Knowledge Base/Herbs/Kelp (Laminaria)
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化痰止咳平喘药 · Phlegm-resolving, cough and breathing

Kelp (Laminaria) kūn bù · 昆布

Laminaria japonica Aresch.; Ecklonia kurome Okam. (Laminariae Thallus; Eckloniae Thallus)

Nature and flavour. Salty and cold; Liver, Stomach and Kidney systems.

Traditionally classed as dispersing phlegm while softening hardness and dissipating masses, and as promoting urination to reduce swelling. Recorded for scrofula, for goitre and thyroid enlargement, for painful swollen testicle, and for oedema. It is the other half of the classical goitre pair with sargassum, and the two are used together so often that the classical sources rarely discuss one without the other. Classical sources also record an incompatibility with liquorice root; that is recorded in the traditional literature, not demonstrated as an interaction.

性味归经。咸,寒;归肝、胃、肾经。

传统归类为消痰软坚散结、利水消肿。古籍用于瘰疬、瘿瘤(甲状腺肿大)、睾丸肿痛及水肿。它与海藻构成治瘿药对的另一半,二者常相须为用,古籍论其一鲜有不涉其二者。古籍并记载与甘草相反;此为传统文献记载,并非已被证实的相互作用。

Classical category · no formulas, no dosages, no herb-drug combinations are given.
Safety. As with sargassum, the iodine is the operative fact. Kelp is one of the most concentrated dietary iodine sources there is, and an intake that is harmless for one person can trigger or worsen thyroid dysfunction in another — both hyperthyroidism and hypothyroidism have been described in relation to high seaweed intake. Anyone with thyroid disease, on thyroid medication, or being investigated for a thyroid swelling should not add kelp on their own; it changes thyroid function tests and can change the course of the disease. Kelp also accumulates arsenic, cadmium and other seawater elements, and content varies by harvest area. A thyroid lump needs a diagnosis first. Being cold, it is traditionally avoided where the digestion is weak and cold. Safety in pregnancy and breastfeeding is not established.

与海藻相同,关键事实是碘。昆布是膳食碘最浓缩的来源之一,对一人无害的摄入量,在另一人身上可能诱发或加重甲状腺功能异常 —— 文献已记载高海带摄入与甲状腺功能亢进及减退两方面的关联。已有甲状腺疾病、正在服用甲状腺药物、或因甲状腺肿块就诊者,不应自行加服昆布;它会改变甲状腺功能检查结果,也可能改变病程。昆布亦富集砷、镉等海水元素,含量随采收海域而异。甲状腺肿块须先诊断。性寒,脾胃虚寒者传统上忌用。孕期与哺乳期安全性未确立。

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