苦参量效关系及其临床应用
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摘要
整理古医书及现代医家临证经验,总结苦参具有以下量效特点。1)临床用量多在6～125 g。2)应结合病种、证型、症状选择苦参最佳剂量。如苦参发挥清热燥湿功效时,治疗妇科疾病(带下病、痛经等)、心系疾病(心悸、胸痹等)、泌尿系统疾病(梦遗、淋证等),为6～60 g;祛风止痒,治疗皮肤疾病(湿疹、风疹、荨麻疹等),为8～30 g。3)为发挥苦参最佳功效,临床根据病种、证型及症状配伍相应中药,如清热燥湿常配伍龙胆草、栀子等,燥湿杀虫常配伍皂角、荆芥等。
Summarize the clinical experience of sophora flavescens from ancient medical books and modern physicians, and draw the following conclusion: 1) The clinical dosage range is 6-125 g. 2) According to diseases,syndromes, symptoms, we choose the best dosage of sophora flavescens. For instance, when treating gynecologic diseases(leukorrheal diseases, dysmenorrhea), cardiac diseases(palpitation, chest obstruction), diseases of urinary system(nocturnal emission, stranguria) using it clearing away heat and dampness, its dosage is 6-60 g; when treating skin diseases(eczema, rubella, urticaria) using it dispelling wind and relieving itching, its dosage is 8-30 g. 3) When treating diseases, syndromes and symptoms, sophora flavescens compatibles with different herbs. For example,sophora flavescens often compatibles with gentian, gardenia using its clearing away heat and dampness effects. It often compatibles with saponin, herba schizonepetae using its drying dampness and killing insects effects.
Summarize the clinical experience of sophora flavescens from ancient medical books and modern physicians, and draw the following conclusion: 1) The clinical dosage range is 6-125 g. 2) According to diseases,syndromes, symptoms, we choose the best dosage of sophora flavescens. For instance, when treating gynecologic diseases(leukorrheal diseases, dysmenorrhea), cardiac diseases(palpitation, chest obstruction), diseases of urinary system(nocturnal emission, stranguria) using it clearing away heat and dampness, its dosage is 6-60 g; when treating skin diseases(eczema, rubella, urticaria) using it dispelling wind and relieving itching, its dosage is 8-30 g. 3) When treating diseases, syndromes and symptoms, sophora flavescens compatibles with different herbs. For example,sophora flavescens often compatibles with gentian, gardenia using its clearing away heat and dampness effects. It often compatibles with saponin, herba schizonepetae using its drying dampness and killing insects effects.
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]何绍奇,汤淑良.朱良春主任医师经验用药2则[J].湖南中医药导报,1998,4(1):31-32.
[3]邱志济,朱建平,马璇卿.当贝苦参黄硝丸治阳黄久稽伤津[N].中国中医报,2006-07-03(6).
[4]王垂杰.名老中医李玉奇治疗糖尿病的经验[J].辽宁中医杂志,1989(2):1-2.
[5]徐子亮,刘华珍.李玉奇博士医案4则[J].吉林中医药,1996(3):6-7.
[6]魏铁力.颜德馨妇科医案选[J].实用中医药杂志,1991(3):2-3.
[7]朱凌云,秦嫣.张镜人膏方调治心血管疾病精要[J].2008,42(11):23-24.
[8]邵文彬,朱丽红.张文学教授临床用药经验拾萃[J].中医药学刊,2005,23(11):1947.
[9]邵文彬,朱丽红.张文学教授应用苦参经验介绍[J].新中医,2005,37(11):19-20.
[10]单玉.黄芪、苦参药对配伍对病毒性心肌炎的治疗作用及机制研究[D].沈阳:辽宁中医药大学,2010.
[11]熊永爱,韩丽.黄芪和苦参不同剂量比组方对小鼠溃疡性结肠炎的治疗作用研究[J].时珍国医国药,2010,21(12):3236-3237.
[12]李福娟,石学魁,张晓莉,等.苦参、黄连及其配伍的体外抑菌研究[J].牡丹江医学院学报,2010,31(3):17-19.
[13]夏正.礞石苦参黄连汤灌肠治疗痰火扰心型室性早搏的临床观察[D].哈尔滨:黑龙江省中医药科学院,2018.
[14]王京红,卢文玉,魏春琴.复方苦参液治疗带下病的临床观察[J].中国现代药物应用,2010,4(2):147.
[15]张涛,谢虹,张静恩.蛇床子、苦参提取物栓剂的制备与治疗老年性阴道炎的研究[J].中国中医药科技,2000,7(4):244-245.
[16]吴泽湘.吴光炯教授应用当归贝母苦参汤经验[J].中国中医药,2011,9(16):9-10.
[17]马玉芳.李遇春教授应用当归贝母苦参汤经验[J].河南中医,2005,25(12):20-21.
[18]樊梅,林军.苦参荆芥饮湿敷治疗急性湿疹疗效观察[J].陕西中医,2012,33(7):861-862.
[19]王翠芬.自拟荆芥苦参洗剂治疗阴痒39例[J].云南中医杂志,1995,16(1):27-28.
[20]王晓翠.荨麻疹治验3则[J].新中医,2003,35(4):64-65.
[21]华允中.苦参在妇科的临床应用[J].时珍国药研究,1997,8(2):111.
[22]岳美中.介绍治疗麻风病有效的方药[J].江西中医药,1958(9):37-38.
[23]仝小林.方药量效关系名医汇讲[M].北京:人民卫生出版社,2014.
[24]李丽,刘颖,岳琳,等.苦参炮制方法及其功效的变迁[J].中国实验方剂学杂志,2017,23(12):223-227.
[2]何绍奇,汤淑良.朱良春主任医师经验用药2则[J].湖南中医药导报,1998,4(1):31-32.
[3]邱志济,朱建平,马璇卿.当贝苦参黄硝丸治阳黄久稽伤津[N].中国中医报,2006-07-03(6).
[4]王垂杰.名老中医李玉奇治疗糖尿病的经验[J].辽宁中医杂志,1989(2):1-2.
[5]徐子亮,刘华珍.李玉奇博士医案4则[J].吉林中医药,1996(3):6-7.
[6]魏铁力.颜德馨妇科医案选[J].实用中医药杂志,1991(3):2-3.
[7]朱凌云,秦嫣.张镜人膏方调治心血管疾病精要[J].2008,42(11):23-24.
[8]邵文彬,朱丽红.张文学教授临床用药经验拾萃[J].中医药学刊,2005,23(11):1947.
[9]邵文彬,朱丽红.张文学教授应用苦参经验介绍[J].新中医,2005,37(11):19-20.
[10]单玉.黄芪、苦参药对配伍对病毒性心肌炎的治疗作用及机制研究[D].沈阳:辽宁中医药大学,2010.
[11]熊永爱,韩丽.黄芪和苦参不同剂量比组方对小鼠溃疡性结肠炎的治疗作用研究[J].时珍国医国药,2010,21(12):3236-3237.
[12]李福娟,石学魁,张晓莉,等.苦参、黄连及其配伍的体外抑菌研究[J].牡丹江医学院学报,2010,31(3):17-19.
[13]夏正.礞石苦参黄连汤灌肠治疗痰火扰心型室性早搏的临床观察[D].哈尔滨:黑龙江省中医药科学院,2018.
[14]王京红,卢文玉,魏春琴.复方苦参液治疗带下病的临床观察[J].中国现代药物应用,2010,4(2):147.
[15]张涛,谢虹,张静恩.蛇床子、苦参提取物栓剂的制备与治疗老年性阴道炎的研究[J].中国中医药科技,2000,7(4):244-245.
[16]吴泽湘.吴光炯教授应用当归贝母苦参汤经验[J].中国中医药,2011,9(16):9-10.
[17]马玉芳.李遇春教授应用当归贝母苦参汤经验[J].河南中医,2005,25(12):20-21.
[18]樊梅,林军.苦参荆芥饮湿敷治疗急性湿疹疗效观察[J].陕西中医,2012,33(7):861-862.
[19]王翠芬.自拟荆芥苦参洗剂治疗阴痒39例[J].云南中医杂志,1995,16(1):27-28.
[20]王晓翠.荨麻疹治验3则[J].新中医,2003,35(4):64-65.
[21]华允中.苦参在妇科的临床应用[J].时珍国药研究,1997,8(2):111.
[22]岳美中.介绍治疗麻风病有效的方药[J].江西中医药,1958(9):37-38.
[23]仝小林.方药量效关系名医汇讲[M].北京:人民卫生出版社,2014.
[24]李丽,刘颖,岳琳,等.苦参炮制方法及其功效的变迁[J].中国实验方剂学杂志,2017,23(12):223-227.