TCM China:  

Introduction To Trichosanthes Fruit (gua lou) ¡¡
 

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Trichosanthes Fruit (gua lou)

Fructus Trichosanthis

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properties: It is sweet in flavour and cold in nature. It acts on he lung, stomach, large intestine channels. Its sweetness and coldness can clear heat and moisten, promote Qi flow and expel turbid urine. In upper part to the body, it clears away lung-heat and moistens the lung, resolves phlegm to arrest cough, soothes the chest appression to promote Qi flow, relieve stasis and pain; while in the lower part, it clears away heat and moistens the bowels. It is the common herb in treatment of cough due to phlegm-heat, dry cough due to dryness of the lung, spasm due to stagnation of Qi in the chest, constipation due to dryness of bowel, and other syndromes.

Effects: Clearing away heat, reat, resolving phlegm, soothing the chest oppression to promote Qi cirulation, moistening and relaxing the bowels.

Indications:

1. For treatment of cough due to phlegm-heat, yellow, sticky and thick sputum, stuffy chest and diaphram, it is usually used in combination with Radix Scutellariae, Arisaema cum Bile, Fructus Auranti Immaturus, Rhizoma Pinelliae and other drugs, to clear away heat and resolve phlegm, promote Qi circulation and soothe the chest oppression, such as Qing Qi Huatan Wan.

2. For treatment of accumulation of cold-phlegm and damp-evil, spasm and stagnation of Qi in the chest due to obstruction of chest Yang, it is frequently used together with Bulbus Allii Macrostemi, Rizoma Pinelliae, Ramulus Cinnamoni, and other drugs to resolve phlegm and dissolve lumps, promote Qi circulation and activate Yang, such as Gualou Xiebai Baijiu Tang, Gualou Xiebai Banxia Tang, and so on.

3. For treatment of constipation due to dryness of bowel, it can be used in combination with Radix Angelicae Sinensis, Semen Armeniacae Amarum, Fructus Canabis, and other herbs having the effect of lubricoting the bowels to relieve constipation.

Besides, it can be used in combination with heat and toxin-clearing, swelling-subduing and pus evacuating drugs. It can be used in treatment of pulmonary abscess with expectoration of pus, intestinal abscess with pain.

Dosage and Administration: Qiuangualuo, 15-30g; Gualoupie, 5-15g; Gualouren, 10-15g. Among them, Gualoupie acts more on resolving phlegm and promoting circulation of Qi, while Gualouren, on moistening the bowels. The Qiuangualou has both above-mentioned effects.

Precautions: It is antagonistic against Rhizoma Aconiti.

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