柴胡的临床应用及其用量探究
|
摘要
通过搜集古医籍及现代医家临证经验,总结出柴胡以下特点:1)用量范围为0.9～110 g。2)结合疾病、证型、症状选择柴胡最佳剂量,如柴胡发挥和解少阳功效时,常治疗感冒、疟疾、消化系统疾病(慢性肝炎、急性胰腺炎、急性胆囊炎等)、代谢综合征(2型糖尿病等),用量为0.9～110 g;疏肝解郁,治疗情志病、妇科疾病(月经不调、更年期综合征等)、胆石症、肝硬化等,用量为9～12 g;升举阳气,治疗脏器下垂、口腔溃疡、糖尿病周围神经病变,用量为6～9 g。3)根据疾病、证型及症状,配伍相应中药,如和解少阳常配伍黄芩、大黄、半夏;疏肝解郁常配伍白芍、香附、川芎;升举阳气常配伍升麻、黄芪等。
Summarize the clinical experience of Bupleurum from ancient medical books and modern physicians,and draw the following conclusion: 1)The clinical dosage range is 0.9-110 g. 2)According to diseases, syndromes,symptoms, we choose the best dosage of Bupleurum. For instance, when treating colds, malaria, digestive diseases(chronic hepatitis, acute pancreatitis, acute cholecystitis), metabolic syndrome(type 2 diabetes) using its reconciling shaoyang, its dosage is 0.9-110 g; when treating emotional disease, gynecological diseases(menstrual irregularities,menopausal syndrome), liver diseases(cholelithiasis, cirrhosis) using its dispersing stagnated liver qi for relieving qi stagnation, its dosage is 9-12 g; When treatingsplanchnoptosia, oral ulcers, diabetic peripheral neuropathy using its lifting the yang-qi, its dosage is 6-9 g. 3)When treating diseases, syndromes and symptoms, Bupleurumcompatibles with different herbs. For example, it often compatibles with Baikal Skullcap Root, Ternate Pinellia, Rhubarb using its reconciling shaoyang. It often compatibles with White Peony Root, Nutgrass Galingale Rhizome, Szechwan Lovage Rhizomeusing its dispersing stagnated liver qi for relieving qi stagnation. It often compatibles with Skunk Bugbane Rhizome, Astragalus using its lifting the yang qi.
Summarize the clinical experience of Bupleurum from ancient medical books and modern physicians,and draw the following conclusion: 1)The clinical dosage range is 0.9-110 g. 2)According to diseases, syndromes,symptoms, we choose the best dosage of Bupleurum. For instance, when treating colds, malaria, digestive diseases(chronic hepatitis, acute pancreatitis, acute cholecystitis), metabolic syndrome(type 2 diabetes) using its reconciling shaoyang, its dosage is 0.9-110 g; when treating emotional disease, gynecological diseases(menstrual irregularities,menopausal syndrome), liver diseases(cholelithiasis, cirrhosis) using its dispersing stagnated liver qi for relieving qi stagnation, its dosage is 9-12 g; When treatingsplanchnoptosia, oral ulcers, diabetic peripheral neuropathy using its lifting the yang-qi, its dosage is 6-9 g. 3)When treating diseases, syndromes and symptoms, Bupleurumcompatibles with different herbs. For example, it often compatibles with Baikal Skullcap Root, Ternate Pinellia, Rhubarb using its reconciling shaoyang. It often compatibles with White Peony Root, Nutgrass Galingale Rhizome, Szechwan Lovage Rhizomeusing its dispersing stagnated liver qi for relieving qi stagnation. It often compatibles with Skunk Bugbane Rhizome, Astragalus using its lifting the yang qi.
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]闫军堂,孙良明,刘晓倩,等.刘渡舟教授治疗肝炎胁痛十法[J].中华中医药学刊, 2013, 31(5):1056-1059.
[3]闫军堂,刘晓倩,赵宇明,等.刘渡舟治疗肝炎后肝硬化证治经验[J].辽宁中医杂志, 2013, 40(8):1545-1547.
[4]陈可冀.岳美中全集·效方拾零[M].北京:中国中医药出版社, 2012:304.
[5]李岩.施今墨的临床经验[J].首都医药, 2005, 11(7):17-36.
[6]祝勇.名为用药,实为用方——施今墨对药初探[J].北京中医药, 2005, 24(1):14-15.
[7]吕景山.施今墨对药临床经验集[M].太原:山西人民出版社, 1982.
[8]吕景山.施今墨对药研究[J].山西中医, 2008, 24(3):31-34.
[9]中国中医研究院.蒲辅周医案[M].北京:人民卫生出版社,2005:33-123.
[10]中国中医研究院.蒲辅周医案[M].北京:人民卫生出版社,2005:43-178.
[11]林海雄,王晓彤,杨伟钦,等.基于数据挖掘的国医大师邓铁涛治疗重症肌无力辨治规律探究[J].辽宁中医杂志,2017, 44(12):2526-2529.
[12]高尚社.国医大师邓铁涛教授治疗肝硬化验案赏析[J].中国中医药现代远程教育, 2012, 9(24):6-9.
[13]洪文旭.邓铁涛教授辨治胃肠病经验摭拾[J].中华中医药学刊, 2003, 21(10):1617-1618.
[14]陈建芳,黄煌.黄煌运用柴胡加龙骨牡蛎汤经验[J].山东中医杂志, 2012, 31(12):899-901.
[15]毛科明.黄煌教授运用大柴胡汤经验[J].光明中医, 2014,29(12):2641, 2648.
[16]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.
[17]王鹤,徐伟楠,黄煌.黄煌教授运用柴归汤治疗系统性红斑狼疮经验[J].四川中医, 2013, 31(5):2-3.
[18]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.
[19]韦姗姗.仝小林教授运用升阳散火汤治疗糖尿病周围神经病变经验总结及其他运用[D].北京:北京中医药大学,2012.
[20]彭智平,周强.仝小林教授治愈顽固性焦虑症验案1则[J].新中医, 2013, 45(1):204-205.
[21]于晓彤,王松,田佳星.仝小林应用补中益气汤治疗面肌萎缩验案1则[J].世界中西医结合杂志, 2014, 9(12):1343-1345.
[22]武胜萍,刘洪兴,仝小林.从“木郁达之”论柴胡退热——仝小林应用柴胡经验总结[J].辽宁中医杂志, 2015, 42(4):714-716.
[23]徐笋晶,李赛美,洪文学,等.基于非统计偏序结构模式的李赛美治疗情志病证经验研究[J].中国中医基础医学杂志, 2015, 21(9):1109-1112.
[24]吴彦麒,李赛美.李赛美教授辨治甲状腺机能亢进症经验举要[J].新中医, 2013, 45(1):186-189.
[25]阮氏心顺,阮氏甘,王保华,等.李赛美教授运用经方经验介绍[J].新中医, 2007, 39(3):15-16.
[26]陈靖雯.李赛美柴胡类方临床运用多媒体数据库建立与研究[D].广州:广州中医药大学, 2012.
[27]谢韶妍,曾纪斌,李赛美.李赛美六经辨治皮肤病经验管窥[J].中华中医药杂志, 2017, 35(11):4952-4955.
[28]陈冠猷.基于属性偏序结构图原理——李赛美运用柴胡类方临床经验整理[D].广州:广州中医药大学, 2014.
[29]倪胜楼,方静,傅延龄.傅延龄治疗低热经验[J].辽宁中医杂志, 2012, 39(7):1234-1236.
[30]陈晓天,李永.史欣德教授应用逍遥散治疗失眠的经验[J].南京中医药大学学报, 2007, 23(2):124-125.
[31]田甜,史欣德.升阳散火汤的临床应用举隅[J].环球中医药, 2017, 10(7):719-720.
[32]薛燕星.和解分消兼融辨治小儿热病[J].辽宁中医杂志,2015, 42(4):865-866.
[33]冯静娟.柴胡疏肝散加葛根汤治疗慢性胆囊炎60例[J].现代中医药, 2007, 27(4):24-25.
[34]丁红平.冯世纶教授运用柴胡加龙骨牡蛎汤经验[J].中医学报, 2016, 31(12):1908-1911.
[35]刘福贵,王爱凤,王松龄.王松龄从肝郁论治头痛经验[J].中医药临床杂志, 2017, 29(9):1431-1433.
[36]李鑫辉,李彩云,谢雪姣,等.黄政德教授从肝论治眩晕的临床经验[J].湖南中医药大学学报, 2017, 37(9):958-960.
[37]李怀阔,曲艳津.曲艳津运用柴胡桂枝汤治疗郁证经验[J].长春中医药大学学报, 2013, 29(2):221-222.
[38]宗学银.柴胡麦芽清胆利湿汤治疗肝胆湿热型慢性胆囊炎241例[J].世界最新医学信息文摘, 2015, 15(89):107-108.
[2]闫军堂,孙良明,刘晓倩,等.刘渡舟教授治疗肝炎胁痛十法[J].中华中医药学刊, 2013, 31(5):1056-1059.
[3]闫军堂,刘晓倩,赵宇明,等.刘渡舟治疗肝炎后肝硬化证治经验[J].辽宁中医杂志, 2013, 40(8):1545-1547.
[4]陈可冀.岳美中全集·效方拾零[M].北京:中国中医药出版社, 2012:304.
[5]李岩.施今墨的临床经验[J].首都医药, 2005, 11(7):17-36.
[6]祝勇.名为用药,实为用方——施今墨对药初探[J].北京中医药, 2005, 24(1):14-15.
[7]吕景山.施今墨对药临床经验集[M].太原:山西人民出版社, 1982.
[8]吕景山.施今墨对药研究[J].山西中医, 2008, 24(3):31-34.
[9]中国中医研究院.蒲辅周医案[M].北京:人民卫生出版社,2005:33-123.
[10]中国中医研究院.蒲辅周医案[M].北京:人民卫生出版社,2005:43-178.
[11]林海雄,王晓彤,杨伟钦,等.基于数据挖掘的国医大师邓铁涛治疗重症肌无力辨治规律探究[J].辽宁中医杂志,2017, 44(12):2526-2529.
[12]高尚社.国医大师邓铁涛教授治疗肝硬化验案赏析[J].中国中医药现代远程教育, 2012, 9(24):6-9.
[13]洪文旭.邓铁涛教授辨治胃肠病经验摭拾[J].中华中医药学刊, 2003, 21(10):1617-1618.
[14]陈建芳,黄煌.黄煌运用柴胡加龙骨牡蛎汤经验[J].山东中医杂志, 2012, 31(12):899-901.
[15]毛科明.黄煌教授运用大柴胡汤经验[J].光明中医, 2014,29(12):2641, 2648.
[16]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.
[17]王鹤,徐伟楠,黄煌.黄煌教授运用柴归汤治疗系统性红斑狼疮经验[J].四川中医, 2013, 31(5):2-3.
[18]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.
[19]韦姗姗.仝小林教授运用升阳散火汤治疗糖尿病周围神经病变经验总结及其他运用[D].北京:北京中医药大学,2012.
[20]彭智平,周强.仝小林教授治愈顽固性焦虑症验案1则[J].新中医, 2013, 45(1):204-205.
[21]于晓彤,王松,田佳星.仝小林应用补中益气汤治疗面肌萎缩验案1则[J].世界中西医结合杂志, 2014, 9(12):1343-1345.
[22]武胜萍,刘洪兴,仝小林.从“木郁达之”论柴胡退热——仝小林应用柴胡经验总结[J].辽宁中医杂志, 2015, 42(4):714-716.
[23]徐笋晶,李赛美,洪文学,等.基于非统计偏序结构模式的李赛美治疗情志病证经验研究[J].中国中医基础医学杂志, 2015, 21(9):1109-1112.
[24]吴彦麒,李赛美.李赛美教授辨治甲状腺机能亢进症经验举要[J].新中医, 2013, 45(1):186-189.
[25]阮氏心顺,阮氏甘,王保华,等.李赛美教授运用经方经验介绍[J].新中医, 2007, 39(3):15-16.
[26]陈靖雯.李赛美柴胡类方临床运用多媒体数据库建立与研究[D].广州:广州中医药大学, 2012.
[27]谢韶妍,曾纪斌,李赛美.李赛美六经辨治皮肤病经验管窥[J].中华中医药杂志, 2017, 35(11):4952-4955.
[28]陈冠猷.基于属性偏序结构图原理——李赛美运用柴胡类方临床经验整理[D].广州:广州中医药大学, 2014.
[29]倪胜楼,方静,傅延龄.傅延龄治疗低热经验[J].辽宁中医杂志, 2012, 39(7):1234-1236.
[30]陈晓天,李永.史欣德教授应用逍遥散治疗失眠的经验[J].南京中医药大学学报, 2007, 23(2):124-125.
[31]田甜,史欣德.升阳散火汤的临床应用举隅[J].环球中医药, 2017, 10(7):719-720.
[32]薛燕星.和解分消兼融辨治小儿热病[J].辽宁中医杂志,2015, 42(4):865-866.
[33]冯静娟.柴胡疏肝散加葛根汤治疗慢性胆囊炎60例[J].现代中医药, 2007, 27(4):24-25.
[34]丁红平.冯世纶教授运用柴胡加龙骨牡蛎汤经验[J].中医学报, 2016, 31(12):1908-1911.
[35]刘福贵,王爱凤,王松龄.王松龄从肝郁论治头痛经验[J].中医药临床杂志, 2017, 29(9):1431-1433.
[36]李鑫辉,李彩云,谢雪姣,等.黄政德教授从肝论治眩晕的临床经验[J].湖南中医药大学学报, 2017, 37(9):958-960.
[37]李怀阔,曲艳津.曲艳津运用柴胡桂枝汤治疗郁证经验[J].长春中医药大学学报, 2013, 29(2):221-222.
[38]宗学银.柴胡麦芽清胆利湿汤治疗肝胆湿热型慢性胆囊炎241例[J].世界最新医学信息文摘, 2015, 15(89):107-108.