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    Yemama Apothecary

    Bencao Gangmu Reference Library

    Supreme Cardiotonic Inotropic, Coronary Vasodilator & Angina-Relieving Monarch (强心定悸 / 补心益气宣痹通脉活血化瘀收敛止血 — 印度阿育吠陀护心强心第一药王 / 充血性心力衰竭与冠心病心绞痛圣木 / 天然辅酶Q10协同植物)

    阿江榄仁 / 三果木同属 / 白木达 / 顶果树同属 / 阿尔诸那 — Terminalia arjuna (Roxb. ex DC.) Wight & Arn. (syn. Pentaptera arjuna)

    Pinyin: Ājiāng Lǎnrén / Báimùdá / Ā'ěrzhūnà · Malay: Pokok Arjuna / Arjuna / Pokok Bidadari / Kayu Arjuna · Family: Combretaceae (使君子科)

    Botanical Illustration

    Energetics

    Cool to Neutral (平 / 微凉 / 苦涩微凉)

    Flavor

    Astringent, bitter, slightly sweet (涩、苦、微甘、微凉)

    Meridians

    Heart (心), Liver (肝), Lung (肺)

    Traditional Edict

    Sacred Arjuna (Pokok Arjuna / A Jiang Lan Ren / White Murdah). Thick soft pinkish-red inner trunk bark. Sovereign Monarch of the Human Heart (Arjunarishta): reverses congestive heart failure, restores LVEF, terminates ischemic angina, protects cardiomyocytes.

    Cautions & Contraindications

    • MONITOR CARDIAC MEDICATIONS: Arjuna has potent inotropic and hypotensive dynamics (monitor patients taking Digoxin/Beta-blockers). CONTRAINDICATED in spastic constipation (astringent tannins).

    Clinical Applications

    • Congestive heart failure (NYHA Class II-III, increasing left ventricular ejection fraction and cardiac output without digitalis toxicity), chronic stable angina pectoris, and hyperlipidemia.

    Quality Markers

    Arjunolic Acid (阿江榄仁酸) >= 1.50%-2.50%, Arjungenin, Oligomeric Proanthocyanidins (OPCs) >= 25.0% & CoQ10 Synergists (HPLC)

    Mechanism & Phytochemistry

    1. Arjunolic acid upregulates SERCA2a calcium handling in cardiomyocytes, producing positive inotropy. 2. OPCs (25%) stimulate eNOS coronary vasodilation. 3. Synergizes with endogenous CoQ10.

    Preparation & Dosage

    THE AYURVEDIC ARJUNA MILK DECOCTION (Arjuna Ksheerapaka): 10 to 15 g dried bark powder boiled with 100 mL milk and 400 mL water until water evaporates (100 mL milk remains); taken warm before breakfast. Fermented Arjunarishta: 15-30 mL twice daily after meals.

    Appended Prescriptions

    • 1. The Sovereign Congestive Heart Failure & Angina Suite (Arjuna Ksheerapaka) with Salvia miltiorrhiza (Dan Shen). 2. Cardiovascular Plaque-Clearing Draught with Crataegus (Shan Zha).

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