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Epiphyllum is a toxic Chinese medicine, the main toxic ingredient is aconitine, the toxic dose of pure aconitine is 0.2mg, the lethal dose is 2-4mg (tongue lick, stroke)

The toxicity of epiphyllum mainly acts on the nervous system, manifesting as numbness of the mouth and tongue, limbs and the whole body, headache and dizziness, mental trance, slurred speech, incontinence, and without timely relief will have convulsions of the limbs, tight teeth, respiratory failure and death.

Causes of poisoning: ① overdose; ② improper use, the decoction time is too short (aconite requires 1-2 hours of decoction); ③ take epiphyllum in wine (increase toxicity!) ④ Individual differences caused by the accumulation of poison.

Poisoning rescue: ① repeated vomiting, gastric lavage, clear stomach residual poison; ② intramuscular injection of atropine 0.5-1mg, according to the condition can be repeatedly injected, if the effect of the rescue is not good, you can switch to lidocaine IV; ③ decoction of mung beans, licorice, ginger, honey, internal consumption.

Epiphyllum is the processed product of the root of aconite, a plant of the buttercup family. Clinical use of black Shun tablets, white epiphyllum, salt epiphyllum and other three varieties, we all know that epiphyllum is toxic, after concocting, its toxicity can be reduced, but can not be completely eliminated, therefore, in clinical use, it should be strictly controlled its dose of 3-15 grams, strict control of its indications, and also in the decoction on the decoction, it should be the first to decoct, a long time to decoct, usually can be decocted 1-2 hours, we like to know how long decocting How long to know the toxicity of epiphyllum has become less toxic is as follows: first decoction for a period of time, you can use chopsticks to dip a small amount of taste in the mouth, if there is still numbness, should continue to decoction until there is no numbness.

Generally speaking, it is relatively safe to use epiphyllum under strict dosage control and indications, but what to do if you have inadvertently developed epiphyllum poisoning?

When it comes to the toxicity of epiphyllum, we have to first understand the chemical composition of epiphyllum. Epiphyllum mainly contains the chemical constituents such as aconitine, neo-aconitine, hypaconitine, desmethylaconitine, desmethylpigmentine, taraaconitine, isoflorine, neo-aconine and other bi-ester alkaloids as well as the chemical constituents of mono-ester alkaloids such as benzoyl neo-aconitine, benzoyl aconitine, benzoyl hypaconitine, etc. Among them, the bi-ester alkaloids are the main active and toxic constituents of epiphyllum, the toxic constituents of which mainly include aconitine, The toxic components mainly include aconitine, mesaconitine, etc., which can cause cardiac arrhythmia. Its toxic components mainly include aconitine, which can cause cardiac arrhythmia, etc. However, decoction, steaming and other concoctions can decompose the bi-ester alkaloids into benzoyl monoester alkaloids and amino-alcohol alkaloids, so that the toxicity can be reduced. Therefore, the toxicity of epiphyllum can be reduced by hot preparation and prolonged decoction. Of course, the toxicity of epiphyllum can also be reduced by combining it with dried ginger and licorice.

The main clinical manifestations of epiphyllum poisoning are burning mouth, numbness (starting from the fingers and gradually reaching the whole body), salivation, nausea, vomiting, fatigue, dyspnea, dilated pupils, weak and slow pulse, cold and clammy skin, and whitish color, and in severe cases, sudden death may occur.

For epiphyllum poisoning, if the symptoms are mild, they can be relieved by inducing vomiting or by eating iced mung bean paste as well as large doses of licorice decoction. Severe cases should go to the hospital immediately for resuscitation treatment.

The above is only a personal opinion, not as a basis for the use of medication, please use the medication under the guidance of a physician, any questions or views are welcome to leave a comment at the bottom of the article.

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

I am cold constitution waist especially afraid of cold, before reading Li Ke old Chinese medicine book, feel the appendicitis drive cold effect is good, on the decoction of raw appendicitis 80 grams or so, but also equipped with other drugs, that time poisoning, the main reason is the first decoction and decoction time is short, serving about ten minutes of medicine, there is a poisonous syndrome thought not much, rest will be good, breathing difficulties heartbeat accelerated, black, a moment to feel that nothing can not see, walking difficulties, then hold the wall into the kitchen to cook green beans, licorice ginger tea, boiled with honey to take. Walking difficulties, and then held the wall into the kitchen cooking green beans licorice ginger tea, cooked with honey to take, and then no big deal! Although the epiphyllum is poisonous, but really back to the sun to save the good medicine, depending on how to use! I feel that the raw epiphyllum has good medicinal properties!

Appendages in the prescription of Chinese medicine. Generally not cases, no poisoning occurs, often some patients do not listen to the doctor's instructions. Doctors tell patients. Decoction of epiphyllum, eat epiphyllum, need to pay attention to what matters. Decoction of epiphyllum doctors always instruct patients to decoct epiphyllum first with boiling water for 1 to 2 hours, the process of decoction, in order to avoid decocting dry pots, adding boiling water halfway. After decocting for 1 to 2 hours, under the other formulations of medicine, decoction for 15 minutes, can be taken. Drink half a small bowl before taking. Avoid acid, cold and beans after taking. Often epiphyllum poisoning occurs when patients do not listen to the doctor's instructions. Unauthorized increase in the dosage of epiphyllum. Resulting in the occurrence of poisoning. The preparation of epiphyllum is in the process of utilization. The general dosage of 3 to 9 grams is generally considered to be the best first decoction. If epiphyllum poisoning occurs, it is best to go to the emergency department of the local hospital.

Epiphyllum is the treatment for vitiligo, the top herb, only epiphyllum can solve vitiligo.

This happened to my grandmother, she was home by herself, she ate uncooked epiphyllum, at first something didn't feel right, she drank canola oil by herself in the dark of the night to get all the stuff out of her stomach, then had herself boil some boiling water to make brown sugar water to drink. She made it through or she wouldn't have seen her again, it was so scary. She was just lucky and didn't eat too much. It's recommended not to consume epiphyllum indiscriminately, it's very toxic and can kill you if you don't get it right.

After the poisoning of epiphyllum ① available potassium permanganate or strong tea repeated gastric lavage ② bradycardia, conduction block can be used atropine: if ventricular premature beats, sinus tachycardia is obvious patients, it should be used with lidocaine, if the two are present can be the same use of the two drugs. ③ available double flowers 30 grams of green beans 100 grams of raw licorice 60 grams of boiled water.

When using epiphyllum, should be used to make epiphyllum, should not use raw epiphyllum. At the same time to be decocted properly, the use of epiphyllum should first be decocted for more than 30 ∽ 60 minutes, in order to reduce the toxicity. It should also be used in the right way to prevent the poisoning of epiphyllum.

With epiphyllum extremum to learn Li Ke old Chinese medicine, "Nei Jing": 'medicine does not all night glare, syncope disease F Liao'. I am greedy and afraid of death, so I remember the "Neijing": 'small fire angry, strong fire eating gas'. With epiphyllum portion as long as just the right amount is reasonable, if the real poisoning, the consequences will be very serious. Add black beans, roasted licorice 60 grams of each with the first epiphyllum boiled for 2 hours, within the drugs and then cooked for 30 minutes, but remember that the water beforehand once put enough, do not add cold water. Such as poisoning 'urgent as ordered' quickly sent to the hospital, simple honey, licorice, ginger does not help.

Black beans, green beans, raw licorice,, honey.

The current preparation of the epiphyllum is bitter and salty, and the poisoning is additive poisoning