摘要
通过搜集古医籍及现代医家临床经验,总结出玄参具有以下特点:汤剂中玄参用量范围为0.828~111.9 g,临床常用9~37.5 g。根据疾病、证型、症状寻求最佳用量,如滋阴清肺润肺治疗喘咳、糖尿病等疾病,为10~30 g;清营凉血治疗温病热入营分,肌肤红疹等,为7.5~15 g。滋阴降火解毒治疗咳嗽咯血、脱疽,产后外感实热等病,为3~111.9 g;解毒利咽治疗喉部疾病如喉痹、急性喉炎、乳蛾等,为0.828~30 g;软坚散结治疗瘰疬、痰核、疝气等病,为10~30 g。根据疾病、证型及症状,配伍相应中药,如滋阴养肺润肺常配伍生地黄、麦冬、北沙参;清营凉血常配伍犀角、生地黄、麦冬;滋阴降火解毒常配伍百合、金银花、石膏;解毒利咽常配伍升麻、金银花、马勃、板蓝根;软坚散结常配伍浙贝母、牡蛎、海藻等。
Through collecting the ancient medical books and clinical experience of modern physicians,it is concluded that figwort root has the following characteristics:The dosage of figwort root in decoction ranges from 0.828 to 111.9 g,and commonly used dosage varies from 9 to 37.5 g.Its best dosage should be selected according to different diseases,syndrome types and symptoms.For instance,when used for nourishing yin,clearing lung heat and moistening dryness to treat cough,diabetes mellitus,etc.,its dosage range is 10-30 g.For clearing nutrient level and cooling blood to treat the syndrome of heat invading yingfen caused by warm diseases,skin rashes,etc.,its dosage is 7.5-15 g.For lowering fire by nourishing yin and detoxification to treat cough,hemoptysis,gangrene,postpartum exogenous excessive fever,etc.,the dosage is 3-111.9 g.For detoxification and relieving sore throat to treat larynx diseases such as throat obstruction,acute laryngitis and tonsillitis,etc.,its dosage range is 0.828-30 g.For softening and resolving hard masses to treat scrofula,phlegm nucleus,hernia and other diseases,its dosage range is 10-30 g.According to different diseases,syndrome types and symptoms,figwort root can be combined with the corresponding Chinese medicines.For example,for nourishing yin,clearing lung heat and moistening dryness,it is often compatible with fresh rehmannia root,dwarf lilyturf tuber,coastal glehnia root.For clearing nutrient level and cooling blood,it is often compatible with rhino horn,fresh rehmannia root,dwarf lilyturf tuber.For lowering fire by nourishing yin and detoxification,it is often compatible with lily bulb,honeysuckle bud and flower,gypsum.For detoxification and relieving sore throat,it is often compatible with largetrifoliolious bugbane rhizome,honeysuckle bud and flower,puff-ball,isatis root.For softening and resolving hard masses,it is often compatible with fritillaria,oyster shell,seaweed,etc.
作者
陈科宇
邸莎
韦宇
CHEN Keyu;DI Sha;WEI Yu(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《吉林中医药》
2021年第6期797-800,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)
北京市自然科学基金资助项目(7212189)。
关键词
玄参
临床经验
用量
配伍
figwort root
clinical experience
dosage
compatibility of medicines
