白术临床应用及其用量
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摘要
整理古医籍及现代医家临证经验,总结白术具有以下特点。1)临床用量为1.37～150 g。2)根据疾病、证型及症状的不同选择不同剂量。如白术发挥健脾益气功效,治疗肝脏疾病(如肝硬化腹水)、糖尿病及其胃肠病变(如糖尿病胃轻瘫)、妇产科疾病(如月经紊乱、妊娠恶阻、妊娠眩晕)等,为1.37～150 g;发挥燥湿利水功效,治疗肝脏疾病(如慢性肝炎、肝硬化腹水)、内分泌疾病(高血压、高脂血症)、水肿、肛肠疾病、泌尿系结石,为20～120 g。3)根据所治疗疾病不同,白术有不同的配伍药物,如健脾益气配伍茯苓、附子、干姜等,燥湿利水配伍茯苓、泽泻、桂枝等。
Summarize the clinical experience and application of white atractylodes rhizome from ancient medical books and modern physicians, and draw the following conclusion: 1) The clinical dosage range of white Atractylodes Rhizome is 1.37-150 g. 2) According to the different diseases, syndromes and symptoms, we should select different dosage of white atractylodes rhizome. When it plays the role of strengthening the spleen and tonifying qi, it treats liver diseases(cirrhosis of the liver ascites), diabetes and gastrointestinal diseases(diabetic gastroparesis), gynecological and obstetric diseases(menstrual disorders, pregnancy obstruction, pregnancy dizziness), the dosage is 1.37-150 g;when it plays the role of eliminating dampness and diuresis, it treats liver disease(chronic hepatitis, cirrhosis ascites),endocrine disease(hypertension, hyperlipidemia), edema, anorectal disease, urinary tract stones, dosage is 20-120 g.3) According to the treatment of different diseases, it has different compatibility herbs, such as it strengthening the spleen and tonifying qi in combination with poria cocos, radix aconiti carmichaeli, rhizoma zingiberis; it eliminating dampness and diuresis often matches poria cocos, alisma orientalis, cassia twig.
Summarize the clinical experience and application of white atractylodes rhizome from ancient medical books and modern physicians, and draw the following conclusion: 1) The clinical dosage range of white Atractylodes Rhizome is 1.37-150 g. 2) According to the different diseases, syndromes and symptoms, we should select different dosage of white atractylodes rhizome. When it plays the role of strengthening the spleen and tonifying qi, it treats liver diseases(cirrhosis of the liver ascites), diabetes and gastrointestinal diseases(diabetic gastroparesis), gynecological and obstetric diseases(menstrual disorders, pregnancy obstruction, pregnancy dizziness), the dosage is 1.37-150 g;when it plays the role of eliminating dampness and diuresis, it treats liver disease(chronic hepatitis, cirrhosis ascites),endocrine disease(hypertension, hyperlipidemia), edema, anorectal disease, urinary tract stones, dosage is 20-120 g.3) According to the treatment of different diseases, it has different compatibility herbs, such as it strengthening the spleen and tonifying qi in combination with poria cocos, radix aconiti carmichaeli, rhizoma zingiberis; it eliminating dampness and diuresis often matches poria cocos, alisma orientalis, cassia twig.
引文
[1]国家药典委员会.中华人民共和国药典(一部)[M].北京:中国医药科技出版社,2015:302-303.
[2]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.
[3]张林,杨映映,傅延龄.汉代以来白术临床用量分析[J].中医杂志,2015,56(7):611-614.
[4]李可.李可老中医急危重症疑难病经验专辑[M].太原:山西科学技术出版社,2002:118.
[5]王耀顷,曹健.李可治疗中风经验[J].湖北中医杂志,2015,37(1):30-31.
[6]覃小兰,魏晓蕾.李可温潜法治疗慢性咳嗽浅析[J].四川中医,2013,31(2):10-11.
[7]岳娜,刘桂荣.张志远先生应用大剂量白术经验[J].山东中医杂志,2015,34(11):877-878.
[8]曹克允,顾方,张志银.顾丕荣老中医治疗肝病重用白术的经验[J].安徽中医学院学报,1984,3(2):25-28.
[9]张志银.顾丕荣运用“抗癌三法”治疗肝癌的经验[J].中西医结合肝病杂志,2009,19(4):238-239.
[10]齐元富.钱伯文治疗胃癌运用枳壳白术的经验[J].1993,34(5):267-268.
[11]王昌俊,陈伟.钱伯文治疗原发性肝癌经验[J].临证心得,1999,40(8):460-461.
[12]魏龙骧.白术通便秘[J].新医药学杂志,1978(4):9.
[13]林娜,吕绍光.白术杜仲合剂安胎疗效的临床观察[J].光明中医,2015,30(5):975-977.
[14]陈婷,李红.吕绍光主任治疗心脾两虚型围绝经期失眠50例[J].福建中医药,2018,49(2):70-71.
[15]马坤,郑姜钦,李红,等.吕绍光主任治疗2型糖尿病经验介绍[J].福建中医药,2012,41(6):22-23.
[16]邱志济,朱建平,马璇卿.朱良春治疗顽固便秘的廉验特色选析-著名老中医学家朱良春教授临床经验(47)[J].辽宁中医杂志,2003,30(11):867-868.
[17]邱志济,邱江东,邱江峰.朱良春治疗肾绞痛经验的临床运用-著名老中医学家朱良春教授临床经验(52)[J].辽宁中医杂志,2004,31(5):355-356.
[18]祝小欢,徐琳,付志红.泽泻汤加减治疗妊娠眩晕1例[J].江西中医药,2014,45(373):18-19.
[19]崔德强.当归芍药散方证研究[D].南京:南京中医药大学,2011:1-106
[20]熊兴江,王阶.论半夏白术天麻汤在高血压病中的运用[J].中华中医药杂志,2012,27(11):2862-2865.
[21]薛蓓云,李小荣.黄煌运用《金匮要略》薯蓣丸治疗肿瘤验案分析[J].上海中医药杂志,2010,44(12):24-26.
[22]王涵,顾成娟,逄冰.仝小林教授辨治糖尿病胃肠功能紊乱经验[J].世界中西医结合杂志,2015,10(12):1654-1656,1666.
[23]周强,赵锡艳,逄冰.等.仝小林教授运用大黄黄连泻心汤验案解析[J].天津中医药,2013,30(5):259-261.
[24]王涵,周强,顾成娟.仝小林教授运用三升阳方的经验[J].中国中医急症,2013,22(5):743-744,753.
[25]周强,刘超李,修洋.仝小林治疗糖尿病胃轻瘫验案[J].北京中医药,2010,29(2):137-138.
[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,2012:1-98.
[27]张楠.基于属性偏序结构理论的李赛美六经辨治糖尿病患者失眠知识发现[D].广州:广州中医药大学,2017:1-107.
[28]林志坚.台湾澎湖乙肝中医证型研究及李赛美教授经验总结[D].广州:广州中医药大学,2017:1-74.
[29]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.
[30]黎胜,魏泽辉,谢玉宝,等.池晓玲教授治未病思想在慢性乙型肝炎中的运用[J].环球中医药,2015,8(5):588-589.
[31]曾雅军,池晓玲.池晓玲教授治疗肝病失眠经验介绍[J].新中医,2015,47(8):11-12.
[32]贡钰霞,钱海华,谷云飞.大剂量生白术配伍枳实治疗慢传输型便秘62例[J].湖南中医药大学学报,2016,36(10):56-59.
[33]王丽新,李建红,贾苑凝,等.基于102例慢性荨麻疹用药特点分析[J].世界中医药,2017,12(3):671-676.
[34]张旭.张声生从升清降浊论治功能性消化不良[J].辽宁中医杂志,2017,44(3):476-479.
[35]段兵权.脱敏汤治疗肺脾气虚型变应性鼻炎的临床研究[D].泸州:西南医科大学,2017:1-53.
[36]高艳琼,延华,金瑞瑞.泽泻汤治疗高脂血症的临床疗效观察[J].西部中医药,2015,28(9):88-90.
[37]谢佳.早期先兆流产中医保胎后妊娠结局的研究[D].成都:成都中医药大学,2013.
[2]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.
[3]张林,杨映映,傅延龄.汉代以来白术临床用量分析[J].中医杂志,2015,56(7):611-614.
[4]李可.李可老中医急危重症疑难病经验专辑[M].太原:山西科学技术出版社,2002:118.
[5]王耀顷,曹健.李可治疗中风经验[J].湖北中医杂志,2015,37(1):30-31.
[6]覃小兰,魏晓蕾.李可温潜法治疗慢性咳嗽浅析[J].四川中医,2013,31(2):10-11.
[7]岳娜,刘桂荣.张志远先生应用大剂量白术经验[J].山东中医杂志,2015,34(11):877-878.
[8]曹克允,顾方,张志银.顾丕荣老中医治疗肝病重用白术的经验[J].安徽中医学院学报,1984,3(2):25-28.
[9]张志银.顾丕荣运用“抗癌三法”治疗肝癌的经验[J].中西医结合肝病杂志,2009,19(4):238-239.
[10]齐元富.钱伯文治疗胃癌运用枳壳白术的经验[J].1993,34(5):267-268.
[11]王昌俊,陈伟.钱伯文治疗原发性肝癌经验[J].临证心得,1999,40(8):460-461.
[12]魏龙骧.白术通便秘[J].新医药学杂志,1978(4):9.
[13]林娜,吕绍光.白术杜仲合剂安胎疗效的临床观察[J].光明中医,2015,30(5):975-977.
[14]陈婷,李红.吕绍光主任治疗心脾两虚型围绝经期失眠50例[J].福建中医药,2018,49(2):70-71.
[15]马坤,郑姜钦,李红,等.吕绍光主任治疗2型糖尿病经验介绍[J].福建中医药,2012,41(6):22-23.
[16]邱志济,朱建平,马璇卿.朱良春治疗顽固便秘的廉验特色选析-著名老中医学家朱良春教授临床经验(47)[J].辽宁中医杂志,2003,30(11):867-868.
[17]邱志济,邱江东,邱江峰.朱良春治疗肾绞痛经验的临床运用-著名老中医学家朱良春教授临床经验(52)[J].辽宁中医杂志,2004,31(5):355-356.
[18]祝小欢,徐琳,付志红.泽泻汤加减治疗妊娠眩晕1例[J].江西中医药,2014,45(373):18-19.
[19]崔德强.当归芍药散方证研究[D].南京:南京中医药大学,2011:1-106
[20]熊兴江,王阶.论半夏白术天麻汤在高血压病中的运用[J].中华中医药杂志,2012,27(11):2862-2865.
[21]薛蓓云,李小荣.黄煌运用《金匮要略》薯蓣丸治疗肿瘤验案分析[J].上海中医药杂志,2010,44(12):24-26.
[22]王涵,顾成娟,逄冰.仝小林教授辨治糖尿病胃肠功能紊乱经验[J].世界中西医结合杂志,2015,10(12):1654-1656,1666.
[23]周强,赵锡艳,逄冰.等.仝小林教授运用大黄黄连泻心汤验案解析[J].天津中医药,2013,30(5):259-261.
[24]王涵,周强,顾成娟.仝小林教授运用三升阳方的经验[J].中国中医急症,2013,22(5):743-744,753.
[25]周强,刘超李,修洋.仝小林治疗糖尿病胃轻瘫验案[J].北京中医药,2010,29(2):137-138.
[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,2012:1-98.
[27]张楠.基于属性偏序结构理论的李赛美六经辨治糖尿病患者失眠知识发现[D].广州:广州中医药大学,2017:1-107.
[28]林志坚.台湾澎湖乙肝中医证型研究及李赛美教授经验总结[D].广州:广州中医药大学,2017:1-74.
[29]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.
[30]黎胜,魏泽辉,谢玉宝,等.池晓玲教授治未病思想在慢性乙型肝炎中的运用[J].环球中医药,2015,8(5):588-589.
[31]曾雅军,池晓玲.池晓玲教授治疗肝病失眠经验介绍[J].新中医,2015,47(8):11-12.
[32]贡钰霞,钱海华,谷云飞.大剂量生白术配伍枳实治疗慢传输型便秘62例[J].湖南中医药大学学报,2016,36(10):56-59.
[33]王丽新,李建红,贾苑凝,等.基于102例慢性荨麻疹用药特点分析[J].世界中医药,2017,12(3):671-676.
[34]张旭.张声生从升清降浊论治功能性消化不良[J].辽宁中医杂志,2017,44(3):476-479.
[35]段兵权.脱敏汤治疗肺脾气虚型变应性鼻炎的临床研究[D].泸州:西南医科大学,2017:1-53.
[36]高艳琼,延华,金瑞瑞.泽泻汤治疗高脂血症的临床疗效观察[J].西部中医药,2015,28(9):88-90.
[37]谢佳.早期先兆流产中医保胎后妊娠结局的研究[D].成都:成都中医药大学,2013.