摘要
通过搜集古代医籍及现代医家临床应用,总结出防己具有以下特点:临床应用范围为9~41.4 g。临床根据疾病、证型、症状的不同而选择不同的防己剂量,如利水消肿、祛风止痛浊治疗湿热痹症、腰椎间盘突出症、慢性肾病等,用量为9~15 g;通经活络、行水消肿治疗顽固性水肿、膜性肾病,用量为15~20 g;祛风透邪、利湿止痛治疗中风、急性期痛风、慢性肾小球肾炎等,用量为20~30 g;利水除湿、祛风止痛治疗肿满喘咳、皮水、支饮,用量为30~41.4 g。根据疾病、证型及症状,配伍相应中药,如水湿内蕴,气血凝滞常配伍黄芪、土茯苓、白术、红花等;湿热痰浊互结常配伍生石膏、苦参、知母、黄柏等。
Through the collection of ancient medical books and clinical application of modern doctors, it is concluded that Radix Stephaniae Tetrandrae has the following characteristics: The range of clinical application is 9-41.4 g. According to different diseases, syndrome types and symptoms, different dosage of Radix Stephaniae Tetrandrae is selected, such as inducing diuresis for removing edema, dispelling pathogenic wind and relieving pain to treat dampness-heat arthralgia, prolapse of lumbar intervertebral disc, chronic nephropathy etc., the dosage was 9-15 g;promoting menstruation and activating collaterals, inducing diuresis for removing edema to treat intractable edema, membranous nephropathy, the dosage was 15-20 g;dispelling pathogenic wind and expelling evil, promoting diuresis and relieving pain to treat apoplexy, acute phase gout, chronic glomerulonephritis etc., the dosage was 20-30 g;promoting urination and eliminating dampness, dispelling pathogenic wind and relieving pain to treat Swollen cough, skin edema, thoracic fluid retention, the dosage was 30-41.4 g. According to the disease, syndrome type and symptoms, the corresponding traditional Chinese medicine is compatible, such as syndrome of internal stagnation of fluid-dampness and qi-blood coagulating and intermingling, it often compatible with Radix Astragali seu Hedysari, Rhizoma Smilacis Glabrae, Rhizoma Atractylodis Macrocephalae, and Flos Carthami;syndrome of heat-dampnessturbid phlegm, it often compatible with Gypsum Fibrosum, Radix Sophorae Flavescentis, Rhizoma Anemarrhenae, and Cortex Phellodendri etc.
作者
张莉莉
徐坤元
邸莎
赵林华
ZHANG Lili;XU Kunyuan;DI Sha;ZHAO Linhua(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)
出处
《吉林中医药》
2020年第10期1360-1363,共4页
Jilin Journal of Chinese Medicine
基金
国家重点基础研究发展计划(973计划)(2010CB530601)。
关键词
防己
临床经验
用量
配伍
Radix Stephaniae Tetrandrae
clinical experience
dosage
compatibility of medicine
