金银花量效关系及其临床应用
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摘要
整理古医籍及现代医家临证经验,总结金银花具有以下量效特点。1)临床用量多为6～90 g。2)结合病种、证型、症状选择其最佳剂量。如发挥泄热和胃、化瘀通络功效,治疗消化性疾病、糖尿病神经病变、平滑肌痉挛、带状疱疹等,为10～15 g;清热解毒、疏散风热,治疗暑温病、高热不退等,为15～30 g;解毒化痰、软坚散结,治疗慢性咽炎、外寒内热证、急性盆腔炎、热毒炽盛之脱疽等,为6～90 g。3)为发挥其最佳功效,常根据病种、证型及症状配伍相应中药:泄热和胃、化瘀通络配伍知母、生石膏、滑石,清热解毒、疏散风热配伍杏仁、大青叶、连翘,解毒化痰、软坚散结配伍代赭石、生牡蛎、葱白。
Summarize the clinical experience of honeysuckle bud and flower from ancient medical books and modern physicians, and draw the following conclusion: 1) The clinical dosage range is 6-90 g. 2) According to diseases, syndromes, symptoms, we choose the best dosage of honeysuckle bud and flower. For instance, when treating digestive diseases, diabetic neuropathy, smooth muscle spasm, herpes zoster and so on, using its dispelling fever and harmonizing stomach, removing blood stasis and dredging collaterals, its dosage is 10-15 g; when treating summer fever, high fever, using its clearing away heat and removing poison and evacuating wind-heat, its dosage is 15-30 g; when treating chronic pharyngitis, external cold and internal heat syndrome, acute pelvic inflammation,febrile gangrene, etc, using its removing poison and reducing phlegm and resolving hard lump, its dosage is 6-90 g. 3)When treating diseases, syndromes and symptoms, honeysuckle bud and flower compatibles with different herbs. For example, honeysuckle bud and flower often compatibles with anemarrhena asphodeloides, raw gypsum and talcum,using its dispelling fever and harmonizing stomach, removing blood stasis and dredging collaterals. Honeysuckle bud and flower often compatibles with almond, dyers woad leaf and forsythia using its clearing away heat and removing poison and evacuating wind-heat. Honeysuckle bud and flower often compatibles with haematitum, raw oyster,scallion stalk, etc, using its removing toxicity substance and resolving macula and softening and resolving hard mass.
Summarize the clinical experience of honeysuckle bud and flower from ancient medical books and modern physicians, and draw the following conclusion: 1) The clinical dosage range is 6-90 g. 2) According to diseases, syndromes, symptoms, we choose the best dosage of honeysuckle bud and flower. For instance, when treating digestive diseases, diabetic neuropathy, smooth muscle spasm, herpes zoster and so on, using its dispelling fever and harmonizing stomach, removing blood stasis and dredging collaterals, its dosage is 10-15 g; when treating summer fever, high fever, using its clearing away heat and removing poison and evacuating wind-heat, its dosage is 15-30 g; when treating chronic pharyngitis, external cold and internal heat syndrome, acute pelvic inflammation,febrile gangrene, etc, using its removing poison and reducing phlegm and resolving hard lump, its dosage is 6-90 g. 3)When treating diseases, syndromes and symptoms, honeysuckle bud and flower compatibles with different herbs. For example, honeysuckle bud and flower often compatibles with anemarrhena asphodeloides, raw gypsum and talcum,using its dispelling fever and harmonizing stomach, removing blood stasis and dredging collaterals. Honeysuckle bud and flower often compatibles with almond, dyers woad leaf and forsythia using its clearing away heat and removing poison and evacuating wind-heat. Honeysuckle bud and flower often compatibles with haematitum, raw oyster,scallion stalk, etc, using its removing toxicity substance and resolving macula and softening and resolving hard mass.
引文
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[2]邱志济,邱江东,邱江峰.朱良春用散丹汤方治疗胃脘痛的特色发挥--著名老中医学家朱良春教授临床经验(54)[J].辽宁中医杂志,2004,31(7):531-532.
[3]杨铭,付海强.朱良春教授妙用僵蚕经验[J].中医研究,2014,27(7):46-48.
[4]王化猛,徐经世.徐恕甫发热验案选析[J].辽宁中医杂志,2001,28(5):310-311.
[5]谢芳,孙孔云,刘桂荣,等.国医大师张志远治疗盆腔炎经验[J].湖南中医药大学学报,2018,38(3):242-244.
[6]吴嘉瑞,郭位先,张晓朦,等.基于数据挖掘的国医大师颜正华治疗咳嗽用药规律研究[J].中国中药杂志,2014,39(4):623-626.
[7]吴嘉瑞,张冰.国医大师颜正华感冒治验举隅[J].中华中医药志,2010,25(5):700-701.
[8]严道南.干祖望对慢性咽炎的临证思辨方法(二)--干祖望验案赏析之四[J].江苏中医药,2010,42(8):9-11.
[9]郭雄伟.仙方活命饮治疗扁桃体周围炎60例疗效观察[J].新中医,2011,43(7):88-89.
[10]陈进春,许正锦.张炳厚医案3则[J].光明中医,2015,30(10):2199-2200.
[11]王惠英,张炳厚.五皮五藤饮在临床的应用[J].北京中医,1992(5):28-30.
[12]李济仁.治验二则[J].皖南医学院学报,1982(1):48-49.
[13]顾成娟,吴学敏,王涵,等.诸型感冒,太卫胃表,皆属于膜:仝小林教授对感冒的认识及病机探讨[J].吉林中医药,2018,38(2):142-145.
[14]刘华珍,仝小林.仝小林辨治外感病验案3则[J].中国中医药现代远程教育,2012,10(17):143-144.
[15]范瑛,宋坪.仝小林教授治疗类固醇性糖尿病伴多发性毛囊炎验案一则[C]//2013中华中医药学会皮肤病分会第十次学术交流大会暨湖南省中西医结合皮肤性病第八次学术交流大会论文汇编.长沙:中华中医药学会皮肤病分会,2013:2.
[16]沈仕伟.仝小林自医案例分享与答疑[N].中国中医药报,2015-10-28(4).
[17]马东梅,陈娜.白血病的中医药治疗及实验研究概况[J]国医论坛,2005,20(2):52-54.
[18]解珍珍.近年来中医治疗面瘫的临床研究进展[J].中医学报,2010,25(5):1032-1034.
[19]李梦,张喜莲,马融.马融教授治疗小儿癫痫经验简析[J].天津中医药,2015,32(3):135-138.
[20]闫海虹,马融,张喜莲,等.马融三焦分治热痫的临证经验总结[J].中华中医药杂志,2017,32(8):3523-3525.
[21]陈庆令,阎兆君.中医药治疗小儿湿疹的研究进展[J].湖南中医杂志,2016,32(1):192-194.
[22]黄煌.甘草[J].中国社区医师,2003,19(8):33-35.
[23]艾小双,童中胜.《验方新编》四神煎的古方新用[J].中医药临床杂志,2016,28(11):1558-1560.
[24]胡秀娟,雷鸣.金银花治疗青春期痤疮的临床经验浅析[J]中国美容医学,2015,24(8):72-73.
[25]刘枭,刘涛.吴鞠通配伍应用金银花、连翘的经验[J].中医药导报,2016,22(3):24-25,30.
[26]强胜,周春祥.麻黄连翘赤小豆汤的临床运用[J].中国医药导报,2010,7(6):17-19.
[27]陈平虎,刘红.金银花蒲公英合白酒治疗复发性皮肤疖肿[J].新疆中医药,2002,20(4):41-42.
[28]刘冰.清热通乳方治疗急性哺乳期乳腺炎案[J].浙江中医杂志,2018,53(2):140.
[29]王严岩.治病验方二则[J].中国花卉盆景,1998(12):20.
[30]湖南中医杂志.治鼻窦炎验方[J].湖南中医杂志,2013,29(12):134.
[31]李金山.五味消毒饮治疗耳鼻喉科疾患三则[J].中国民间疗法,2013,21(12):40.
[32]何耀荣.张谷才教授治疗乙型脑炎的经验[J].湖南中医杂志,1993,9(3):55.
[33]白东升,王秉礼.清腮汤治疗流行性腮腺炎[J].中医药研究,1993(5):34.
[34]李小军,王玉光.王玉光应用芪银三两三经验[J].世界中西医结合杂志,2016,11(8):1080-1082.
[35]李树滋.自拟阑尾炎汤治疗阑尾炎的体会[J].山东中医杂志,1990,9(4):27-28.