a m nifdc l a n h 1 g i d , rufa sach r d i p h o i k h o . M u d n cho dep, luc dau ngiTori t a ep giiJa
2 p h e n niifa cho thaiif^r
p h o i dudi n a n g n h e cho t a i r d i c u p n v a buoc vao cac o'ng t r e p h o i t i e p t h i n h , t h o a n g mdi r a l a u c h u i b e n t r o n g cho b o n g dep, l a y b u o t c h a t , p h o i cho k h o . Que c h i c h i can p h o i chiif k h o n g can u. D e
Thanh
Cdch
khdc:
Quyet, H o a n g quyet, T r a n b i , T h a n h b i .
Ten
khoa
hqc:
C i t r u s deliciosa
t e r o r e , t h u o c ho c a m
quyt
dung:
G i d i n h i e t , g i a i doc, I p i t i e u , b d i dirSng.
dung:
phdn dung:
Cdch
che
Men:
Cay mpc h o a n g k h a p n o i , chd a m m a t , m i i a
hoa qua t h a n g 4, t h a n g 6 v a cay t h u h a i q u a n h n a m , d u n g t u o i hoa
hge:
V6 qua Q u y t
tuoi
chiJa t i n h dau 3,8'
v i t a m i n A v a B , t r o n g l a Q u y t cung c6 chufa 0,5% t i n h dau. T r i a n uo'ng k h o t i e u , n o n mufa, dau b u n g , ho.
dung:
- L a Q u y t h o n o n g , dap chUa dau b u n g , h o . - L a Q u y t p h o i k h o , sac uo'ng c6 tac d u n g n h u v6 Q u y t .
Ng;
d i i n g 6 - 12g. - V6 Q u y t h a y T r a n b i chiJa a n uo'ng k h o n g t i e u , n o n miifa, n g a y d i m g 4 - 12g h a y h o n . T/u.^^
xentelozit.
muo'i n h a i song.
(Rutaceae).
132 •
T r o n g r a u M a c6 m o t a n c a l o i t g p i l a
- Chijfa dau b u n g i a l o n g , kie't l y : d u n g ca cay, rCfa sach, t h e m i t
Ten
Cdch
hqc:
• M d i n g a y 30 - 4 0 g gia n h o t h e m niTtJc uo'ng hoac sac u d h g .
QUYT
Cong
hoa
Saponin.
v a i cho vao o'ng n u t c h a t de bao q u a n .
Thanh
phdn
h y d r o c o t y l i n , nhOCng glucozil dac b i e t l a a s i a t i c o z i t v a Cong
99-
C e n t e l l a asiatica (L) U r b a n , thupc hp hoa t a n
(Apiaceae).
k h o i bay m a t h u o n g v i ngUori t a con boc sap 2 dau t h a n h que, hoc ,
T i c h huye't t h a o , L i e n t i e n t h a o . hqc:
e/uza
hay sao v a n g .
.rfi*.
101- RAU NGOT Bo n g o t , B u n g o t , Bac
Ten khdc:
dien
- Chaa
thin.
Ten khoa hgc: Sauropus androgynus ( L ) M e r r , thuoc ho thai, dau (Euphorbiaceae). Thanh phdn hoa hgc: V i t a m i n C, pho't pho. Cong Cdch
Rau n g o t c6 n h i e u a x i t
amin,
canxi
tiTa
dung:
- ChUa sot nhau:
L a y 30 - 4 0 g l a N g o t g i a
nat, them
nvtdc vao,
g a n uo'ng. L a y m o t n a m l a r a u N g o t , tuo't cuo'ng,
- Chila tri nhd ddi dam: sach v6 so'ng t r o n g
niTdc
d u n soi, de n g u p i , cho t r e uo'ng 1 laii
1 b a t , uo'ng n g a y 2, 3 I a n . che Men:
Cay diTdc t r o n g k h a p nofi de l a y l a n a u caiili
T r o n g b a n g c a n h vao mua x u a n . M u a hoa qua t h a n g 9 - t h a n g 1 1 . L a t h u h a i q u a n h n a m , d u n g tixcri.
khdc:
Ten khoa
hgc:
Sam h i e n nay
P o r t u l a c a oleraceae L i n n , (portulacae).
hoa hgc: H o a t c h a t ciia r a u
phdn
chiTa
ro,
chi
m6i bie't t r o n g r a u
S a m CO g l u c o z i t s a p o n i n v a cac s i n h to' A , B l , C, B 2 v a P P . Cong
dung:
- ChUa nhgt
134
•
Cay moc h o a n g or nhufng n o i a m m a t , m u a hoa
che hien:
doc:
Ten khdc:
Rau b a p .
Ten
hgc:
khoa
Thanh
phdn
Stigmata Maydis. hoa
hgc:
T r o n g Rau ngo c6 k h a n h i e u c h a t ,
' t r o n g do c6 x i t o s t e r o l , s t i g m a s t e r o l , g i a u v i t a m i n K , v i t a m i n C va muo'i k a l i . Cong
dj/.ng: Co tac dung l a i t i e u , d u n g Rau ngo liTorng nirdc t i e u
t a n g 3 - 5 I a n , d i i n g de chiJa cac chiJng p h i i t h u n g t r o n g b e n h t i m , gan, t h a n m a n t i n h , soi t h a n v a te tha'p. Rau ngo c6 tac d u n g I g i m a t , t h o n g m a t , d u n g t r o n g b e n h v i e m gan, xo g a n v a n g da, soi m a t , CO tac d u n g c a m m a u ; d u n g t r o n g cac b e n h x u a t h u y e t n o i , rang.
M a x i hien.
thuoc ho r a u s a m Thanh
Cdch
Ca cay g i a t h e m niidrc uo'ng vao b u d i sang.
kim:
chay m a u da day, t h d h u y e t , b a n g h u y e t , r o n g k i n h , chay m a u
102- RAU SAM Ten
- Tdy giun
103- RAU NGO
sach, gia n a t , l a y nirdc b o i t r e n \\idi.
Cdch
htfp vdfi CO Sffa l a n h o (heu lifomg b a n g n h a u ) .
thifofng d u n g t u o i , c6 t h e p h a i k h o sac uo'ng.
hidi.
- ChUa tUa luai: L a y m o t n a m l a r a u N g o t , tuo't h e t cuo'ng, rua
rufa
ly trUc trtmg: ca cay m S i ngay 6 - 12g sac uo'ng. Pho'i
qua t h a n g 6 - 8 d u n g ca cay, trijf r e , t h u h a i vao m u a h a , t h u ,
ChCfa d a i d a m , chOra sot n h a u ,
dung:
rau: L a r a u S a m pho'i h o p v d i l a c6 Xudfc, g i a dap.
- ChUa dinh
L a gia d a p .
Tl^cn^CLl^i^&U.
Cdch
che
bien:
CuT de'n m u a t h u h o a c h ngo, t h i l a y R a u ngo
p h a i k h o dirdfi n a n g n h e r d i cho vao t u i n i l o n g bao q u a n cho'ng a m , moc. K h i d i i n g l a y 1 n a m do 20 - 70g n a u nadfc uo'ng t h a y nu6c che h a n g n g a y .
104- S A N H A N Ten
khdc:
M e t r e b a , D i f o n g x u a n sa, D a u kha'u.
Ten
khoa
hgc:
A m o m u m x a n t h i o i d e s . W a l l hoac
Amonum
[ V i l l o s u m L o u r , thuoc ho G i t n g (Zingiberaceae).
Ti^t
y\a»^ <2"«UJ«
•••
135
^6nfl Y gTrt <i^u
Thanh phdn hoa hgc: Trong h a t c6 chufa t i n h dau n h u d camphor, d - bomeol, bomylacetat, linalol, nerolidol. Cong dung: Nhor v i cay, t i n h a m , Sa nhan c6 tac dung kicli thich tieu hoa, dung chOfa chufng day h o i , a n uong kho tieu, dan bung, n o n muTa, nac, nghen, tieu chay do lanh.
Cdch che Men: Sen dKOc trong or nhieu noi trong nadc, miia tjiu h a i hoa, h a t va Guong vao cac thang 6 - 7 va 8, Ngo sen t h u jioach vao mua dong.
106- SIM Ten khdc:
Difong le. Hong sim, Dao k i m nuong. Son nham,
Lieu dung: Dung hat c a v6 sao vang, sac uong m 6 i ngay 3 . 6g. Thirorng dung trong cac bai thuoc chufa v e tieu hoa khac.
jsjham tuf.
Thu hdi vd che bien: Cay moc hoang tren riftig nui, nori vung dat a m , thap, doc c a c khe suo'i. Lay qua c h U a chin phcfi hoac say kho, d e c a v6 goi l a Xac s a , bo v6 chi lay nhan gpi l a Sa nhan.
sim (Myrtaceae).
Ten khoa hgc: Rhodomyrtus tomentasa (Ait) Hask thuoc ho Thanh phdn hoa hgc: So bo vadi thay c6 sac to antoxyanozti, tanin c6 nhieu d la.
105-SEN
Cong
Ten hhdc: L i e n , Quy.
thiTOng,
Ten khoa hgc: Nelumbo nucifera G a e r t n thuoc h o sen (Nelumbonaceae). Thanh phdn hoa hgc: T r o n g La sen c6 c h a t anonain, pronuxiferin, tua n h i difc c6 tanin, trong T i m sen c6 nelumbin^ liensinin, trong Ngo sen c6 asparagin, acginin.
Cdch
dung:
- Ngo sen: lam thiJc an, thuoc cam mau (chay mau cam, n o n ra mau, dai v a tieu tien ra mau) ngay dung 6 - 12g, dang thuoc sac. - Hat sen: bo t y , a n than, dung de dieu t r i suy nhuoc than kinh. - T i m sen a n than, chffa h6i hop, mat ngii, d i t i n h , mong t i n h . ngay uong 4-lOg T i m sen klio diX6i dang thuoc sac hay pha. - Guang sen: cam chay mau, ngay dung 15 den 30g dang thuoc s^c. - Ld sen: dung cam mau vdi U l u 15 - 20g difdi dang thuoc sac. - Tua nhi dUc: chufa bang huyet, tho huyet, ngay uong 5 - lOg d\i6i dang thuoc. 136 â&#x20AC;˘
T/u^^n^Q^Utc^dU.
T r i tieu chay, k i e t l y , vet loet, vet bong, vet
dung:
- Chfla ia chay, kiet l y , dau bung, 8 - 16g blip non hoac nu hoa tan bot hoac sac uong. - Sat trung vet thuang: blip non sac midc dac, rufa, dimg r a t t o t cho vet bong.
Cong di^ng: Boi diTdng, a n than, cam mau. Cdch
dung:
kich thich tieu hoa.
- Thuoc kich thich tieu hoa: 10 - 20g qua chin ngam rUgfu uong. Cdch che Men: Cay moc hoang cs ritog n u i , t r e n cac doi troc. Hoa thang 5, thang 7, qua thang 8 - 9. Blip non t h u h a i vao mua xuan, nu hoa va qua h a i vao mua ha, phori kho.
107- SONGDCII Ten hhdc: Thuoc bong, TriTorng sinh, Tho tarn t h a t , T a m t h a t , Diem sinh can. Lac dia sinh can. Ten khoa hgc: Kalanchoe pinanata Pers, thuoc ho thuoc bong (Crassulaceae). Thanh
phdn
hoa hgc: Trong la chiet difgtc 1 hoat chat la
BryophyUn c6 tac dung khang khuan.
|k
Ttu^c
137
f)6nfl Y gfrt
f)6nfl Y gfrt gtgu Cong diJing: ChCfa bong, cam m a u , dap v e t t h i r a n g , t r i i a chay, ho. i
Icho, de n g u y e n ca qua de bao q u a n , k h i d u n g m d i dap r a de l a y nhan.
Cdch dung: D u n g l a tuofi, gia n h o dap vac cho b o n g , v e t t h u o n g , hoac gia n a t l a t u d i t h e m niTdc vao g a n uo'ng, d o i k h i sac l a uo'ng, m 6 i I a n uo'ng 4-10 l a , n g a y uo'ng 3-4 I a n . Cdch
che Men:
109-
Ten
khdc:
Ten
M I N H
H a t m u d n g , D a u m a , cay M u d n g n g u .
khoa
hgc:
Cassia
tora
Linn,
thuoc
hp
Vang
(Caesalpimaceae).
Duorc t r o n g k h a p nori,
Thanh
hoac mpc h o a n g d n u i da v o i , ch6 dat k h o
phdn
Cong
can, t r d n g b a n g l a ; m a m va r l s i n h r a of
hoa
dung:
hgc:
Co c h a t a n t r a g l u c o z i t .
ChQa c h i l n g a n c h a m t i e u , n h u a n t r a n g , t a y .
N g o a i r a con d i m g de chOfa cao huye't ap, d u n g l a m thuo'c a n t h a n ,
ke cac v e t k h i a cua m e p l a t h a n h cay con
chOra dau m a t , l a m sang m a t ( n e n goi l a Q u y e t m i n h ) v a d u n g de
mdi.
chCa hac lao.
108-
Cdch
S C T Q U A N
Ten
khdc:
Quisqualis
indica L.,
thuoc ho
Bang
dung:
n g a m chffa dau nhufc r a n g . Tac d u n g p h u : gay nac. dung:
chiifa cao huye't ap, m a t n g i i . K h i r a n g chay den t h i m a t tac d u n g n h u a n t r a n g . N g a m 2 0 g H a t m u d n g t r o n g 5 m l rifpu va 5 m l g i a m Cdch
che
Men:
T h a o quyet m i n h moc h o a n g k h a p ncri, c6
n h i e u n a i t r d n g de l a m p h a n x a n h . T h u h a i qua c h i n vao t h a n g 9 - 1 1 , l a y h a t phori k h o , bao q u a n c h o n g a m , moc.
Co tac d u n g d i e t g i u n dua. N g o a i r a con d i m g cho
t r e e m de chOfa suy d i n h diTSng, a n uo'ng k h o t i e u v a con d u n g de Cdch
M o i n g a y 5-lOg H a t m u d n g , s^c uo'ng de n h u a n
de chOra h§c lao.
Thanh phdn hoa hQc: T h a n h p h a n chu ye'u l a dau beo n h u n g k h o n g CO tac d u n g d i e t g i u n . H o a t c h a t chu ye'u l a muo'i k a l i ciia a x i t quisqualic c6 tac d u n g d i e t g i u n . Cong
dung:
t r a n g . R a n g h o i chay d e n sac uo'ng h ^ n g n g a y t h a y nirdc che de
Suf q u a n tilf, cay Qua d u n , Qua nac.
Ten khoa hgc: (Combretaceae).
T a y g i u n dua cho t r e e m 3-5 n h a n h a t , ngUori I6n
10 n h a n . D a p qua l a y n h a n gia n a t r d i uo'ng. Sau 3 gicf t a y bang thuoc muo'i s u n f a t n a t r i h a y sunfat m a g i e 15g. ChOra nhiJc r a n g : 10 qua dap n a t cho t h e m nifdc sac n g a m n h i e u I a n t r o n g ngay. ChiJa c a m t i c h : L a y n h a n h a t t a r n m a t sao g i o n t a n b o t cho tre uo'ng n g a y 4g. Cdch
T H A O Q U Y E T
110-
T H A U
D A U
Ten
khdc:
D u du t i a , D a u ve, T y m a .
Ten
khoa
hgc:
R i c i n u s , communis L i n n , thuoc ho t h a u dau
(Euphorbiacaes). Thanh
phdn
hoa
hgc:
T r o n g h a t T h a u dau c6 4 0 - 5 0 % dau,
2 5 % c h a t a n b u m i n o i t . N g o a i r a con c6 m o t so' c h a t k h a c nhiT a x i t malic, r i x i n va r i c i n i n . T r o n g dau c6 1 gluserit; dac b i e t l a r i x i n o l e i n (xa p h o n g h o a cho a x i t r i x i n o l e i c ) nay c6 tac d u n g cho'ng n a m r a t
che Men:
Cay moc h o a n g n h i e u ncri, ngirdi t a h a y t r d n g
m a n h va difpc d i m g t r o n g n g a n h nUdc hoa. C h a t r i x i n r a t doc k h i
l a m c a n h , t r d n g b a n g h a t , h a y b a n g c a n h , sau 2-3 n a m t h u hoach
ep dau no n a m l a i t r o n g k h o dau n e n k h o n g l a m thiifc a n difcrc. No
qua, nhiifng n a m sau t h u hoach dufgc n h i e u qua hcfn. L a y qua phcJi 138
•
T/u^t
yu,^
C'/uia
^dU.
Tu^c
mm-
n « « v e/i^
^4-^
•:•
139
g)6tifl T
gfrt
bi phan huy d nhiet do cao va mat doc (hap nong 115°C trong i gicf rirei de khuf doc. Cong dung va lieu dung: Co tac dung tay, lieu ngUori Idn 3050g, tre em 10-15g. Co tac dung chOfa sot nhau, dung 15 hat Thau dau loai la t h a n dau gia nho dap vao gan ban chan. K h i nhau ra roi pai rufa chan ngay. TriTcfng hop de kho cung lam nhu vay. Ngoai ra con dung chOra meo mieng (liet day V I I ) do cam lanh.
Cdch che Men: Cay dUcrc trong lay qua, trong bang hat vao miia xuan. Qua T h i chin va t a i ciia no dimg lam thuoc. Thu hoach qua chin che bien thanh t h i banh. 112- T H I E N LY Ten khdc: Cay Bong ly, Hoa ly, Hoa Thien ly. Da l a i huong. Ten khoa hgc: Telosma cordata Mer, thuoc ho thien ly (Asclepia
Cdch che hien: Thau dau moc hoang khap ncfi hoac duac trong de ep lay dau dung trong cong nghiep va dimg lam thuoc. Thu hoach hat kho vao thang 4-5 dem ve ep lay dau.
daceae).
111-CAY TH!
Cdch dung: Lay 100 la Thien ly, 5g muo'i an gia nho, cho them 30ml nirdc dun soi de nguoi, tron deu loc qua vai, tam vao bong dap len ch6 d o m da rufa sach bang thuoc t i m , xong bang nhu dong kho. M 6 i ngay lam 2 Ian lam trong 3-4 ngay la khoi. Chiifa sa da con cung lam nhu tren, nhQng trucfng hop sa lau ngay thiidng khong ket qua.
Ten khdc: T h i muon, Thuy. Ten khoa (Ebenaceae).
hgc:
Diospyros decardra Lour, Thuoc ho T h i
Thanh phdn hoa hgc: V6 qua chuTa 1 t i n h dau mui gan gio'ng mui ete amyl valerianic. T h i t qua T h i c6 tanin, gluxit, protit, xenluloza. Tanin trong T h i thuoc loai tanin pyocatechic, k h i b i oxy hoa t h i cho chat mau do, do la hoat chat chinh. Cong dvng: Nhuan trang, chong ho long dam, chOfa hiidu c6, t r i , sinh bung, no hofi. Cdch
dung:
- Chffa birdfu co: qua T h i c6 chufa io't, dung niTdc ep cho benh nhan uong, ddi vdi ngifdi benh nhe va benh d mijfc trung binh thay cong hieu ro rang. - Chtta t r i di ngoai chay mau va chay mau chan rang, can mot li/ong thich Korp qua T h i chin hay T h i banh se thay cong hieu. - Chiifa chufng cf: Moi Ian dung 7 chiec t a i T h i hay 12g sac lay nixdc uong.
140
•
Tku^cr^d^UOai^i^
Thanh phdn hoa hgc: M d i thay c6 ancaloit trong la va than. Cong dying: ChOfa loi dom va sa da con.
Cdch che hien: Cay diTcfc trong de lam canh lay bong mat va lay hoa nau canh an cho mat va bo, chi dung la tucri k h i
can.
113- T H I E N N I E N K I E N Ten khdc: Mon t h u c , Scfn t h u c . Ten khoa hoc: Homalomena aromatica, thuoc hp ray (Araceae). Thanh phdn
hoa hgc: Ngoai cac thanh phan thong thifcfng,
(si xac dinh c6 t i n h dau, dirge iifng dung trong k y nghe niTorc hoa. Cong
dung:
T r i phong thap, dau nhiJc xuang khdfp, te dai
chan tay, la mot v i thuoc bo, lam manh gan cot, nen c6 ten la t W * : M,u.v CkOa.
•
141
1^
Thien nien k i e n (manh khoe nghin nam), c6 tac dung kich thich tieu hoa, an ngon mieng. Cdch dung: Lay cu (goc r l ) phofi kho m6i ngay dung 5-lOg, sac uo'ng hoac ngam rUcfu. Cdch che Men: Cay moc hoang khap niii riTng n\idc ta, t r u lifgng kha Idn, cay thich dat am UtSt, moc t u nhien doc khe suo'i. Nho lay goc re, cat bo r l con dem ve phcfi kho, thai mong sac uo'ng, CO the sao gion tan bot lam thanh thuo'c hoan hoac ngam rircfu uo'ng. ThiTorng duqfc pho'i hgrp trong cac bai thuo'c chiJa thap khdp va thuo'c bo, dung lam vien hoan.
t)6ng T gfrt SU^u
^ 1 5 - T H 6 PHgC LINH Ten khdc: Cay Khiic khac, cay K i m cang. Ten khoa (Liliaceae).
hgc:
S i m i l a x glabra roxb, thuoc ho h a n h t o i
Thanh phdn hoa hgc: ChiTa t i m thay hoat cha't gi dac biet csi thay c6 Samonin, tanin, chat nhiTa.
Ten khdc: Day tcf hong, M i l n tiif, Dau k y sinh, h a t day To Hong.
Cong dung: Co tac dung chufa phong thap, giai doc, l a m manh ggn cot. Vien quan y 108 dimg Tho phuc l i n h 40-80g pho'i hgrp vdi Ha kho thao nam 80-120g sac uo'ng nhieu Ian trong ngay de chffa vay nen (lac), uo'ng lien tuc trong 2-3 thang cung vdri cac thuo'c boi ben ngoai. W Cdch dung: M o i ngay 10-20g sac uo'ng, hoac pho'i hcfp trong c^c bai thuo'c chCfa thap khdrp.
Ten khoa hgc: Cuscuta sinensis l a m k , thuoc ho b i m bim (Convolvulaceae). Tho ty til la hat day tor hong (semen cusaitae sinensis).
Cdch che Men: Cay mpc hoang or cac vimg nui doi thap. Dao lay cii vao vu thu dong, rufa sach cat bo r l , thai mong, phcfi kho. Bao quan cho'ng mo'c, mot.
Thanh phdn hoa hgc: Chua thay hoat chat gi dac biet, mdi thay CO chat nhiTa, t i n h chat glucozit goi la cuscutin.
116- THUOC GIAU
114-TH6TY
Cong diing: H a t To hong difOc dung lam thuo'c bo c6 tac dung manh gan co't, ciTcfng dircrng, dung de chiJa d i t i n h , liet dUcfng, ngoai ra con dung de chufa dau litog, k h i hu, tieu tien due. Nhttng ngudi cUcfng diTOng, b i dai tien khong nen dung, d ta cung c6 mot loai Tor hong khac nhung l a i c6 mau xanh luc, nhan dan lam thuo'c b o , thuo'c ho, so't, chGa lau va dap len cac ve't lor loet. Cdch diing: Ngay dung 8-16g hat hoac c a day s a c uo'ng, hoac dung pho'i hcfp vofi cac v i khac nhu Ngu v i tuf, Xa tien tijf, K h d i tu:, Phuc .bdn tuf, tan nho lam thanh vien thuo'c bo, co' t i n h . Cdch che bien: Cay moc ky sinh khap ncfi, d ta thufcfng lay ca d a y va h a t phcfi k h o , nen lay rieng qua phoi kho, dap lay hat, d e m sang s a y v a bao quan trong chai lo k i n .
142
•
Tku^cyXi^^QJ^i^pJ^
Ten khdc: Cay La giau. Hong txidc san ho, Duong san ho. Ten khoa hgc: Euphorbia tithymaloides L i n n , thuoc ho thau dau (Euphorbiaceae). Thanh phdn hoa hgc: Chua thay c6 t a i heu nghien cufu. Cong diing: Co tac dung cam mau, rut ngan thori gian dong mau, CO tac dung khang sinh, lifc che cac loai tu cau, hen cau, dung dap v e t thuong de cam mau va chong Ian. Cdch dung: Lay l a tuoi rijfa sach gia nho dap l e n v e t t h U O n g 3e cam mau v a chOta vet t h U O n g chong l a n h . Co the dung nudc ep La giau CO dac dap vet thuong de diet v i t r u n g , vet t h U O n g chong k h o i .
rA«*^^ n<«^ e/u&i >^^-<*A •
143
Chu y: La loai cay doc, an nhieu c6 the ngo doc chet nguai trong luc con dang nghien cufu chua nen dung de uong ma chi dung ngoai da. Cdch che bien: Cay moc hoang khap ncri trong nU6c, dufgc trong lam canh or cac vUcfn hoa, lam hang rao. Trong bang canh rat de song, thu h a i la quanh nam. Co the lay la gia nho ep lanirdrc nau thanh cao chufa mun nhot vet loet n h i i m trung. 117-TOI Ten khoa (Liliaceae).
hgc: A l l i u m Sativum L i n n , thuoc ho h a n h toi
Thanh phdn hoa hqc: Trong Toi c6 t i n h dau. Thanh phan chu yeu la chat aliin, chat nay du'ofc bien thanh alixin nhor 1 men la alinaza. A l i x i n la 1 chat khang sinh manh, diet dugrc v i khuan lien cau, thiTcfng han, ta, ly, bach cau, v i khuan len men tho'i va 1 so' khang sinh khac nhiT Gahxin, AUsahn I va I I , diet diTgrc ca tu cau vang. Cdng diing: Chufa ly amip, ly true trung va dap vet thiTorng. Ngoai ra con dung chufa chiiag cao huye't ap va chufa r a n can. Cdch dung: Gia nho dap vao vet thiicfng, mun nhpt lor loet hay pha dang thuo'c md 10-20%, dap vet thiTorng. Dung de chila ta, ly t h i gia nho pha vdi riforu 5% de uo'ng, dung dich nTcfu nay khong de dirorc lau se mat tac dung. Hoac gia nho ep lay niXdc pha t y le 10% vdi niTdc t h u t giiJ hau mon de 1 tuan le; ddng thori uo'ng 6g Toi 1 ngay chia 3 Ian. Dung rirgru Toi 1/5 (20%) ngay uong 2050 gipt de chQa cao huye't ap, chu y Idiong dung qua lieu. 144 •
TWt/\
Cdch trong, thu hdi va che Men: Trong bang cac miii Toi ^ao mua dong xuan, k h i cay sap tan l u i t h i nho lay cu v§ phori kho bgo ngoai roi treo gac bep. 118- T R A C B A D I E P
?
Ten khdc: Trac ba tuf, Trac bach diep. Ten khoa hpc: Biota orientalis (L) Ende thuoc ho Bach (Cupressaceae). Thanh phdn hoa hgc: Trong la va canh c6 t i n h dau va chat ohifa, trong t i n h dau c6 pinen, cariophylen. Cong dung: Cam mau, chQa kiet ly, chufa ho. Cdch dung: 12g la sao den, sac uo'ng pho'i hcfp vdi la Ngai cufu chufa rong huye't; vdi Huye't du, R l quat chufa ho ra mau. - Nhan qua gia nho, them nifdc gan uo'ng chiJa k i e t ly, ngay 412g. - 12g la sao sac cung R l chanh. Re dau t a m hoac tarn gufi cay dau t r i ho. Cdch che bien: Cay duftfc trong lam canh d nhieu noi. Trong bkng hat vao mua xuan. La t h u h a i quanh nam. Qua hai vao miia t h u , gia bo v6, lay nhan phcri kho. K h i diing de nguyen hay ep bo dau. 119- T R A M Ten khdc: Che dong, Che cay. Ten khoa hgc: Melaleuca leucadendra L. Ho sim (Myrtaceae). Thanh phdn hoa hgc: T i n h dau tram la mot chat long khong mau bay hai vang nhat, v i hori cay, mui therm dae biet. Hoat chat chu ye'u ciia t i n h dau la xineola vdi t i le 35-60%. Cong dung: Sat trung, chOa cam so't, t r i ho, viem difcfng ho ha'p.
XW^
(Lluiu i^iU.
•
145
f)6nfl
Y
Cdch
gfrt
Sltgu
dung:
- M 6 i n g a y d u n g 8-16g l a tiTori n a u nudc x o n g hoac sac uong, - D u n g t i n h diu n g u y e n c h a t de xoa bop, l a tufcri n a u nUdc chfifa m i n ngufa.
turi,
- ChQa viem
chdn rang c6 mil, cham
- Chiia
nhgt:
mun
d mat: L a n a u cao b o i .
L a g i a vdi l a T h d m l o m v a hoa D a m b u t
(lidu lugfng b a n g n h a u ) dap. L i e u u o n g m S i n g a y 4-8g hoac n h i e u h o r n . D u n g n g o a i k h o n g
- Ngufdi t a CO t h e d u n g t i n h dau de uong vdi l i e u 10-50 g i o t ply^ v d i n\idc duomg.
phan biet lieu lugng.
- T i n h dau p h a l o a n g v6i niTdc cat t i le 2 % l a m d u n g d i c h snt t r i i n g njfa v e t thucfng r a t t o t .
mua x u a n t h u , m u a hoa qua t h a n g 5-8. L a t h u h a i q u a n h n a m ,
Cdch
che Men:
Cay moc h o a n g d B i n h T r i T h i e n v a cac tmh
d d n g b a n g N a m B o , m u a hoa qua t h a n g 3 d e n t h a n g 5, l a t h u hm
Cdch
121-CAY
Ten khoa
k
T r a u cay, T r a u l u o n g , T h d
l a u d a n g , ThiTorc tifofng, T r a u k h o n g . Ten khoa hQc: P i p e r betle L i n n thuoc ho ho t i e u (Piperaceae). phdn
hoa hoc: T i n h dau t r o n g
H a nhiet, cam mau, g i a m non, t r a n k i n h .
?C'
dung:
- V 6 t r e l a v i thuoc (True n h i T ) c6 tae d u n g g i a m n o n a n t h a i
- L a t r e l a v i thuoc (True diep) c6 tac d u n g chffa h o , g i a m so't, t r i k i n h p h o n g t r e e m , d i m g l a tUtfi h a y k h o , sac uo'ng 10-20g h a y
phenolic khac.
nau niidfc x o n g t r i cam sot.
ChiJa dau l i t o g , nhiJc
dung:
- Nirdrc or t h a n cay T r e n o n tifcfi l a v i thuo'c ( T r u e l i c h ) , nufdmg
xirang, m u n n h o t .
l e n v a t n\i6c + n\idc Girng l i e u lircfng b a n g n h a u chOfa c a m so't, t r a n
dung: chUa Id loet, vet thumg:
L a gia n a t , t h e m mfov
- ChUa ho, kho thd: L a ep l a y mrdc uong. Co t h e t h e m i t GifJi.song.
•
Cdch
dung:
hoa hoc: Chufa ro h o a t c h a t .
sao.
c h a v i c o l , c h a v i b e t o l v a m o t so' hgrp c h a t
146
Cong
phdn
,
N g a y d u n g 10-20g dudi d a n g thuoc sac, d u n g r i e n g h a y d i m g
dau CO h a i c h a t p h e n o l l a b e t e l p h e n o l v a
- Sat triing, njfa.
Thanh
hgc: Bambusa S.P thuoc ho lua ( G r a m i n e a e ) .
phdi h g p v6i cac v i thuoc k h a c , trirdfc k h i d i m g t h i T c f n g t a m Girng
m u i Creozot (cui d o t ) , v i n o n g . T r o n g t i n h
Cdch
Cay V a u , cay Mufc, L d d, cay D a n g , L a n g a . H o p .
chOa c a m so't, n o n r a m a u , chay m a u c a m , b a n g h u y e t .
l a c h i e m 0,8-1,8% c6 k h i d e n 2,4% thorm
Cong
TRE
Ten khdc:
120-TRAU Ten khdc:
Cay dxiac t r o n g k h a p n a i , t r o n g b a n g day vao
dimg ti/oi.
vao dau m u a h a , p h a i k h o hoac cat l a y t i n h dau.
Thanh
che Men:
Ti^cna^(Ltuia)^&tj^
k i n h tre em. Cdch
che
Men:
Cay T r e moc h o a n g v a dirac t r o n g , muo'n c6
True n h i r to't c6 t h e l a y t h a n cay T r e vao m i i a d o n g , cifa t h a n h doan, bo do't, cao v6 x a n h bo d i r d i cao l a y hdt v6 d t r o n g goi l a v i thuo'c N h i r t h a n h t r i i c , l a t h u h a i q u a n h n a m .
T/Wt
/UP<V
•
147
f)6nfl T gfrt
122- VANG DANG Ten
V a n g dang, day D a n g giang, day K h a i ,
khdc:
Hoang
dang, hoang dang la t r a n g . Ten
khoa
hqc:
C o s c i n i u m u s i t a t u m p i e r r e , thuoc ho t i e t de
(Menispermaceae). Thanh
phdn
hqc:
T r o n g V a n g d a n g c6 n h i e u ancaloit, becberin
c h i e m 1,5-3%. Co tac d u n g k h a n g s i n h d u n g chiJa l y , triTc t r u n g ,
diing:
v i e m r u p t d i l o n g v a con chOfa b e n h g a n m a t , v a n g da, a n kho t i e u , sot, so't r e t , do m a t . Cdch
D i m g t h a n cay v a r i t h a i m o n g p h o i hoac say
dung:
k h o . M o i n g a y d u n g tiJf 4-6g. N e u c h i e t diTcfc b e c b e r i n t h i d i m g d a n g v i e n m o i n g a y uong 0,02-0,20g. P h a thuoc n h o m a t 0 , 5 - 1 % . Cdch
che Men:
Cay moc h o a n g d cac v i m g r i t o g m i i . T h u h a i
t h a n v a r l q u a n h n a m , d e m ve t h a i m o n g phcfi hoac say k h o .
Ten khoa Hp dong
So a m difang, H a u v o i , N g o a l a n g tiif. hqc: C a r d i u m unedo L .
vat:
Cardium.
Thanh
phdn
Cong
dying:
canxisunphat.
T r i dau da day, x u n g huye't da day, c6 tac dung
t r u n g h o a v d i a x i t t r o n g da day. Cdch
dung:
T h u l a y v6 ruta sach, phofi k h o , n u n g lijfa, n g h i e n
n h o , p h a t r p n v d i g i a m de l a m thuoc. Thuofng p h o i htfp v d i cac thuoc h a n h k h i c6 m u i therm nhiT T r a n b i , Hufcfng p h u de chila caf chijfng dau da day, ngay d i i n g 5-lOg bot.
148
•
Tt^^y\a».<2J^)^pJ^
Thanh
phdn
hoa hqc: Co chiJa 1 a n c a l o i t v a i n d i x i n t r o n g l a ,
hoa v a qua deu c6 chufa a x i t c y a n h y d r i c . Cdng
T i e u doc, chOra t h a p k h d p cap, m u n n h o t , v i e m
dung:
h o n g , m i n ngufa, c6 tac d u n g g i a m dau t a i chS. Cdch
C h a t cay txxai t h a n h t i r n g doan n h o , gia cho g i a p ,
dung:
bo vao n o i sao v d i g i a m h a y rifpu, goi vao m i e n g v a i bugc vao ch6 sitog dau. D i i n g ca cay hoac l a tifcfi m 6 i n g a y 10-30g sac uong de chOra m u n n h o t , v i e m t a y , siTng k h d p , do te t h a p . N g o a i r a con d i m g diidi d a n g cao h a y con de u o n g chUa t h a p chOfa t h a p k h d p cap. C a m k y : P h u n i l c6 t h a i k h o n g dirpc d i m g . che
Men:
Cay moc h o a n g d b a i c6, bor r u o n g , v e n diTcfng, m u a hoa qua
hoa hgc: T h a n h p h a n hoa hoc chu y e u ciia V6 so
m a i n g o i l a c a n x i cacbonnat, c a n x i p h o s p h a t ,
H e l i o t r o p i u m , i n d i c u m L i n n , thuoc ho v o i v o i
Ten khoa hqc: (Boraginaceae).
Cdch
Cardiidae.
Giong:
G i e n v o i , D a i v i dao, T h i e n g i d i dao.
k h d p hoac de dap d ngoai. Co t h e pho'i hcfp t r o n g cac b a i thuoc
123- V O S b M A I NGOl Ten khdc:
124- VOI VOI Ten khdc:
hoa
d a n x u a t cua i s o q u i n o l e i n , chu yeu l a b e c b e r i n , t i le Cong
P h a n bo': di/pc t i m t h a y n h i e u b cac d a m p h a nifdc lor ( d a m Cau H a i , L a n g Co, cac p h a T a m G i a n g , T h u a n A n thuoc t i n h B i n h T r i T h i e n ) v d i trfif l u p n g r a t 16n.
thang
5-7.
Ca cay t h u h a i vao m i i a h a . D u n g tuofi h a y p h o i k h o .
125- VONG NEM Ten khdc:
L a V o n g , H a i dong b i , T h i c h d o n g b i .
Ten
hqc:
khoa
E r y t h r i n a i n d i c a l a m k , thuoc ho c a n h b i r d m
(Papilionaceae). Thanh
phdn
hoa
hqc:
L a v a t h a n c6 chiJa 1 a n c a l o i t l a
^ i ^ t r i n CO tac d u n g l a m g i a m h o a t dong t h a n k i n h t r u n g uang.
. ;•
!
tw*
; x u ^ e/v^<i
/^#(^./v
• 149
f)6n8 Y STrt N g o a i r a con c6 1 c h a t s a p o n i n l a m i g a r i n l a m g i a n d o n g tuf, c6 j ancaloit l a hypaphorin l a m tang p h a n x a . dif.ng: Co tac d u n g a n t h a n gay n g u , s a t t r u n g , chong
Cong
l e n seo v e t t h u o n g . N g o a i r a con d u n g dap l e n ch6 r a n c a n , dap vao h a u m o n de chufa t r i l o i d o m , v a chOfa r a n g
Cdch
dung:
L a y m o t n ^ m l a n o n na'u c h i n
sau.
n g a m rUqfu, n a u cao, n a u x i r o , sac uong. L i e u l u o n g 2 0 4 g l a 1 ngay. L a tUcfi g i a n h o dap l e n v e t thuotng l a u n g a y v a ch6 r a n can. B o t v6 cay t a n n h o rac vao cho sau r a n g . che bien:
C a y moc h o a n g k h a p ncfi, ngUori t a c h a t c a n h
v e t r o n g l a m h a n g r a o r a t d l song. N e u d i i n g i t t h i c h i l a y l a n o n l a d u , n e u d u n g n h i e u de san x u a t t h i l a y l a hoac boc v6 t h a n p h o i k h o v a che b i e n b a n g n h i e u phiXcfng p h a p n o i t r e n hoac d u n g pho'i h o p t r o n g c a c b a i thuoc k h a c .
phdn
hqc:
M e l i a azedarach
Linn,
thuoc hp
xoan
hoa hQc: V6 t h a n v a v6 r l chiJa m o t a n c a l o i t la
m a c g o s i n , c6 tac d u n g d i e t g i u n , n g o a i r a con 7% t a n i n . dung:
Chfra g i u n , chffa ghe lor, d i e t r a y , con t r i m g .
Cdch dung: X o a n c6 doc c h a t d u n g r a t t h a n t r o n g t h e o k i n h n g h i e m sau d a y : + Thuoc b o t : hoc l a y V6 x o a n , cao bo Idp v6 n a u b e n n g o a i , c h i l a y Idp v6 l u a , sao hori v a n g t a n n h o , c h i a t h a n h goi n h o 0 , 7 0 - l g . Lieu d i m g nhu' sau: - T r e t i r 2 t u o i n g a y uong 0,20-0,25g. - T r e t i r 3 t u o i u o n g n g a y tiT 0,25-0,35g. - T r e t i r 4 t u o i u o n g n g a y t i r 0,35-0,50g. 150
•:•
TA^^
^liay thuoc r a y . Cdch
che Men:
C a y moc h o a n g va dircfc t r o n g n h i e u d n\x6c t a ,
tr&^S b a n g h a t , t h i c h h o p v6i n h i e u l o a i d a t , k h i l a y v6 l a m thuoc rxen c h o n nhijfng cay da d e n t u o i k h a i t h a c go (6-7 n a m ) .
127- XLfONG BO Ten khdc:
T h a c h xUorng bo, T h u y xUorng bo.
Ten
hgc:
khoa
Acorus G r a m i n e u s S o l a n d ( T h a c h x i r o n g bo),
Acorus calamus L i n n ( T h u y xiTorng bd) thuoc h o r a y (Araceae). phdn
hoa hgc: T h a c h x i r o n g bo c6 t i n h d a u t r o n g t i n h
cung CO t i n h dau, v a a s a r o n n g o a i r a con c6 1 g l u c o z i t d a n g goi l a
Sau d a u , X o a n t r ^ n g , Doc l i e n .
Ten khoa (Meliaceae).
^ Cong
pjgoai r a con d i m g de t a m ghe, chuTa m u n coc ( m u n ccfm), l a
dau CO c h a t a s a r o n n g o a i r a c6 p h e n o l va a x i t beo. T h i i y xUOng bo
hhdc:
Thanh
T r e t i r 10 t u o i u o n g n g a y t i r l g - l , 5 g .
T r e tCr 15 t u o i u o n g n g a y 2g.
Thanh
126-XOAN Ten
I
.Tre t i r 5 t u o i u o n g n g a y t i r 0 , 7 0 - l g .
diet r a y v a con t r u n g , n a i i 4 k g L a x o a n v d i 10 l i t nirdc de p h u n
t r o n g bCifa a n
to'i de a n t h a n gay ngii. N g o a i r a con che b i e n n h i e u cdch n h u
Cdch
f)6nfl Y gfrt
n^.,.
<^/u-M
^pj^
acorin v a c h a t t a n i n . Cong
d^ng:
Co tac d u n g l a m g i a m dau, g i a m n h u d o n g da day
ta t r a n g . N g o a i r a con d i m g de chiJa suy nhirofc t h a n k i n h , nhufc dau u t a i , m e t m o i h a y q u e n , chOfa p h o n g t h a p , dieu hoa n h i p t i m nhir n h i p x o a n g n h a n h v a n g o a i t a m t h u t h a n h chuoi. XiTorng bo c6n duorc d u n g l a m thuoc bo, a n n g o n com, d e n toe v a d i m g n g o a i lam thuoc s a t t r u n g , chOra m u n n h o t . Cdch lOg
SSLC
dung:
T h a n re X i r o n g bo da p h o i k h o , m o i n g a y d u n g 4-
u o n g hoac t a n b o t t h a n h v i e n t r o n g cac b a i thuoc ehOfa da
^^y, thuoc bo, p h o n g t h a p . B o t X i r o n g bo d i m g de rac m u n n h o t lof loet. Cam ky: XiTOng b d k y sat, g h e t m a h o n g , d i a d o m , t h i t de, <iircfng v a m a t . NhuTng ngiTcfi t i n h h o a t ( d l x u a t t i n h ) , r a n h i e u m d hoi k h o n g n e n d i m g .
T / ^ ^ / W v C/wJfl
• 151
Cdch
che
bien:
c^c t h a n h p h a n k h a c n h u C y n a r o p i c r i n , cac e n z y m (oxidase, p e r -
C a y moc h o a n g t r e n r i f t i g n i i i or cac k e da v a k l i e suo'i a m uut T h u h a i q u a n h n a m , to't n h a t l a vao m u a t h u . L a y ve rufa sach c-.^ bo r l , l a , rufa sach, phori k h o , c6 t h e n g a m nudc vo gao m o t dein cao he't v 6 , rufa sach t h a i m o n g , phcfi k h o . 128-
La
D i m l , D i n h a n , ^ d l n h a n , h a t Bo bo.
Ten khoa (Gramineae).
Coix lachryma-jobi L i n n ,
hgc:
phdn
hoa
hgc:
thuoc
ho
N h a n h a t c6 n h i e u a x i t n h u leuxin,
l y s i n , a c g i n i n , t y r o s i n , h i o t i d i n , c h a t coixol l a m o t c h a t dac biet cua Y d l v a a x i t g l u t a m i c . ;
Cong
dung
vd cdch
dung:
C u m hoa duac d i i n g t r o n g che dp
nho t i n h b o t , p h a n c a c b o n h y d r a t gom p h a n Idm l a i n u l i n .
khdc:
Thanh
H o a chura t a r a x a s t e r o l v a f a r a d i o l . an k i e n g cua b e n h n h a n d a i thao dudng v i c h i chufa m o t l u o n g
YDT
Ten
oxidase, oxigenase, catalase) va n h i e u c h a t v6 cof k h a c .
A c t i s o c6 v i d a n g , c6 tac d u n g Icfi t i e u , difcfc d u n g n h i e u
t r o n g dieu t r i p h u v a t h a p k h 6 p .
'
De hoa v a l a bac n g o a i viec ducfc d u n g de a n con diTcfc d u n g l a m thuoc t h o n g t i e u t i e n , t h o n g m a t , t a n g sir t i e t m a t , k i c h t h i c h t i e u h o a , chOfa cac b e n h suy g a n , c h o n g t a n g c h o l e s t e r o l
huyet,
vGa x a d o n g m a c h , thira ure h u y e t , n g o a i r a con d u n g de chOfa cac b e n h ve t h a n n h u suy t h a n , v i e m t h a n , soi n i e u dao, t h u y t h u n g ,
Cong
diing:
B o i d u d n g cor t h e , lofi t i e u , t r i te t h a p .
Cdch
diing:
4 0 g Y d i , 4 0 0 m l nifdc sac con l a i 2 0 0 m l t h e m It
rUgru vao uo'ng 2 I a n 1 n g a y , uo'ng t r o n g 10 n g a y . N g o a i r a con d i m g c h u n g v d i T h o phuc l i n h , T h i e n m o n dong, M a c h m o n d o n g t r o n g m o t v a i dcfn thuoc k h a c chOfa te t h a p , loi
so't r e t , sitog k h d p xifcrng.
,w,,,;
Thuoc CO tac d u n g n h u a n t r a n g va loc m a u n h e doi v6i t r e e m . D a n g d u n g l a l a tUori hoac k h o d e m sac ( 5 - 1 0 % ) , hoac n a u
cao
l o n g , l i e u 2-10 g a m l a k h o m o t ngay. T h a n v a r l t h a i m o n g , phcfi k h o c6 cong d u n g nhuf l a .
tieu. Cdch
che
bien:
Cay Y d i moc h o a n g d k h a p ncfi a m m a t , o
130-CAY
VA
BENH
m i e n n u i thucmg moc d bor suo'i, hcl k h e , Y d l Ua d a t p h u s a , d a t c a t
Ten
khdc:
B a c h b e n h . M a t n h a n . M a t nhcfn.
CO n h i e u m u n .
Ten
khoa
hgc: E u r y c o m a l o n g i f o l i a
T r o n g b a n g h a t vao cuo'i m u a x u a n , vao cuol t h u t h i t h u hoach, cat ca day ve dap l a y qua, r o i l a y n h a n phori k h o . D u n g song, s a o v a n g hoac sao den. 129-
phdn
R l , v6 t h a n , qua.
djf^ng: K i c h t h i c h ccf t h e tie't t e s t o s t e r o n , t a n g ciTcfng
s i n h l y d n a m , dieu t r i r o l l o a n chufc n a n g t i n h due. C h o n g so't r e t .
khoa hgc: C y n a r a scolymus L . , 1 7 5 3 , ho Cue - Asteraceac'
Thanh
dung:
T h a n h p h a n h o a hoc c h i n h : Quassinoid, A l c a l o i d Cong
ACTISO
Ten
Bg phdn
•;
hoa hgc: L a Actiso chufa: acid huTu c6 g o m c y n a r i u
Chu
y: D u n g n h i e u B a b e n h c6 t h e gay m a t n g u , l a m g i a m
h a m muo'n t i n h due.
a c i d h y d r o x y m e t h y l a c r i U c , acid maUc, a c i d l a c t i c , a c i d f u m a r i f . a c i d succinic...; hgrp c h a t 152
•
flavonoid
Tl^cn^M^iZAa^i^itJ^
gom c y n a r o s i d , scolymosid VM T/u^c
y\u,^ CAa» ^ 4 - ^ <' 153
$)6ng r
gTrt
.
ChUa cam sot: nau niidc xong.
131- C A Y B A G A C Ten
Cat t i n h dau lam dau xoa, cao xoa va lam huorng lieu.
khdc: La phu moc.
Ten khoa hgc: Rauvolfia canescens L . (Ba gac Cuba); Rauvolfia verticillata (Lour.) B a i l l . = R. chinensis Hemsl. (Ba gac); R. vomitoria Afz. (Ba gac bon la); R. cambodiana Pierre. (Ba gac la to); R. serpentina (L.) Benth. ex Kurz. (Ba gac A n do), ho Tnic dao |fj (Apocynaceae). Nhilng loai nay mpc hoang hoac diftfc dua tijf cac nufdc khac ve trong of nufdfc ta. BQ phdn
dung: V6 re va r l (Cortex et Radix Rauvolfiae).
Thanh phdn hod hgc chinh: Nhieu alcaloid (0,8%), trong do quan trong nhat la reserpin, serpentin, ajmalin. Cdng dung: Chiet xuat cac alcaloid (reserpin, ajmalin, alcaloid toan phan) dung dudi dang vien nen chvCa cao huyet ap. Ajmalin dung chCfa loan nhip t i m dudi dang thuo'c vien va tiem.
Ten khoa hoc: Eucalyptus sp., ho Sim (Myrtaceae). Loai thiTcfng dung or niTo-c ta la Bach dan trang (E. camaldulensis Dehnhardt), Bach dan l i i u (E. exserta F.V.Muell), Bach dan chanh (E. citriodora Hook.f) BQ phdn dung: La (Fohum Eucalypti), ngon mang la, t i n h dau (Oleum Eucalypti).
Cong siro.
154 •
dung,
tainTen
khdc:
Ciromg t a m , Bach cifofng
khoa hgc: Bombyx Botryticatus
Nguon go'c: Con t a m nuoi lay to ( B o m b y x m o r i L . ) , hp T a m tof (Bombycidae), chet do n h i l m v i nam Botrytis bassiana Bals.=Beauveria bassiana (Bals.) VuilL, ho Mucedinaceae, phcfi hay say kho.
i£
hod hgc: Protid (67%), h p i d (4%).
Thanh phdn
T r i trung phong mat tieng, t a i bien mach mau
Cong d^ng:
nao, meo mieng, chan tay co rut, t i n h than bat on, tre con da de, lac hach. Cdch dung, lieu lUt^mg: Ngay dung 6-12g, tre em dudi 15 tuoi
134- B A C H H O A X A
khdc: Khuynh diep
Thanh phdn citronelal.
Ten
diing l - 6 g .
132- B A C H DAN Ten
133- TAM v o l
hod hgc: T i n h dau (5-6%), chu yeu la cineol,
Ten Ten
khdc: Cay duoi cong. khoa
hgc:
Plumbago z e y l a n i c a L . , ho
D u d i cdng
(Plumb aginaceae). Bg phdn dung: Re, la. Thdnh
phdn
hod
hgc:
Plumbagin
(metyl-2-hydroxy-5-
naphtoquinon-1-4). Cong dung: L a m thuo'c chfla benh ngoai da, mun nhot ghe Id. Cdch diing, lieu luang: Re, la gia nhd dap len ncfi simg dau.
cdch dung:
TAu^^yx^'c^^d^
ChUa ho, giup tieu hoa: n\i6c sac,
Sac re lay nifdc boi ghe.
Tku/^f AoM* CAiJa ^d»^<.
155
^6ng
Ghi chii: O niXdc ta con c6 cay mang ten Duoi cong hay Xie], hoa xa (Plumbago rosea L.), cung ho, moc hoang d nhieu uo, nhan dan suf dung n h u cay Bach hoa xa. Can phan biet vdi cay Bach hoa xa thiet thao - Co ludi ran hoa trang (Hedyotis diffusa Willd.), ho Ca phe (Rubiaceae). 135- B A C H L I N H Ten khdc: Phuc l i n h .
NAM
Ten khdc: K i e n k y nam, Ky nam kien. Ten khoa hgc: H y d n o p h y t u m f o r m i c a r i u m Jack jlydnophytum montanum Blume, ho Ca phe (Rubiaceae)
=
BQ phdn dung: Phan than p h i n h t h a n h cii t h a i t h a n h mieng jji5ng, phori kho. Cay m o c hoang d mot so' t i n h mien N a m nUdc ta.
Q u a the n a m Poria cocos Wolf., ho N a m j / ,
Mot so' riTng thong d vung k h i hau mat nudc ta cung c6 loai
Cong dung: ChSa cac benh ve gan, vang da, an uo'ng kem, dau nhilc xuang,khdfp.
nam nay nhung chua difqfc nuoi trdng va k h a i thac. "
g f r t ^Itgu
Thanh phdn hod hoc: Chua c6 nhieu t a i lieu nghien cufu. Mot s6' ket qua nghien cufu cho thay trong phan than p h i n h t h a n h cu c6 muo'i v6 co, vet alcaloid.
Nguon goc: (Polyporaceae).
j
136- BI K Y
T
BQ
phan dung:
D\Xac
Cdch dung, lieu lUgrng: Ngay dung 12-16g dudi dang thuoc s^c hay ngam riTcfu uo'ng
lieu chia thanh 4 thuf:
Phuc l i n h bi la v6 ngoai. Xich phuc l i n h la Idp thuf hai sau v6 ngoai.
137- B O N G
Bach phuc l i n h la phan ben trong mau trang, thifcrng che' t h a n h phie'n h i n h khoi vuong det. Phuc than la nhi3ng qua the c6 loi go ( r l thong)
d i f O c so
d giUa.
Thanh phdn hod hoc: Duofng (trong do c6 pachymose la ducfnt; dac hieu), chat khoang, cac hcfp chat triterpenoid. Cong dung: Phuc l i n h b i : L g i tieu, t r i phii thung.
Ten khdc: Thong bong. Ten khoa hgc: Lygodium s p , ho Bong bong (Schizeaceae). hb
Cay moc hoang leo tren cac cay khac d bui. BQ phdn dung: Ca cay mang la (Herba
Xich phif.c linh: ChOfa thap nhiet (chudng bung, viem bam quang, tieu vang, dai rat).
Lygodii).
B g c / i phiJLC linh: ChQa Sn uong kem tieu, day trirdng, bi tieu tien, ho c6 dota, ia chay.
hOu
PhiJic
than:
T r i yeu t i m , hoang sgr, hoi hop, mat ngu.
Cdch dung vd lieu lUafng: Ngay dung 6-12g dudri dang thuo sac, hoan tan. Pho'i hgp trong nhieu phiTcrng thuoc khac nhau.
BONG
Thanh phdn hod hgc: Flavonoid, acid CO.
Cong dung: ChQa dai r a t , dai buo't, (Jai ra mau, dai ra soi. T r i c h a n thiTOng, d huye't, Cdch
dung,
siTng
lieu lUQng: Ngay dung 6-12g dang
dau. niTdc
sac
(thuofng ket hgrp vdi Tho phuc linh). Ghi chu: Ngitori ta dimg bao tijf cua loai Lygodium japonicum (Thunb.) Sw. goi la H a i k i m s a (Spora Lygodii) t r i dai buo't, dai rdt.
156 •
T ( ^ ^
i^pJ^
Xtxu^,,
y\iu>^
<2Ma«.
<• 157
f)6ng
f)6nfl T STrt 9tt?u
Y gfrt 9ltgu
138- BONG HONG
140- CADQC DUOC
Ten khdc: Nam t i ba diep, cay La hen. Ten khoa hgc: Calotropis gigantea R. Br, ho Thien l y (Asclepiadaceae). BQ phan dung: La.
.tA <i ;
Thanh phdn hod hgc: Calotropin. Cong dung: L a m thuoc chiJa hen.
Ten khdc: M a n da la hoa. Ten khoa hgc: Datura metal L., ho Ca (Solanaceae). Cay moc hoang khap noi trong n\i6c ta. I
BQ phdn
dung:
L a , hoa (Folium, Flos
Daturae) Thdnh
phdn
hod
hQc: A l c a l o i d
Cdch dung, lieu litgfng: Ngay dung 6-12g dirdfi dang nirdrc sac, dung rieng hay pho'i hop vdi cac v i thuoc khac.
(scopolamin, hyoscyamin, atropin)
Ghi chu: Khong nham vdi cay Bong bong thuoc ho Hanh (Lihaceae).
Cdch dung, lieu lU^g: Thuoc doc bang A. Dang cao, bot, con de uong. Bot, cao long 1/1- lieu trung b i n h : 0 , l g x 3 Ian trong mot ngay; Con 1/10 - 0,5g x 4 Ian trong mot ngay.
L a kho cua cay N h o t tay hay Nhot N h a t B a n (Eryobotry japonica LindL) goi la ty ba diep, can chu y t r a n h nham Ian.
139- BaCiMBAC Ten khdc: Buom birdm, Hoa hu6m. Ten khoa (Rubiaceae).
hoc: Mussaenda pubescens A i t . f, ho Ca pli
Cay moc hoang or cac viing doi nui n\X6c ta.
Cong dung: ChuTa ho hen, chong co that trong benh loet da day va rupt, chufa cac ccfn dau, chong say nong.
Hoa t h a i nho phori kho cuon vao giay hut n h u thuoc la chiJa hen, heu l-l,5g/ngay.
141- CA GAI LEO Ten khdc: Ca vanh, Ca ciTcfm, Ca quanh, Ca quynh. Ten khoa hgc: Solanum hainanense hoac Solanum procumbens Lour., ho Ca (Solanaceae).
BQ phg,n dung: Hoa, re, canh, l a .
Cay moc hoang nhieu noi trong niTofc ta.
Thanh phdn hod hoc: Acid amin, acid hiJu cor (Arjunolic).
BQ phdn dung: R i (Thich gia can), day (Thich gia dang)
Cong dung: Lcfi tieu, chiJa ho, hen, gay xiTomg, chiJa te thap.
Thdnh phdn hod hgc: R l c6 alcaloid, t i n h bot, flavonoid.
Cdch dung, lieu luang: Hoa lam thuoc Igi tieu chufa ho, hen ngay dung 6-12g dang thuoc sac. Dung ngoai khong ke heu lifon; gia nat dap len noi viem tay, gay xUOng. R l l a m thuoc giam dau, chQa te thap, ngay dung 10-20g diro dang thuoc sac. Canh, than, la cung diing nhiT r l , ngay dung C 12g. 1 5 8 •:• T w . , / w
Day C O alcaloid. Cong dung: Cay difgrc dung t r i phong thap, sau rang, dau nhiJc cac dau gan xircfng, cam cum, ho, ho ga, d i ijfng. Con dung t r i ran doc can, giai doc riTcfu, bia, chong say tau xe. H i e n nay Ca gai leo da diicfc nghien cufu va chufng m i n h c6 tac dung dieu t r i viem gan do virus, xo gan va ung thiT gan.
Cdch sac.
dung,
lieu
N g a y d u n g 16-20g d i / d i d a n g thuoi
lii^ng:
Ten
khoa
C a m e l l i a s i n e n s i s O. K t z e = T h e a c h i n e n s i s
hgc:
a,eenx., h o C h e
(Theaceae).
C a y dtfcfc t r d n g l a y l a ttfcfi sac niTdc u o n g h o a c che b i e n t h e o
142- C A M T H A O DAY Ten
Day
khdc:
CLfdrm
ijhffng q u y t r i n h n h a t d i n h t h a n h t r a de p h a n a d c u o n g . cuform,
BQ phan
Day
chi chi. T e n khoa
Thanh saponin,
A b r u s precatorius
hgc:
Cong
L . , ho D a u (Fabaceae). Cay moc h o a n g v a diTcfc t r d n g l a m phan
Phan tren
dung:
CHO
phan
Cong
dung:
Cdch
dung,
hod
hgc:
Cdch
mat
C h a t n g p t tiTofng t\i g l y c y r r h i z i n .
lUtfng:
N g a y d u n g 8-16g, sac
u o n g , dung
Ten
khoa
T.
Thanh Cong
phan
hgc:
dung,
lieu
lUcfng: Sac l a v a hoa l a m nirdc u o n g (6-8g).
Do't cay k h o de x o n g , d u n g t i n h dau xoa
bop.
khdc:
hgc: C o r t e x E u c o m m i a e
phan
hod hgc: N h i r a , t i n h
dijing:
Thuoc b d t h a n , g a n
dong t h a i . Chufa cao huye't ap. dung,
lieu liigrng: 5-12g m d i
T r a , T r a d i e p , C h e hi/cfng, C h e t a u , C h e
Ghi chu:
H i e n n a y t r e n t h i trufofng
CO v i thuoc D6 t r o n g n a m , day l a v6 ^^han cua m o t so' cay, v i du v6 t h a n ciia cay Do t r o n g n a m (cay San ho) ( T a t r o p h a m u l t i f i d a L . ) , ho Thau dau (Euphorbiaceae), cay Cao su (Hevea b r a s i l e n s i s ( H . B . K . ) ^ u e l l . - A r g . ) , h o T h a u dau (Euphorbiaceae)...
144- C A Y C H E Ten
TRONG
cao l o n g .
T i n h dau.
b u n g , d u n g cho p h u nu" uong sau k h i de, cat t i n h d a u . Cdch
P h a nirdfc u o n g dac de u o n g h o a c
ngay d a n g thuoc sac, n g a m rUotu h a y
ChGa c a m c u m , dau nhufc, a n k h o n g t i e u , dau
dung:
Thanh
Cdch
L a , phan t r e n m a t dat.
hod
lii(fng:
dai d e m , l i e t diTcfng, p h u nOf c6 t h a i ,
Baeckea frutescens L . , ho S i m ( M y r t a c e a e ) .
dung:
lieu
cd^t, chfla dau l i t o g , m o i goi, d i t i n h ,
Cay moc h o a n g or n h i e u v u n g ddi t r o n g nirdrc t a . B Q phan
t
45- D6
Cong
C h o i se, T h a n h cao, Cay c h d i t r e n . hoc:
ntfdc u o n g , l a m t h u o c k i c h t h i c h , t a n g
diu.
143- C A Y C H O I X E khdc:
dung,
V T^n khoa
pho'i h g p v d i cac v i thuoc k h a c .
Ten
Pha
thut.
D u n g t h a y cam t h a o bac chOfa c a m , ho. lieu
dung:
tieu v a k i c h t h i c h a n n g o n , chuTa l y .
dat (Herba A b r i Precatorii). Thanh
Canh, la.
ci/dn sufc l a m v i e c t r i n a o , t a n g ci/cfng d i e u h o a n h i p t i m , I g i
c a n h , l a m thuoc d n h i e u n a i . Bo
dung:
phan hod hgc: T a n i n , a l c a l o i d ( c a f e i n , t h e o b r o m i n . . . ) , flavonoid ( k a e m f e r o l , cac g l y c o s i d cua quercetin...).
xanh.
f)6n^ r
STrt
ai|u
146-DAU TAM Ten khdc:
Tang thdm: chOfa benh dai dir&ng, lao hach, mat md, u t a i , thieu mau. Nifdc qua Dau c6 thanh cao. Ngay uo'ng 3 Ian, m6i Ian 5g. Lieu dung 12-20g.
Tang.
Ten khoa hgc: Morus alba 0
L , ho Dau t a m (Moraceae). Cay difcfc t r d n g k h a p ncfi trong niidc ta lay la nuoi t a m , lam thuoc.
Tang phieu tieu: Chijfa h\i lao, do mo hoi trom, di t i n h , bach d(Ji, dai due, d i dai khong n i n dxigc (tam nxgu sao, uo'ng ngay 8g v(Ji nufdc chin). Tre em noi mun c6 mii (dot ton t i n h , tan bot, hoa vd'i dau de boi).
BQ phan dung: V6 re (Tang bach b i - Cortex Mori) L a (Tang diep - Folium Mori)
147-HOANG DANG
Canh (Tang chi - Hamulus Mori)
Ten khdc: Hoang lien dang. Day vang giang, Nam hoang lien.
Qua (Tang t h a m - Fructus Mori) Tam guri tren cay Dau (Tang ky sinJi - Ramulus Loranthi) To bo ngya tren cay Dau (Tang phieu i e u - Ootheca Mantidis) Thanh phdn hod hoc: Tang bach b i : acid hOfu ca, t a n i n , pectin,
flavonoid.
Tang di^p: chlorophyl, flavonoid, coumarin, acid a m i n , taniu. Tang chi: cellulose, tanin,
flavonoid.
Tang thdm: anthocyan (sac to' mau do cua qua chin), du&iig (glucose, fructose), vitamin B I , v i t a m i n C, tanin, protid, va acul hiiu ccf (malic, succinic). Cong dung, each dung, lieu lUQtng: Tang bach b i : chufa ho, ho ra mau, phu thung, di tieu i t . Ngay dung 4-12g, dang thuoc sac. Tang di$p: chijfa cam mao, ho, hong dau, nhufc dau, mat do, chay mrdc mat, phat ban, huye't ap cao, md hoi trom. Ngay dung 4-12g, dang thuoc sac. Tang chi: chiJa te thap, chan tay co quap. Ngay dung 20-40g. dang thuo'c sac.
162
Tang ky sink: T r i cac chufng phong thap, te bai, dau liftig, moi goi. T r i dong thai, dau bung. Ngay dung 12-20g. ^
• Xl^cn<u,^<Lkci«.)^4,J^
Ten khoa Fibraurea
hgc:
R a d i x et C a u l i s
Nguon goc: V i thuo'c la than gia va r l phcfi kho cua cay Hoang dang (Fibraurea t i n c t o r i a L o u r , hay F i b r a u r e a recisa Pierre), hp Tiet de (Menispermaceae). Thanh phdn hod hgc: Alcaloid (3%), chu ye'u la palmatin. Cong dung: L a m giam v i e m , chCfa viem ruot, viem bang quang, viem gan, dau mat, mun nhot, sot nong, kie't l y , hoi hop, mat ngii. L a m nguyen lieu che palmatin. Cdch dung, lieu lU^ng: Ngay diing 6-12g dang thuo'c sac. Chu y: M o t so' t i n h m i e n m i i phia nam siif dung t h a n cay Cyclea bicristata ( G r i f f ) Diels., ho Tiet de v d i t e n goi Hoang 3ang hay Hoang dang la to. Cay nay c6 thanh phan hoa hoc, Cong dung tixong t u Hoang dang.
Tw^ / w , v &ka».
•
163
148- RAU DANG Ten khdc: Bien sue, Cay cang torn. Cay xiicfng ca. Ten
khoa
hgc: P o l y g o n u m
a v i c u l a r e L . , ho Rau r a m
Dimg ngoai, la va than hanh gia nat, hcf nong dung xoa bop lam sung huyet da, chCfa t e thap, dau nhiic.
(Polygonaceae). Cay moc hoang
or
nhieu ncfi trong
niTdfc
ta.
BQ phan dung: Toan cay (ca r l ) . Thanh
phdn
hod hgc: Flavonoid, tanin, nhifa, anthranoid.
Cong dif.ng: L o i tieu, chOra dai buo't, soi than. Cdch
dung,
lieu lU^ng: Ngay dung 6-12g (kho) dudi dang
thuoc sac, CO the dung
tiTori
hoac sac kho r o i sac uong.
149- TRINH NO HOANG CUNG Ten khoa hgc: (Amaryllidaceae). BQ phan
Crinum latifolium L. h p Thuy
tien
dung: LA (Folium C r i n i i latifolium), t h a n hanh.
Thanh phdn hod hqc: Alcaloid, saponin, acid T r i n h n f f hoang cung difong nghien chu yeu tiT nam 1980.
cufu
dung dieu t r i ung t h i T da day, ung thi/ phoi, ung t h i T gan va ehGa dau da day. O cac t i n h phia Nam, t r i n h nOr hoang cung duorc dimg pho bien chOfa benh difcfng tiet nieu.
hufu cor.
ve thanh phan hoa hoc
Cac Alcaloid c6 trong t r i n h nur hoang cung thuoc 2 nhom: - Khong d i vong: latisolin, latisodin, beladin. - D i vong: ambelin, crinafolin, latisodin, crinafolidin, 11-0acetyllambelin, latindin, pratorimin... Than r l c h u f a 2 glucan: Glucan A v a glucan B. Glucan A gom VI dcfn v i glucose, con glucan B c c khoang 110 go'c cua glucose (Tomada Mashashi va cs, 1985).
d A n Do, nhan dan dung than cay t r i n h niJ hoang cung xao nong, gia dap t r i mun nhpt va ap xe de gay miftig mu. Dich ep la la thuoc nho t a i chOra dau t a i . O Campuchia, nhan dan dimg cay t r i n h nOf hoang cung de dieu t r i benh phu khoa.
I
Cdch dung, lieu lit^ng: Ngay dimg 20-50g, dang nxidc sac. Chu y: Khong nham vdri cay Nang hoa trang (Crinum asiaticum
149- BO COT CHI Ten khdc: Bo cot chi, H a t dau mieu, Pha GO' c h i . Ten khoa hpc: Semen Psoralae Thanh phdn coumarin.
hod hgc: Dau beo,
Cong dung: Thuoc bo cho ngifcfi gia yeu, dau lifng, p h u nfl k i n h nguyet khong deu, k h i h\i. H a t n g a m rUOu dijng ngoai chiJa benh bach bien (da h i t r a n g tifng cho). Cdch dung, lieu liitfng: Ngay uong 6-15g difdri dang thuoc sac, bpt, vien.
Cong dung: T r i n h n i J hoang cung difgrc dung de dieu t r i mot sn dang ung t h i T n h u ung t h U phoi, ung t h i T tuyen t i e n liet, ung thi vu... Trong dan gian, t r i n h nOf hoang cung diforc dung theo each: 1=' thai nho, m6i ngay 3- 5 la, sao vang sac uong. Cung eo ngu'o'
164 • T W c
;Xi«v
eA*j«
Z/u^c
(Lkaa
•
165
f)6ng r g ' r i «
T a t ca p h o i k h o , t a n hot, ngay u o n g 14 - 20g, u o n g sau k h i a n
ILV, 2 g\is, hoac luc CO ccfn dau. •
B a i thuoc n a y u o n g cat ccfn dau t o t , n e n d u n g vao d o t dau.
If Bai 2: Ngoai dot dau
PHAN II
B o t nghe
1kg
M a t ong
C A C B A I T H U O C CHL/A B E N H THONG DUNG -oOo-
500g
H a i v i t r o n c h u n g , l u y e n t h a n h v i e n bang h a t dau, ngay u o n g 20 - 30 v i e n c h i a l a 2 I a n liic d o i . U o n g thtfcfng x u y e n , c6 k h i u o n g keo d a i m o t v a i n a m cho d e n liic l a n h . NhOfng liic c6 ccfn dau c6 the d u n g x e n k e b a i 1. 2. Hgi chtXng da day - ta trang, (the ty vi hii
giai
dog,n cuoi,
6 loet cu
han).
Dau v u n g thi/cfng v i l i e n m i e n , k h o n g c6 chu k y , t h i c h xoa n a n ,
I- BENH NQI KHOA
chLfotm n o n g d9, day b u n g , n o n , k e m a n , m e t m o i , c h a n t a y l a n h , dai t i e n p h a n n a t .
T I E U HOA HOi chufng da day - tA t r a n g 1. Hgi chAng (the
da day - to. trang,
can khi pham
Bai 1: Dung trong dot dau
* giai
doan
ddu,
6 loet mdi
vi).
D a u v u n g thifgfng v i tCfng ccfn, c6 chu k y r o r e t t r o n g n a m va
M a i mifc
lOOg
Tho boi mau
lOOg
Bot nghe
200g
t r o n g ngay, a n dau, k h o n g t h i c h chcfm n o n g v a xoa n S n (ciT an),
Ca doc difgfc
k e m t h e o c6 gf chua, tao b o n .
D i a Hen
lOOg
Gao n e p r a n g
lOOg
Bai
1: Dung trong dot dau M a i mire
600g
Bo cong a n h
lOOg
Ca dOc difoc (la)
30g
30g
( K h o n g CO M a i miTc, t h a y bang V6 hau nung ( M a u le)). H
- T a t ca t a n h o t l a m t h a n h v i e n 0,5g. - N g a y d a u v a ngay thuf h a i uong m o i n g a y 6 v i e n , c h i a 2 I a n ,
Bot nghe
300g
iigay thuf ba u o n g 8 v i e n , c h i a 2 I a n . N g a y thuf tiT t r d d i u o n g 10
Muong trau
250g
^'ien c h i a 2 I a n .
C a m t h a o day
250g
( M u o n g t r a u c6 t h e t h a y b a n g Chut, chit hay ViCng den (M'-'
den)). 166 •
T/vu^c
(LUac.
i^^4J^
Bai 2: Dung ngoai dot dau Dang s a m
12g t/u.Ji: >Vu.v C/^aa Z^^^Jv
•
167
t)ana r grr| qtgu
t)6n9 r g'rj qigu
1
Cu mai
12g
LA khoi
20g
Gao rang chay
10 phan
Sa nhan
lOg
Giftig l u i (6i khuong)
3 phan
Gitogkhd
4g
H a i thuf say kho, tan bot, luyen vdri ho lam vien b^ng hat ngo.
V6 r u t (Nam moc bucfng)
lOg
Neu ia chay nhieu, moi ngay dung 5 - 20g. Neu c6 hi§n ti/cfng
Cu choc (Ban ha)
6g
mat ni/dc, ia chay khong cam, dung 30g 1 ngay. Lieu tre em bang
V6 quyt
6g
nufa lieu ngUofi Idn.
Sac uong ngay 1 thang, ve sau uong 2 ngay 1 thang.
Bai 3:
.
Bup 6i
lACHAY 1. Ia chay cap
Bai 2:
tinh.
a) la chay do lanh: (Dong y cho la han thap). Sau k h i cam lanh, bung dau vung thiTgrng v i va vung quanh ron, soi bung, ia long nhieu nUdrc (nhu xoi) mui tanh, c6 the c6 non, sot nhe, nguW dn lanh, chiform nong d9. Tuy dieu ki$n c6 the dung m^t trong cdc bai thuo'c sau. Bai 1: Hoac hiicmg
12g
Sa nhan
4g
Rau Ma sao
lOg
Dau van trang
12g
Cu ga'u (Hifofng phu)
8g
Gitog tirori
4g
H a t ma d^
8g
Sa tien tuf ^ C6 v6 quyt hay V6 rut {Nam mgc huong) cho them cang tot. sac uong ngay 1 thang chia 3 Ian, uong lien 3 thang.
•:• T / V ^ J V -^Vu.v e/v^«
/S^rv/v
1 n^n^
Blip sim
1 nam
V6 qua liflj
1/5 ndm
(Khong v6 lifu thay b^ng Blip ch6 tircfi sao). Ta't ca sao vang, sac dac uong nong, chia 3 Ian trong ngay. Nen dung bai nay trong ia chay nhieu nudfc ket hofp viJi bai 2. Bai 4: Neu dau bung do cam lanh dot ngot, khong the dung thuoc thang t h i nhanh nha't hay lay mpt cu Giftig bang ngon tay cai, nhai uong vdfi mot bat midc che dac, nong, hoac ho tieu 20 hat cung nhai uong v6i n\i6c che nong dac. Tai vung dau chiform nong hoac lay mot cai ly, ca, hay Ion sOfa bo dot mot manh giay, de cho lijfa chay up ngay len ron, ly nut chat vao thanh bung la tot. Lam nha vay 2 Ian, sau do xoa them ty dau nong la khoi. K i n h nghiem dung thuoc Nam (c6 v i nong) de t r i ia chay do lanh ra't cong hieu, khong nen dung khang sinh. h) ia chay do nhikm trung: (Dong y goi la do thap nhiet). i a chay ngay nhieu Ian, phan vang c6 hat, mui t h o i , nong rat hau mon, dau bung, c6 the non mijfa kem theo. Bail: D^u van trdng
168
JOu^<i
20g
San day
12g
Sa nhan
,
Thao qua 6 mai
• ''iii "
Phen chua
12g
Bot gao nep
0,3kg
Giam an
0,5 Kt
>v rt'ivtjf ^ i 2 g
Cam thao day
6g
(Thieu Sa nhan, thay bang V6 quyt 8g). sac uong ngay 1 thang, hoac tan bot lam vi6n vdi lieu nhtf tren.
Phen chua phi kho, t&n kho, ray hot m i n , b6t ng'p lam ho vdi giam. Sau do tr6n deu, phen phi vao ho, luyen thanh vien hhng hat ngo. Ngay uong 10 - 20 vien. c) ia chay do roi loan deu hoa, cham tieu, day bung.
San day
12g
(Ilia te nay mam)
500g
K i m ngan hoa
12g
Ngai cufu
Hoang lien
lOg
Hiiorng nhu
500g
V6 quyt
500g
,
lOOOg
Ma de
lOg
Cac v i t a n bot, ngay uong lOg, chia 2 Ian.
V6 voi
8g
Bdi
Cam thao day
6g
(Neu khong c6 Hoang lien, thay Hoang ba nam (v6 nuc nac, con goi la cay bong bach). Sac uong ngay 1 thang. Bai 3: Vien to moc Bot Cao to moc Bot La 6i
lOOg 5g
Tan bot lam vien 0,5g. Ngay uong 8 - lOg. Tre em bang niJa lieu ngifofi I6n. V i e n to moc c6 tac dung cam ia chay do moi nguyen nhan.
2: Mang rong me ga
lOOg
Cu mai
lOOg
M a i miTc
400g
Cac v i t a n bot, uong ngay
lOg.
d) ia chay miia he: ia chay do cam nang (trung thijf). lOOg
Bot gao nep rang chay
•:•
v
Coc nha
2:
Rau ma sao
170
1kg
B d i 1:
Ngay uong 20g vdi nirdc chfe ngugi. Bdi
Bdi 4:
8g
Bot san day
400g
Cu mai
120g
Dau van t r ^ n g
120g
Cac v i tan bot, dong goi 4g. Tre em ngay uong 1 - 2 goi, ngifdi l(Jn 2 - 4 goi. Co the dung mot m i n h Bot san day.
ci/v^A < ^ # / v / t
T/xu^c
yu,.^
(^/xua
^d,.A
•:•
171
^6ng
r
STrt
^tgu
2. Ia chdy man
Hifong phu
tinh:
a) la chdy do roi loan tieu hoa, loan khudn (Dong y cho la do ty hir).
6g
sac uong 2 ngay 1 thang hoac tan hot ngay uong 20g. 3. Bdi thuoc chffa ia chdy cua BQ Y te (khoi 100%, tot
Dai tien phan ndt, song phan, ng^y di mot vai Ian hoSc hon K6m theo c6 the c6 phii thung, chan tay moi, kem an, cham tieu. Bo chinh sam
12g
V6 quyt
Sa nhan
8g
Bupoi
V6 quyt
8g
Cu mai
12g
Y di sao
12g
GCfng kho
12g
V6 rut (Nam moc huong)
6g
Sac uong ngay 1 thang. K h i benh giam, uong 2 ngay 1 than; b) ia chdy do viem dai trdng
15g
H: . " '
15g -
15g
sac uong ngay 1 thang, tre em 2 ngay 1 thang. T d n hot ngay u6ng 40g, tre em ngay 20g.
HOI CHtfNG L Y 1. Ly amip a) Ly amip cap tinh: (xich, bach ly) Dau bung phan difdri, quan tiTng ccfn, kem theo mot r a n nhieu,
Bdi 1:
Nam moc hifcfng
400g
Sam dai hanh
400g
Vien kho luyen dai hoang
Bach chi
lOOg
Kho luyen tuf
B6 ket
Di/cfng k i n h
600g
Hoang lien gai
H a t cau
H a t dtra hau
Dai hoang
Cac v i tan nho, ray hot m i n lam thanh 2800 vien. Ngay uon; 30 vien, chia 2 Ian. Co the sac uong moi thuf 12g. Bdi 2:
•
! "
dai tien nhieu Ian, phan i t , c6 nhay mui Ian mau tifoi, khong sot hoac sot nhe, xet nghiem phan c6 ky sinh t r i m g amip.
Bdi 1:
172
Ho^c hiTOng
Cac v i lieu bang nhau, tan bot dong goi. Ngay uong 20g, chia 2 l i n , tre em lOg/ngay.
Hoac hLfcrng
12g
Sa nhan
lOg
La Bo net
V6 r u t
lOg
La Mo long
V6 voi
lOg
La Mua
Thao qua
8g
V6 qua cau
8g
T A ^ c i nn/,. e/v^«
^pjv
Bdi 2: 45% ' 'J^:
10% 45%
Chon lieu moi v i bao nhieu la tuy theo nhu cau vdri t i 1$ da neu tren. ' y\uf^ c/t«A ''S^'-'v
173
^ 6 n g y g ' r l <3i§u L i e u cac v i b a n g n h a u . T a n b o t N h a d a m ttf, t r o n vdri cac v i
L a Bo n e t v a l a M o l o n g sao g i o n , t a n b o t m i n .
lam t h a n h v i e n , ngay lOg, c h i a 2 I a n .
L a m u a n a u cao l o n g v6i t i le 1/1.
2. Lx trite trung
Cho b o t t r e n t r o n v6i cao l o n g , l a m t h a n h com, say k h o , dong man
tinh
va ban cap tinh
(bach l y )
k i n h . X e t n g h i e m p h a n c6 trifc k h u a n l y . Bdi
m u i , i t m a u . B e n h thucfng t a i p h a t k h i Sn m d , c h a t t a n h . X e l n g h i e m p h a n thucfng c6 k e n a m i p .
400g
H a t cau g i a
lOOg
K h d l u y $ n tuf
La Mo long
lOOg
H o a n g l i e n gai
Cu PhiJong V I
lOOg
H a t cau g i a
Co saa n h o l a
40og
Ngo t h u
(hoac CO SCfa to la)
1:
V6 quyt cay
N u c ndc). K h o n g c6 N g o t h u t h a y b a n g GiTng k h o ( l i e u g i a m mot nufa). Cdc v i t r e n b ^ n g n h a u , t a n bot, dong g6i, ngay u o n g 20g. Bdi
2: Bai thuoc
kinh
f
nghiem
La mo long
1 nSm
Trufng ga
1 qua
C^t n h o M o l o n g , k h u a y deu v6\g ga, cho t h e m m u o i , v i t i n h vCra Sn, bo vao b d t , h a p t r o n g n o i com hay c h i i n g each t h u \ a n ngay 1 I a n . Bai
N h o day n o i d u n b a n g r o m r a ( B d c h t h a o xiTong). Sap ong.
•
" C A U J V /-VU.V (i-Atiw
T a n b o t u o n g 20g/ ngay. N e u sac u o n g l i e n m o i v i g i a m 10 I a n . Bdi
2: Rau s a m
40g
Co N h o n o i (c6 M u c )
50g
H a t cau
20g
T r a c ba d i e p
20g
C h i xac ( c h a n h k h o )
20g
H o a hoe
20g
Vorut
20g
Co M i i c , r a u S a m n a u cao, cac v i k h a c t a n h o t . Cho b o t vao cao
3:
t r o n deu, t h e m i t b o t k h o a i l a n g , hay b g t gao n e p l a m v i e n b a n g
Sau dau curt chuQt ( N h a d a m tijf)
174
1: Rau s a m
K h o n g CO H o a n g l i e n g a i , t h a y b a n g H o a n g b d n a m (v6
1
p h a n CO m a u (16 I d m a u cd). N e u n a n g c6 t h e gay n h i e m doc t h a n
D a u b u n g l i e n m i e n , m o t r a n n h i e u , d i ngoai p h a n n h i e u n h a y
Bai
i
B e n h p h a t d o t ngot, sot cao, c6 t h e v a t va, d a i t i e n n h i e u I a n ,
goi 20g. NgUdi \6n u o n g ngay 1 g o i , t r e e m ngay nufa goi. b) Ly, amip
-rt??
h a t dau den. •{(j^
T r e e m ngay u o n g 10 d e n 30 v i e n .
ii.?,
N g u d i l(Jn 30 d e n 40 v i e n .
i^diJx
, •
r/v«jv- An/.v
'Sii'.A •:• 175
^6ng y grrt
Nirdc m i f a
N e u can d u n g n h i e u , t a n g l i e u cdc v i , theo t i le t r e n . N e u m u o n d u n g thuoc t h a n g , l i e u g i a m m o t nilfa, sic u o n g ngay 1 thang. 3. Bdi thuoc tot 87%).
chita
hgi chitng
ly, cua BQ Y te (khoi
100%,
Ha thu 6
Co SOfa
Qua dau c h i n
Blip 6 i
Long
Rau
M e den
1. Too om day
hay ngilcd
mcfi
trdng
M e den
lOOg
L a Dau non
lOOg
Mach mon
200g
Sa s a m
'
200g
M a t ong vCra du M e den r a n g c h i n , l a D a u sao sem, M a c h m o n , Sa s a m say k h o ; t a t ca t a n hot l a m v i e n v d i M a t ong. N g a y uong 10 - 20g, chia 2 I a n . 2:
nhan
M a t ong Cdc v i l i e u b a n g n h a u , Mh den l i e u gap doi M a t o n g viTa du.
3. Tdo bon ngUcd gid, tay moi m^t (do ty
400g
P h e n chua
80g
^d.^,.
triiOng
lUc ca giam,
kem
dn,
chdn
hU).
D i n g sam
16g
Mh den
12g
Cu m a i
16g
Sac uong n g a y 1 t h a n g .
^
T a n bot, l a m v i e n , n g a y uong 30g 3. Tdo bon do viem
dq,i trdng
V6 voi V6 r u t V6 quyt La Chiit chit
V6 dai
TAuj't ruu,^ eA«-n
suy nhitcfc ccf the
cac v i t a n b p t m i n , l a m v i e n v d i m a t ong.
hit).
1: Bo dm nhuan
mdu,
N g a y uong 10 -20g, chia 2 I a n .
bon Idu ngay do ca dia, ngittfi gid, (do dm
trii&ng hffp thieu
de.
Co N h o n o i
TAO BON
176 •
2. Tdo bon trong Sinh dia
N e u d u n g thuoc t h a n g , l i e u m o i v i lOg.
Bdi
jigay 5 0 m l .
La nh6t
Cac v i l i e u b a n g n h a u . T a n h o t l a m t h a n h v i e n , u o n g m o i n g a y 30g.
Bdi
Cho V 6 d a i , P h ^ n chua v^o nifiJc mUa s^c c6n 1 l i t , uong m o i
sau
Sam
3 lit
M e den I S i c uong n g a y 1 t h a n g .
man
8g 8g 6g 8g 8g T / w v ;xu,v
e/«?A
-'SiJ/vA
••• 177
4. Kinh
nghi$m
Phu mat va nufa ngiTcfi tren, sau do phu toan than, kem theo c6 g5't, gai ret, n U d c tieu i t .
dan gian
Rau Lang 1 nam, nau canh v(Ji md, Sn nong.
La T i a to
Cu Khoai lang nau chin, an nong.
12g
Cii San day
12g
La Chanh
6g
Hanh t a m
12g
Ji;
GCfng tuori
2g
^
Bong ma de
20g
Cam thao dat
20g
NhOfng trUorng hgfp tao bon thiTcfng xuyen nen chii y an them rau va chat don.
1. N6n do cam lanh: dau bung quan, buon non, thiicfng non ra mCdc trong.
ia chay, non hodc
Bdi 1: Trie hdn, chi non 8g
GCtag tuoti
6g
V i quyt
6g
T i n h t r e non
12g
Tre em dung
4g
Phan t r e
4g
Phen phi
4g
Girng tiroi
4g
nijfa
Heu ngiicfi Idn.
nhdn
nude.
Bdi 1: V6 nuc ndc
20g
Bo cong anh
20g
Tho phu l i n h
20g
Bong va l a ma de
30g
K i m ngan hoa
20g
Co M a n trau
20g
SINH DUC TIET NIEU
La Co'i xay
20g
VIEM CAUTHAN CAP
178 •>
e/v^fl >gd„/v
(chvCng phong
nhi$t)
Hay gap d tre em, thifdng xay ra sau k h i b i mun nhot Id ngiifa, ghe nhiem trung, gay phu toan than. Ntfofc tieu do, i t , sot, khat
Bo vao bat, hap com hay chiftig cdch thuy 20 phut dem an ngay.
1. View, cdu thg.n di itng do lanh nguyen nhan do phong ta).
,|j
2. Viem cdu than di ihig nhihm triing (thap
Sac uong ngay 1 thang. ChUa khoi dung them thang nOfa. Tinh tre
-vmm do;;
Sac uong ngay 1 thang.
Hoac hiTorng
2. Chxia chitng non do moi nguyen
12g
La Tre
* Du du chin, Chuo'i chin... deu c6 tac dung nhuan trang.
NON
-^.m^J -
thuy
Sac uong ngay 1 thang. Tre em mot nufa lieu tren. Neu phu tihieu, them cac v i Icfi tieu nhiJ Rau ngo. Re t r a n h , la Nhan, c6 Ba...
T/v«jv
y\tu,^
e/«iA
^pjv
• 179
t)6ng
r
STrt
^6ng
Bai 2: Dung cho tre em Phu b i n h
0,8kg
i c h mau
1,6kg
Ngdi diep
2kg
K i n h gidri
0,8kg
Difdng k i n h
2kg
Ma tien thdo ||.
•
Nau thanh x i ro 8 l i t . Moi ng^y uong 20 - 30ml. V I E M CAU T H A N M A N B^nh c6 bieu h i ^ n thien v§ t r i ^ u chiicng roi loan tieu hoa (ty
B a r 1:
600g
Nhuc que
200g
Bach phan
200g
Dai hoi
200g
Bich ngoc dcfn
400g
(gom Diem tieu, LiJu huynh) ich mau va Ma tien thao nau cao, cac v i khac t a n bpt lam thanh vien bang hat dau xanh. Ngay uong 40g.
1. Viem bang quang cap (thap
nhi^t)
Dai buot, dai dat, dai ra mau tiToi, dau tufc vung ha v i c6 the c6 s6't hoac gai ret, tao bon. Benh gap nhieu d phu nuf, nha't la phu nuf m(Ji lay chong.
20g
Y dl
30g
Dau van t r a n g
20g
ll
Bo cong anh
20g
Nhuc que
4g
"
Qua danh danh
12g
Gitog kho
8g
Thai l a i t i a
12g
Ma de
20g
Rau Ma tiroi
12g
Dai hoi
8g
Ma de
16g
Dau do sao
20g
Rau
•'^e'
Bai 1:
ft
IN go
(Khong CO Dai hoi t h i thay bang ngai cilu).
Moc thong
12g
S^c uong 2 ngay 1 thang, neu phu i t khong ro rang, phu cl i
Cam thao day
8g
(ty than dugfng hi/). Bo hong bep
400g
ich mSu
300g
•:•
; ^ . v e/uiA
Cac v i dung la nen de ti/oi, sac uong ngay 1 thang, thieu MQC thong, bai thuoc van dung di/cfc.
Bai 2: Tarn long tri thuy
180
V I E M BANG QUANG
Cu m^i
ye'u 2 chan, dau that lifng, chan tay lanh, moi met, nUdc tieu i
STrt
500g
Vobifofidao
diforng hir). Phu i t , chu yeu phu m i m^t, s^c mat tr^ng, met moi, k6m an, day bung, phan nat, tieu ti$n i t , tay chan lanh.
) ',
r
Bai 2: Vonucnac
16g
Sai dat
12g
Rau M a
3. Nhiim
12g
Rau S a m
12g , r
Ngiru t a t
8g
Re CO t r a n h
8g
Cam thao dat
8g
V 6 nuc n^c sao v a n g . Re t r a n h , Sai d a t sao qua. Cac v i thuoc d u n g tiToti, sac uong ngay 1 t h a n g (do 4 chen n\idc sAc l a y 2 chen). N e u d a i r a m a u n h i e u , t h e m c6 Mifc sao d e n 12g, cho vao t h a n g
diCctng tiet ni$u
Danh danh
8g
M a de
trung
gay
Tiitcfc tieu it, tieu buot, tieu rat. Diing
Toi
, .•
V ci,-.,.„:
7 cu
4. Ngiicd the
bi tieu
tay
Iq^nh.
gia
toan
than
suy nhiicfc,
B o n g m a de
12g
2. Viem
N h u c que
4g
Re CO t r a n h
12g
tinh
N g u W m $ t m o i , dau liftig, u t a i , niTdfc t i e u v a n g , i t , so I a n d i
1:
liing
goi
horn co
moi,
chdn
sac uong n g a y 1 t h a n g .
B ^ n h h a y p h a t n S n g k h i cO t h e m e t nhoc, lao d o n g nang... Bai
v
-^^;.)-
O n bo t h a n diWng:
N e u dau tufc h a v i n h i e u t h e m 6 di/grc 8g.
t i e u k h o n g n h i e u ISm, n h i f t i g n o n g r a t , ngiiofi k h a t mi6c h o n g k h o
•.
tieu ti^n kho, di tieu ttCng giot, nang
ti^n,
20g
man
kho,
nghi^m.
7 qua
Cao b a n l o n g
quang
di tieu hinh
H a i thuf gia n a t , d^p v^o r o n se d i t i e u t h o n g .
thuoc sac uong.
bang
chi^ng
bai thuoc
DI TINH - L I E T DLfdNG D i t i n h l a t e n goi c b u n g cho 2 chufng b e n h : m o n g t i n h (xuat
H o a n g ba n a m
12g
Sinh dia
12g
k i c h t b i c h , boac k h o n g co k i c h t h i c h , n a n g h o n c h i t i f cbay l i e n
Sa
sam
12g
tuc, nha't l a liic d a i t i e u t i e n ) .
Mach mon
12g
t i n h t r o n g liic n g u me) va b o a t t i n h ( t i n h d i c b tuf cbay r a k h i co
N e u m o n g t i n h t r e n 5, 7 ngay 1 I a n , k h o n g a n h b i f d n g d e n siJc
C a m t h a o day
8g
khoe, t h i do l a h i e n tUcfng s i n h l y b i n h tbi/dng, k h o n g can chiifa
Yem rua
16g
t r i g i . ( D o n g y cho r a n g " t y n b i f b i n h day m a t r a n " chd n e n lo
Dau den
20g
NgiAi t a t
8g
Re CO t r a n h
12g
Sac uong n g a y 1 t h a n g . - T a i n h a c6 t h e d u n g D a u den r a n g chay n a u nifdc uong thi/cfi^ x u y e n cung vdfi R§ co t r a n h sao qua hay l a M a de t i f o i , r a u M a t i f c
ngai). K h i m o n g t i n h l i e n tuc (dtfdi 5 n g a y 1 I a n , b a y h o n nffa) boac boat t i n h ( k h o n g ke so Ian) co a n h bi/dng d e n suTc k h o e t o a n t h a n , anh h u d n g d e n cong n a n g boat d o n g cua t a m , can, t h a n ( t y n b i f " b i n h n g b i e n g m a t r a n r a " h a y " b i n h t h u n g day") m<Si c a n p h a i quan t a m . N e n dieu t r i , k e t bop thuoc n a m v6i c h a m cilfu. K e t qua rat t o t .
che t h e m diicfng. K i e n g a n nhOfng chat cay n o n g . 182
•
TAU^C n^,^
e/v.?A /S^v/v
"Cwi
C/t^A
/3d,r/v
•
183
D i t i n h c6 the dan den Het theo di t i n h .
dLfofng
va l i e t difong thtfcfng kem
1. Di tinh do suy nhit^c than kinh: Roi log.n than chAc nang the hi£ng phan tang.
kink
(Theo Dong y: do tarn, can, than qud vifcfng). Hay gap d lufa tuoi tre, chi/a xay difng gia d i n h , do ham me sac due ma khong dap ufng di/gfc, gay dau dau, choang vang, n g i j i t , hoi hop, mong t i n h , hoac hoat t i n h . Bai 1:
2. Di tinh do roi loan than kinh chu^c nang, giam (thqin dm hii).
Hay gap d ngUM tre tuoi (thi/ofng difdi 40 tuoi). Dau dau, i t ngii, dau liftig, moi goi, u t a i , hong kho, khdt ntfdc, tieu t i e n vang, i t , dai tien-tao, hay ngii me, di mong t i n h . Dung mot trong cac bai thuoc sau, ket hgfp bai Co t i n h hoan. Bai 1: Sa sam Thach hoc
'
'
'
12g
' •
12g
Qua cay sung
12g
Mach mon
12g
Qua k i m anh
12g
Yem riia
8g
H a t muong
12g
Qua k i m anh
12g
Long nhan
16g
Qua .cay siing
12g
Tdo nhan
:.2g
Hat sen
16g
Mau le (V6 hau)
16g
Lac tien
12g
Sac uong ngay 1 thang.
S^c uong ngay 1 thang.
Neu thieu 1 trong 2 v i dau t h i c6 the thay Hat sen 16g. Neu thieu lAo nhan, thay Lac tien 12g. Bai 2: Co tinh hoan
Bai 2: Luc vi hoan
Thuc dia. Son t h u , Hoai scfn, Phuc l i n h , Dan h i , Trach ta. Luc vi hoan la bai thuoc c6 phifcfng rat cong hieu, nhitag c6 ca thuoc
H a t sen
2kg
bac nen khong t i i kiem difgfc phai t i m mua d cijfa hang dtfcKc pham.
Cu mai
2kg
Co the dung Luc v i thang neu c6 dij v i .
Qua cay sung
0,5kg
Qua k i m anh
0,5kg
Sa uyen tat le
Tua sen
1kg
Qua cay sung
Sifng nai
1kg
Long cot
Tat ca t a n hot lam vien ngay uong 20 - 30g, khong c6 SCrng nai, bai thuoc van diing duoc. Bai thuoc nky c6 dung cho moi the benh, ket hgfp vdfi cdc bai khac.
Bdi 3: Kim toa c6 tinh hoan
Mau le Mau le. Long cot, lieu iLfgtng bllng mot nufa 2 v i kia. Tat ca t a n bot lam vien, m6i ngay uong 12g. Bai nay c6 the dung cho ca the than diTctng hiT.
184 •
the vCc che
TWc
;T«/,V
evt^fl
t A « j v /Vi/.t
•
e/t.?« ''g^vA •:• 185
t)6n9 y grt gtg" 3, Di tinh do roi loan than kinh chiiCc nang, the He che gidm (do than diicfng hit) thitifng gap d ngUbi l&n tuoi (tuoi trung nien). Co the do thcfi tuoi tre ham me sac due qua dg, hay do bam sinh von chtJCc nang than yeu (tieu thiet bat tuc). D a u d a u , m a t n g u , c6 k h i n g u n h i e u m e m e t , s^c m a t t r S n g , dau l i f n g , m o i g o i , u t a i , l u n g , goi l a n h , c h a n t a y l a n h , d a i t i e n n a t , t i e u t i e n k h o n g n h i e u . D i t i n h ( t h i f d n g l a h o a t t i n h ) , c6 k h i k e m theo l i e t diTofng. Bai
1:
C h i m se c£t t i e t , n h o giot vao rifgtu uong ngay. T h i t c h i m h a m cdch t h u y vdti H a t sen a n t r o n g 1 ngay. D u n g l i e n tuc 50 n g a y (50 con c h i m se) n e u chiTa k h o i c6 t h e d u n g t i e p 50 n g a y nGa, hoac k e t hgfp c h a m cufu. c) Liet duang,
nang sinh due, di tinh v.v... ( n o i c h u n g cac
thieu
chiJfng b e n h ve s i n h due). Bai
1: Cao de toan con
K e t h o p v 6 i Chuot do, C h i m se, c h i m bo cau n o n ( l a m sach l o n g , bo r u o t , say k h o , t a n hot, uong hoSc de tUori h a m H a t sen). B a i thuoc c6 tac d u n g bo t h a n , t r a n g difcJng. D u n g cho ca n a m
Sitog n a i
12g
H a t tcf h o n g
12g
Pha
12g
Ngai tarn
12g
M a t o n g vCfa d u
CO
chi
Ho^ng
tinh
Cu m ^ i
16g
H a t sen
16g
S^c u d n g n g a y 1 t h a n g . T h i e u sijfng n a i b a i thuoc k e m cong hieu. Bai 2: Bat vi hoan G o m b a i L u c v i t h e m 2 v i P h u tuf, N h u c que l a 2 v i thuoc nonp d a n thuoc vao t h a n diJcfng.
l ^ n nff. Bai
2: 2 lang
N g a i t a m bo d a u duoi, say k h o , l a m n h o , l u y e n m a t , l a m vien,_ ngay uong 1 v i e n b a n g h a t ngo. Bai
3: G a n ga t r o n g
3 cai
H a t tor h o n g
50g
H a i v i say k h o t a n n h o , l u y e n v(5i Trijfng c h i m se l ^ m v i g n b a n g h a t d a u x a n h . N g a y uong 1 v i e n v d i rifcfu t r a n g .
C a n c h a n doan p h a n b i e t t h a n a m h a y h i i h a y t h a n dtfong hu
HO HAP
de c h i d i n h cho d i i n g , b a i thuoc m d i c6 h i e u n g h i e m . N e u dung n h a m , b e n h se nSng t h e m , k h a c nao n h i r "lijfa do t h e m dau". Bai
3: Kinh
nghiem
dan
t h a n diiofng h u ) .
6 ngifc. Bai
1:
1 con
L a dau
Ruau t r S n g
l c h e n con
Vorgdau
20 h a t
Re cay c h a n h
•:•
,
;T«,;V e/u?n/^cj«/v
nhi^t)
•••
C h i m se
H a t sen
cap (phe
H o n h i e u , ho n a n g t i e n g , c6 dcfm v a n g , sot, c a m gidc tufc n a n g
gian
D u n g t r o n g t r U d n g h o p h o a t t i n h , k e m t h e o l i e t duTOng (d(
186
1. Viem phequan
? , • s- -
16g 8g
' '
12g T/.u,fc
y\a..
e/v^A / S # , v / v
•:• 187
Ban ha che
6g
Bac ha
8g
Cue hoa
8g
Rau Ma
12g
Re quat
4g
LA
he
Mach mon
lOg
Re quat
5g
t
moi ngay 1 thang.
S^e uong ngay 1 thang. Neu dung tUcfi, eac loai re phdi sao qua. Neu khong eo Bdn ha (Cu eh6c) eo the thay V6 quyt. man
Ho t a i phat nhieu deft, tr&i lanh ho tang, dcfm loang, c6 cue dinh, tufc ngiTe, ngi/cfi ra mo hoi nhcfm nh(Jp, eo the sot nhe, ngudi (Sn lanh.
2. Ho do moi nguyen
.^ nhan
Sam dai hanh
3 phan
Cu re quat
8 phan
Tat ca phoi kho, tan bot m i n , cho difcKng vCra dii, lam vien bang hat ngo. Ngay uong 8 - 10 vien, chia 2 Ian. 3. Ho, viem hong cap Hiing chanh 5 la
Re quat
40g
Hat cu cai
20g
Re quat
1/2 la
H a t t i a to
40g
Muoi
1 thia ca phe
V6 quyt
6g
Ban ha
6g
Gifng kho
Hung chanh. Re quat, rijfa sach, gia nho vdri muoi, ngam nu6't
>
6g
Tat ca phofi kho, tan hot uong ngay 30g, chia 2 Ian. Neu dung thang. Re quat va Hat tia to 8g, Cu cai 6g, eac vi con l a i moi iM 3g.
dan i t mot, nha ba. Cach 10 phiit sau ngam tiep. Chia lam nhieu Ian trong ngay. Bai thuoc ket qua tot. Neu thay trong ngUori non nao, kho chiu, chdf voi lo lang, hay bo b6t la Re quat. 4. Ho keo dai (nhat Id tre em) - Dung Canh Hoa hong bach cho vao bat, hap t r e n noi corm hay chiftig each thuy, cho them i t diJcfng, an moi ngay vai ba bong la du.
HO 1. Ho, viem phe quan: Dung bai thuoc cua BQ Y te (dd dUcfc xdc nhan ket qua khoi 97% trong do log.i hha va tot 75%).
188
lOg
Co the dung dtfdi dang cao long, vien hay thang theo lieu tren,
8g
2. Viem phe quan
V6 re dau
•
Bach bo
lOg
V6 quyt
5g
Cam thao day
5g
TA^ji
e/«?n/!3^./v
- Chanh ca qua, bo hpt, c^t nho t r o n daorng hap nhif tren cho tre ngam va nuo't dan.
HEN SUYEN 1. Ho, nhieu ddm: Thd kho khe, ngitc day tAc, khong nam dit^c, sac mat xanh nhcft, va mo hoi, kho thd thi thof ra. Hen suyen va viem phe quan the hen deu dung bai thuoc sau: Hat tia to
8g "Dv«.r<: / V u . v
e / « Z A ^d>^A
•:• 189
^6ng r
Cay Chi thien
"
2. Mat tieng do dam
8g
V6 quyt
4g
Ban ha
8g
V6 re dau
12g
Gi^ng tUcfi
4g
La tre
12g
V6 voi
6g
T i n h tre non
--^ -
Sac uong ngay 1 thang. Neu khong c6 cay Chi thien (Tien ho nam) thay bSng V6 re cay Dau 8g.
Boi mau
12g ...
i-
12g
Cat canh
12g
2. Cat ccfn hen suyen do di iing thcfi tiet
V6 quyt
6g
(Xem Ca doc diiOc, phan cay thuoc).
Giftig tuoi
2g
3. Kinh nghi$m dan gian chiXa hen
suyen
XiJcfng dau meo do't thanh tro (ton tinh) ngay uong lOg v(3i riicfu. MAT T I E N G Viem thanh quan cap hay man lam khan tieng c6 k h i mat han, noi khong ra tieng. ^ 1. Mat tieng do ngoai cam phong
han
Tieng noi khan, hoac noi khong ra tieng, khac dofm nhieu, ddm loang trang. K i n h gidri
12g
La Dau tam
12g
V6 re dau
12g
Hat tia to
8g
Ban ha
6g
V6 quyt
9g
Sac uong ngay 1 thang, chia 2 Ian
190
nhieu
Tieng noi khan, noi khong ra tieng nhiing dcfm dSc, mau vang, khat nirdfc.
2g
Nhucque
•:•
CA^jfl/gi<»A
grrt c ^ u
sac uong ngay 1 thang. 3. Mat tieng do phe dm hit (viem thanh quan man) tieng Idu ngay, ngiicti gay, hdo khdt, ho khan. Mach mon
12g
Thien mon
12g
V6 r§ dau
12g
V6 r§ cay Rau khdi
'
khan
12g
Nirdrc ong Tre non
10ml
V6 quyt
6g
Sac uong ng^y 1 thang (lay nudc thuoc sic pha vdi nU6c ong Tre non uong). TUAN
HOAN
CAO H U Y E T A P 1. Cao huyet dp do moi nguyen
j
nhdn
Bdi 1: Cay Huyet du
12g
Cam n h i
8g TA^JV ru...^
/Sf/.A •
191
Nirdrc mia
50ml
Huyet du rufa sach gia nho, trgn cam, hba nUdfc mia uong song CO tac dung ha corn cao huyet ap. Bai 2: Tam guri cay dau
16g
H a t danh danh
12g
NgiAi t a t
12g
Hat bo bo
16g
Cau dang
12g
Re CO t r a n h
8g
Ma de
8g
Lay than va la cay Bach hac phai kho, nau cao t i le 1:1 (1 k g di/Oc li§u lay 1 l i t cao) cho them I g axitboric cho moi l i t de bao qudn, uong 2-3 chen con, xa bOfa Sn (tong cpng uong moi nga\ 100ml). kinh:
Cac trieu chijfng thien ve hifng phan tSng, ufc che giam, hoa mat, nhufc dau, chong mat, u t a i , mat d6, hay hoi hop, ngu i t . hong kho, hay quen, de cau g^t, tao bon. Co miTc
lOg
H y thiem
lOg
Mang voi
9 cai
Bac ha
lOOg
Nirdfc vo gao
300ml
lOg
Tam gufi cay dau
20g
H a t miforng
16g
Hoa hoe
20g 3-'^
20g
I'i
30g
Rau Ma
Bdi 3: Cao bach hac
B d i 1:
Ha kho thao
Re CO t r a n h
Sdc uong ngay 1 thang.
2. Cao huyet dp cf ngitcfi tre hay phu nit tien man (Dong y cho la do dm hit diictng viiOng).
Cdc v i rijfa sach, de tirori, gia ndt, cho vao midc Vo gao lay lOOml, chia uong 3 ngay. Huyet ap se ha. Bdi 2:
L a Tre
20g
Tam sen
8g
Ngiru t a t
12g
Co mirc
16g
s a c uong ngay 1 thang. 3. Cao huyet dp hay gap d ngiicfi gid do xa citng mg.ch.
dqng
Ngoai nhOfng trieu chufng hoa mat, chong mat, u t a i , dau dau c6n them bieu hien cac trieu chufng can than suy nhif dau liftig, moi goi, chan tay yeu, buon nhufc trong xifofng. Neu than daong htT kem theo di tieu dem nhieu c6 the c6 di t i n h , liet diiofng v.v... , Ha thii 6
16g
Qua dau t r a m chin
12g
Sinh dia
12g
H a t tcf hong
12g
Tam gufi cay dau
12g
Vo liao nung
lOg
Ngou ta't
8g
Re CO t r a n h
8g
Sac uong ngay 1 thang. 192
•
X^u^c
y\^,.
C'/vda
i^pu^
P-Vwv < ^ A ^ « /g<e,vA •:•
193
f)6ng T grt
"Sang r ^'rt qt|u 4. Cao huyet
dp ct ngiltfi beo, chelesterol
cho Id do dam
mdu cao. (Dong
Tao n h a n
y
8 g
H Jofng p h u
thap).
B d n h a che
8g
8g
sac u o n g n g a y 1 t h a n g , hay l a m v i e n v(Ji l i e u t h e o t i 1^ t r e n .
8g
yio\y u o n g 3 v i e n b a n g qua n h a n . B a i thuoc c6 t h e t h i e u duoc
T i n h tre
lOg
1, 2 v i n h i t o g k h o n g n e n t h i e u cac v i bo h u y e t .
Hat
12g
V6 quyt
;,oi
muong
Y di
2. Neu
H o a h5e
12g
Nguu t a t
8g
Re C O t r a n h
8g
hop, b o n g de. V6 quyt
suy nhitac
hodc
roi log.n tien
hoa
viictng).
tim gtip d nhUng
sau de, cao huyet man
kinh
dp, suy nhU^c
(do tdm
tinh
than
huyet
ngUiti
thieu
than
kinh
hii hay
dm hu'
8g
•3"
8g 6g
non
8g
Nifdc d n g t r e
6g
Cam
12g
thao
Sac u o n g n g a y 1 t h a n g .
T h i e u m a u do n h i e u nguyen n h a n , t r i e u chufng chung: da x a n h ,
t r k n t r o c , ac m o n g . N a n g horn c6 t h e c6 cam giac n g o p t h d , bo
n i e m mac m a t nhgft, m o i nhgtt,
c h a t l o n g ngUc n h u mac ao l o t chat. C6 ngUdi n u o t n g h e n n h i i c6
met m o i .
gi vUdng t r o n g h o n g , n h a t l a p h u nuf, doi k h i h i chufng b o n g de. sam
Bai
ludi
n h g t , hoa mat, c h o n g m a t ,
1: Vien Ha thu 6
12g
Ha thu 6
lOOg
16g
Bo c h i n h s a m
lOOg
Cu m a i
16g
Hat
lOOg
Ha thu 6
12g
Cam
Qua dau t a r n c h i n
12g
Dai
Rau M a
16g
T h a o qua
Long
12g
Hat
sen
nhan
Lac t i e n
•
ngQt
THIEU MAU
T r i e u chufng: T i m dap n h a n h , h o i h o p , d a n h t r o n g ngifc, ngu i t ,
D^ng
dgt
GCtog Chanh
1. ChvCng roi loan than kinh
chan ,,,
B a n h a che
ROI LOAN THAN K NH TIM mdu,
do sang
Lo sgf, h o a n g h o t , b u o n ba, a n k h o n g n g o n , n g u k e m , t i m h o i
12g
^r^O^
Sac u o n g n g a y 1 t h a n g .
194
^gu
T/u^c
n^,^
sen thao hoi
40g 8g
12g
Cac v i t a n n h o l a m v i e n vdfi M a t , n g a y u o n g 20g.
12g
e/«j« ^#.»/v
•Du^c
rui,,.
eA^«
'S?/./v •
195
^6ng
r
5'rt
qtj?u
Bdi 2: Tarn that sao kho, tan bot ud'ng vdi ricau ho&c hdp each thuy vai Gd, Tim gan, mdi ngay 4g.
II. BENH NGOAI KHOA
f
Hai v i lieu bang nhau, moi thiif 1 nam nho, gia nat vdi muoi, dap ngay 1 Ian, k h i dap chiTa lo nho d giufa; hoac dung la Dam but non 1 nam gia dap. : Bai 2: Cao dan
1
MUN NHOT 1. Nhpt giai dog.n viem: SiCng, nong, do, dau chi£a c6 mii. Bai 1: K i m ngan hoa
20g
Tho phuc l i n h
lOg
V6i voi
12g
K6 ddu ngifa
16g
Dau do sao
12g
Ngifu tat
12g
^
LA Cue hoa
1 nSm nho
Muoi an
1 thia con
HoSc Id B i ngo non
30g
Vol an trau
15g 1 thia con.
Gia nat, d i p ngay cho svtng, do de lam t a n mun nhot. 2. Nhot giai doan c6 mu Bai 1:
Cu nghe gia
500g
Dau vCrng (me)
500ml
Sap ong
30g
Nhiia thong
30g
s
1 con (dot ton tinh)
Cho Ray dai va Nghe vao dau vitog, dun tan sap. Cho Nhifa thong, Bpt coc vao khuay deu, cho 1 giot vao dia, giot cao t r b n , khong t r a n ra la difcfc. Lay giay c6 choc 15 thung phet cao len de kho; k h i dung hof nong, dan len mun nhot. nhi^t)
Bai 1: i|
Sinh dia
12g
™
Huyen sam
12g
jjk
K j m ngan hoa
12g
^
Dau den sao
16g
Sac uong ngay 1 thang. B d i 2: Cao tieu doc K i m ngan
1kg
Ke dau ngifa
1kg
Sai dat
1kg
Nau thanh 3 l i t cao, ngdy uong 50ml.
\
Bai 3: Thuoc chUa mun nhot cua Eg Y te: (khoi 100%, khd tot
Roc ray La Xoan
196 •> t W c
lOOg
3. Nhot moc lien tiep (do huyet
Bai 2: Thuoc dap
Muoi an
Cu ray dai
Coc vang
S^c uong ngay 1 thang. Khong CO K i m ngan hoa, Ke dau ngUa t h i dung Bo cong anli hay Sai dat thay the. Thieu Thd phuc Unh bai thuoc van dung dUgfc.
,
Bo cong anh
CA^A *S<J,»/v
12g XAaj; r^'^
<2^kcia ^dtj^
•• : 197
^6ne
r
.5
g-rt
K i m ngan
5g
Cam thao dat
.
Ke dau ngiia Sai dat S^c uong ngay 1 thang.
2g lOg
'
lOg '-
Moi thvJ mpt nam, r^a sach b^ng nxidc soi, gia sen set dap v^t bong. Hoac CO the dung la Song Aisi rufa sach, gia nho d^p ngay v§'t bong. K h i vifa bi bong, lay gao song nhai nho d^p ngay len vet bong c6 the giam nong r a t ngay. Bdi 2: Thuoc rita vet bdng
Che tiroi Dung mot trong cac v i tren rufa sach, na'u nifdc, pha it muoi an, loc lay Twidc de nguoi, rufa hang ngay.
Bid 1: Thuoc ddp La Phu dung tUcfi
B d i 3: Cdc loai coo bdi vet bdng
Rau Sam tiJOi
- Cao \A Sim Dung ca cay Sim (than, la) rijfa sach, nau thanh cao boi vao vet bong da rufa sach.
Cu chuoi tieu de tuofi Muoi 1 thia con
Lay moi v i mot nSm nho tr6n vdi muoi, gia nh6 hoc v^o miens vai mong dSp vao ch6 dau. K h i kho thay mieng khac. Dap lien tuc. Khong CO l a Phu dung t h i dung 2 v i con l a i . Bai 2: Thuoc uong K i m ngan hoa
20g
Ha thu 6
8g
Ha kho thao
16g
Thach xirong bo
12g
Gai bo ket
12g
Sac uong ngay 1 thang. B6NG Bdi 1: Thuoc kinh nghiem (bdng nhe) L a khoai lang
gTrt gt|u
L a Trau khong
Chin me la mun nhot moc ngay dau me ngon tay hay ngon chan, gay siftig, n6ng, do, dau rat dOr doi.
,
r
La Mo qua
CHIN M E
^
^6nfl
- Cao TrUcfng sinh Dung ca t h a n l a cay Song dofi (TriTdng sinh) rufa sach nau thanh cao, boi vao vet bong da rufa sach, ngay 1 Ian. - Nirdc Nghe: Nghe tiTcri, gia nat, boc trong vai thua cham len vet bong, sau do dap mieng vai ta'm Nghe len be mat vet thi/omg. B d i 4: Thuoc uong trong a) Giai doan nhiim
trung
V6 Nuc nac
12g
Bo cong anh
12g
Sinh dia
12g
Mach mon
12g
S^c uong ngay 1 thang. Neu khong c6 Bo cong ahh c6 the thay b^ng Sai da't hay K i m ngan hoa.
La Khoai so (m6n so) 198
•
r / v w j v ;T<U,V C / f u J A ' ^ ^ ' A
Ty^jv
e/t^A
• 199
N g h e t h a i m o n g , p h o i k h o , t a n t h a n h h o t , p h a N g h e vao xiiau
b) Giai doqn hSi phuc: chd yeu Id boi bS siic khde sam
Bkng Hoai Hat
16g
son
(pha t h e o t i le m o t r i / o u m o t ni/drc). Rijfa x o n g d u n g gac t a m nifdc
16g
sen
rUOu n g h $ dap l e n v e t t h u o n g .
16g
H a t dau v d n
;
Ha thu 6
B a i t h u o c n a y vCfa l a m sach v e t thtiofng, g i a m m o
12g
'
12g
V6 q u y t
6g
3. Vet thUcfng
Bai
Ik
4. Khi
bang
1: Non chuoi tieu: Lay 1 cdy con diidi 0,5m,
cat ngang m&t
dang
chdy
mdu,
bdng chqit lai.
y : C h i d u n g nhOfng b a i thuoc n^y de dm
mAu d nhufng chi
gid
cho them Phen phi roi Igc, riia vet
thuang. Bdi
200
Ngh§ vang
300g
Con
70"
(hay raou t r S n g )
1ft
e/v^fl >3iJ/./t
To chiiCc hg,t bat
ddp
vdo
vet
Id Bong
bong
thiicfng,
ngdy
ddp gdn
len vet kin mi^ng:
ddp
P h a n cay che
20g
6 long V I
8g
Phen phi
8g
Cac
dau
moo,
tiicti. Hai
vang,
1 idn.
co vi Neu
rvCa sg,ch,
thUcfng.
20g
bgt sink
ccf
v i t r e n say k h o , t a n t h a n h hot m i n rSc l e n v e t thircfng
ngay 1 I a n .
v i t r i b i n h thiJofng, t h i d u n g cac b a i thuoc sau day ddp bo t a i cho. Bdi
1: Cay V o i v o i
2:
•:• TA^JV
mu:
B o n g g a n v a sai k h d p sau k h i da c h i n h h i n h n d n k h d p t r d l a i
1: Ld Trdu khong de tuai: 40g gid giap, d6 2 lit nudc dun de nguoi,
moi
BONG GAN
thtictng
15 phut,
het
P h a n cay cau
d u n g so cufu d n o i x a cof sd y t e .
s6i trong
ndt,
vet thiicfng
thucmg.
v§'t thtfofng n h e , n h o , m a u chay r i r i , k h o n g t h a n h t i a , v a
Bdi
mu
CO la Mo qug. c6 the het hOp v&i Ngh^
5. Khi
thuang.
2. RvCa vet
c6
la Mo qug. cho them
trQn chung,
3: Toe roi 1 ndm (neu can thi cat toe) dot chdy rdc len vet
Chu
thiictng
gid nho,
Bdi 2: Cdy Thuoc gidu: Hdi Id hodc bi cdnh cho mu chdy ra roi Bdi
nhau,
khong
Idy mil boi vdo vet
vet
mdu do, dung
mdu ddp vdo vet thuang
trung,
ngay t h a y 1 I a n .
V E T THl/dNG PHAN MEM
ddt, b6c Idy non gid giap,
nhiem
D u n g I d M o qua rufa sach, gia n a t , dSp l e n v e t thifcfng,
uong ngay 1 thang.
1- Cam
h o i , vCfa
c h o n g l e n da n o n , m a u l a n h .
12g
Mach mon
S^c
hoac con. K h i d u n g , p h a t h e m niTdic soi de nguoi de rijfa v e t thUcfng
Toi M u o i an
1 nSm 1cu 1 thia
T a t ca g i a n h o , dSp vao ch6 sifng t a y , b a n g l a i .
T/,u^c
n^..
<s^«A
•:•
201
r
^6ng
g'rj
Bdi 2: Qud du du xanh
1 mieng
La Na (Mang cau)
1 nam
La San day
Muoi an
1 thia con
La T r a m
1 thia con Voi toi Tat ca gia nho, g6i vao mie'ng gac, dap vet thiTong, bang l a i .
V6 Nuc nac
Bdi 3:
Du du xanh (qud) 1 n^m
La Dau van tr^ng
Giftig ti^ori
1 cu
La Diep ca
Muoi an
1 thia con
Cu chia voi
CON TRUNG, T H U CAN 1. Ran can: Co khodng 250 log.i ran, trong do c6 khodng 60 lodi ran dgc. Noi chung ran dgc c6 dac diem minh thon, dudi ddi, mat trbn, ddu nho, nhgn, hoat dgng ban dem. Khi bi ran dgc can, dung mgt trong cdc bdi thud'c sau: Bdi 1: 'LA Trau khong
40g
Ph&n chua
20g
Que
lOg
Voi
20g
Gitog tUori
40g
Voi, Que, Phen tan bot. Gitag va Trau gia lay nirdrc cot, tron vdi bot cua 3 v i t r e n lam thanh vien. Mot vien mai dap, mot vien uong. Bdi 2: Re CO G t o g
I2g
La
8g
•
DQC
luc ; ^ , v e^^fl/^^t/v
' .
|
Rau Muong
Ngai cufu
Ba thuf gia nat, xao vdri rMu de hoi nguoi dap vao cho dau, bang lai.
202
Hai v i rijfa sach, nhai nuot nUdc, lay ba dap, ngoai ra c6 the lay ot trong cac thuf cay sau day nhai nuot midc, ba dap:
Chuoi Lao Hat mudfp Rau Ram
j
Rau Den t i a Rau Ma v.v... K i n h nghiem dan gian con dung qua Chanh, dac biet la hat Chanh, nhai song nuot nifdc, lay ba dap vao vet c^n, do do nhufng ngiidi di b^t ran thiTc/ng hay mang theo vai qua chanh ben m i n h . 2. Ret can K i n h nghiem dan gian: Lay Toi gia dap, Voi an trau boi cho can. Hay bat 1 con 6c sen gia song dap len vet can, r a t hieu nghiem. 3 . Vat (sen), dia can - Chong vAt (sen) can: Trifdc k h i di rCtog lay i t Voi tron Thuoc lao. Bo hong, la Dao gia nho, roi tron vdri M9 hay Kem cho vao hop, boi trudrc vao ngi/di, vat se khong can. - Dia vao t a i hay am dao: lay nudfc DLTofng pha Voi do vao dia se ra ngay.
(Li^^ /Sij»/v •
203
I ^ 6 n g Y grrj c^t|u
^ 6 n g r STr} Sttgu
- Dia cSn khong the lay tay ma keo ra difgfc. Lay Vol boi vao hoac nho mot bai niidrc Bot vao dIa nha ra ngay. 4. Ve can (bet bo hay bet
ritng)
K h i ve c^n, lay k i m cham vao dit ve, roi ho nong k i m , ve se nha ra. Khong nen lay tay ruTt ra, dau ve se sot lai rat ngura va dau. Neu da 15 r u t ra t h i lay niidc Dieu hay Voi toi boi vao mdi het ngufa. 5. Ong dot: Lay Voi toi boi vao cho dot, lay Mdng tre dap, lay niidc Dieu trgn Thuoc Ido dap, lay cu Ray dai cho dot.
gia xat
C A C CHUfNG B E N H PHU N Q
ROI LOAN KINH N G U Y E T Chu ky k i n h binh thiTdng tCr 28 den 30 ngay, cung c6 ngiiori dai, hay ngan hon nhiftig vong k i n h phai deu. Neu cham k i n h , hay k i n h s(Jm hofn qua 7 ngay, lu'cfng k i n h nhieu hoac qua i t , ngay k i n h keo dai qua 7 ngay va hien tiTcfng do dien ra tren 2 ky kinh t h i mdfi dat van de chOfa t r i . Cung CO k h i mat k i n h 3 den 7 thang hoSc lau hon ma khong c6 thai, cung phai chOfa t r i de k i n h nguyet t r d l a i binh thu'orng. Bat
1:
500g
Cac v i tan bgt, luyen mat hay dtfcfng bang hat dau den. Ngay uong 90-100 vien, chia 3 Ian. Bai
3:
•
Hai v i lieu bkng nhau, nau thanh cao long, ngay uong 2 Ian; moi Ian 1 thia canh. * Neu k i n h sdm (kinh trifdc ky) lifgfng k i n h nhieu, c6 mau cue, d&c, mau do tia (do huyet nhiet), dung: Sinh dia
12g
Huyen sam
12g
Co Xiidrc
8g
i c h mau
8g
R i CO Tranh
12g
Co Nho noi t i M
8g
Dau sao do chay
12g
Cam thao day
6g
Sac thuoc ngay 1 thang. * Neu k i n h cham (sau ky), lifgrng k i n h i t , loang mku nhat, khong cue kem theo chan tay moi ru, dau bung am i , an uong k e m (do ty htf), dung:
600g
i c h mdu (tam giam sao)
500g
Dang sam
12g
Ngai cufu (nau thanh cao long) tifori
800g
Hoai son
16g
Ha thu 6
16g
Ngai cufu
12g
GCrng kh6
4g
Hucfng phu
6g
Hifofng phu, i c h mSu sao gion, tan hot, t r o n cao long Ngai ciifu, 2:
Bo huyet dieu k i n h Hirofng phu (che)
500g
6 dUcfc (sao)
300g
204 •:• T/tu^v
(LUcici i^pjs
r.'^;-'
Hi/cfng phu - ich mau
Huorng phu (che t\i cu Gau)
luyen thanh vien bSng hat ngo, ngay uong 50 vien, chia 2 Ian. Bai
Ha thu 6 (che)
Sac uong ngay 1 thang. TAU^'C ruu,.
eA^« >3(S"/v <" 205
RONG KINH
Neu k i n h keo d^i, khong duTt, cho them c6 Mifc sao den 16g. T h i e u D ^ n g s a m cho H a t sen thay the. * Neu k i n h cham m a iMng
it, mau t i m den, nhieu cue, bung
du6i chtrdng dau, r a k i n h thi d5 dau (do huyet uT): U a t k i m (re cij d^o cua cu n g h f )
8g
D^o n h a n
8g
I c h mau
8g
R e CO xirdrc
8g
Sinh dia
12g
D a u do
12g
S^c uong ngay 1 thang.
di gian keo dai tren 7 ngay l a chufng to rong k i n h . Neu cung ay mdu dUc;ng dirdi. nhifng bat thiiofng, khong theo chu k y k i n h fuy^t goi l a rong huyet. 1. Noi chung
rong
inh nguyet giong
hang hem
bdi thuoc
kinh
kem theo
nhii roi log,n kinh dd neu trong
cdc vi thuoc
tri$u
bdi roi loan
cam mdu nhii
'(ti, hoa hoe, Trdc
nhitng
chiing
nguyet thi c6 the
K h o n g CO Dao n h a n , tang Heu U a t k i m 12g, I c h mau 12g. Neu
nguyet,
kinh
noi tiet to), dijng:
hd di^p (sao den, sac dgc).
12g
L a Gai
12g
LA Sung
24g
Ngai cijfu
12g
Rau Ma
24g
C a y C h o de r S n g cifa
24g
MSng say
24g
P h e n phi
Ig
S a c uong ngay 1 thang. Neu l a m vien, lieu theo t i le tren, tat c a t ^ n hot l ^ m v i e n hay
uong 2
6i den 4 goi; mSi Idn 1 got. 2: Xa miCdp sao chdy den, tan hot dong goi 4g. Ngay
ud'ng
goi, mdi Idn 1 goi. 2. Hi?n
Ld Chanh
Kinh
K i n h nghiem dan gian dung bai thuoc cam mau:
Bdi
* Roi loan k i n h nguy^t tuoi day thi v a tien m a n k i n h (roi loan
ve dung
cd mUc, co Tranh,
Bdi 1: Be moc dot ton tinh, tan hot min, goi 4g. Ngay
thieu S i n h dia thay H u y e n sam.
com, ngay uong 20-30g, chia 2 I a n .
Mdu chdy trong k y k i n h nguyet, Itfong nhieu h e n b i n h thif&ng,
nay de thiic
U ddt vong
ngdy
" rong
(tuy ti
kinh
ho nhieu
hi^n sinh
cdng
de co ke hooch,
cao. Mqt nhiigc khong
nhieu)
diem
gdy phien
ti
phu
cua ddt
vong
hd vd e
nggi
chi em.
X i n gicJi thieu mot bai thuoc k i n h nghi$m chffa rong k i n h sau at vong.
Bdi
1:
I c h mau
20g
Dao n h a n
8g
Uat kim
8g
Nghe t i m
8g
N g a i ciiu
8g
HiWng phu
8g
Sdc uong ngay 1 thang. Neu khong co Dao n h a n co the thay Hong hoa h a y re co XifcJc. 206
•:• T/.ucf^ yu... (ZAa^
T/^ui^c
<2/«?« i^pJv
• 207
t)6ng r Bdi 2: Dung lung, u tai.
cho ngiidi the trang gdy, hdo niidc, ngu it, dau
Thuc dia
12g
(c6 the thay bSng Ha thu 6) Xuyen khung
8g
(thay bang Dao nhan)
12g
Re cu Nghe non
8g
sac uong ngay 1 thang cho den het k i n h . Neu thieu Dan sam, ^ n ha bai thuoc van c6 hieu nghiem. 3. Dau
bung
sau kki hank
tkick
xoa nan, ckUcfm nong,
ckdn
tay lank (do hii
kink xong,
Quy ban (Yem rua)
Bing
8g
Hoai son
16g
Ngai cufu
12G
Ha thu 6
12g
Ngifu tat nam
8g
Gtrngkho
8g
sao
12g
Ngai cufu
12g
Chi tijf sao (qud Danh d^nh)
8g
NgiAi tat nam (re c6 X\i6c)
16g
Sdc uong ngay 1 thang.
1. Dau bung triCdc khi hanh kinh, kinh nguy$t it, c6 cue. Hi/cfng phu
12g
6 dircfc
12g
i c h mau
16g
Ngifu tat nam
16g
Sac uong k h i bat dau dau bung, ngay 1 thang cho den k h i het kinh. 2. Kinh nguy^t qud it c6 the ddn den be kinh: Hay gap trong trt/cfng kctp dang c6 kink ma bi cam lank gdy dau bung nkieu. Tki$n an (Tkick xoa nan, ckiibm nong dd dau)Que chi
8g
Bach chi
12g
GCfngkho
8g
Bdn ha che
12g
T / v ^ j i - nn/,v
e/t^A
>3?«/t
kem,
sam
16g
Sac uong ngay 1 thang.
THONG KINH
•:•
mien,
kdn).
8g
MLTC
dau lien
todn tkdn m^t moi, an
Ky tOf (qua cay rau Khdi)
Co
208
NgUU t a t
grt
4. Be kink vdi thang, bung diidi ckitdng cdng, cxf an (kkong tkick xoa nan), kai ben lUcd tia (kuyet iC) kkong c6 tkai (nen di kkdm de phan bi$t neu c6 nghi ngif) nen diing cao ich mdu koac dUng bdi tkuoc sau: i c h mau
16g
D^o nhan
8g
Re cu Nghe non
8g
NgiAi tat nam
12g
Gai bo ket
8g
Hiforng phu
8g
Sac uong ngay 1 thang cho den k h i thay k i n h .
BANG H U Y E T Trirdc het du bang huyet do nguyen nhan gi cung phai cam mau ngay hhng bai thuoc:
T/u^^c
(Ll^aa /!3(2<./t •:•
209
f)6n9 r
grt
qt|u
©ana
C6M\ic(kh6)
GCfng (dot chay (kho)
K i n h gidti
LA Trie
TrSc b a d i $ p (sao (kho) I
(kho)
12g
Do 4 b a t niAJc, s^c u6hg 1 b ^ t , c h i a uflhg 3 I d n t r o n g ngay.
Cdc v i l i e u b ^ n g n h a u , d e m d o t t h ^ n h t h a n . L a y b o t t h a n k h o a n g 4-8g hoa v6i ni/(Sc t i e u t r e e m t r a i (bo doan dau, d o a n cuoi) r o i u o n g ngay. K h i m d u d 8 chay hokc c a m di/cfc se t i e p tuc uong
Bdi
mau
do sdm,
mat xdy sdm,
khdt
nU6c
1. Khi
hi£ do nhiim
Bdi
triing:
miii hoi tanh,
1: Thuoc
mdu
1: 40g
Sinh dia
30g
Hat Danh danh
14g
hii ra nhieu,
vdng
(do
Bdi
2: Neu 16 tuyen co
cung dung vien DH5
H a n the
20g
Bdi
V 6 N u c nac
30g
T h a c h cao
30g
M a i mifc
40g
Bang phien
16g
16g
2: Sifng te gidc 1 k h i i c (hoSc Sifng t r a u )
Rufa sach m a i v6i niTdc d u n soi de n g u o i , uong v a i I a n t r o n g ngay. hcti, thiicfng suy nghi
nguyen
qud
nhdn
do nh(ft, lodng, do the trgng
dq.
yeu,
ngUcti
m$t,
lao dqng
doan nang,
0 b a n g x a p h o n g . Rifa t a y sach va d u n g 1 n g o n t a y day
B d i 3: P h e n chua p h i
1,5kg
H o a i son
16g
Hoang dang
2kg
e/v^A
vien
Ithuoc vao sau d e n c6 tuf cung.
16g
;n*w,v
cong thiic sau:
D a t m o i t o i 1 v i e n v^o a m dao trifdc k h i d i n g u . Rufa sach a m
D^ng sam
•:• t v w . :
nhi^t).
nhe.
Do 5 b a t nirdc, sic l a y 1 b d t , c h i a 3 I a n u o n g t r o n g ngky.
mdu
c6
Rdc vao C O tuf cung, a m dao. B o t ric nky d u n g cho t h e v i e m
12g
ra nhieu
thap
theo
2g
P h e n chua
2. Huyet
kem
20g
H a n the
Ngo sen
Khi
rHa
P h e n chua p h i
V 6 re cay r a u K h d i
210
HI/ (ChjXng ddi ha)
KHI mdu, dinh,
cac b a i thuoc theo can n g u y e n b e n h . ra nhieu, nhi^t).
12g
den)
3. Rong huyet roi bang huyet X o mUdfp sao chay t a n bot, d o n g goi 4g, n g ^ y uong 2 goi.
Co t h e t h i e u 1 v a i v i c u n g di/oc.
1. Huyet (do huyet
lOg
N g a i cufu
(khd)
ba diep
L a N g a i cihi
4g
H u o n g p h u che
Be moc (^/id) Re C O T r a n h
den)
^''•J
T/u^c
na/,v
eA^«
-^^v/v
•:•
211
^6ng
( N e u k h o n g c6 H o a n g d k n g t h a y b a n g H o a n g ba n a m ) . D6 5 l i t nifdc vao H o a n g dSng, s^c dac c6n 1 l i t . P h e n p h i t a r i n h o , t r o n n\i6c H o a n g dang, p h o i k h o d e n h e t nUdc, l a m v i e n 2;, B u o i t o i , trirdc k h i d i n g i i rufa sach n g o a i a m dao b a n g XH
3. Khi hiC d ngitc/i beo map
12g
Cu M a i
20g
Cu S u n g
20g
H a t M a de
12g
H a t Bo bo
16g
NgiAi t a t n a m
8g
Sac u o n g ngay 1 t h a n g . g i 6 n , t d n b o t l u y e n \6i m a t h a y ho l a m v i e n b a n g h a t ngo. Nga> u o n g 30-40 v i e n . hit do suy nhiicfc cd the (ty
hit)
K h i h i i m a u t r a n g , loang, k h o n g h o i , k i n h n g u y g t b i n h thiicfng
sam
12g
H a t Bo bo
12g
B a n h a chg"
8g
V6 q u y t
8g
Qua k i m a n h
12g
Cu S u n g
12g
H a t sen
16g
Ding
Sac u o n g ngay 1 t h a n g .
4. Khi
D^ng sam
12g
H a t sen
16g
H a t Bo bo
20g
V6 quyt
6g
H a t Dau van
12g
Cu M M
16g
M a de
12g
hit kem theo rot log,n kinh
nguy^t
(do can
uat).
K h i h i i r a m a u h o n g n h a t , k i n h nguyet k h o n g deu, m a u do, c6 10, t i n h t h a n u a t ufc, m a n g sadn day tufc h a y thof d a i . Bai
D u n g b a i thuoc k i e n t y , l o i t h a p .
212 • r/t«jv ;T«/,V e/tu'A/g^»/v
d d m , k e m theo
ang dau, Igrm g i o n g , ngUori bilft r u t k h o n g y e n , b u n g chiTong.
hoac n h a t m a u , ngUofi m e t m o i , c h a n t a y l a n h , d a i t i e n l o n g .
S^c u o n g n g a y 1 t h a n g .
thap).
: Co t h e l a m v i e n ngay uong 30g.
N e u l a m t h a n h v i e n l i e u theo t i le t r e n , t a t ca phori k h o , sao
2. Khi
(do dam
K h i h a r a n h i e u , m a u t r a n g , dao d i n h g i o n g
uong
H o a n g hi. n a m
gfrt
L a m v i e n , u o n g ngay 40-50g
p h o n g , n h 6 t 1 v i e n vao sau t r o n g a m dao. jBdi 4: Thuoc
r
1: N a m s M ho
12g
Hirong phu
8g
Qua D a n h d a n h
12g
M a de
12g
C a m t h d o day
8g
Sac u o n g ngay 1 t h a n g . Bai
2: H o a M^o ga
200g
T u a sen
200g
Cu S u n g
200g
V 6 mu
160g T/u.^c r\fu., (L/uia. iSd,.^
•
213
^6n9 T
^tgu
Hat M a de
120g
Hirorng phu
120g
Ich mau
120g
Ng^y uong 40-60 vien, chia 2 Ian. moi 2 goi, u tai,
Xich dong nam (cay bong Bet d6) 40g Bach dong nOf Ich mau
40g
Ngai cufu
40g
Hirorng phu
40g
Dau den
80g
Day va hat To hong
20g
1. Ndn mvCa khi c6 thai (nhiem dgc thai
thuoc "ufc can" hoa v i am. H a t T i a to
4g
V6 quyt
6g
Hoang lien
4g
Ban ha che
6g
Ni/dc ong tre non
8g
phu m0,t va chdn, phu
nghen)
Benh nhe nen dung thuoc Dong y.
D i n g sam
16g
H a t bo bo
16g
V6 quyt
8g ,,
trdng.
H a t Dau van
16g
H a t Sen
16g
H a t bo bo
16g
Cu M a i
16g
V6 qua cau
8g
Made
12g
sac uong ngay 1 thang. b) Phu do khi tre: dau ddu, ngUc bung day chUdng, tinh
thdn
' udt lie, phii nhe.
Neu non mijfa, ngUori g^y yeu, khong muon an, t i n h than met moi:
T/v«i;i-n«/,v e/v^A/S#/v/v
dau mang sUcfn, soi bung, or hcfi, dau nang, m d t hoa, dung bai
a) Phu do suy nhitgc: ngUcri met mdi, dn kem, sdc mg.t vang ua,
CAC CHtfNG B E N H TRONG T H 6 I K Y THAI NGHEN
•
6g
2. Phu khi CO thai
Tan bot, l a m vien, ngay uong 60-80 chia 2 Ian. (Co the dung 1 loai bong Bet cung duoc, lieu tang gap doi).
214
N\i6c ong tre non
Cac v i sac, uong cung N\i6c ong tre non.
40g
(cay bong bet trang)
GCfng tifcfi
8g
Cac v i sac uong cung Nudc ong tre non. Neu non ra niX6c trong,
Long cot (nung) 160g Tat c§L phcfi kho, sao gi6n, tdn bpt m i n , luy^n ho hay mat lam vien b^ng hat ngo. 5. Khi hit kem theo dau liCng nhieu, chong mat, m^t moi. (Thg,n hit)
Ban ha che
4g
Hifcfng phu
8g
6 difcrc
8g
V6 quyt
8g
GCfng
4g
tLfori
H a t T i a to
8g
t x « j i ruu.. CA^iA i^^/v
•
215
V6 dtra hau
8g
Hai v i t r o n deu tam vao cue bong c6 bugc chi tho ra ngoai, dat ao am dao sau k h i da rtfa sach bang cac bai thuoc tren. De 1 ngay, 1 dem, sau do cam soi chi loi ra va dat tiep mieng khac.
S^c uong ngay 1 thang. 3. Dgng thai, say thai, de
non
Thuoc
a) Bong thai, say thai do than yeu, lUng goi moi, ii tai, chong mat, dUng bdi thuoc b6 than.
uong
Kho sam
8g
H a t To hong
20g
K i n h gidi
TSm guti cay dau
20g
Hat Danh danh
8g 12g
Tuc doan
20g
Kim
ngan
12g
A giao (keo da trau)
20g
Hat bo bo
12g
Ngai cufu
20g
Tho phuc l i n h
16g
sac uong ngay 1 thang, uong xa bufa an.
Sac uong ngay 1 thang, hoac lam vien uong ngay 40g. b) Bong thai do chdn thuang (ngd te, mang vac nang...).
SA
Dung bai thuoc tren them Re cay Gai K i n h nghiem dan gian ngifcfi ta CO the dung mot v i Ngai ciJfU sac uong hoac v6 tUofi uong. VIEM AM DAO DO T R U N G ROI
DA CON
Dieu t r i bang thuoc nam tot cho nhuCng trif^ng hgfp nhe, sa do , do 2. Kinh nghiem dan gian:
(Trichomonas)
Trieu chuCng chu yeu la ngufa am ho, k h i h\i r a nhieu, mau xanh.
I
La Thau dau tia
1 nam
(Neu ngufa tifng deft, am ho do, k h l hif mau trang, mu nhif c6 hot la
•
Phfen phi
1 thia con
do nam).
P
1. Thuoc rita
ngoai:
th^ng, ncfi cao nhat dinh dau la huyfet). C6 the ket hop cham cufu
Dung phen chua 5g trong 1 l i t nadc, ntrdc sac dac bo ket, hay thuoc t i m 1/4000 de ngam va rufa ngoai m6i toi 1 Mn, moi buoi sang ngu day 1 Ian. K i n h nghiem dung la Trau khong (khoang 10 la cho 1 Ian) nlfa sach, gia nho cCing 1 thia muoi an. Sau do do 1 l i t nifdc soi hoa vao la Trau va muoi de nguoi viia chiu di/oc, dem rufa va ngam am ho 10 phut, (dung cho ca ngufa do nam). 2. Thuoc dat trong dm LIAJ
hoang (che)
Dau vCmg (me) 2\6
T/.uc^c
(Z'/yan
H a i v i gia nho dap len huyet Bach hoi (d d i n h dau, n h i n
dgo
15g lOOg
huyet Bach hoi. Neu sa da con do de nhieu nen ket hop bai thuoc. i Bai 1: Dang sam
16g
Cu mai
16g
V6 quyt
6g
Thang ma Nam sai ho
12g 12g
N a m hoang ba
12g
Sac uong ngay 1 thang. T/vuj;- r\u,^ (LUaa /S#»/v •
217
t)6ng T STrt Sttfu Bai
2: Bdp Id Thien ly (xem cay thien ly)
Chu
X u y e n scfn g i a p ( V a y t r u t n u n g )
y : K h i d u n g thuoc p h a i n g h i ngori t u y e t d o i .
s a c u o n g n g a y 1 t h a n g cho d e n k h i sffa t h o n g . VIEM TUYEN VU
THIEUSCfA 1. Neu
thieu
sita,
sHa xuong
it, nhitng
vu khong
kem theo an kem, ngUcfi m$t moi la do suy nhiiac huyet
hit) nen diing
Bai
bai thuoc
ki$n
cang,
ca the (khi
ty, led sHa, bo
huyet:
1:
Thtrcfng x a y r a t r o n g thori k y cho con b i i . V u h i siftig, n o n g , do, 'au, t a c siJa, sot. N e u n a n g c6 t h e t h a n h ap xe vvi. C h i c a n chOfa ^ n g thuoc n a m k h i chi/a t h a n h ap xe. Bai
1:
H a t sen
16g
Bo cong a n h
lOOg
Hat Dau vdn
16g
sai
dat
40g
Cu m a i
16g
Huyen sam
12g
Ha thu 6
12g
G a i bo k e t
8g
Moc t h o n g
8g
Dan sam
12g
Thong thao
8g
M Q C thong
16g
M o n g g i 5 heo
2 cai
Thong
16g
S^c u o n g n g a y 1 t h a n g . Bai
3: Kink nghiem ddn gian an nhUng thiCc an c6 nhieu sffa
nhu gao nep ham, chdn gid heo, mit non, du du, qua vd, ndu vai thit nac heo... khong nen dn kieng khem qua miic. Cdc thiCc dn bo deu CO the dn diCoc.
218
sita do sita khong
sot, phien,
xuong,
vu cang,
Bai
2: Bo cong anh lOOg (khoang 1 ndm) de tuai, rvCa sach, gid
hd, vdt lay nUdc uong, bd dap len chd viem, mdi ngdy 1 Idn. 3: Ld Bi ngo non hay Id Dam but dap ngodi (xem muc cdy
hi ngo, cdy ddm but trong chuang cdy thuoc). nong,
ngUcli
Bai
4: Cao ret (xem phdn bdo che).
too:
Rau M a
16g
Cue h o a
I6g
Hirofng p h u
8g
Moc t h o n g
8g
T h o n g thao
8g
•:• Xt^uiic ruu,.
t h i ngCtog, k h o n g d u n g keo d a i .
Bai
y : K h o n g n e n a n l a L o t , c6 t h e m a t sOfa.
2, Thieu
(LUa^
i^d4Jv
6g
S^c u o n g n g a y 1 t h a n g . K h i sOfa xuong, h e t sitag, n o n g , do, d a u
2: Hat Bong sao vdng, sdc uong mdi ngay 5g.
Chu
thao
M a de
Bai
phdt
8g
SAN H A U Sau k h i de b u n g dau h e n m i e n , keo d a i , huyg't r a d a i d a n g , ttiau h o n g h a y Icf lor m a u ca: ich m l u
500g
Cay C h o de r a n g cifa
200g
M a n turn
300g tw.-
/ u , v e / v ^ a />3<J»/V •
219
Ngai
lOOg
cufu
Nghe den
30g
HiTorng phu
70g
Cam thao dat
•
sac uong ngay 1 thang.
Tat ca sao vang, gia nho cho vao tiii vai, do nUdc dun, loc thanh cao Idng, cho them dtidng, dong chai uong 1 Ian 50ml ngay uo'ng 2 Ian. Neu sac uong, lieu moi v i giam 10 Ian. Uong ngay 1 thang. K h i nao sach san dich, het dau bung t h i ngifng uong. Neu san phu chan tay lanh, phu thung, cho them Nhuc que 20g (cao long), Nhuc que 2g (thuoc sac).
Thieu Sa sam, Mach mon, c6 the thay la Huyen sam, la Dau non, rau Ma, cac v i dung ttfcfi. Neu sori moc khong deu, hay moc xong Ian ngay, dung b a i luoc k i n h nghiem: La cay Li§u kho, tan nho, moi Ian uong lOg, lay R l c6 Tranh riia sach, sac l a m thang. Dung hat M u i sac vdri rifou de nguoi, bun deu khap mat da, sdi se moc deu. 3. Thcfi ky sofi bay: (3 ngay) Sdi bay Ian Itfott tif mat xuong.
BENHTRE EM sdi 1. Thcfi ky sot: khodng 3 ngay Hat va la Dau sang
16g
La Diep ca
12g
Cam thao dat
12g
Cac v i dung tLfori, sac uong ngay 1 thang, chia 3 Ian. N§u cao, them K i m ngan hoa 16g hay la Tre 20g.
sot
2, Thafi ky sari moc: khodng 3-4 ngay. Sdi moc Ian iLfort tCr tren mat xuong, kem theo c6 the ho, ia chay, m^t do, sifng... (neu chan doan nham v6i cac loai so't phat ban khac van dung b^i n^y diiac).
220
•
8g
La Dau non
16g
Dau do
16g
H a t sen
16g
Cu M a i
12g
Sa sam
lOg
Mach mon
lOg
Sac uong ngay 1 thang, chia uong nhieu Ian. Khong c6 Sa sam, Mach mon, c6 the thay bang rau Ma, la vong, la Rau ngot, la Mong toti nau canh an; Dau do, hat Sen nau che, chao. THUY DAU Tre sot, nhufc dau, so mui, vai ngay sau moc not do, k h i noi len bong iiLfdfc trong, khong c6 mu, 3-4 ngay sau kho va bong ra roi noi. Dung bai thuoc uon :; I
La Tre
20g
Sai dat
I6g
La Dau non
12g
Mach mon
I2g
Cam thao dat
8g
Ma de
lOg
Re say
lOg
Sa sam
I2g
La Tre
20g
Sdn day
I6g
XAu^i ;T«/,V C A ^ f l
T/xuc-'c y\(u,x CLfuiti
i3c,xU
•
221
D6ng r
f)6tifl r gTrt qt|u Cue hoa
8g
Bac ha
6g
K i m ngan hoa
lOg
Bach bo
say gion. Ta't ca tan hot, ray m i n , dong goi 4g, chong am. Tre 1-5 tuoi, moi Ian uong 1/4 - 1 g6i 5-10 tuoi, moi Ian u6ng 1-2 g6i.
H O G A
Ngay uong 3 Ian. 3. Giai dog,n cuoi, con ho thiia nhe dan, tre ra mo hoi, hat niidc.
hA Tia to
12g
La He
8g
V6 re Dau
La Xaong song
8g
Thien mon
16g
V6 quyt
6g
V6 quyt
4g
Cam thao day
lOg
Sa nhan
12g
Gifng tucfi
2g
Mach mon
12g
Sac uong ngay 1 thang. Ho tifng cofn, non ra dcfm dai Ian thufc an, hai m i mat siftig, ne, tu mau. B d i 1: Bdi thuSc kinh nghiem: Mdt gd tuai 1 cdi hoa vdi diCdng ngay.
12g
ROI LOAN TIEU
1. la chay cap
HOA
tinh
Tre bu i t , an i t , cham tieu, bung chifdrng, non mufa, mui chua, khai, ia chay mui chua thoi, cham tieu, phan song. Bdi 1: Xup cd rot (xem Cd rot trong chuang cdy thud'c).
Tre em 1 tuoi: 3 ngay 1 cai
Bdi
Tre em 2 tuoi: 2 ngay 1 cai
2:
Tre t r e n 3 tuoi: mSi ngay 1 cai.
Mach nha (hay coc nha)
Bdi 2 : Hoa Bu du dUc: tre gdi 9 cdi; tri trai 7 cdi, hap com cho
San t r a
8g
Than khuc
4g
Hat Cai cu
4g
them diCdng an 2 ngay 1 Idn.
Bdi
222
-
Sac uong ngay 1 thang.
2 . Giai dog,n ho cctn
uong
120g
Hoa Du du sao vang; v6 re Dau tam Mat sao gion, cac v i khac
Sac uong ngay 1 thang cho den k h i khoi han.
1. Giai dog,n ddu: Ho lien tuc, ho nhieu ve dim.
•
3:
8g
Hoa Du du diic
200g
Mang trong Me ga
4g
V6 quyt lau nam
200g
V6 quyt
4g
V6 re Dau tam
200g
Hat bo bo
12g
Phfen chua (phi)
120g
Z/,uoc
C^uia
^^^x
grt gtgu
x/^^c
ru,.
e/t^«
/^#,v/v
•:•
223
$)6ng r STrt
Sac uong ngay 1 thang. Neu lam vien, tang lieu theo t i le trei, u6ng ngay 20g. Thieu Scfn t r a , bai thudc van dung diforc. 2. ia chdy keo ddi: Phdn song, dinh dUdng).
bung ong, dit beo
Tre t r e n 4 tuoi 10-15 vien. Neu khong c6 Duofng quy c6 the thay Ha thu 6 do. Khong c6 son a thay V6 quyt lOg.
(suy
S U Y D I N H DLfCfNG 1. Suy dinh diidng dg 1 (ty hii)
Bdi 1: Phi nhi hoan Than khuc
200g
D i n g sam
lOg
Nhuc dau khau
lOOg
Cu M a i
12g
Mach nha
lOOg
Hat bo bo
12g
Hat Cau gia
lOg
Mach mon
4g
Hoang lien
200g
Cam thao nam
4g
Sijr quan tuT
lOOg
Sa nhan (hay V6 quyt)
2g
Nam moc hiTcfng
40g
Sic uong ng^y 1 thang. Hay lam vien uong ngay 20g.
Cdc v i tan hot m i n , lam vien 4g. Tre di/di 4 tuoi uong ngay 1 vien.
Cac v i thuoc tang lieu 10 hay 20 Ian tuy theo yeu cau.
Tre t r e n 4 tuoi uong ngay 2-4 vien.
2. Suy dinh diidng ndng (dg 3) (khi huyet hii) ngiidfi gay,
*
Bdi 2: Phi nhi cam tich Hat bo bo
40g
Cu M a i
40g
Sorn t r a
20g
Hat Sen
30g
Gao nep rang
lOOg
Di/ong quy
20g
Dau van trSng
40g
Than khiic
16g
Suf quan tuf
3g
Tat ca tan hot lam vien bang hat nhan.
da kho, toe kho, loet gidc mgc, loet mi$ng, phu thung v.v... Dung bai thuoc t r e n them c^c v i : Do den sao
8g
Thuc dia
8g
Ha t h u 6
8g
H a t Sen
12g
Loet giac mac: them Cue boa 8g Loet mi^ng, them Hoang lien 8g Co phu: them Que chi 2g Co giun: them Suf quan tuf 4g Neu lam vien, uong ngay 30g.
Tre dUfJi 4 tuoi 5-8 vien.
224 •:•
y\^,. (LU,^
/S^.A
tVtuJt rUun e/t^A
•
225
^6ng
r grt
^6ng
3. Tre gay yeu, chqm, l&n: thuoc bgt Coc. Bot coc
10 phan
Cu Sa
3 phan
Cu M a i
10 phan
V6 Chuoi chin
C6c: lot da, bo het phu tang, say kho, cac v i khac deu say, tan bot, tron chung, dong goi uong ngay 15-20g. Co the t r p n vdfi chao hay ho cho tre an. C O G I A T T R ^ E M (Kinh
phong)
q^u
i BENH T H A N KINH - TAM THAN S U Y NHLfdC T H A N K I N H 1. Suy nhiCdc than kinh giai dog,n dau (hiCng phan
tang).
Dau dau hoc hoa tCftig con, hoa mat, chong mat, ngu i t , t r a n trpc, t i n h t h a n uat urc, hay t h d dai, de cau gat, hay quen. Cue hoa
12g
Hat
12g
muong
Cu Gau
8g
Lac tien
12g
(3 day chi gidri thieu bai thuoc c6 t i n h chat giai quyet t a m thc(i.
Qua chanh kho
8g
1. V&i moi chitng co gig.t chan tay, trctn mat, rang can chat, me sang v.v... deu dung bai thuoc sau:
R§ cu Ngh$ con
6g
Cam thao day
8g
Chufng CO giat d tre em do nhieu nguyen nhan khac nhau. Can dtfcfc dieu t r i Tay y de giai quyet nguyAn nhan benh.
g"ri
sac uong ngay cung bot cac v i bai thuoc tren. Nen ket hop fchich le 10 dau ng6n tay nan mau, ket qua het co gi^t rat nhanh.
7 phan
Cdc v i lay theo t i 1$ tren, tuy theo so Itfcfng can dung.
T
Con Ret rCftig (Ngo cong) t a m Gifng sao gao nep.
S^c uong ngay 1 thang.
Con Bo cap (To^n yet) say kho
2. Suy nhit^c than kinh giai dog.n 2 (tCc che
Xac Ve sau (Thuyen thodi) say kho
Dau dau lien mien, mat ngu, hay quen, dau lifng, moi gol, u t a i , 'ngifcri kho hdo khat, roi loan k i n h nguyet, hay di t i n h .
Cau dling phoi kho Neu CO 2, 3 v i trong cac v i tren t h i tot. Neu khong du co the dung 1 trong cdc v i tren cung duoc.
Thuc dia
12g
Ha thu 6
12g
Cdch dung: Lay ca con, bo dau duoi, say kho t d n nh6, uong ngay. M o i v i tiT 3 den 6g tuy tre \6n nho.
Hat ta hong
12g
Yem rua
12g
Hat
16g
3. Neu tre em co gig,t co sot kem theo (sot cao gay co gidt) them cac vi thuoc hg, sot vd an than vdo Imi thuoc tren. hA Tre
16g
La Vong
12g
Bac ha
8g
Thach cao
20g
226 • XA^^.. Atu^v e/«?«/^^w;
gidm).
Sen
Cu M a i
16g
Dau den
12g
Lac tien
12g
Sac uong ngay 1 thang hoac lam vien uong ngay 30 vien. "Dtw^v ;xu«
eA^«
•:•
227
t)6ng r
^6ng
g"rt
N e u r o i l o a n k i n h nguyet: t h e m I c h m a u 12g, H i r o n g p h u 12g
Bai
2: H a t Sen
1kg
Long nhan
1kg
Tao n h a n
1kg
n g u nSng, dau dau e a m , nSng dau, g i a m t r i nhdf nSng, m a t k h a
La Vong
700g
n S n g l a m viec. N a m g i d i c6 t h e k e m theo d i t i n h , H$t dtforng; nOf
Cu M a i
700g
che deu
than
kinh
giai
dog.n
cuoi
(hitng
phan,
itc
giam).
Suy nhugfc nSng, t i n h t h a n uy m i , t h d cf v 6 i ngoai c a n h , mat
gidri CO r o i l o a n k i n h nguyet.
Cac v i phofi k h o , t d n h o t m i n , l u y e n v d i M a t h a y H o l a m v i e n
Thuc dia
12g
Cu M a i
12g
H a t Sen
12g
H a t to hong
12g
b ^ n g h a t ngo. U o n g m o i ngay 20-40g, c h i a 2 I a n , sang, t o i . T h i e u tao n h a n ^thay b a n g Lac t i e n . 5. Thuoc
Idm diu than
kinh,
dung
cho triiifng
hf/p ngu
it,
Long nhan
12g
vat vd, phdt
D a u m i e u ( P h ^ co chi)
12g
N h u c que
12g
Nudfc cot cay Chuo'i h o t hoSc Chuo'i I d , P h ^ n chua 2g (nufa song, nufa c h i n ) , 2 v i p h a uong song m o i I a n 1 0 0 m l .
P h u tuf che
4g
4. Thuoc keo
^Igu
xiu.
N e u CO d i t i n h , x e m p h a n chufng d i t i n h . nhii^c
gri
nay t h u d n g d u n g cho chijfng m a t ngu, k e m theo h o i h o p , h a y n g a t
N e u m a t n g u n h i e u : t h g m M uong 12g
3. Suy
y
an than,
dung
chung
cho
H o trgf nUdc cot r a u Sam, D a u den, r a u DiTa, Rau ngo uong t i e p . cdc
chOng
mat
ngu
ddi.
Bai
dien.
6. Hay
quen:
ho, tan hQt min.
Tim
bb, NgUfi,
Uong
moi ngdy
moi
4g v&i riicfu
thti 1 qua
say
(30ml).
L I E T MAT
1: XMng
Gd, Lcfn
ho
5 phan
L i e t m a t l a l i e t day VTI ngoai b i e n . D o n g y goi l a t r u n g p h o n g k i n h lac.
V6 quyt
5 phan
H a t Ttf h o n g
10 p h a n
1. Li$t
N g a i ti/grng
5 phan
TiT n h i e n m i e n g meo, m a t m o t ben k h o n g n h a m k i n . Luc uong
Rau
10 p h a n
T h o phuc l i n h
5 phan
Cac v i thuoc l a y theo t i le t r e n , phai
k h o , t a n bpt m i n , lam
v i e n v d i M a t m i a . U o n g 1 ngay 10-20g, c h i a 2 I a n sang, t o i . B a i
228 •
"Ou^c
C^^aa
mat do
lg,nh
Udc t r a o r a 1 b e n , k h o n g t h e t h o i diigrc. Bdi
1: K e dau ngiTa
12g
T a m gijfi cay dau
12g
c a n h que
12g r/v«jt ntu.^ (LKaa /Sc«/v •:• 229
D6ng r N g a i cufu
• : i :
NgLfu t a t n a m
V6 quyt
i2g
8g
V6 quyt
6g
Huong phu
6g
6g
s i c uong ngay 1 t h a n g .
, 8g
Re cu N g h e
^
grt
K i n h n g h i e m h i l i e t nufa m a t n e n k e t h o p v d i c h a m cufu d i e u Itri s d m , t u o i t r e , k e t qua t o t . L i e t m S t do l a n h c h i c a n d i e u t r i f E S n g y. Ne'u c6 v i e m tai h a y s a n g c h a n n e n d i e u t r i k e t
hop
) 6 n g T a y y.
S^c uong n g a y 1 t h a n g . Bai
2: Thuoc kinh
DAU T H A N K I N H TOA DO L A N H
nghiem
LA T h o n g tiTOi lOOg, n g a m t r o n g 5 0 0 m l mgu, v u i t r o n g t r o bep 24 gior, d e m uong, n g a y 5 0 m l . U o n g x o n g t o a t m o h o i l a c6 k e t qua. Bai
3: Luan song 1 con, chat dudi lay mdu thdm vdo gidy ban,
D a u t i r t h i t l i t o g x u o n g v u n g m o n g , x u o n g m a t sau d u i , c i n g ^chan, b a n c h a n . D a u n h i e u k h i d i l a i , dau t a n g ve d e m , ve m u a k l a n h . C a n l o a i trCr dau t h a n k i n h toa do n g u y e n n h a n c h e n ep tCf tcOt song n h i f g a i d o i , s a n g c h a n v.v...
dan len mdt ben liet (dan vdo cdc huyet chdm dieu tri liet day VII
Re l a l o t
12g
- tham khdo sdch chdm
Thien nien kien
12g
Que c h i
8g
N g a i cufu
8g
2. Li$t
mat
xUcfng chum, Kim
ciiu).
do viem
nhiim:
c6 sot, chay
ThiCifng la tre em,
mu tai citng ben li^t
ngan
viem
tai
mat.
16g
NgUU t a t
8g
Bo cong a n h
16g
V6 quyt
6g
K e dau n g i i a
12g
NgiAi t a t n a m
12g
Re cu N g h e
12g
V6 quyt
2g
Sac uong ng^y 1 thang.
D A U V A I G A Y , D A U T H A N K I N H L I E N StfCJN H a i b $ n h nay thi/cfng xay r a sau k h i n h i e m l a n h , thiTorng dau I dem hay sdng ngu day, tha'y vai c6 dau, quay kho, sor vao b l p
S i c uong n g a y 1 t h a n g . 3. Li^t mat do sang tai, hi ddnh Dan
vdo dau
chan:
it r a t dau. N e u dau t h a n l i n h Uen si/cfn thi dau nhieu vung litog Nhii ngd te dqp dau,
v.v...
sam
chay
mdu
k ngUc, dau bo c h a t , c h a m chich tCtog cofn khong d a m t h d m a n h , ho cang dau h a n .
12g
Bai
1:
R § cu N g h e
12g
C a n h dau t a r n
12g
NgOU t a t n a m
12g
C a n h que
8g
To
12g
GCtogkho
8g
moc
Qua c h a n h k h o •
T/vuv-c
; ^ , v
(L/xaa
6g )^d,J^
xi^u^c
; ^ . v
e/v^A
/>3#»/t
•
2 3 1
Bach chi
8g
K i m ngan hoa
12g
V6 quyt
6g
Kho sam
12g
12g
Ke dau ngifa
12g
Hat bo bo
12g
Hoat thach
8g
R i cu Nghe
8g
Sac uong ngay 1 thang.
NgiAi t a t nam
8g
Bdi
Thien nien ki$n
#
2: Thuoc bdi ngoai
S^c uong ngay 1 thang.
Ri sat
4g
Bdi
Ruou
50ml.
2: La Coi xay
10 phan
. Ph^n phi
1 phan
Tan Ri sat, ngam rUgru 2 ngay, rijfa sach cho cham roi boi thuoc l§n, ngay boi 1 Ian.
Hai v i theo t i 1^ tren, tdn hot lam vien uong moi ngay 4-8g.
2. Cham man tinh
Bdi
Da day, tho, ngufa noi cue, c6 mun nifdc.
3: Thuoc kinh
nghiem
Goc He gia n ^ t cho them giam dSp vao vung dau. Than va la He gia nat cho them rifou, gan lay niTiJc uong.
Bdi
CAM K H A U Cam khau thi/dng xay ra do nhieu nguyen nhan khac nhau n h u do cam lanh, sot cao. Dung dua ca cay mom, gia la Ngai cufU tdoi nh6t vao lUori, c6 the dung \A kho v6 t h a m niJdfc nhet vao.
.
it:^;'
1: Thuoc boi ngodi da V6 Tom cang
7-10 cai
Hiing hoang
4g
Giam thanh
vCfa ngap
V6 t o m cang gia nho, ngam vdi giam do 3 gicf, chat lay nifdc, fim vdi Hung hoang, sau do cho v6 tom vao t r p n deu, boi vao 0 cham. B d i 2:
MQT
S O CHCTNG B E N H
KHAC
B E N H NGOAI DA 1. Cham mcd mac Gap d tre nho, da do, ngijTa, nSi cue, c6 mun nirdc, sau d6 loet, chay niTdc vang. Bdi
1: Thuoc
Hoang lien
4g
Hong hoa
4g
Hong dcfn
4g
Chu sa
4g
T a n hot, t r p n M9 tran boi len ch6 cham. Trifdc k h i boi rijfa cho
i cham bang
uong:
nUdc
V6 Niic ndc
12g
3. Noi ban di Hug do l^nh, ngiJCa
Ha kho thao
12g
Bdi
1: Thuoc
uong
Ke d a u ngifa 232
la Voi hay niTdrc la K i n h gidi.
•:• xi^i^c
n^,.
(Lkuc.
^pj^
12g
T/t.^jv n « , . e/t^n
•
233
Gifng tifori
6g
K i n h gi6i
. >*»
Quechi
8g 8g
man
Benh keo dai, dau dau thifcfng xuyen, thiforng chay nu6c mui c6
mui hoi. Sinh dia
12g
Huyen sam
12g
Sac uo'ng ng^y 1 thang.
Mach mon
12g
Bai 2: Thuoc xoa
K i m ngan
12g
La Khe' non: xAt ttfori len chS nguTa, hay nau nifdrc nong tam.
Ke dau ngifa
12g
4. To dia
Diep ca
8g
Hat Tia to
,
Bach chi
8g 8g
Moc mun mi6c d 15ng ban tay, ban chan, ngufa. Neu c6 loet chay niidc dung bai thuoc boi.
6 tSc cot (Mai mifc) Bang sa (Han the) Cac v i lieu bang nhau, tan nho thanh bot m i n rac vao cho loet. Trirdc k h i rac, ngam va rijfa sach bang n\i6c To mpc. B E N H TAI MUI H O N G
cap
B^nh m(Ji phat, c6 sot, chay mui vang, ngat mui, nhCifc dau vung t r a n . K i m ngan hoa
16g
Ke dau ngiJa
16g
Hat Danh danh
12g
Hy thiem thao
12g
Cay Diep ca
12g
Mach mon
12g
S^c uong ngay 1 thang. •:• rA«jv
;a«/,v
>
sac uong ngay 1 thang. 3. Viem mui Lay la va hoa rufa sach, de tifcfi, gia nho vdfi mot nhiim muoi cho 1000ml nirdrc va loc lay nUdfc trong, dun soi de nguoi, nho mui ngay nhieu Ian.
Phen phi
1. Viem xoang
•
Hoa Ngu sac (cay Co hoi) 1 n^m.
Thanh dai
234
I
2. Viem xoang
e/v^«/S^tA
4. Viem hong man Sinh dia
12g
Huyen sam
12g
K i m ngan
12g
V6 re Dau
lOg
Co Nho noi
lOg
Bac ha
8g
Re quat
4g
Sac uong 2 ngay 1 thang. B E N H R A N G MIENG
'
1. Loet mi^ng: Vet loet trong moi, mi^ng, siing do, dau, c6 mu trdng, mi^ng hoi. Sinh dia
12g
r\^.,. (LUa^ > 3 c « / v
•:• 2 3 5
^ 6 n g y grn atgu Huyen sam
12g
True diep (Id Tre)
12g
Thaeh cao
' '
DAU RANG 1. Dau rang do cdc nguyen nhdn khdc nhau deu
12g
Moe n h i
Chut chit
12g
K i n h gi(Ji
Dau do
16g
Cam thao nam
8g
dung:
Moi thuf 1 nam, s^c \Siy n\S6c ngam va siic mi§ng h^ng ngay oho den k h i het dau.
SSe uong ngay 1 thang.
2. Dau rang hoac chdy mdu chdn rang
Neu mieng hoi ket hap sue mieng niicJe muo'i.
Huorng phu
2. Viem Icfi
Ngai eiJfu
Bai 1: Thaeh eao
40g
Re Say
40g
L d tre
12g
' '•'">•
Moi thuf 1 n^m s^c lay n\i6c, sue mieng h^ng ngay (xem thgm chifcfng cay thuoe). DAU MAT 1. Mat mcf (thong manh), mat keo mang, c6 mqng
Sae uong ngay 1 thang.
thit
Bdi 1: Thdo quy^'t minh tan bot hoa vai nitdc chdo ngdy uong
JBdi 2:
8g.
Mang ti§u
4g
Baeh phan
4g
nude riia 100 Idn, mat se sdng.
4g
Bdi 3: Phan dcti (Da minh sa) hoa vdi nUdc, lay can ndu vai Gan Ign &n hhng ngdy.
Muoi
^
Nirdre soi
200ml
2. Long quam do dau mat hgt: Nhdn hat Gdc gid nho, nhet vdo 16 mui doi di^n v&i mat c6 quam, ngdy 2 idn.
Hoa t a n , loc, sue mi$ng hSng ngay. 3. Hoi
mom
Hifcfng nhu
1 nSm
Hoac hLforng
1 nam
Co the lay 1 trong 2 v i tren sae nUcJc dae, ngam va sue mieng hang ngay.
236 •:•
e/.^fl/g^w;
Bdi 2: Cdnh hoac Id Dau tuai, gid ndt, sao ton tinh, ndu lay
CAM CUM 1. Cam m^o do iQinh: nhiiCc dau, so mui, ho, c6 the
sot
nhitng khong cd mo hoi, scf Ignh. Bdi 1: K i n h gi(5i
3 phan
Hoac hifcfng
3 phan
Tia to
2 phan TA«j'<: / V u , v e / . ^ n /S^»/v •:•
237
^6n9
T gTrt gtgu
Gifng tircfi •< ;>^ Cu San day
-
Bac ha
-/
Huforng phu
/
H a n h cu
1 phan
Bac ha
300g
3 phan
Thach cao
500g
2 phan
Phen chua
350g
2 phan
CAc v i tAn hot, dong goi 4g
1 phdn
Tr^ em d\X6i 10 tuoi uong ngay 1 goi. Ngirofi \6n uong ngay 2 goi.
Cac v i theo t i le tren. Tat ca sao gion, tan tho, dong goi lOg,
3. Cam ndng nhe (trung thiit)
K h i dung bo vao am ham nxidc soi uong. Tr^ em 5 tuoi 1 goi 1 ng^y.
LA Hirong nhu
320g
Tre em 5 den 10 tuoi 2 goi 1 ngay.
Hat Dau van trang
320g
NgUbi I6n 3 den 4 goi.
Cu San day
240g
Gitog tUcri
120g
Bai 2:
Tat ca phori kho, t a n hot, dong goi 4g. Tre em difdi 10 tuoi uong
- N o i la xong: (dung k h i khong c6 mo hoi). - LA c6 t i n h dau: Chanh, Budi,
2 goi, tren 10 tuoi 3 goi, ngLfori \6n 4 goi mot ngay.
Tia to, Bac ha, Sa, v.v...
4. Tic thifi giai cam (khong c6 mo hoi)
- LA CO chat khang sinh: Hanh, Toi, Sa, v.v... - La c6 tac dung ha sot: la Tre, la Dufa, la Khe, K h i noi dij soi hAc ra ngay, day vung k m , 1, 2 phut sau xong lien, khong tim ma chi lau ngtrW. Xong xong Sn 1 bat chao hanh nong hay 1 bdt chfe nem roi nam d&p chan cho ra mo hoi. 2. Cam CO sot coo va cum: ra mo hoi
nhieu.
Bail: Hoat thach
200g
Thach cao
200g
Phen phi
lOOg
Cam thao nam
50g
Cac v i tan hot, dong goi 4g, tre em ngay 1-2 goi. Ngiiori I6n ngay 2-4 goi. Bai 2: K i n h gidi
238 •
"Dto^c ; T < U , V
t
Cu gau
240g
Hat Tia to
320g
Bach chi
160g
V6 quyt
120g
Gitog tifcfi
40g
Cam thao day
80g
Hat Tia to say kho, cac v i khdc thai mong, phoi kho. Tat ca tan hot, dong goi 4g, ngiTdi IcJn uong ngay 4 goi. Tre em dudi '10 tuoi 1-2 goi. SOT XUAT H U Y E T
Sot xuat huyet nhe: sot cao, dau m i n h may, c6 the xuat huyet dtrdi da lam t a m nh\i mu6i dot, an khong mat (can c6 ccf sd y te chan doan).
600g e/tt?A''3#<w'v
x/u.^c
rhu.>
e / v ^ A -^<j«/v •
239
Bdi
Ph6n p h i
1: LA Sen
Tat ca t a n hot cho vao ntfdfc ho, luyen t h an h vien ngay uong
.
LATre
: 10-12g, chia 3 Ian.
, /
B d i 3 ; Hat Gdc vd Vay triit (Xuyen son gidp) lieu bang tan bgt ngdy uong lOg.
LA Dau tarn Lieu 3 v i bang nhau (khoang 16-20g) na'u tiroi, do 4 bat, lay 2 bat, uong trong ngay. Rau Sam
12g
CoMirc
20g
M a de
30g
Rau M a
15g
La Coi xay
50g
L a Mong t o i
lOg
Cac v i deu de ttfoi, sac, do 4 bat nude, lay 2 bat uong ngay 1 thang. Neu xua't huyS't nhieu, them cac v i : Hoa hoe 12g, Trdc ba diep 12g, sao den. SOT R E T
B d i 1: (Co chdn dodn Tdy y) LA ThUorng sofn
320g (che)
H a t Cau rCtog
80g (kho)
Thach cao
240g
1. Giun Bdi
dua:
1: H a t bo bo (sao)
t t
H a t Cau ritog (kho) Suf Quan tuf (sao)
120g 40g 60g
Cac v i t a n bot, dong goi 4g. Tre em di/dri 10 tuoi uong 1 goi den 1,5 goi. Tre em tren 10 tuoi
uong 2 goi. Ngiicyi Idn uong 3 goi. Uong vao buoi sang bung doi,
trong 7 ngay lien.
#
2. Sdn xcf mit V6 r§ LUu kho
60g
H a t Cau gia kho
30g
H a i v i t a n nh6 (tho), sac 3 chen lay 1 chen. Cdch dung: Chieu hom trUdfc n h i n d6i, sang hom sau an mot
mieng cha, t h i t nudng thcfm. A n xong 5 phut sau uong n\i6c thuoc sac. K h i d i ngoai ngoi vao chau, niTdc am khoang 36°-37°C de san ra het. Sau do an chao loang roi dan dan an cam.
L a thi/c^ng scrn bo cuong, tarn dam sao. H a t cau rCtog t h a i nho, tan bot. Cac v i t r o n chung, luyen ho lam vien bang hat dau xanh.
V I E M D A K H 6 P D A N G T R A P V A T H O A I KHCfP
Ngay uong 30-40g, trifdrc k h i len cofn 2 giof.
1. Cac chacng dau d khcfp khong c6 nong,
B d i 2: (Dung cho sot ret c6 gan to)
Bdi lOOg
Tho phuc l i n h
Che xanh c6 dac
lOOg
Hy t h i e m
;n«.,v
e/t^fl/^ij^wv
I
do.
1:
Giun dat say kho
240 • r/v..ji
nhau,
GIUN SAN
B d i 2:
•
lOg
TWc
y\tu.^
(Lluia
i^S.,Jv
• 241
^6ng r K e d a u ngifa
S^c uong n g a y 1 t h a n g .
Thien nien kien
3 . Dau Iqmh,
V6 quyt
mQt vdi kh&p
dau dit dgi (hdn
co dinh.
Dau
Que c h i
12g
D a y d a u xifcfng
Bach chi
12g
Cay Ca g a i
N g a i cuTu
lOg
NgLfu t a t n a m
C a n khirofng
6g
V6 quyt
6g
vki v i (triT ngtfu t a t ) rufa sach, p h o i k h o , n a u t h a n h cao p h a xiro
Re M L o t
12g
h a y riToru de d u n g l a u d a i .
Thien nien kien
12g
Ngu gia h i
12g
T r e e m n g a y uong 2, 3 I a n : m o i I a n 1/2 c h e n con. Ngaori lorn uong 2, 3 I a n : m o i I a n 1, 2 c h 6 n con. Bdi
2: Rugu
phong
trd
NgiAi t a t 8 g
thdp
Sac uong n g a y 1 t h a n g .
Voi voi
40g
4. Dau khdp,
Qua K e d a u ngifa
20g
D a u CO t i n h c h a t co r u t , b i e n d a n g k h d p , r a m o h o i c h a n t a y
R l Id lot
20g
NgLfu t a t
lOg
Cac v i cat doan n h o , say k h 6 , cho wko n g a m 1 l i t riiau.
Ngam
c h e n con. 2. Dau khong
cac khdp
dau co dinh
c6 tinh
chat
d kh&p ndo)
di truyen
(phong
(dau
lai
rai.
ty).
Ngu gia b i
12g
H a t bo bo
16g
T a m gijfi cay d a u
12g
D a y D a u xiTcfng
12g
Ngiru t a t
8g
Que c h i
8g
N g a i cufu
8g
V6 quyt
6g
T h o phuc l i n h
12g
K e d a u ngiTa
12g
H y t h i e m thao
12g
V6 quyt
6g
Bach chi
8g
tan bgt, ngdm
N g a i cufu
8g
ngdm
NgLfti t a t
8g
<•
e/v^A/^Sdrt/v
nhvCc moi mgt chd, van dgng
kho
khan.
(thap ty).
tr§n 10 ngay, g a n loc qua v a i t h o , uong n g a y 2 I a n , m o i ngay 1
242
khi tr&i
ty).
Cay X a u ho
T a t cd cac v i l i e u b a n g n h a u (v6 q u y t m o t nufa) c6 t h e t h i e u 1
nhieu
STrt 9ltgu
Thuoc xitang
kinh
nghi$m
ddu hay xiicfng riiOu
ritcfu uong
uong
dan gian
ong chdn hogc
(xem phdn
dau khdp
dung
ho, hoi sHa bo, nitdng
vdng,
dung
bdo
chita
cao ho cot (da ndu sdn)
che).
"DvajV yuu,^ <L/vati. i^psk
•:•
243
t)6ng r
6. Bai thuoc chUa thap khafp cua BQ Y te (khoi H y thiem
50g
Tho phuc l i n h
20g
La Lot
20g
Ngiru t a t
sac
uong
83%).
lOg
ngay 1
thang.
M O T S O B A I T H U O C CHCTA C H A Y
MAU
1. Rong huyet, non ra mdu, dai ti$n ra mdu Hoa k i n h gidri
12g
2.
3 thvC lieu bhng nhau, sac den ton tinh uong ngay 8-12g. 5. Tieu ti^n ra mdu Sinh dia
30g
Tieu ke
12g
Ma d l
16g
V6 Nuc nac
12g
Moc thong
12g
Bo hoang sao den
12g
Ngo sen sao den
12g
Sac uong ngay 1 thang.
Trac ba diep
12g
Hoa Bo hoang
lOg
Sa sam
16g
Be moc (cay doac)
lOg
Mach mon
12g
Ngai cijfu
lOg
Huyen sam
12g
Co Muc sao den
16g
Trac ba diep sao den
16g
Keo da trau
12g
Sao den ton t i n h , t a n bot uong ngay 10-16g. Ho ra mdu
6. Ho ra mdu do lao phoi (tho
huyet)
Trde ba diep
20g
Ngai cufu
16g
sac uong ngay 1 thang, ket hop dieu t r i Tay y.
GCrngkhS
4g
7. Chdy mdu chdn
rang
Sao den, sac dac, uong ngay 1 thang, hoac t a n hot ngay 20g.
Huyen sam
16g
3. Sot cao, non ra mdu, chdy mdu
cam
Sinh dia
16g
20g
Trdc ba diep La Sen Sinh dia
"
Ngai cufu
Trac ba di$p
12g
20g
Thach cao
8g
12g
Ngoc true
8g
12g
g'rt <i^u
Sac uong ngay 1 thang.
4. Dq,i ti^n ra mdu Hoa hoe Trac ba diep Qua Chanh kho 244 •:• tx<«j<: ;a<u,v
e/«?« < @ # « / v
t/t^jv
e/v^fl >3<s«/v •
245
8. Chdy mdu nhieu, nhat Id chdy mdu ditcfng dm (rong kinh, rong huyet, v.v..)
dao
Dung doc v i : Tarn that 4-8g sao den, t ^ n bgt uong trong 1 ngay.
1. Suy nhit<^c ccf the (ty hii): an kem, chdn tay moi m?t, sut cdn, CO b^nh dii&ng tieu hoa kem theo, dung cdc bdi thuoc ki^n ty. Bdi 1:
Uong ngay 30g, chia 2 Ian. 2. Thieu mdu: Hoi hQp, mat ngu, hoa mat, chong mat, da sut.
J B d i 1:
Qua dau chin
16g
Ha t h u 6
12g
Long nhan
12g
Bo chinh sam
180g
Hat Sen
16g
Nam bach truat
40g
Do den sao
12g
Hat Cau
8g
Vong
8g
Cu M ^ i
BOg
Sic uong ngay 1 thang.
Hat Sen
BOg
Bdi 2: Vien Hd thu 6
Tat ca phori kho, tdn hot m i n , uong ngay 20g. Bdi 2: Bdi TvC qudn (thay the thuoc nam) gia
gidm.
Ha t h u 6
lOOg
Bo chinh sam
lOOg
N h a n sam (thay D i n g sam)
10 phan
Hat sen
lOOg
Phuc Unh (thay Y di)
10 phan
Cam thdo
40g
Bach truat (thay Nam bach truat)
5 phan
Dai hoi
8g
Cam thao (thay Cam thao nam)
5 phan
Hat Sen
10 phan
V6 quyt
5 phan
Tat ca phcfi kho tan bOt, ngay uong 30g, chia 2 Ian. Bdi 3: Cdm nep
600g
V6 Quyt lau nSm
200g
GCtog song
lOOg
Diidng hoac Mach nha viia du. •:• r/v«jv n^,^ <L/u2a <s^t/v
gTrt ^ t ^ u
GCtog gia va cam rang kho, V6 quyt tan bot luy^n vdri keo Mach nha hoSc Di/cfng lam vien.
xanh, ngitcfi gay
THUOC BO
246
t
^6ng r
12g Thao qua Cac thuf tdn bpt, luygn mat, l^m vien hkng hat ngo, ng^y uong S0-30g. Bdi 3: Tam thdt ngay 4g tan bot, ngdm rUgu uong hay
ham
each thuy vdi gd gid. 3. Am hii (can thg,n dm hit): ngUcfi hdo khdt, gay, mat ngu, thieu mdu, nii&c tieu do, hay ra mo hoi trgm, tdo bon. Bdi 1: hA Dau non
80g X/^u;ic
y\u,^
(Ll^aa. ys>d,J^ •
247
f)6ng T STrt Sttgu VCtag den
320g
Hoang t i n h
640g
Hat sen
640g
Ngo Sen
640g
Cu M ^ i
80g
Hat B i dao
40g
Yem rua
12g
4. Diiang hii (than diictng hii). Dau liftig, moi goi, tieu dem, ia chay luc ga gay, c6 di t i n h hoSc liet difong, chan tay lanh, ngu i t , hay gap d ngiicfi gia (lao suy) hay ngiicfi tre suy nhuoc than k i n h nang. Bai
Tat ca t a n bot, l a m vien, ngay uong 6-12g. Bdi
2: La dau non
1kg
Tarn chin chiTa nha ken 1kg
1:
Hat To hong
250g
Ha t h u 6
250g
C6m nep n h i
250g
Dau den
lOOg
H a t sen
250g
Loc giac si/cfng
250g
nhi
50g
, 2 thuf say kho, t a n hot m i n , luyen mat l a m vien uong ngay 20g.
MQC
Ngai cufu
lOOg
B d i 3: Luc vi hodn (San thu, Hoai son, Dan bi, Track td), Phuc link, Thuc dia).
Muoi rang
50g
M a t mia
500g
Keo Mach nha
500g
Bai 4: Ha sa dai too hodn
t.
Rau t h a i
1 cAi
L6ng do trufng ga
10 cai
Bo ket
40g
Mang trong me ga
50g
Hoang ba nam
40g
Thien mon
60g
D^ng sam
40g
Do trong (bSc)
20g
NgUU t a t
60g
Mach m5n
60g
Cu M a i
40g
Tdn hot lam vien to bang qua nhan long, moi ngay 2-3 vien. Khong CO do trong, thay bang hat tcf hong hay ba kich.
248 •:•
;T«/,V
e/i^fl/Sd„/v
Mang trong me ga, Moc n h i , t a m giam sao, t a n hot; Long do luoc say kho, t a n bot. Cac v i khac sao vang t a n hot. Tat ca t r o n deu, luyen vdti keo Mach nha va M a t mia l a m vien bang hat ngo. Uong mSi ngay 40g, chia 2 Ian. Bai 2: Bat vi hodn (gSm luc vi them Phu tvC, Nhuc que). Bo cau non
1 con
Chim Se
5 con
Dau den
120g
Dau mieu (pha co chi)
120g
H a t T(J hong
120g
Ti^uC'c / V v , .
e/t^A /S<j«/v
•:• 249
^ 6 n g r gTrt giti?u
^6ng
Y
STrt
Chim Bo cau, chim Se lam, long, bo ruot, khong rufa nifdc la, dem say kho ca con, tan bot. Cac v i con lai dem say kho, tan bot lam vien. • Ngay uong 12g h6a vdri rUgru. Hoac chim Bo cau, chim Se ham hat Sen, Dau den Sn ng^y 1 Ian.
PHAN III
Bai thuoc nay chOra di t i n h , boat t i n h , liet diTcfng, thieu nSng sinh due r a t tot.
HU6NG DAN CACH BAO C H E
Bai 4: Cao De niii, hay Cao K h i , hoa rufcfu uong. Co nhung dung bd than dtforng c^ng tot.
THUOC NAM
X i n liai y : Thuoc bo dU9ng c6 r a t nhieu thuf quy, nen dung cho hop vdi the trang va chuTng benh cua tCtag ngiiori. NhOfng ngifdi am hif, hoa virgrng, khong dung diTcrc sam, nhung. T r a i l a i , nhffng ngLfcfi diTofng hiT sinh chufng han, d i kem nhufng v i thuoc mat nhii Thuc dia, Dan b i phai c6 them v i thuoc nong de dan thuoc vao than duang nhtf phu tuf, nhuc que, bai thuoc mdi cong hieu.
-oOo-
Bao c h e t h u o c n a m nham nhQng m u c dich s a u : ^
1. Lam cho v i thuoc tot hofn sau k h i loai bo cac phan khong can
khiet. f
2. Loai bo, lam giam doc cua thuoc, loai bo nhOfng chat khong
can thiet cho t t o g loai benh. \. Co the dieu h6a t i n h nang cua v i thuoc lam hoa hoan hoac tang hieu luc. 4. Giup cho sir b^o quan de dang hotn. Viec bao che thuoc Dong y noi chung chifa difgfc thong nhat, m6i nai mot khac, diTa theo k i n h nghiem va each suy nghl l y luan irieng, cho nen doi k h i r a t dcfn gian nhiftig c6 luc cau k y phufc tap. |Vi vay phuong phap bao che can phai diTcfc nghien cufu k y t r e n ccf scf khoa hoc. I d day chung toi t r i n h bay nhOfng each bao che thong thifcfng c6 Itmh chat k i n h dien hoac da di/cfc cai tien t r e n ccf sd khoa hoc, dcrn rgian d i lam, khong doi hoi nhOfng dung cu, may moc phufc tap. 250
•
tA««i ; ^ , v
e/v^-A/g^i/v
i
xu^c
rui.:
e/v^n
/^#<./t
251
CAN DONG Can: L o a i can Tay (goi 1^ can k i 16, v i e t t a t l a kg) h i e n nay difcfc d u n g r a t pho b i e n , n h u n g m o t so n o i v a n con d u n g can t a . V i vay can suf d u n g b a n g so s a n h sau day de k h i can thuoc k h o i c6 su n h a m I a n giufa can t a y va can t a . Can ta
Can Tay
1 c a n (16 l a n g )
0,6048 k g (horn 600g)
1 l a n g (10 d o n g can)
37,77g
1 d o n g can ( 1 t i e n )
3,77 g (gan
Dong:
c h a t b a n b a m vao. Co k h i p h a i d u n g b a n c h a i de co rijfa cho t h a t
say: M u c d i c h phcfi hoac say de l o a i b d t t h a n h p h a n
niJdc t r o n g diTOc l i e u va b u y m o t so' m e n de l a m cho thuoc k h o i b i chua, t h o i va bao q u a n diTgtc t o t h o n . NhOfng l o a i diTOc l i e u n h o , m o n g , m a n h de k h o va g i o n t h i c h i p h o i d u d i n a n g n h e , phcfi t r o n g r a m , hoSc phcfi diTdi nSng cho t a i r o i p h o i t r o n g r a m . L o a i
4g)
k h o k h o n h q t h a n , cu, r e va l o a i de l e n m e n chua, moc, t h o i , t h i
0,0377g 0,00377g (gan
4mg)
d o n v i d o n g thi/dng d u n g l i t , coc (ly) c h e n uong nUdrc,
m u o n g ( t h i a ) c a n h va t h i a ca phe,... de d o n g c h a t l o n g .
p h a i p h o i dtfdi n S n g to, p h o i t h a t k h o hoac say k h o diTdi sufc n o n g n h e hoac m a n h cua t h a n n o n g . Say con co t^c d u n g l a m k h 6 n h a n h , h u y m e n t o t h o n v a k h i k h o n g co n S n g p h a i say de diTOc l i e u k h o i hiT h o n g . P h a n I d n cac dqoc l i e u c h i can p h o i hoSc say,
- 1 l i t = 1.000 l i t
k h o n g can che b i e n g i t h e m da co t h e suf d u n g dqoc n h u sSc uong,
- 1 coc I d n ( l o a i coc v a i , coc b i a to) k h o a n g 5 0 0 m l .
t a n h o t hoac n g a m ri/cfu.
- 1 coc vifa (coc b i a n h o ) k h o a n g 2 0 0 - 2 5 0 m l - Coc n h d (coc rUOu v a n g ) k h o a n g 5 0 - 1 0 0 m l . - C h e n con (chen uong rufou t r d n g ) k h o a n g 2 0 m l . - Muong canh khoang 15ml. - M u 6 n g ca phe k h o a n g 5 m l . - 6ng
n h o g i o t k h o a n g 1 m l = 20 giot.
L o a i m u o n g c a n h , muSng c^ phe con d u n g de d o n g thuoc hot. M o t m u o n g c a n h xuc day k h o a n g 15g, m o t m u 6 n g ca phe xuc d a y k h o a n g 5g. k h o n g c h i n h xac, d u n g de dong cac v i thuoc l i e u liTOng c6 t h e xe d i c h c h u t i t m a k h o n g gay a n h hirdng g i . M u o n c6 d u n g cu dong lifofng c h i n h xdc p h a i d u n g can va cac o n g d o n g c6 c h i a do. •:• Tf.uoc
3. Ngdm:
Cac dqoc l i e u can x a t hoSc bao m o n g t h i p h a i n g a m
cho m e m . Co l o a i can p h a i n g a m de l o a i bdft c h a t doc ( n h i f v6 vay h o a n g n a , h a t m a t i e n , thifofng n g a m t r o n g niTdc vo gao 1 d e m , 1 d e m n g a y hoac 2 d e m ngay, co l o a i n g a m t r o n g ntrdc t i l u hoac nirdtc m u o i n h i i hiTOng p h u (co cu). 4. U: Dqoc l i e u dtfOc n h u n g nqdc hoac vay nxidc cho \i6t deu, r o i day k i n u cho m e m t r o n g 2-3 g i d d e m r a x a t m o n g , p h o i k h o , t a n h o t ( n h i f H o a i sotn (cu K h o a i m a i ) T y 5. Tdm:
giai...).
D i i n g rUOu, g i a m , nifdc Gifng hoac nqdc m u o i de n h a o
t r o n dUcfc l i e u . Cdr 1 k g difoc l i e u t h i d i i n g 5 0 - 2 0 0 m l niTdfc t a m , t r o n
N o i c h u n g cac d u n g cu n o i t r e n duoc d u n g pho b i e n n h i f n g
252
Cac difoc l i e u can rufa de t a y sach d a t cdt, cdc
k y n h i f cac l o a i cu, re cay. Ngifoc l a i , difoc l i e u da sach n h i f cac l o a i 2. Phai,
6,048kg
1 lai
1. RvCa dugc lieu:
hoa, h a t t h i k h o n g can rufa.
(kg)
1 y e n (10 cSn) t u o n g dUOng
1 p h a n (10 l y )
CACHBAOCHE
n^,.
deu, de n g u y e n 30 p h i i t d e n 2-3 gior m d i d e m sao. - Tdm
ruau
- Tdm
Gicng
sao: Sao n h o Itfa d e n k h i hoc h o i t h o m l a dqoc. sao: D u n g 5-10% GUng
ti^oi ( 5 - l O g G i t a g cho lOOg
diroc lieu) g i a n h o , cho t h e m nifdfc du so l u o n g y e u cau r o i v a t l a y
(L/xa^/3dn(^ z/uu^c
;T*U,V
e/v^«
'g^./v
•:• 253
D6ng
muoi sao: D u n g m u 6 l a n do 3-5% difofc h e u ( 1 p h a n muoi
p h a vdri 5 p h ^ n niTcJc) r o i t a m vdfi thuoc 1-2 g i d , x o n g d e m
sao
vang.
- Nung
mat sao: D u n g m a t m i a hay m a t o n g cho t h e m ni/dfc de
de t h a m , t a m 4-5 gidf d e m sao n h o lufa den k h i v a n g c a n h . 6. Sao: T u y t h e o dirgfc l i e u m a c6 n h i e u each sao. - Sao vang:
Dirgfc l i e u dLfOc sao n h o lijfa cho d e n v a n g b e n ngoai
m ^ b e n t r o n g v a n k h o n g doi m a u
SSLC,
hoSc b e n n g o a i v a n g sSm
b§n t r o n g v a n g n h a t l a dirgfc. vang
Dtfgfc l i ^ u dugfc sao v a n g n h t f t r e n r o i do
ha tho:
x u o n g n e n d a t da quet sach, t r a i m o t t d giay l e n t r e n r o i up k i n l a i den k h i nguoi.
T r o n diTgfc l i e u
vdi trdu:
vdfi
t r a u r o i n h o m lufa cho t r a u
chay d e n k h i difgfc l i e u bo r a (vo so, gac nai...). 8. Hong
- Sao
<^^u
ra.
mui thom.
- Tdm
g-rt
- N u n g triTc t i e p vao t h a n h o n g n h i f vo so, vo h e n cho tdfi k h i hd
nii(Jc, t a m v d i thuoc do 2-3 giis, d e m sao n h o lufa cho d e n k h i c6 - Tdm
y
(hdp, dS): Cho dUOc l i e u vao h o n g xep thuf tii to d dudfi,
n h o Of t r e n , h o n g cho c h i n m e m de d§ x a t m o n g .
CACH BAO CHE MOT SO V! THUOC 1. Huang
phu
(cd Cu, cu Gdu):
Cach bao che goi l a Htfofng p h u
tuf che. Cu CO Cu difofc rufa sach, phcfi k h o , d o t chay l o n g , g i a t r o c vo, s a n g say k y r o i g i a g i a p ( k i e n g d u n g do sat). M o i k i 16 difofc lieu chia t h a n h 4 phan: mot phan t a m vdi 200ml giam an, mot p h a n t a m vdfi 2 0 0 m l nufdc t i e u t r e e m dudfi 9 t u o i (lay niidc t i e u p h a n giufa), m o t p h a n t a m v d i nifdc m u o i 1 5 % (15g m u o i t r o n g 1 0 0 m l midc),
1 p h a n sao k h o r o i t a m
vdfi
2 0 0 m l rifgfu 40". 4 p h a n
D u n g lijfa to, chao t h a t n o n g , sao cho difgc
t r e n t a m x o n g de 1 d e m , sang h o r n sau d e m sao cho tdfi k h i c6
l i e u c h d y d e n b e n n g o a i n h i t o g b e n t r o n g con v a n g , bac r a day
m u i thcfm, sao x o n g de n g u o i cho vao lo k i n , c6 ngUdfi t a m t h e m 3
v u n g de n g u o i .
I a n vdfi nUdfc Gufng, n\i6c c a m t h a o day t h a o v a nUdfc vo gao, goi l a
- Sao den ton tinh:
- Sao
chay
. den:
DLTOC
"
l i e u sao chay den ca t r o n g I a n ngoai,
n h i f n g chi/a t h a n h t r o ( t h a n h t r o t h i m a t tdc d u n g ) , c6 t h e sao chay d e n 7/10.
t h a t che (che 7 I a n ) . Co ngifcfi c h i can phcfi k h o , d o t chay l o n g , g i a cho t r d c vo r o i d e m sao v a n g cung d u n g dtfcfc. 2. Ha thu 6 do: D u n g cu rufa sach, h o n g c h i n r o i phofi k h o , k h i
- Sao vai cat hoac
vdi hoqt thach:
D a i sach cat, sao cho n o n g
d u n g t h i n g a m v d i nifdc vo gao 1 ngay d e m r o i rufa sach, phofi k h o ,
r o i cho difofc l i e u vao sao g i o n x o n g d e m s a n g bo cAt d i . H o a t
cuf lOOg D a u d e n n a u
t h a c h d i i n g de sao cac d\iac l i e u c6 c h a t deo, c6 dau de k h o i d i n h
t h i j 6, d e m n a u cho c a n nUdc, x o n g d e m r a x a t m o n g , phcfi k h o .
vao n h a u v a de t a n nhiT A giao (keo da lira). 7. Nung:
Dirgfc l i e u tii k i m t h a c h n h i f h a n t h e , p h e n chua cho
Sau do l a i d e m n a u
vdfi
vdfi
3 l i t ni/dfc con l a i 2 l i t , cho vao 2 k g H a
niXdc dau d e n d e n can r o i d e m p h a i k h o , r o i
l a i d e m n a u . Cuf n h u t h e c h i n I a n , goi l a "cufu chUng cufu s a i " (c6 c h i l a m n h u t h e 2-3 Ian). C u n g c6 ngifdi chiTng each t h i i y v d i
vao chao n o n g hay m i e n g sSt ludi dao to, n u n g n o n g cho soi l e n ,
ngLfdfi
p h o n g l e n (goi l a p h e n p h i ) de t a n t h a n h bot.
nufdc D a u d e n v a rifdu nep h a y rufdu t r a n g 1 I a n cho c a n nufdc h e t
- D u n g d a t set g i a i S n vdfi l a k h o a i l a n g r o i boc k i n dugfc l i e u ( n h i f t h a c h t i n , t h i t c o c . ) d e m l u i vao t h a n h o n g cho tdfi k h i h o n
r o i d e m p h o i l a diicfc. Sau k h i che xong, p h d i k h o t a n t h a n h b p t d u n g de n g a m rUgfu bo H a t h u 6, hoac d u n g l a m v i e n . 3. Ha thu 6 trdng:
d a t do l e n l a diicfc.
D u n g re rufa sach, dap v 9 , bo l o i b e n t r o n g ,
d e m n g a m nifdc vo gao 1 d e m , rufa l a i r o i p h d i k h o v a che n h u H a t h u 6 do. 254
•
T/u^c
C^uia
TA«<?v r[^,. e / v ^ A >S(j»/v •:• 255
4. Ban ha: Cu to goi 1^ Nam t i n h , cu nho goi l a Bdn h a . Co t h e dung tiTOi gia nho dap vao cho ran can, con dung de uo'ng t h i phai che bien de giam ngufa va giam doc theo nguyen tac tiiong ky. Cdch che: Cat het re con, rufa sach, hap chin, cii to t h i cat doi, cat ba dem phoi hoac say kho. - Tdm Bo ket vd Cam thdo: Ban h a da say kho, ngam nUdc 2-3 ngay, moi ngay thay niidc 1 Ian. Cuf 1kg Ban h a cho lOOg Cam thao va lOOg Bo ket do chung vdi nhau, do nUdc cho ngap roi dun can nUdfc xong dem phoi kho. - Tdm GiCng vd Phen chua: Ban h a sau k h i rijfa vk ngam ctif 1kg Bdn h a cho 50g Phen chua v a 300g GCrng song gia nho. Tat ca do chung, cho n\i6c ngap, ngam 1 ngay dem, vdft r a , hap chin, xat mong. Xong lay 150g GCrng ti/oi gia nho cho them nu'dc, vat lay nUdc, cho Ban h a vao ngam 1 dem roi vdt r a phoi kho, sao vang. Co the che bien s o bo bang each rufa sach cu BAn h a tifoi, dem ngam vdi Phen chua cho sach nhdt roi phoi kho. K h i dung t h i ap dung 1 trong 2 phi/ong phap che noi tren. Muc dich cua cac phi/ong phap t r e n la de lam cho Ban h a het ngufa v a giam doc, dua tren nguyen tac tiiang ky. (Ban h a o tao giac, tufc l a ghet Bo ket va Ban h a uy sinh khiTOng tufc l a sgf GCmg song). NhUng can giai thich k y , nghien cufu them v i trong k h i dung ban h a de chOfa h o , tieu dofm t h i Cam thao, Bo ket, Gifng deu c6 tac dung chOfa ho. Sii che bien nay c6 the lam tang tac dung chOfa h o ciia Bdn h a . C A C H B A O C H E MOT S O D A N G T H U O C 1. Thuoc bot: Dxiac lieu dLfgtc phoi kho, say nhe hoac sao gibn roi diing may xay hoac thuyen tan hay diing col chay gia nho thanh bot, xong dem ray, lay hot m i n . Thuoc bot c6 the chi c6 1 v i hoac nhieu v i phoi hop tron Ian. Dung de uong, rac vet thuong, thoi v^o t a i hoac h i t v a o mui. U u diem c u a thuoc bot 1^ de c h e bien, n h a n h v a d9 ton kem,
hay b i moc mot. V i the nen chi tan bot viTa dii dung va bao quan trong chai lo niit k i n . 2. Thuoc ndu: Cac loai dtfoc lieu dimg vdi so liiong nhieu va de uong nhiT Rau ngo, c6 Tranh, c6 6 n g . . . t h i c6 the uong thay nii(Jc hang ngay, chi can nau soi 15 phut roi dem uo'ng. Cac loai c6 t i n h dau v i de bay hoi, nen uong chCfng nao t h i nau chifng ay, nau xong uong ngay, het l a i nau. 3. Thuoc ham: DiTOc lieu cho v^o am t r a , che mrdc soi vao nhu' pha t r a , tiiy theo loai difoc lieu mem hay cufng ma ham lau hay mau, r o i rot ra uong (nhiT T i m sen, K i m ngan, hoa Dai, hoa Suf)..;. 4. Thuoc ham: DifOc lieu diJOc ngam vao trong niTcJc nong khong i , nhtf cho vao phich niTdc nong, cho vao am dat len tro nong, dt nong hay cho vao chen, bat dat len noi com, hoac dem each uy tif 15 phut den 1 gicf, n h i / Nhan sam t h a i mong cho ngap i/dc dat len noi com hap \Xi 15-20 phut. 5. Thuoc sdc: Sac thuoc la phiiong phdp thuofng diing nhat nhiftig C O nhiTOc diem la mat t h i gid, hang ngay phai sac lau, c6 k h i do sufc nong cao va dun lau lam pha huy mot so chat, hoac l^m t a n ra trong nifdc mot so' chat khong can thiet. Nhifng t r a i lai thuoc sac c6 UU diem la do dun nau lau mdi c6 the rut difoc boat chat trong dtfOc lieu ra. ThUofng dung am dat hay am nhom, cho diTOc lieu da sach vao am, do ngap nifdrc, chat dun t h i nen dung than, trau hay mun cxia de chay am i , soi lam ram khong b i trao ra. Thuoc sac diTOc c6 dac lam cho li/ong thuoc i t l a i , chi can uong 1-2 Ian trong ngay. Co the sac 1, 2 hoac 3 Ian. Lan dau sac con lai 1/3 lifong niidc ban dau, rot ra roi cho nUdfc vao sac l a i 1-2 lan nufa, sau do do chung cac niTdfc da sac, gan loc ky, roi dun lan nOfa de CO l a i c6n do 1 bat a n com, chia 2-3 lan de uong trong ngay. Cac loai thuoc c6 t i n h dau nhiT Bac ha, Tia to, K i n h gidfi, Que chi... k h i sac gan duoc d nxidc cuoi mdi cho vao, v i nau lau se bay hoi het t i n h d a u . Cac loai thuoc nhu A giao, Xuyen boi mau. Tarn
nhuiig CO nhiroc diem l a de l a u de bi hut a m , de b a y hirong v i va 256 •
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that, N h a n sam... t h i t a n hot de rieng, k h i sSc xong t h i cho vao danh tan ma uong.
pha rifgfu, chi can cho them khoang 200g difdfng trSng trong 1 l i t cho de uong.
C6c loai thuoc gian dofn re tien chi can s ^ c 1 Ian con l a i 1/3 lugrng nU6c ban dau la di/grc. Do la nhOfng thang thuoc cam, Ngai cuTu..;. chi dung 1 vai Ian la khoi benh.
10. Rugu thuoc: La thuoc ngam rUgfu. Difgfc l i f u cat nhd hoSc xay thanh b6t tho, cho who binh chufa, do rifgfu 40-60 do vao day k i n , moi ng^y ISc 1 Ian, ngam trong 7 ngay t h i dung difcfc. Gang ngam lau cang tot. K h i dung dem gan roi loc qua vai. Lieu lifgfng tuy theo so lifgfng difcfc lieu da ngam ma qui dinh. Neu muon rut nhanh hoat chat ra khoi difgfc lieu t h i ham nong rifgfu bSng each chifng cAch thiiy ca chai rifcfu, dem r6t vao binh difcfc li$u roi niit kin.
Viec sdc thuoc can diltfc hiTdng dan ky. NgUori cho dofn phai noi ro s S c cac v i thuoc chung 1 Ian hay s^c v i nao triidfc, v i nao sau. NgLTofi hoc thuoc phai g6i rieng cac v i can sftc rieng va noi ro vi nao s^c trUdfc, sau theo y dinh cua ngifcfi ke don. NgLfofi sSc thuoc phai lam dung Icfi dSn cua ngi/cfi cho don va ngifcfi bo'c thuoc. 6. Thuoc cao Idng: Dung cu nau cao la mot thiing nhom, of giOfa c6 mot o'ng due 16, de tho gao v^o v a muc cao ra. Cho di/oc lieu vao xung quanh, do ngap nifdfc v a nau trong 5-8 giof neu Id than vk r l cSy, trong 3-5 gi6 neu l a canh v a l a . Muc ni/dfc thuf nhat ra r o i c6 the nau l a i Ian thiJ 2, xong gpp c a loai nifdfc cao l a i , gan loc ky, dun l a i cho den k h i con 1 lifgfng nifdfc cao theo t i le 1/1 ( I g difgfc lieu lay 1ml cao, vi du 10kg difoc lieu lay 10 l i t cao). Cung tuy theo loai difoc lieu ma CO the CO dac hcfn vdi t i le 2/1, 3/1, 4/1 (20-30-40kg ducfc lieu lay 10 l i t cao). Cao long thifdfng khong bao quan dugfc lau, chi diing trong vai ngay, de lau dยง bi thiu, can phai dun l a i luon, hoac bao quan trong t u lanh. 7. Cao Idng pha riCgu: K h i nau difoc cao long, cho them rifou trdng manh de dat difgfc 15-20 do. Thifcfng cho 2 phan rifcfu trang 40 do v^o 2-3 phan cao, loc ky, cho vao chai nut k i n gdn x i , de difgfc lau hofn. 8. Cao long pha diCbng (dang xiro): Moi l i t cao cho them 800g difdfng trSng hoa t a n roi dun soi khoang 15-20 phut, de nguoi loc ky dong chai, gSn k i n . Nhdf t i le difdfng cao m a cao de difgfc lau va de uong, thich hop cho phu nflr v a tre em. 9. Rugu thuoc ngot: l a loai cao long c6 chijfa con v a difdfng. DO con dat 20 do v a t i l e dudng dat 20%. Cach pha che nhif cao long 258
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U u diem cua rifcfu thuoc la tdc dung nhanh v i "rifou dSn thuoc", nhdf rifcfu ma thuoc dUgfc hap thu qua da day, nhanh chong vao mau va d i khSp cof the. Vdfi cac loai thuoc c6 doc, can than trong v i chat doc ngam nhanh vko ca the, nguy hiem. 11. Thuoc com: la dang thuoc kho che vdfi difcfng, x i ro va b6t thuoc, de lam, de uong, thich hgfp vdfi tre em. Chuan bi : - Difoc lieu difcfc say kho, t d n nho, ray m i n . - Nau x i ro, cuf 1.88 g difdng trang cho vao 1 l i t nifdc dun soi loc qua vai. - Difcfng trang de tron v6i hot thuoc, c6 the thay difdng bang bot gao nep rang va ray m i n . Cach lam: - Cijf lOOg difgfc lieu cho them 750g difdfng hoSc bot nep de lam ta difgfc (chat don) va 250g x i ro hoac m^t ong. - T r o n bot thuoc va difdfng hoac bot nep cho deu roi rifdi x i ro vao thanh chat deo hofi chac. Xat qua ray thifa r o i say nhe d nhiet do 40-60 dg cho kho gion, cho vao chai lo nut k i n hoac t u i n i long ddn k i n . 12. Thuoc vien, thuoc hoan: Ngay xifa ngifdfi ta l a m thuoc, hokn qua dofn gian. Difcfc lieu difgfc tan nho ray m i n . M a t ong hoac mat mia cho them nifdfc (1 phan nifdfc 4 phan mat) loc ky, c6 thanh T^u^c
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chau (nghia la c6 hofi sdnh, k h i ro giot mat vao niidc la ma khong tan ngay la difgfc). Co xong tron bpt thu6c vdfi mat t h i i n h 1 chat deo, cho vao coi gia nhiiyen den k h i nao khong dinh coi chay la dtfgfc. Bau thanh mieng nho cho ra khay men hoSc mam dong, se thanh con dai n h u chiec dua, roi dung mong tay cai ngat thanh tCmg mieng nho, viTa ng^t vifa ve t h ^ n h vien tron, xong dem say kho. Phirong phap nay trong khong dep mat, song ngay nay van difofc dung de san xuat loai hoan to bang vien b i , phan lorn la cac loai thuoc bo. NgUori ta c6 the dan mong khoi thuoc len khay roi dung ong dap vien tho so de i n thanh thuoc roi say kho. Muon diigfc nhanh hcfn, ngifofi ta c5n dung ban chia vien. Ban chia vien gom 2 bo phan: - Mot ban go rong 30cm dai 45cm, or mot dau chCfng manh dong hay nhom cufng, rong 8cm diTcfc dong vao chieu ngang. M a n h k i m loai nay c6 tif 25-40 ranh, tiet nufa vong tron, difcfng k i n h cua vien thuoc (to nho theo
10cm c6 1 ban g6 ca dien bang y muon).
- Mot ban go rong 8cm dai hom chieu ngang cua ban go noi tren chifng 10cm de lam tay cam. Mot mat cua ban go nay cung dugrc dong 1 ban k i m loai c6 ranh nhif tren. K h i up song song 2 manh k i m loai nay len nhau, ta c6 nhOfng 6'ng tron. Cach lam vien tron bang ban chia vien: k h i khoi thuoc da dugc chuan h i sSn, chia khoi thuoc thanh nhCfng phan nho bang nhau lam sao de k h i lan t h i thanh mot thoi dai nhtf chiec dua, chieu dai ciia thoi thuoc bang chieu dai cija ranh. Xoa mot i t bot tron len mat ban cho khoi dinh, roi dung mat sau cua ban g§ lan khoi thuoc, de difgfc 1 thoi thuoc to bang ranh cua manh k i m loai. Moi lan lan 1 thoi, cho xuong ranh roi up ban go c6 ranh noi tren vuong goc vdfi ranh ben dudfi, thoi thuoc se h i cat ra tCfng vien ti/ong doi tron. De tron hon c6 the diing ban de l a n hay dung thung lac. Muon cac vien thuoc khoi dinh vdfi nhau c6 the rac mot i t bgt tror nhiT magie oxyt, hoac bot cam thao, bot s^n loc phcfi kho. Cac vien thuoc difgc lam xong, dem say kho, bao quan trong lo k i n bi n i long dan k i n . 260
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Hien nay c6n c6 m6t phuong phap thu cong nhiftig nhanh hon va CO ve khoa hoc hon, do la phiTong phap lam vien thiing. Ky thuat lam vien thiing a. Chudn bi dung cu: - Gian thUa 2mm, sang thiia 3-5mm.
- Thung tre cat nhSn bong hoac thiing nhom diforng k i n h 6080cm. - Ray. - Thuyen tan. - Choi long ga hoac chdi quet son. b. Chudn bi nguyen
lieu:
- Dqoc lieu difgfc say gion, tan bot, ray m i n . - Cha't dinh: theo yeu cau ciia bai thuoc va y dinh ma chon cha't dinh CO dqdfng mat hay khong dq6ng mat. Cha't dinh c6 dqdng mat: dimg mat mia hay mat ong, 2 phan nqdfc 1 phan mat dun soi c6 lai cho dat do dinh nha't dinh. Neu la dqcfng k i n h t h i nau thanh x i ro. Cuf 1,8kg dudng cho vao 1 l i t nUdc dun soi loc ky. Cha't d i n h khong cd difcfng mat: dung 30g hot nep h5a vdi 700ml nUdc vifa dun vifa quay thanh ho loang lam chat dinh. c. Cac budc lam vien thiing: Bade 1: Gay con (hat giong) ciJ 1kg hot thuoc lay ra 200g do vao khay, vay cha't dinh len du ifdt, nhao thanh cha't deo roi xat qua ray thanh nhifng hat nho nhif hat cai roi xuong thiing (giong nhq lam com). Treo thiing len (nhu treo noi tre em) \Ac cho cdc hat tron deu, dem sa'y kho. Budc 2: L a m vien hoan. Lay choi long quet chat d i n h vao thiing, la'y va (moi) miic do nufa va hat giong noi tren cho vao thiing roi lac cho dinh deu cha't dinh, lay nufa wa. hot thuoc rac len hat giong roi lac thiing cho bpt dinh deu vao hat giong cho den
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khi het bot. Nghieng thung cho hat thuoc chay ve mot ben, xong lay choi qu^t chat dinh len thiing, ben phia khong c6 hat thuoc roi lac, roi rSc bpt thuoc nhif Ian triTdrc, den k h i nao vien thuoc dat den cd to theo y muon la duac. Sau do dem skng, lay hat tren sang con hat lot xuong, dem Mc lai cho dung cd. Vien xong say kho, cho vao chai lo nut k i n hoSc tiii n i long dan k i n . Bade 3: Ao vien thuoc. Bi/dc nay khong can thiet ap dung cho moi loai thuoc, chi mot so thuoc can do de khoi mat hifcfng v i , lam tang gid t r i , c6 tdc dung chong moc va c6 the Ikm cho vien thuoc CO mau s^c theo y muon. Chat ao c6 the la cac loai k i m thach nhir Chu sa, hoac bang nhufng diiac lieu da nau thanh cao long nhir Thuc dia, K i m anh, cung c6 loai tan thanh hot m i n nhtf Hoai sofn, chat lam do phai la mot phan cua di/cfc lieu de rieng ra, nhifng c6 khi chi can difofng va bpt c6 pha mau. Ao xong cung dem say kho cho vao chai lo nut k i n hoac tiii n i long dan k i n . 12. Cao kho: (cao dong vat) Bo phan dung de ndu cao, tuy tCfng loai dong vat dxiac dung nhtf: - A giao: nau bang da Itfa hoac da trau, bd. - Cao ho cot: xiiong cop.
.
- Cao ban long: gac, sCfng hifofu, nai. - Cao k h i iokn t i n h : xiXorng va t h i t k h i . - Cao tarn k h i : xUorng k h i , xuang gau va xiforng son difofng (de ritog). Qua t r i n h san xuat a) Chudn bi dung cu: - 2 thap sanh \6n hay thung nhom de ditag cao. - Cifa de cUa xuang. - 1 ban chai sdt hoac tre de cao rijfa xi/ong. 262
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- 1 que tre di xoi b6 tuy xxiong. - Dao de che xiiong. - 1 gio tre dan cho v^o giCfa noi cao de c6 cho tro'ng muc n\X6c cao. - Gao nho muc nUdc cao, gdo to miic nUdfc soi. - 2 dua tre Idfn h i n h bofi cheo de quay. - 2 chao hay thung nhom I6n de nau cao vk nau nifdrc soi. - 3-4 bep de nau cao, c6 cao vk dun niX6c s6i. b. CM bien nguyen
lieu:
- Gac huau nai: cao ruTa sach, cifa thanh tCftig khiic, che nho. - XiTofng cac loai: neu xtfcfng tifcfi hay kho con d i n h gan t h i cho vao nudfc voi song (cijf 100kg xUomg cho 0,5kg voi song) de niidrc vifa du ngap xifofng, dun soi, de nguyen ngam 1 dem. Hom sau dem ra cao sach, xoi tuy, rufa sach, phofi kho. Cifa xtfotng t h d n h tCfng khoanh, che nho, neu xiTofng nho t h i chat vun, dap giap. Loai dong vat c6 miii hoi n h u cop t h i tay miii bang each luoc vdi giam (cuf 100kg xiTcfng cho 5 l i t giam) roi tay v6i n\idc Gifng hoac nirdc Ik trau khong, cuoi cung rijfa v6i ni/dc. Gac hUcfu nai, xtfong kho lau ngay khong can tay mui. c. Ham: Dat d giffa thung mot cai ro tre, xep xifcfng hokc gac xung quanh, do nifdc ngap do l-2cm. Ham lien tuc, t h i n h thoang cho them n\i6c soi de giCf mufc ntfdc va nhiet do khong doi. Sau 2 ngay dem miic nifdrc cot ra, cho nifdfc soi vao ham l a i , roi miic nifdc cao ra ham l a i nhif the 3-4 Ian. Ham den k h i nao vdft xifofng ra bop nat la difcfc. d. Co: H a m difcJc chCfng nko t h i miic nifdc cao ra loc qua vai roi CO chifng ay. Sau do do chung nifdc c6 ca 3-4 Ian vdi nhau, tiep tuc CO cho den k h i dac sanh, quay luon tay bang dua tre Idrn. Dun nho lijfa quay manh va deu tay cho den k h i dac set la dtfcfc. De khoi bi chay, d giai doan cuoi cung c6 the cho noi cao len chao ckt nong x/^ui^c n^/.v
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/ ma dun. K h i dufofc r o i , do cao len mam dong, mam nhom hoac khay t r a n g men c6 boi mot chut dau hoac mof cho khoi dinh, dan deu cao ra, de nguoi va cat thanh tifng mieng lOOg. K h i dung c6 t h ^ cat tifng mieng nho de moi ngay 5-lOg nhii cao k h i , cao ban long. Co the ngam vao rifgru khoang 50g vao 1 l i t rUgru trang uong moi ngay 2-3 Ian, m6i Ian 15-20ml. 13. Cao dan ngoai: Nguyen lieu de nau cao dan la dau thao moc nh\i dau me (viTng), dau phung (lac), dau du du t i a (thau dau) nau vdi nhua thong, sap ong hay nhifa tram. Di/gc lieu kho t h i ngam vao dau do 5-7 ngay, diTOc lieu tiTcfi n h u nghe khong can ngam, dem nau chin vdt bo ba difgrc lieu, xong tiep tuc dun, vCra dun vCra quay cho t6i k h i sen set la dirge. Neu c6 cho them sap ong hay nhira thong t h i khong can nau lau. Sau k h i da dun nhiT tren, cho them nhya thong hay sdp ong den each thuy cho t d i k h i sen set roi phet len vai hay giay, gap doi l a i . K h i dung dem ho nong, boc ra, dan len ch6 dau. Vi du 1: Cao dan con ret (con r i t ) - Ret to: 5 con phori kho t a n bgt. - Dau me lOOg. - Sap ong lOOg. Dun soi dau v^ng, cho sap ong vao dun tiep cho sen set r o i cho hot ret vao. Phet len giay hay vai, d^p len cho siftig, dau chua c6 mu. Vi du 2: Cao dan nghe - Nghe vang 50-lOOg xit mong. - Dau phung 100-200ml. Dun nho lufa cho nghe chin ky, xong vdft ba, dun tiep cho t6i k h i sen set, phet len vai hay giay. Dap len mun nhot chiTa v'd mii, CO the l a m tieu cho viem tay, neu c6 mu t h i chong v8 mu.
l a O N G K Y THUOC TRONG DONG Y Trong liic diing chung cac v i thuoc v6i nhau c6 the l a m cho tAc dung cua thuoc tang len nhifng ngirgc l a i c6 the l a m cho hieu life giam hoac mat d i , do la hien tugng tuong ky. H i e n tugng nay c6 k h i CO hai nhiftig c6 k h i l a i Igi va giai doc thuoc. Trong Dong y, hien tugng tirong ky cung dirge chii trong, nhirng phan lorn do k i n h nghiem dan gian, eo nhieu diem r a t hgp l y , r a t khoa hoc, nhimg CO k h i con dirgm mau sic me t i n di doan, chvCa eo etf sd khoa hoe, cho nen can phai can nhae, suy nghi va xac m i n h them. 1. Titcfng ky, boo che: - K y sat, dong: Dao, got, xat Ha t h u 6, Sam t h i khong dung dao sat, dong ma dung dao tre; khong sic thuoc bang do sat, dong ma dung am dat. - K y diem sinh: CAc difge lieu c6 chat thom nhir Sam, Cam thao khong dirge say diem sinh. - K y lijfa: Cac dirge lieu c6 chat thom, de ehay nhir hoa K i m ngan. Cue hoa, chi phoi chuf khong sao, c6 the t a n bgt hoac ngam rugu uong tot hcfn la sic. - Ky n l n g : Mot so dirge lieu chi phoi trong r a m hoSe dirdfi n l n g nhe. 2. Titcfng kx giita cdc vi thuoc: - Cam thao ky Cam toai va Dai kieh - Co mot so thuoc k h i diang chung vdi dau xanh, dau den, rau muong... t h i l a m "da" thuoc (mat tac dung). - T h i t ga khong an Ian vdfi K i n h gidri, gay thircfng thirc. - N h a n sam khong uong vdi Ngu l i n h chi. - Le 16 phan l a i clc loai sSm, Te tan, Thirge duge. - Bach cap phan 6 dau. - An s i n vdi dUcfng cho khoi say. - Cue hoa ky Khdi tif. Bach truat.
264
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f)anfl r STrt 3. TUcfng kx trong cac mon an, uong
MUC L U C
- Chuoi hot (chuo'i chdt) Sn Ian mat ong se t^c rupt. - Hanh Sn Ian vtJi sffa non ra mau.
siiTueriNH
- Dau phu &n Ian mat ong se thanh soi than. - TruTng v i t kn vdfi toi se ngo doc. - Nifdrc chh nau vdti t h i t v i t , ech cung h i ngg dgc. - Trufng cua (cua gach) khong nau vdi nghe. - Khong an d u d u vdri dua chugt, dua hau. - Khong nau khoai so (mon) vdi mSng. 4. Kieng ky,: - Cam uong
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