山茱萸的临床应用及其用量探究
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摘要
通过搜集古医籍及现代医家临床经验,总结出山茱萸具有以下特点:1)用量多为6～74.6 g。2)根据疾病、证型、症状寻求最佳用量,如补肝肾阴精治疗糖尿病、高血压、月经过多、慢性肾炎等内分泌、妇科、肾脏疾病,为6～74.6 g;补气养阴活血治疗银屑病、痤疮等皮肤病、甲状腺疾病,为9～30 g。3)根据疾病、证型及症状,配伍相应中药,如补肝肾阴精常配伍地黄、黄芪、枸杞;温补脾肾常配伍肉桂、淫羊藿、地黄等。
Summarize the clinical experience of Cornus officinalis from ancient medical books and modern physicians, and draw the following conclusion: 1)The dosage is mostly 6 ～ 74.6 g. 2)According to the diff erence of diseases, type of syndrome and symptoms, we choose the best dosage. For instance, when treating diabetes, hypertension, menorrhagia, chronic glomerulonephritis and other endocrine, gynecological, renal diseases using its tonifying liver and kidney yin jing, its dosage is 6 ～ 74.6 g. When treating psoriasis, acne and other skin, thyroid disease using its supplementing qi and nourishing yin and activating blood circulation, its dosage is 9 ～ 30 g. 3) When treating diseases, syndromes type and symptoms, it compatibles with diff erent herbs. For example, it often compatibles with Rehmanniae Radix Praeparata, Hedysarum Multijugum Maxim, Lycii Fructus using its tonifying liver and kidney yin jing. It often compatibles with Cinnanmomi Cortex, Epimrdii Herba, Rehmanniae Radix Praeparata, using its tonifying the spleen and kidney.
Summarize the clinical experience of Cornus officinalis from ancient medical books and modern physicians, and draw the following conclusion: 1)The dosage is mostly 6 ～ 74.6 g. 2)According to the diff erence of diseases, type of syndrome and symptoms, we choose the best dosage. For instance, when treating diabetes, hypertension, menorrhagia, chronic glomerulonephritis and other endocrine, gynecological, renal diseases using its tonifying liver and kidney yin jing, its dosage is 6 ～ 74.6 g. When treating psoriasis, acne and other skin, thyroid disease using its supplementing qi and nourishing yin and activating blood circulation, its dosage is 9 ～ 30 g. 3) When treating diseases, syndromes type and symptoms, it compatibles with diff erent herbs. For example, it often compatibles with Rehmanniae Radix Praeparata, Hedysarum Multijugum Maxim, Lycii Fructus using its tonifying liver and kidney yin jing. It often compatibles with Cinnanmomi Cortex, Epimrdii Herba, Rehmanniae Radix Praeparata, using its tonifying the spleen and kidney.
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]汤晓会.赵振昌教授治疗慢性肾功能衰竭的临床经验总结[D].长春:长春中医药大学, 2014.
[3]李思奇.应用数据挖掘技术分析赵振昌教授治疗痛风性肾病经验[D].长春:长春中医药大学, 2016.
[4]韩冰,刘强,张守琳.赵振昌教授治疗慢性肾小球肾炎血尿临床经验总结[J].中国中医药现代远程教育, 2016,14(20):62-64.
[5]赵惠,王志英,周仲瑛.周仲瑛经方合用治疗疑难病验案撷萃[J].时珍国医国药, 2014, 25(11):2781-2782.
[6]胡晓阳,张双良,朴圣爱,等.段富津教授治疗耳鸣验案举隅及浅析[J].中医药信息, 2015, 32(3):54-55.
[7]赵雪莹,李冀.段富津教授辨治糖尿病并发症验案举隅[J].云南中医中药杂志, 2007, 28(9):1-3.
[8]李德珍,刘恒岳.施今墨论治糖尿病经验初探[J].甘肃中医, 2001, 14(4):6-7.
[9]张岩,谈勇,胡荣魁.运用复杂网络分析方法探究国医大师夏桂成教授临证遣药态势[J].中华中医药杂志, 2016,31(11):4455-4460.
[10]崔云竹,牟淑敏.程益春教授治疗糖尿病及并发症经验[J].中医药信息, 2003, 20(2):32-33.
[11]张宏,储成志,熊煜,等.国医大师李济仁教授临床经验拾萃[J].甘肃中医药大学学报, 2018, 35(1):30-32.
[12]闫韶花,逄冰,彭智平,等.仝小林活用六味地黄丸辅助治疗疑难病验案3则[J].上海中医药杂志, 2013,47(3):13-15.
[13]余秋平,仇菲,周源,等.仝小林治疗糖尿病末梢神经病变经验[J].中医杂志, 2012, 53(2):160-162.
[14]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, 32(11):4952-4955.
[15]冯鑫.李赛美辨治内分泌疾病经验[J].辽宁中医杂志,2003, 30(9):699.
[16]陈园,谈勇.谈勇治疗薄型子宫内膜经验探析[J].世界中西医结合杂志, 2018, 13(2):183-186.
[17]季丹,谈勇.谈勇运用滋阴补阳方序贯治疗反复移植失败经验撷菁[J].中国中医基础医学杂志, 2017, 23(12):1783-1784, 1789.
[18]李敬敬,朱耀彬,骆杰伟.骆杰伟应用黄芪经验撷菁[J].中医药通报, 2018, 12(1):27-29, 45.
[19]张荣欣,姜枫.张磊经方治疗崩漏经验[J].江西中医药,2017, 48(3):20-22.
[20]丁树梅,李正胜,张雄峰,等.李正胜教授从升阳固元法论治难治性肾病综合征经验[J].四川中医, 2018,36(1):18-19.
[21]吕双喜,沈建武,邵魁卿,等.高瞻主任医师运用四逆散加减治疗间质性膀胱炎的经验[J].中医药导报, 2017,23(12):16-18, 21.
[22]翁苓,张丽霞.周国英主任治疗糖尿病肾病的经验总结[J].福建中医药, 2005, 36(6):14.
[23]张兰英,施学丽,黄家诏.秦家泰应用自拟六三汤验案四则[J].辽宁中医杂志, 2007, 34(10):1467-1468.
[24]李竹英,师留杰,王丽芹.刘建秋应用金匮肾气丸治疗肺系疾病经验举隅[J].上海中医药杂志, 2018, 52(1):15-17.
[25]翟书正.萸味龙牡汤治疗多汗症[J].新中医, 1994(11):25-26.
[26]王菊素,刘红.田淑霄老师以脾论治月经病经验(一)[J].河北中医, 2007, 29(8):677-680.
[2]汤晓会.赵振昌教授治疗慢性肾功能衰竭的临床经验总结[D].长春:长春中医药大学, 2014.
[3]李思奇.应用数据挖掘技术分析赵振昌教授治疗痛风性肾病经验[D].长春:长春中医药大学, 2016.
[4]韩冰,刘强,张守琳.赵振昌教授治疗慢性肾小球肾炎血尿临床经验总结[J].中国中医药现代远程教育, 2016,14(20):62-64.
[5]赵惠,王志英,周仲瑛.周仲瑛经方合用治疗疑难病验案撷萃[J].时珍国医国药, 2014, 25(11):2781-2782.
[6]胡晓阳,张双良,朴圣爱,等.段富津教授治疗耳鸣验案举隅及浅析[J].中医药信息, 2015, 32(3):54-55.
[7]赵雪莹,李冀.段富津教授辨治糖尿病并发症验案举隅[J].云南中医中药杂志, 2007, 28(9):1-3.
[8]李德珍,刘恒岳.施今墨论治糖尿病经验初探[J].甘肃中医, 2001, 14(4):6-7.
[9]张岩,谈勇,胡荣魁.运用复杂网络分析方法探究国医大师夏桂成教授临证遣药态势[J].中华中医药杂志, 2016,31(11):4455-4460.
[10]崔云竹,牟淑敏.程益春教授治疗糖尿病及并发症经验[J].中医药信息, 2003, 20(2):32-33.
[11]张宏,储成志,熊煜,等.国医大师李济仁教授临床经验拾萃[J].甘肃中医药大学学报, 2018, 35(1):30-32.
[12]闫韶花,逄冰,彭智平,等.仝小林活用六味地黄丸辅助治疗疑难病验案3则[J].上海中医药杂志, 2013,47(3):13-15.
[13]余秋平,仇菲,周源,等.仝小林治疗糖尿病末梢神经病变经验[J].中医杂志, 2012, 53(2):160-162.
[14]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, 32(11):4952-4955.
[15]冯鑫.李赛美辨治内分泌疾病经验[J].辽宁中医杂志,2003, 30(9):699.
[16]陈园,谈勇.谈勇治疗薄型子宫内膜经验探析[J].世界中西医结合杂志, 2018, 13(2):183-186.
[17]季丹,谈勇.谈勇运用滋阴补阳方序贯治疗反复移植失败经验撷菁[J].中国中医基础医学杂志, 2017, 23(12):1783-1784, 1789.
[18]李敬敬,朱耀彬,骆杰伟.骆杰伟应用黄芪经验撷菁[J].中医药通报, 2018, 12(1):27-29, 45.
[19]张荣欣,姜枫.张磊经方治疗崩漏经验[J].江西中医药,2017, 48(3):20-22.
[20]丁树梅,李正胜,张雄峰,等.李正胜教授从升阳固元法论治难治性肾病综合征经验[J].四川中医, 2018,36(1):18-19.
[21]吕双喜,沈建武,邵魁卿,等.高瞻主任医师运用四逆散加减治疗间质性膀胱炎的经验[J].中医药导报, 2017,23(12):16-18, 21.
[22]翁苓,张丽霞.周国英主任治疗糖尿病肾病的经验总结[J].福建中医药, 2005, 36(6):14.
[23]张兰英,施学丽,黄家诏.秦家泰应用自拟六三汤验案四则[J].辽宁中医杂志, 2007, 34(10):1467-1468.
[24]李竹英,师留杰,王丽芹.刘建秋应用金匮肾气丸治疗肺系疾病经验举隅[J].上海中医药杂志, 2018, 52(1):15-17.
[25]翟书正.萸味龙牡汤治疗多汗症[J].新中医, 1994(11):25-26.
[26]王菊素,刘红.田淑霄老师以脾论治月经病经验(一)[J].河北中医, 2007, 29(8):677-680.