知母临床应用及其用量
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摘要
整理历代医家文献,总结知母临床用量及配伍特点如下。1)临床用量范围为6～90 g。2)结合疾病、证型及症状选择知母的最佳剂量。如用于治疗以阳明热盛为主要表现的疾病、糖尿病酮症酸中毒时,为30～90 g,若要发挥较好的降糖功效,须达30～60 g;而若用于清虚热、养阴、生津以治疗内科杂病时,知母用量可在6～30 g。3)所治疗疾病不同,知母的配伍不同。如清解阳明热毒时常配伍石膏,降糖时常配伍赤芍、桑叶、黄连等;若用于滋阴清虚热则配伍黄柏、青蒿、鳖甲等。
By summarizing literatures about the clinical application and dosage of common anemarrhena rhizome, the following conclusions can be drawn: First, the clinical dosage range of common anemarrhena rhizome is 6-90 g. Second, according to the different diseases, syndromes type and symptoms, the choose of common anemarrhena rhizome's using dosage is diff erent, such as for the treatment of the disease with Yangming overheat, the dosage needs to be 30-90 g. The dosage should be 30-60 g for good hypoglycemic eff ect. And if used for clearing heat, nourishing yin to treatmiscellaneous internal medicine diseases, the amount of common anemarrhena rhizome can be 6-30 g. Third, according to the different diseases treated, common anemarrhena rhizome has different drugs to match, for example, to clear the Yangming overheat, common anemarrhena rhizome is often paired with Gypsum. To reach the hypoglycemic eff ect, common anemarrhena rhizome is often associated with red peony, mulberry leaves, Berberine, etc.. It is often compatible with Phellodendron amurense, Artemisia, turtle shell to nourish yinand so on.
By summarizing literatures about the clinical application and dosage of common anemarrhena rhizome, the following conclusions can be drawn: First, the clinical dosage range of common anemarrhena rhizome is 6-90 g. Second, according to the different diseases, syndromes type and symptoms, the choose of common anemarrhena rhizome's using dosage is diff erent, such as for the treatment of the disease with Yangming overheat, the dosage needs to be 30-90 g. The dosage should be 30-60 g for good hypoglycemic eff ect. And if used for clearing heat, nourishing yin to treatmiscellaneous internal medicine diseases, the amount of common anemarrhena rhizome can be 6-30 g. Third, according to the different diseases treated, common anemarrhena rhizome has different drugs to match, for example, to clear the Yangming overheat, common anemarrhena rhizome is often paired with Gypsum. To reach the hypoglycemic eff ect, common anemarrhena rhizome is often associated with red peony, mulberry leaves, Berberine, etc.. It is often compatible with Phellodendron amurense, Artemisia, turtle shell to nourish yinand so on.
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]龚志贤.名老中医龚志贤临床经验荟萃(17)[J].中国乡村医药, 2004, 11(12):61-63.
[3]李志,陈原,张国英.龚志贤加味济生乌梅丸临床应用举隅[J].中国中医急症, 2002, 11(2):151.
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[5]朱琬华,张肖敏,蒋熙.朱良春老中医治疗风寒湿性关节痛的经验[J].黑龙江中医药, 1986(3):1-3, 56.
[6]邱志济,朱建平,马璇卿.朱良春治疗坐骨神经痛廉验特色选析——著名老中医学家朱良春教授临床经验(48)[J].辽宁中医杂志, 2003, 30(12):955-956.
[7]邱志济,朱建平,马璇卿.朱良春用锡纯升陷方治疗急症的经验选析——著名老中医学家朱良春教授临床经验(32)[J].辽宁中医杂志, 2002, 29(8):458-459.
[8]丁红平.冯世纶教授应用桂枝芍药知母汤经验[J].中医药学报, 2016, 44(2):131-133.
[9]左黎黎,张家玮.胡希恕与冯世纶六经方证辨证治疗痹证探颐[J].中华中医药杂志, 2017, 32(6):2525-2529.
[10]秦淑芳.路志正教授治疗不孕症验案采撷[J].世界中西医结合杂志, 2011, 6(2):96-98.
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[12]冯玲,路洁,苏凤哲.路志正教授治疗老年冠心病经验[J].世界中西医结合杂志, 2010, 5(12):1017-1020.
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[16]韦大文,李锡涛.路志正论治燥痹[J].中医杂志, 1999(1):14-15.
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[18]常峥,赵凯声,张炳厚,等.张炳厚运用大补阴丸类方的经验[J].北京中医, 2006, 25(9):530-533.
[19]孔繁飞,沈毅,钟柳娜,等.张炳厚教授治痹经验介绍[J].中华中医药杂志, 2013, 28(12):3561-3564.
[20]孔繁飞,沈毅,钟柳娜,等.张炳厚治痹效方浅析[J].辽宁中医杂志, 2012, 39(11):2277-2279.
[21]赵文景.张炳厚学术思想与临床经验总结及应用虫类药治疗痛证与慢性肾炎蛋白尿的临床研究[D].北京:北京中医药大学, 2011.
[22]李修洋.仝小林教授运用经方治疗糖尿病剂量规律的数据挖掘研究[D].北京:北京中医药大学, 2010.
[23]朴春丽,于淼,仝小林.仝小林教授治疗糖尿病的中药量效关系研究[J].世界中西医结合杂志, 2012, 7(4):283-284.
[24]苏浩,甄仲,仝小林.仝小林教授应用重剂栝蒌牡蛎散治疗盗汗举隅[J].中医药信息, 2013, 30(4):71-72.
[25]周强,赵锡艳,逄冰,等.仝小林教授应用百合地黄汤、百合知母汤验案分析[J].中国中医急症, 2013, 22(4):581-582.
[26]金川,甄仲,仝小林.仝小林运用大剂量酸枣仁治疗失眠经验举隅[J].辽宁中医杂志, 2012, 39(2):343-344.
[27]段娟,刘莱莱.仝小林教授临床辨治红皮病型银屑病经验介绍[J].新中医, 2013, 45(12):185-187.
[28]温兴韬.黄煌教授对白虎汤的认识与应用[J].国医论坛,1998(1):22-23.
[29]黄波.黄煌经方医学思想整理研究暨2004-2007临证病案分析[D].南京:南京中医药大学, 2008.
[30]黄润波.甲状腺机能亢进症中医辨治述略与李赛美临床经验探讨[D].广州:广州中医药大学, 2013.
[31]熊学军,王保华,陈靖雯,等.李赛美教授运用麻黄升麻汤加减临床验案举隅[J].新中医, 2010, 42(7):107-108.
[32]李日东,刘煜洲,魏德全,等.李赛美运用六经辨治成人斯蒂尔病验案1则[J].上海中医药杂志, 2014, 48(8):26-29.
[33]张健.白塞氏综合征证治体会[J].辽宁中医杂志,1982(10):35-36, 32.
[34]刘贵宁.滋阴降火法在儿科中的应用[J].中医儿科杂志,2006, 2(5):26-27.
[35]刘洋.董振华教授治疗结缔组织病合并肺间质病变经验总结[D].北京:北京中医药大学, 2014.
[36]周爱香,刘野光,李兰泉.桂枝芍药知母汤治疗类风湿性关节炎36例临床观察[J].河南中医, 2007, 27(8):12-13.
[37]罗树梅.白虎加桂枝汤治疗痛风性关节炎急性发作临床观察[J].光明中医, 2010, 25(7):1173.
[38]吴如飞.麻黄升麻汤加减治疗慢性肺源性心脏病心衰20例[J].浙江中医杂志, 2012, 47(9):677.
[2]龚志贤.名老中医龚志贤临床经验荟萃(17)[J].中国乡村医药, 2004, 11(12):61-63.
[3]李志,陈原,张国英.龚志贤加味济生乌梅丸临床应用举隅[J].中国中医急症, 2002, 11(2):151.
[4]龚志贤.名老中医龚志贤临床经验荟萃(7)[J].中国乡村医药, 2003, 10(7):64-65.
[5]朱琬华,张肖敏,蒋熙.朱良春老中医治疗风寒湿性关节痛的经验[J].黑龙江中医药, 1986(3):1-3, 56.
[6]邱志济,朱建平,马璇卿.朱良春治疗坐骨神经痛廉验特色选析——著名老中医学家朱良春教授临床经验(48)[J].辽宁中医杂志, 2003, 30(12):955-956.
[7]邱志济,朱建平,马璇卿.朱良春用锡纯升陷方治疗急症的经验选析——著名老中医学家朱良春教授临床经验(32)[J].辽宁中医杂志, 2002, 29(8):458-459.
[8]丁红平.冯世纶教授应用桂枝芍药知母汤经验[J].中医药学报, 2016, 44(2):131-133.
[9]左黎黎,张家玮.胡希恕与冯世纶六经方证辨证治疗痹证探颐[J].中华中医药杂志, 2017, 32(6):2525-2529.
[10]秦淑芳.路志正教授治疗不孕症验案采撷[J].世界中西医结合杂志, 2011, 6(2):96-98.
[11]李万辉,苏凤哲.路志正教授辨证治疗闭经临床经验[J].世界中西医结合杂志, 2007, 2(7):377-379.
[12]冯玲,路洁,苏凤哲.路志正教授治疗老年冠心病经验[J].世界中西医结合杂志, 2010, 5(12):1017-1020.
[13]苏凤哲,路洁,刘喜明.路志正教授治疗外感不寐临床经验[J].世界中西医结合杂志, 2009, 4(5):312-314.
[14]刘秉昭,张琦,路志正.路志正教授运用经方治疗红斑狼疮的经验[J].中国中医药信息杂志, 2001, 8(11):72-73.
[15]高社光,刘建设.路志正教授运用经方治疗风湿类病经验[J].世界中西医结合杂志, 2006, 1(3):130-132.
[16]韦大文,李锡涛.路志正论治燥痹[J].中医杂志, 1999(1):14-15.
[17]吕景山.施今墨对药[M].北京:人民军医出版社, 2016.
[18]常峥,赵凯声,张炳厚,等.张炳厚运用大补阴丸类方的经验[J].北京中医, 2006, 25(9):530-533.
[19]孔繁飞,沈毅,钟柳娜,等.张炳厚教授治痹经验介绍[J].中华中医药杂志, 2013, 28(12):3561-3564.
[20]孔繁飞,沈毅,钟柳娜,等.张炳厚治痹效方浅析[J].辽宁中医杂志, 2012, 39(11):2277-2279.
[21]赵文景.张炳厚学术思想与临床经验总结及应用虫类药治疗痛证与慢性肾炎蛋白尿的临床研究[D].北京:北京中医药大学, 2011.
[22]李修洋.仝小林教授运用经方治疗糖尿病剂量规律的数据挖掘研究[D].北京:北京中医药大学, 2010.
[23]朴春丽,于淼,仝小林.仝小林教授治疗糖尿病的中药量效关系研究[J].世界中西医结合杂志, 2012, 7(4):283-284.
[24]苏浩,甄仲,仝小林.仝小林教授应用重剂栝蒌牡蛎散治疗盗汗举隅[J].中医药信息, 2013, 30(4):71-72.
[25]周强,赵锡艳,逄冰,等.仝小林教授应用百合地黄汤、百合知母汤验案分析[J].中国中医急症, 2013, 22(4):581-582.
[26]金川,甄仲,仝小林.仝小林运用大剂量酸枣仁治疗失眠经验举隅[J].辽宁中医杂志, 2012, 39(2):343-344.
[27]段娟,刘莱莱.仝小林教授临床辨治红皮病型银屑病经验介绍[J].新中医, 2013, 45(12):185-187.
[28]温兴韬.黄煌教授对白虎汤的认识与应用[J].国医论坛,1998(1):22-23.
[29]黄波.黄煌经方医学思想整理研究暨2004-2007临证病案分析[D].南京:南京中医药大学, 2008.
[30]黄润波.甲状腺机能亢进症中医辨治述略与李赛美临床经验探讨[D].广州:广州中医药大学, 2013.
[31]熊学军,王保华,陈靖雯,等.李赛美教授运用麻黄升麻汤加减临床验案举隅[J].新中医, 2010, 42(7):107-108.
[32]李日东,刘煜洲,魏德全,等.李赛美运用六经辨治成人斯蒂尔病验案1则[J].上海中医药杂志, 2014, 48(8):26-29.
[33]张健.白塞氏综合征证治体会[J].辽宁中医杂志,1982(10):35-36, 32.
[34]刘贵宁.滋阴降火法在儿科中的应用[J].中医儿科杂志,2006, 2(5):26-27.
[35]刘洋.董振华教授治疗结缔组织病合并肺间质病变经验总结[D].北京:北京中医药大学, 2014.
[36]周爱香,刘野光,李兰泉.桂枝芍药知母汤治疗类风湿性关节炎36例临床观察[J].河南中医, 2007, 27(8):12-13.
[37]罗树梅.白虎加桂枝汤治疗痛风性关节炎急性发作临床观察[J].光明中医, 2010, 25(7):1173.
[38]吴如飞.麻黄升麻汤加减治疗慢性肺源性心脏病心衰20例[J].浙江中医杂志, 2012, 47(9):677.