Knowledge Base/Herbs/Elm Fruit Paste
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驱虫药 · Anthelmintic (expelling intestinal parasites)

Elm Fruit Paste wú yí · 芜荑

Ulmi Macrocarpae Fructus praeparata (Ulmus macrocarpa Hance — the processed fruit)

Nature and flavour. Acrid, bitter, warm. Spleen and Stomach systems.

A processed elm fruit: the samara of the large-fruited elm, gathered and prepared into a paste or cake. Traditional texts describe it as killing parasites and reducing accumulation, and it is best known for the traditional childhood pattern called 疳积 — the wasting and abdominal distension that classical medicine attributed to worm accumulation and faulty feeding. It is an old item, recorded in the earliest extant materia medica, and it has largely fallen out of contemporary practice. Its traditional indications are recorded rather than established.

性味归经。辛、苦,温。归脾、胃经。

一味加工品:取大果榆的果实(榆钱一类翅果)加工制成糊状或饼状。传统记载为杀虫消积,最著名者是用于传统的「小儿疳积」—— 即古籍归之为虫积与喂养失宜的消瘦腹胀。它入药很早,现存最早的本草即有记载,现代临床已很少使用。所载用途属于传统记载,未被证实。

Classical category · no formulas, no dosages, no herb-drug combinations are given.
Safety. Warm and drying; classically avoided where the Spleen and Stomach are weak and where there is heat from yin deficiency. Avoid in pregnancy and breastfeeding; reliable human safety data are lacking, and it is seldom used in contemporary practice, which means there is little modern experience to draw on. Not for self-use, and not for children outside professional direction — the traditional indication of 疳积 covers wasting that in modern terms may have any number of causes, none of them diagnosable at home. Failure to thrive, persistent diarrhoea or abdominal distension in a child requires paediatric assessment.

性温而燥,传统列为脾胃虚弱及阴虚有热者不宜。孕期与哺乳期避免使用;人体安全性数据不充分,且现代已很少使用,缺乏可供参照的近世经验。不作自用,儿童更不应在无专业人员指导下使用 —— 传统所称的「疳积」涵盖的消瘦,在现代语境下可能对应多种病因,都不是在家能自行判断的。儿童的发育迟缓、持续腹泻或腹胀须由儿科评估。

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