桔梗临床应用及其用量
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摘要
搜集古医籍及现代医家临证经验及临床应用,总结桔梗具有以下特点。1)临床多用3～50 g。2)结合疾病、证型、症状选择桔梗最佳剂量。如桔梗发挥宣肺、祛痰、止咳功效,治疗呼吸系统疾病(咽喉肿痛、扁桃体炎等)、内分泌系统疾病(甲状腺机能亢进、糖尿病等),为3～30 g;散结时,治疗呼吸系统疾病(肺纤维化、梅核气等)、妇科疾病(乳腺囊肿等),为3～10 g。3)根据疾病、证型及症状配伍相应中药,如宣肺、祛痰、止咳常配伍陈皮、大腹皮、贝母等,载药上行常配伍当归、桃仁、郁金等。
Summarize the clinical experience and application of the root of balloon?ower from ancient medical books and modern physicians, and draw the following conclusion: First, the clinical dosage range is 3-50 g. Second,according to diseases, type of syndromes, symptoms, we choose the best dosage of the root of balloonflower. For instance, when treating respiratory disease(throat swelling, amygdalitis), endocrine system disease(hyperthyrea,diabetes mellitus) using its relieving cough and expectorant, its dosage is 3-30 g; when treating respiratory disease(pulmonary fibrosis, globus hysteriocus), gynecologic diseases(galactocele) using its eliminating stagnation, its dosage is 3-10 g. Third, according to the disease, type of syndromes and symptoms compatible with the corresponding Chinese medicine. For example, the root of balloonflower often compatibles with dried tangerine or orange peel,pericarpium arecae, the bulb of fritillary using its relieving cough and expectorant. The root of balloonflower often compatibles with angelica sinensis, semen persicae, radix curcumae using its eliminating stagnation.
Summarize the clinical experience and application of the root of balloon?ower from ancient medical books and modern physicians, and draw the following conclusion: First, the clinical dosage range is 3-50 g. Second,according to diseases, type of syndromes, symptoms, we choose the best dosage of the root of balloonflower. For instance, when treating respiratory disease(throat swelling, amygdalitis), endocrine system disease(hyperthyrea,diabetes mellitus) using its relieving cough and expectorant, its dosage is 3-30 g; when treating respiratory disease(pulmonary fibrosis, globus hysteriocus), gynecologic diseases(galactocele) using its eliminating stagnation, its dosage is 3-10 g. Third, according to the disease, type of syndromes and symptoms compatible with the corresponding Chinese medicine. For example, the root of balloonflower often compatibles with dried tangerine or orange peel,pericarpium arecae, the bulb of fritillary using its relieving cough and expectorant. The root of balloonflower often compatibles with angelica sinensis, semen persicae, radix curcumae using its eliminating stagnation.
引文
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[23]戎萍,张喜莲,李亚平,等.马融运用三焦分治法治疗儿童多发性抽动症经验[J].中医杂志, 2016, 57(9):734-736.
[24]陈海鹏,马融,张喜莲,等.疏风散热豁痰止痉法治疗遗传性癫痫伴热性惊厥附加症[J].天津中医药, 2016,33(10):581-583.
[25]郭琰,杨斌,洪晓华,等.苦杏仁和桔梗祛痰作用的配伍研究[J].中药新药与临床药理, 2013, 24(1):38-43.
[26]任晓琳,王远平.桔梗杏仁煎加减治疗久咳验案一则[J].中国民间疗法, 2016, 24(1):68.
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[29]程芳,李琼.蝉衣桔梗二陈汤治疗感染后咳嗽分析[J].中外医疗, 2013, 32(34):41-42.
[30]陈玉鹏,刘德荣.刘德荣教授治疗喉喑验案[J].中医药通报, 2007(4):54-56.
[31]史学瑞,关凤岭.重用桔梗治疗声带结节35例[J].中医研究, 2002(3):38.
[32]田静,张佳丽,魏绍斌.桔梗冬瓜仁对药对大便的双向调节作用[J].云南中医中药杂志, 2014, 35(4):87-88.
[33]李雨田,毛永恩,邹梅.浅谈桔梗在临床上的辨症应用[J].时珍国药研究, 1997(6):97-98.
[34]周映伽,黄杰,沈红梅.中药加味桔梗汤防治放射性食管炎80例临床观察[J].昆明医科大学学报, 2013, 34(1):68-70, 88.
[35]杨敏函,张俐,刘俊利,等.自拟生脉桔梗汤治疗老年肺炎30例临床观察[J].云南中医中药杂志, 2013, 34(4):37-38.
[36]高效祥.贝杏桔梗汤治疗喉源性咳嗽[J].中国社区医师(综合版), 2007(20):91.
[37]刘强.百日咳综合征[J].广西中医药, 2012, 35(6):58.
[2]吴嘉瑞,张冰.颜正华教授治疗咳嗽经验介绍[J].新中医,2009, 41(9):11-12.
[3]吴嘉瑞,张冰,颜正华.颜正华诊疗喉痹经验[J].中医杂志,2012, 53(13):1096-1097.
[4]周蕾,李岩,盛亦如.王绵之教授治疗咯血医案1则[J].北京中医药大学学报(中医临床版), 2010, 17(1):20-21.
[5]王绵之.疑难病肺纤维化证治的临床研究[J].中华中医药学刊, 2003, 18(6):837-838.
[6]容志航.北京市名老中医治疗肺癌的经验总结与临床研究[D].北京:北京中医药大学, 2013.
[7]高尚社.国医大师颜德馨教授治疗抑郁症验案赏析[J].中国中医药现代远程教育, 2012, 10(23):3-5.
[8]宋跃飞.化瘀赞育汤临床运用举隅[J].山西中医, 2005,20(4):40.
[9]王开兴,卓思源,凡巧云,等.徐经世治疗痤疮临床经验总结[J].中医药临床杂志, 2010, 22(7):610-611.
[10]徐松龄,卓思源,陶永,等.徐经世老中医治疗咳嗽临证撷英[J].中华中医药学刊, 2008, 23(11):2447-2448.
[11]王海军,王亮.李振华教授治疗哮喘经验[J].中医学报,2012, 27(11):1421-1422.
[12]王海军,王亮.李振华教授治疗内伤发热、失音经验[J].中医学报, 2012, 27(4):413-415.
[13]张华东,黄梦媛,陈祎,等.路志正“持中央”而“调升降”以治燥痹学术思想浅析[J].北京中医药, 2010, 29(10):747-748.
[14]毛宇湘.路志正教授治疗白塞病临床经验管窥[J].世界中西医结合杂志, 2012, 7(4):285-286.
[15]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.
[16]邓烨,刘超男,李赛美.李赛美教授辨治产后咳嗽验案1则[J].光明中医, 2016, 31(10):1389-1390.
[17]邓烨,刘超男,徐笋晶,等.李赛美经方运用“三境界”经验[J].中医临床研究, 2016, 8(6):1-2.
[18]王保华.寒温并用法中药复方抗甲型流感病毒的理论与实验研究[D].广州:广州中医药大学, 2008.
[19]张玲玲.四逆散方证探讨[J].上海中医药杂志, 2013,47(12):24-25.
[20]黄煌.我的常用调体方[C]//2009中国首届中医膏方高峰论坛暨第四届金陵名医高层论坛资料汇编.北京:中华中医药学会, 2009:3.
[21]韦姗姗.仝小林教授治疗肺间质纤维化验案举隅[J].福建中医药, 2011, 42(4):20-21.
[22]周强,赵锡艳,逄冰,等.仝小林教授运用大柴胡汤验案解析[J].现代中西医结合杂志, 2013, 22(13):1397-1399.
[23]戎萍,张喜莲,李亚平,等.马融运用三焦分治法治疗儿童多发性抽动症经验[J].中医杂志, 2016, 57(9):734-736.
[24]陈海鹏,马融,张喜莲,等.疏风散热豁痰止痉法治疗遗传性癫痫伴热性惊厥附加症[J].天津中医药, 2016,33(10):581-583.
[25]郭琰,杨斌,洪晓华,等.苦杏仁和桔梗祛痰作用的配伍研究[J].中药新药与临床药理, 2013, 24(1):38-43.
[26]任晓琳,王远平.桔梗杏仁煎加减治疗久咳验案一则[J].中国民间疗法, 2016, 24(1):68.
[27]苏文勇,陈南阳.自拟加味桔梗汤治疗外感后咳嗽15例疗效观察[J].中医临床研究, 2016, 8(4):121.
[28]梁咏竹,王俊月.民间治疗带状疱疹后遗神经痛验方[J].中国民间疗法, 2015, 23(10):36.
[29]程芳,李琼.蝉衣桔梗二陈汤治疗感染后咳嗽分析[J].中外医疗, 2013, 32(34):41-42.
[30]陈玉鹏,刘德荣.刘德荣教授治疗喉喑验案[J].中医药通报, 2007(4):54-56.
[31]史学瑞,关凤岭.重用桔梗治疗声带结节35例[J].中医研究, 2002(3):38.
[32]田静,张佳丽,魏绍斌.桔梗冬瓜仁对药对大便的双向调节作用[J].云南中医中药杂志, 2014, 35(4):87-88.
[33]李雨田,毛永恩,邹梅.浅谈桔梗在临床上的辨症应用[J].时珍国药研究, 1997(6):97-98.
[34]周映伽,黄杰,沈红梅.中药加味桔梗汤防治放射性食管炎80例临床观察[J].昆明医科大学学报, 2013, 34(1):68-70, 88.
[35]杨敏函,张俐,刘俊利,等.自拟生脉桔梗汤治疗老年肺炎30例临床观察[J].云南中医中药杂志, 2013, 34(4):37-38.
[36]高效祥.贝杏桔梗汤治疗喉源性咳嗽[J].中国社区医师(综合版), 2007(20):91.
[37]刘强.百日咳综合征[J].广西中医药, 2012, 35(6):58.