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    Yemama Apothecary

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    Kidney-Stone Dissolving, Xanthine Oxidase-Inhibiting & Lithagogue Sovereign (清热利湿 / 排石溶石降尿酸治痛风清热解毒凉血止血 — 印度尼西亚佳木第一排石神草 / 肾结石与高尿酸克星草)

    苦苣菜 / 续断菊 / 苣荬菜 / 苦菜 / 败酱草同属 / 滇苦菜 — Sonchus arvensis L. (and Sonchus oleraceus L.)

    Pinyin: Kǔjùcài / Xùduànjú / Jùmǎicài · Malay: Tempuyung / Daun Tempuyung / Pokok Tempuyung / Jombang · Family: Asteraceae (菊科 / 苦苣菜属)

    Botanical Illustration

    Energetics

    Cold (寒 / 苦寒)

    Flavor

    Bitter, sweetish, slightly salty, bland (苦、微甘、微咸、大寒)

    Meridians

    Kidney (肾), Urinary Bladder (膀胱), Liver (肝), Large Intestine (大肠)

    Traditional Edict

    Field Sowthistle (Tempuyung / Ku Ju Cai / Jombang). Runcinate-pinnatifid rosette leaves and dandelion-like yellow heads. Emperor of Botanical Lithagogues in Jamu (Raja Peluruh Batu Karang): dissolves calcium oxalate kidney calculi and flushes uric acid.

    Cautions & Contraindications

    • Maintain high hydration (>=2.5 L water daily) during stone expulsion therapy. Contraindicated as monotherapy in complete ureteral impaction. Contraindicated in cold watery diarrhea.

    Clinical Applications

    • Calcium oxalate nephrolithiasis and urolithiasis (stone matrix dissolution and smooth ureteral transit), acute and chronic gouty arthritis (lowering serum uric acid), and acute cystitis.

    Quality Markers

    Luteolin-7-O-glucoside >= 1.20%, Taraxasterol & Potassium Salts >= 3.50%-5.20% dry wt (HPLC Indonesian Pharmacopoeia)

    Mechanism & Phytochemistry

    1. Dense potassium salts and silica substitute for calcium in the crystal lattice, converting insoluble calcium oxalate into soluble potassium oxalate complexes. 2. Luteolin inhibits Xanthine Oxidase. 3. Profuse diuresis.

    Preparation & Dosage

    THE SOVEREIGN TEMPUYUNG KIDNEY-STONE EXPELING DECOCTION (Jamu Tempuyung Batu Karang): 25 to 50 g dried Tempuyung leaves boiled with Orthosiphon (Misai Kucing) and Desmodium in 1.5 L water for 30 min; drink throughout day (maintain >2.5 L water intake). Decoct: 15-30 g.

    Appended Prescriptions

    • 1. The Sovereign Indonesian Jamu Lithagogue Triad with Orthosiphon stamineus and Desmodium styracifolium. 2. Gouty Tophi Dissolving Draught with Peperomia pellucida (Sirih Cina).

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    Yemama Apothecary · Petaling Jaya, Malaysia · For educational and clinical reference only