杜仲临床应用及其用量
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摘要
整理古医籍及现代医家临证经验及临床应用,总结杜仲临床用量及配伍具有以下特点。1)临床多用3.8～60 g。2)结合疾病、证型、症状选择杜仲最佳剂量。如杜仲发挥补益肝肾功效时常用于治疗痹证、妇科疾病(月经不调、滑胎等)、高血压、内分泌疾病(糖尿病肾病、高血脂等),为3.8～60 g;补益脾肾、安胎时常用于治疗妇科疾病(崩漏、痛经、产后疾病等)、肾脏疾病(糖尿病肾病、肾小球肾炎等),为9～45 g。3)根据疾病、证型及症状配伍相应中药,如补益肝肾常配伍桑寄生、黄芪、党参,补益脾肾、安胎常配伍党参、白术、当归等。
Summarize the clinical experience and application of eucommiae from ancient medical books and modern physicians, and draw the following conclusion: First, the clinical dosage range is 3.8-60 g. Second, according to diseases, type of syndromes, symptoms, we choose the best dosage of eucommiae. For instance, when treating arthralgia, gynecologic diseases(abnormal menstruation, habitual abortion), hypertension, endocrine disease(diabetic nephropathy, hyperlipaemia) using its tonifying liver and kidney, its dosage is 3.8-60 g. When treating gynecologic diseases(uterine bleeding, dysmenorrhea, postpartum diseases), kidney disease(diabeticnephropathy, glomerulonephritis) using its invigorating spleen and kidney, its dosage is 9-45 g. Third, when treating diseases, syndromes and type of symptoms, eucommiae compatibles with different herb. For example, eucommiae often compatibles with herba taxilli, astragalus, radix codonopsis using its tonifying liver and kidney. Eucommiae often compatibles with radix codonopsis, atractylodes angelica sinensis using its invigorating spleen and kidney.
Summarize the clinical experience and application of eucommiae from ancient medical books and modern physicians, and draw the following conclusion: First, the clinical dosage range is 3.8-60 g. Second, according to diseases, type of syndromes, symptoms, we choose the best dosage of eucommiae. For instance, when treating arthralgia, gynecologic diseases(abnormal menstruation, habitual abortion), hypertension, endocrine disease(diabetic nephropathy, hyperlipaemia) using its tonifying liver and kidney, its dosage is 3.8-60 g. When treating gynecologic diseases(uterine bleeding, dysmenorrhea, postpartum diseases), kidney disease(diabeticnephropathy, glomerulonephritis) using its invigorating spleen and kidney, its dosage is 9-45 g. Third, when treating diseases, syndromes and type of symptoms, eucommiae compatibles with different herb. For example, eucommiae often compatibles with herba taxilli, astragalus, radix codonopsis using its tonifying liver and kidney. Eucommiae often compatibles with radix codonopsis, atractylodes angelica sinensis using its invigorating spleen and kidney.
引文
[1]姬航宇.《伤寒论》本源药物剂量探索[D].北京:北京中医药大学, 2009.
[2]陈瑞芳.孙光荣教授调气活血抑邪汤临证验案3则[J].中国中医药现代远程教育, 2015, 13(16):33-35.
[3]张跃双,李明玉.跟师孙光荣教授心得体会[J].中国中医药现代远程教育, 2014, 12(3):90-91.
[4]王兴.国医大师孙光荣教授治疗妇科病的临床经验[J].中国中医药现代远程教育, 2014, 12(19):19-21.
[5]胡荣魁,谈勇.夏桂成国医大师调治妊娠诸疾经验探赜[J].江苏中医药, 2015, 47(12):1-4.
[6]王静,夏桂成.夏桂成从“心-肾-子宫轴”学说论治早发性卵巢功能不全经验[J].中医杂志, 2018, 59(7):554-557, 576.
[7]李南夷,李艺.邓铁涛教授诊治高血压病的经验[J].中华中医药学刊, 2014, 32(5):974-977.
[8]刘小斌,黄子天.邓氏温胆汤治疗气虚痰浊证的学术传承及临床应用[J].广州中医药大学学报, 2015, 32(4):755-758.
[9]刘成丽,刘小斌.邓铁涛脾肾相关理论在运动神经元疾病中的应用[J].江苏中医药, 2009, 41(5):15-16.
[10]朱泓,孙伟.国医大师朱良春教授运用益气补肾法治疗慢性肾炎[J].吉林中医药, 2015, 35(6):556-558.
[11]邱志济,朱建平.朱良春治疗带下诸证临床经验和特色——著名老中医学家朱良春临床经验系列之十七[J].辽宁中医杂志, 2001, 28(5):273-274.
[12]赵惠,王志英,周仲瑛.周仲瑛经方合用治疗疑难病验案撷萃[J].时珍国医国药, 2014, 25(11):2781-2782.
[13]张世安,叶放.周仲瑛教授从肾虚肝旺病机论治疑难杂病探讨[J].南京中医药大学学报, 2015, 31(2):104-107.
[14]陈四清,韩旭.周仲瑛教授运用祛风药物治疗内伤杂病举隅[J].湖南中医杂志, 2010, 26(5):92-94.
[15]李振怡,舒春,李艳.国医大师李济仁治疗进行性肌营养不良验案举隅[J].中医药临床杂志, 2012, 24(5):385-387.37.
[16]李艳.国医大师李济仁治疗慢性肾炎蛋白尿经验[J].中华中医药杂志, 2010, 25(1):83-86.
[17]彭智平,周强.仝小林辨治强直性脊柱炎经验[J].河南中医, 2013, 33(7):1040-1041.
[18]刘洪兴,逄冰,武胜平,刘文科.仝小林教授运用枯倍散治疗前列腺增生经验[J].世界中西医结合杂志, 2013,8(2):114-115, 127.
[19]田佳星,刘文科.仝小林教授治疗代谢综合征伴高尿酸血症验案[J].四川中医, 2012, 30(8):119-120.
[20]顾成娟,王涵,何莉莎.仝小林教授治疗糖尿病合并泌尿系感染的经验[J].环球中医药, 2015, 8(9):1108-1110.
[21]冯鑫.李赛美教授巧用乌梅丸验案二则[J].湖南中医药导报, 2003, 9(7):11-12.
[22]冯鑫.李赛美辨治内分泌病经验[J].辽宁中医杂志, 2003,30(9):699.
[23]李慧芳,谈勇.谈勇教授治疗卵巢储备功能下降经验介绍[J].中医药导报, 2015, 21(19):81-83, 87.
[24]盛文洁,谈勇.谈勇辨治恶阻临床经验[J].上海中医药杂志, 2016, 50(6):23-24.
[25]范乐,张燕,魏子孝.魏子孝治疗糖尿病肾脏病经验总结[J].中医药导报, 2018, 24(4):56-57.
[26]何君伟,温忠霖,翁湘涛.王树声治疗尿石症经验介绍[J].新中医, 2017, 49(8):211-212.
[27]曹方,张永康.原明忠治疗类风湿关节炎经验[J].世界中西医结合杂志, 2015, 10(4):467-469.
[28]张秀华.滕义和教授临床治痹医案5则[J].中国中医药现代远程教育, 2015, 13(19):21-24.
[29]李磊,吕美农.吕美农治疗腰痛临证经验[J].中医药临床杂志, 2016, 28(12):1674-1677.
[30]欧阳效强,邱婷婷,陈洪涛,等.刘中勇调肝活血稳压饮治疗高血压病经验[J].江西中医药, 2016, 47(4):29-30.
[31]韩松雪,孙语男,王丽伟,等.王玉英治疗不孕症验案六则[J].世界中西医结合杂志, 2017, 12(2):266-271.
[32]吴晨,赵珂.赵珂运用补肾调轴法治疗排卵障碍性不孕症经验[J].湖南中医杂志, 2018, 34(4):39-41.
[33]杨岳梅.独活寄生汤配合虫类药在治疗腰椎病中的应用探析[J].国医论坛, 2015, 30(2):11-13.
[34]李蓉,樊赟,姚血明,等.马武开教授运用对药治疗痹病经验撷萃[J].风湿病与关节炎, 2016, 5(8):46-48, 54.
[35]周青,王玉芳.诸葛廷芳主任医师治疗蛋白尿的经验总结[J].中国中医药现代远程教育, 2017, 15(9):73-75.
[36]周海燕,贺丰杰.贺丰杰教授应用调肝法治疗妇科疾病经验[J].陕西中医药大学学报, 2017, 40(5):32-34.
[37]王德惠.刘文峰对糖尿病周围神经血管病变的辨治经验[J].辽宁中医杂志, 2013, 40(4):645-648.
[38]韩松雪,王丽伟,孙语男,等.王玉英应用膈下逐瘀汤验案5则[J].世界中西医结合杂志, 2016, 11(3):309-312.
[39]谭永强,程丑夫,金朝晖.程丑夫教授从肝论治气郁腰痛[J].湖南中医药大学学报, 2015, 35(3):46-47, 63.
[2]陈瑞芳.孙光荣教授调气活血抑邪汤临证验案3则[J].中国中医药现代远程教育, 2015, 13(16):33-35.
[3]张跃双,李明玉.跟师孙光荣教授心得体会[J].中国中医药现代远程教育, 2014, 12(3):90-91.
[4]王兴.国医大师孙光荣教授治疗妇科病的临床经验[J].中国中医药现代远程教育, 2014, 12(19):19-21.
[5]胡荣魁,谈勇.夏桂成国医大师调治妊娠诸疾经验探赜[J].江苏中医药, 2015, 47(12):1-4.
[6]王静,夏桂成.夏桂成从“心-肾-子宫轴”学说论治早发性卵巢功能不全经验[J].中医杂志, 2018, 59(7):554-557, 576.
[7]李南夷,李艺.邓铁涛教授诊治高血压病的经验[J].中华中医药学刊, 2014, 32(5):974-977.
[8]刘小斌,黄子天.邓氏温胆汤治疗气虚痰浊证的学术传承及临床应用[J].广州中医药大学学报, 2015, 32(4):755-758.
[9]刘成丽,刘小斌.邓铁涛脾肾相关理论在运动神经元疾病中的应用[J].江苏中医药, 2009, 41(5):15-16.
[10]朱泓,孙伟.国医大师朱良春教授运用益气补肾法治疗慢性肾炎[J].吉林中医药, 2015, 35(6):556-558.
[11]邱志济,朱建平.朱良春治疗带下诸证临床经验和特色——著名老中医学家朱良春临床经验系列之十七[J].辽宁中医杂志, 2001, 28(5):273-274.
[12]赵惠,王志英,周仲瑛.周仲瑛经方合用治疗疑难病验案撷萃[J].时珍国医国药, 2014, 25(11):2781-2782.
[13]张世安,叶放.周仲瑛教授从肾虚肝旺病机论治疑难杂病探讨[J].南京中医药大学学报, 2015, 31(2):104-107.
[14]陈四清,韩旭.周仲瑛教授运用祛风药物治疗内伤杂病举隅[J].湖南中医杂志, 2010, 26(5):92-94.
[15]李振怡,舒春,李艳.国医大师李济仁治疗进行性肌营养不良验案举隅[J].中医药临床杂志, 2012, 24(5):385-387.37.
[16]李艳.国医大师李济仁治疗慢性肾炎蛋白尿经验[J].中华中医药杂志, 2010, 25(1):83-86.
[17]彭智平,周强.仝小林辨治强直性脊柱炎经验[J].河南中医, 2013, 33(7):1040-1041.
[18]刘洪兴,逄冰,武胜平,刘文科.仝小林教授运用枯倍散治疗前列腺增生经验[J].世界中西医结合杂志, 2013,8(2):114-115, 127.
[19]田佳星,刘文科.仝小林教授治疗代谢综合征伴高尿酸血症验案[J].四川中医, 2012, 30(8):119-120.
[20]顾成娟,王涵,何莉莎.仝小林教授治疗糖尿病合并泌尿系感染的经验[J].环球中医药, 2015, 8(9):1108-1110.
[21]冯鑫.李赛美教授巧用乌梅丸验案二则[J].湖南中医药导报, 2003, 9(7):11-12.
[22]冯鑫.李赛美辨治内分泌病经验[J].辽宁中医杂志, 2003,30(9):699.
[23]李慧芳,谈勇.谈勇教授治疗卵巢储备功能下降经验介绍[J].中医药导报, 2015, 21(19):81-83, 87.
[24]盛文洁,谈勇.谈勇辨治恶阻临床经验[J].上海中医药杂志, 2016, 50(6):23-24.
[25]范乐,张燕,魏子孝.魏子孝治疗糖尿病肾脏病经验总结[J].中医药导报, 2018, 24(4):56-57.
[26]何君伟,温忠霖,翁湘涛.王树声治疗尿石症经验介绍[J].新中医, 2017, 49(8):211-212.
[27]曹方,张永康.原明忠治疗类风湿关节炎经验[J].世界中西医结合杂志, 2015, 10(4):467-469.
[28]张秀华.滕义和教授临床治痹医案5则[J].中国中医药现代远程教育, 2015, 13(19):21-24.
[29]李磊,吕美农.吕美农治疗腰痛临证经验[J].中医药临床杂志, 2016, 28(12):1674-1677.
[30]欧阳效强,邱婷婷,陈洪涛,等.刘中勇调肝活血稳压饮治疗高血压病经验[J].江西中医药, 2016, 47(4):29-30.
[31]韩松雪,孙语男,王丽伟,等.王玉英治疗不孕症验案六则[J].世界中西医结合杂志, 2017, 12(2):266-271.
[32]吴晨,赵珂.赵珂运用补肾调轴法治疗排卵障碍性不孕症经验[J].湖南中医杂志, 2018, 34(4):39-41.
[33]杨岳梅.独活寄生汤配合虫类药在治疗腰椎病中的应用探析[J].国医论坛, 2015, 30(2):11-13.
[34]李蓉,樊赟,姚血明,等.马武开教授运用对药治疗痹病经验撷萃[J].风湿病与关节炎, 2016, 5(8):46-48, 54.
[35]周青,王玉芳.诸葛廷芳主任医师治疗蛋白尿的经验总结[J].中国中医药现代远程教育, 2017, 15(9):73-75.
[36]周海燕,贺丰杰.贺丰杰教授应用调肝法治疗妇科疾病经验[J].陕西中医药大学学报, 2017, 40(5):32-34.
[37]王德惠.刘文峰对糖尿病周围神经血管病变的辨治经验[J].辽宁中医杂志, 2013, 40(4):645-648.
[38]韩松雪,王丽伟,孙语男,等.王玉英应用膈下逐瘀汤验案5则[J].世界中西医结合杂志, 2016, 11(3):309-312.
[39]谭永强,程丑夫,金朝晖.程丑夫教授从肝论治气郁腰痛[J].湖南中医药大学学报, 2015, 35(3):46-47, 63.