木香临床应用及其用量
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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,总结木香具有以下特点。1)临床多用3～18 g。2)根据疾病、证型、症状的不同选择不同的木香剂量。如木香发挥疏肝理气功效,治疗郁证、冠心病、妇科疾病(不孕症、多囊卵巢综合征等),为3～9 g;行气止痛、健脾和胃,治疗消化性疾病(慢性胃炎、慢性结肠炎等),为6～18 g。3)根据疾病、证型及症状配伍相应中药。如疏肝理气配伍白芍、香附,行气止痛、健脾和胃配伍黄连、砂仁、乌药等。
Through collecting the clinical experience and clinical application of ancient medical books and modern doctors, the following characteristics of radix aucklandiae are summarized: First, clinical use is 3-18 g.Second, different dosages of Radix Aucklandiae are selected according to different diseases, syndrome types and symptoms, for example, when Radix Aucklandiae plays the role of soothing liver and regulating qi, it often treats depression syndrome, coronary heart disease and gynecological diseases(infertility, polycystic ovary syndrome,etc.), ranging from 3-9 g. When moving qi and relieving pain, invigorating spleen and stomach, it often treats digestive diseases(chronic gastritis, chronic colitis, etc.) at 6-18 g. Third, according to the disease, syndrome type and symptoms, it is combined with the corresponding traditional Chinese medicine, such as dispersing stagnated liver qi and regulating qi often combined with white peony root and nutgrass galingale rhizome, activating qi and relieving pain, invigorating spleen and stomach often combined with coptis root, fructus amomi and radix linderae, etc.
Through collecting the clinical experience and clinical application of ancient medical books and modern doctors, the following characteristics of radix aucklandiae are summarized: First, clinical use is 3-18 g.Second, different dosages of Radix Aucklandiae are selected according to different diseases, syndrome types and symptoms, for example, when Radix Aucklandiae plays the role of soothing liver and regulating qi, it often treats depression syndrome, coronary heart disease and gynecological diseases(infertility, polycystic ovary syndrome,etc.), ranging from 3-9 g. When moving qi and relieving pain, invigorating spleen and stomach, it often treats digestive diseases(chronic gastritis, chronic colitis, etc.) at 6-18 g. Third, according to the disease, syndrome type and symptoms, it is combined with the corresponding traditional Chinese medicine, such as dispersing stagnated liver qi and regulating qi often combined with white peony root and nutgrass galingale rhizome, activating qi and relieving pain, invigorating spleen and stomach often combined with coptis root, fructus amomi and radix linderae, etc.
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]刘民胜.颜正华教授治疗慢性胃炎临证用药探赜[J].中华中医药杂志, 2011, 26(4):723-725.
[3]郑虎占,高云艳.颜正华教授医案二则[J].江苏中医,1992, 36(9):15.
[4]高承琪.颜正华辨治眩晕经验[J].北京中医药, 2009,28(9):669-670.
[5]陈文芬.干祖望治疗耳鸣耳聋的辨证思路及用药规律分析研究[D].广州:广州中医药大学, 2016.
[6]张元.夏桂成教授调周法治疗原发性痛经的经验[J].陕西中医学院学报, 2009, 32(6):17-18.
[7]于红娟,夏桂成.夏桂成治疗更年期综合征的经验[J].中华中医药杂志, 2012, 27(10):2573-2575.
[8]李瑾.夏桂成教授治疗慢性盆腔炎的经验介绍[J].新中医,2011, 43(4):143-144.
[9]邱志济,朱建平,马璇卿.朱良春治疗慢性结肠炎临床经验和特色——著名老中医学家朱良春临床经验系列之十九[J].辽宁中医杂志, 2001, 28(7):399-400.
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[12]潘琳琳,周婧,孙孔云,等.张志远治疗胃脘痛临床经验[J].山东中医杂志, 2017, 36(7):582-584, 596.
[13]王振,王润春,刘桂荣.张志远治疗慢性胃病经验[J].河南中医, 2016, 36(6):970-972.
[14]张志远.香姜红糖散[J].医学理论与实践, 1991(5):47.
[15]金华,张蕾,杨霓芝.杨霓芝运用益气活血法治疗慢性肾炎的临床经验[J].辽宁中医杂志, 2011, 38(7):1283-1284.
[16]钟丹,杨霓芝.杨霓芝教授运用益气活血法治疗慢性肾脏病的经验[J].中国中西医结合肾病杂志, 2005, 6(11):624-625.
[17]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, 2016.
[18]陈欣燕,连凤梅,郭允,等.葛根芩连汤治疗腹泻的临床用量分析[J].中医杂志, 2013, 54(4):332-335.
[19]陈丽名,王倩,倪胜楼,等.关于功能失调性子宫出血的治疗经验浅谈[J].环球中医药, 2015, 8(2):239-241.
[20]张艳,崔丽君,宋小莉,等.数据挖掘中药复方口服治疗溃疡性结肠炎的组方规律[J].辽宁中医杂志, 2015, 42(4):676-679.
[21]吕锦辉.溃疡性结肠炎中医辨证治疗疗效观察[J].实用中医内科杂志, 2012, 26(8):41-42.
[22]曹方,张永康,原道昱.原明忠教授自拟五首通脉汤治疗冠心病心绞痛用药特色[J].中国中医急症, 2015, 24(1):80-82.
[23]高孟翠,李静,亓媛媛.辨证治疗抑郁症276例临床观察[J].实用中医内科杂志, 2013, 27(7):80-81.
[24]刘雪艳,木香槟榔汤治疗便秘型肠易激综合征(肠道气滞型)的临床观察[D].济南:山东中医药大学, 2012.
[25]蒋健.木香槟榔丸临床运用发挥[J].福建中医药, 2008,39(6):40-41.
[26]陈辉,何柳荫.木香槟榔莪棱汤加红外肝病治疗仪治疗肝炎肝硬化的疗效观察[J].湖北中医杂志, 2015, 37(4):14-15.
[27]陈斐.香砂六君子汤治疗慢性胃炎[J].中国民间疗法,2016, 24(9):68.
[28]崔树君.辨证治疗结肠炎[J].当代医学, 2009, 15(7):162.
[29]魏华,彭勇,马国需,等.木香有效成分及药理作用研究进展[J].中草药, 2012, 43(3):613-620.
[30]邬晓东.大柴胡汤方证分析及治疗消化道恶性肿瘤的思路与体会[J].广州中医药大学学报, 2016, 33(6):881-883.
[31]吕国英,木香苦参汤治疗急性菌痢98例临床观察[J].时珍国医国药, 2003, 14(7):415-416.
[32]宿树兰,段金廒,赵新慧,等.四物汤及衍化方香附四物汤挥发性成分与子宫平滑肌收缩效应相关性分析[J].世界科学技术-中医药现代化, 2008, 10(2):50-57.
[33]王桂花,刘洪峰.自拟参灵香附通经汤治疗痛经58例疗效观察[J].湖南中医杂志, 2017, 33(3):66-67.
[34]贾评,孙垚,李萱,等.利水活血温阳方治疗血瘀阻络、水液停聚型慢性心力衰竭临床观察[J].河北中医, 2018,40(2):192-195, 200.
[35]肖政华.凌湘力教授辨治脾胃病学术思想、临床经验总结及其基于中医传承辅助系统的脾胃病组方用药规律分析[D].成都:成都中医药大学, 2016.
[36]雷光辉,罗显波.中医药治疗胆结石的体会[J].中国当代医药, 2010, 17(6):86-87.
[37]李辅仁.李辅仁治疗老年病经验[M].刘毅,李世华,整理.北京:中国中医药出版社, 2004:29.
[38]刘润爱.木香黄连汤治疗肠易激综合征54例[J].山西中医, 2011, 27(5):21-22.
[39]杨金禄,朱齐樑.“自拟滋心汤”异病同治阴虚火旺[J].实用中医内科杂志, 2017, 31(8):53-54.
[2]刘民胜.颜正华教授治疗慢性胃炎临证用药探赜[J].中华中医药杂志, 2011, 26(4):723-725.
[3]郑虎占,高云艳.颜正华教授医案二则[J].江苏中医,1992, 36(9):15.
[4]高承琪.颜正华辨治眩晕经验[J].北京中医药, 2009,28(9):669-670.
[5]陈文芬.干祖望治疗耳鸣耳聋的辨证思路及用药规律分析研究[D].广州:广州中医药大学, 2016.
[6]张元.夏桂成教授调周法治疗原发性痛经的经验[J].陕西中医学院学报, 2009, 32(6):17-18.
[7]于红娟,夏桂成.夏桂成治疗更年期综合征的经验[J].中华中医药杂志, 2012, 27(10):2573-2575.
[8]李瑾.夏桂成教授治疗慢性盆腔炎的经验介绍[J].新中医,2011, 43(4):143-144.
[9]邱志济,朱建平,马璇卿.朱良春治疗慢性结肠炎临床经验和特色——著名老中医学家朱良春临床经验系列之十九[J].辽宁中医杂志, 2001, 28(7):399-400.
[10]姚岳.随朱良春老中医诊治医案三则[J].四川中医, 1986,4(5):22.
[11]徐经世,王化猛.徐恕甫先生肝病验案鳞爪[J].国医论坛,2001, 16(1):16-17.
[12]潘琳琳,周婧,孙孔云,等.张志远治疗胃脘痛临床经验[J].山东中医杂志, 2017, 36(7):582-584, 596.
[13]王振,王润春,刘桂荣.张志远治疗慢性胃病经验[J].河南中医, 2016, 36(6):970-972.
[14]张志远.香姜红糖散[J].医学理论与实践, 1991(5):47.
[15]金华,张蕾,杨霓芝.杨霓芝运用益气活血法治疗慢性肾炎的临床经验[J].辽宁中医杂志, 2011, 38(7):1283-1284.
[16]钟丹,杨霓芝.杨霓芝教授运用益气活血法治疗慢性肾脏病的经验[J].中国中西医结合肾病杂志, 2005, 6(11):624-625.
[17]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, 2016.
[18]陈欣燕,连凤梅,郭允,等.葛根芩连汤治疗腹泻的临床用量分析[J].中医杂志, 2013, 54(4):332-335.
[19]陈丽名,王倩,倪胜楼,等.关于功能失调性子宫出血的治疗经验浅谈[J].环球中医药, 2015, 8(2):239-241.
[20]张艳,崔丽君,宋小莉,等.数据挖掘中药复方口服治疗溃疡性结肠炎的组方规律[J].辽宁中医杂志, 2015, 42(4):676-679.
[21]吕锦辉.溃疡性结肠炎中医辨证治疗疗效观察[J].实用中医内科杂志, 2012, 26(8):41-42.
[22]曹方,张永康,原道昱.原明忠教授自拟五首通脉汤治疗冠心病心绞痛用药特色[J].中国中医急症, 2015, 24(1):80-82.
[23]高孟翠,李静,亓媛媛.辨证治疗抑郁症276例临床观察[J].实用中医内科杂志, 2013, 27(7):80-81.
[24]刘雪艳,木香槟榔汤治疗便秘型肠易激综合征(肠道气滞型)的临床观察[D].济南:山东中医药大学, 2012.
[25]蒋健.木香槟榔丸临床运用发挥[J].福建中医药, 2008,39(6):40-41.
[26]陈辉,何柳荫.木香槟榔莪棱汤加红外肝病治疗仪治疗肝炎肝硬化的疗效观察[J].湖北中医杂志, 2015, 37(4):14-15.
[27]陈斐.香砂六君子汤治疗慢性胃炎[J].中国民间疗法,2016, 24(9):68.
[28]崔树君.辨证治疗结肠炎[J].当代医学, 2009, 15(7):162.
[29]魏华,彭勇,马国需,等.木香有效成分及药理作用研究进展[J].中草药, 2012, 43(3):613-620.
[30]邬晓东.大柴胡汤方证分析及治疗消化道恶性肿瘤的思路与体会[J].广州中医药大学学报, 2016, 33(6):881-883.
[31]吕国英,木香苦参汤治疗急性菌痢98例临床观察[J].时珍国医国药, 2003, 14(7):415-416.
[32]宿树兰,段金廒,赵新慧,等.四物汤及衍化方香附四物汤挥发性成分与子宫平滑肌收缩效应相关性分析[J].世界科学技术-中医药现代化, 2008, 10(2):50-57.
[33]王桂花,刘洪峰.自拟参灵香附通经汤治疗痛经58例疗效观察[J].湖南中医杂志, 2017, 33(3):66-67.
[34]贾评,孙垚,李萱,等.利水活血温阳方治疗血瘀阻络、水液停聚型慢性心力衰竭临床观察[J].河北中医, 2018,40(2):192-195, 200.
[35]肖政华.凌湘力教授辨治脾胃病学术思想、临床经验总结及其基于中医传承辅助系统的脾胃病组方用药规律分析[D].成都:成都中医药大学, 2016.
[36]雷光辉,罗显波.中医药治疗胆结石的体会[J].中国当代医药, 2010, 17(6):86-87.
[37]李辅仁.李辅仁治疗老年病经验[M].刘毅,李世华,整理.北京:中国中医药出版社, 2004:29.
[38]刘润爱.木香黄连汤治疗肠易激综合征54例[J].山西中医, 2011, 27(5):21-22.
[39]杨金禄,朱齐樑.“自拟滋心汤”异病同治阴虚火旺[J].实用中医内科杂志, 2017, 31(8):53-54.