Knowledge Base/Herbs/Dogbane Leaf (Apocynum)
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平肝息风药 · Liver-wind calming

Dogbane Leaf (Apocynum) luó bù má yè · 罗布麻叶

Apocynum venetum L. (leaf)

Nature and flavour. Sweet, bitter; cool; Liver system.

The leaf is the drug, not the whole plant. It is classed as calming the Liver and quieting the spirit and as clearing heat and promoting urination, and it appears in the Chinese literature for dizziness and palpitations of the rising-Liver-yang type, for insomnia, and for oedema. It is also sold as a blood-pressure tea, and that is a claim this site does not repeat.

性味归经。甘、苦,凉;归肝经。

入药的是叶,不是全草。归类为平肝安神、清热利水,中文文献用于肝阳上亢之眩晕心悸、失眠以及水肿。它也被当作降压茶饮销售,此类宣称本站不予转述。

Classical category · no formulas, no dosages, no herb-drug combinations are given.
Safety. Two cautions. The pharmacologically important one: the leaf is documented to contain cardiac-glycoside-type constituents and to have digitalis-like activity, so combining it with digoxin or other cardiac glycosides, or with diuretics that lower potassium, is a real concern rather than a theoretical one — low potassium increases glycoside toxicity. The second: it is traditionally described as slightly toxic, and the tradition itself cautions against it where the Spleen and Stomach are cold and weak and in pregnancy. Human safety data in breastfeeding are insufficient. Not for self-directed use, and never a substitute for prescribed blood-pressure treatment: stopping prescribed medication because an herb tea is being taken is a well-recognised way to come to harm.

两点提示。第一点属药理层面:文献记载其叶含强心苷类成分并具有洋地黄样作用,因此与地高辛等强心苷类药物合用、或与可降低血钾的利尿剂合用,是实际存在的风险而非理论上的顾虑 —— 低钾会加重强心苷毒性。第二点:传统载其有小毒,并提示脾胃虚寒者及孕妇不宜。哺乳期的人体安全性数据不足。不得自行使用,更不能替代医嘱的降压治疗:因为喝了草药茶就停掉处方药,是明确已知的致害途径。

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