摘要
通过搜集古医集及现代医家临床经验,总结出川楝子用量具有以下特点:临床汤剂用量范围为6~20 g,常用剂量为3~15 g,丸散剂临床用量多为0.3 g。根据疾病、证型、症状寻求最佳用量,如疏肝理气解郁治疗月经不调、闭经、不孕、更年期综合征、乳腺结节等妇科疾病,为6~10 g;疏肝泄热、理气止痛治疗湿疹、带状疱疹、睾丸肿痛、支气管扩张症、慢性前列腺炎等疾病,为3~15 g。根据疾病、证型和症状,配伍相应中药,如疏肝理气解郁常配伍柴胡、香附、郁金、佛手等;疏肝泄热、理气止痛常配伍延胡索、生地黄、黄芩、当归等。因此,川楝子临床用量应综合考虑病证及配伍等多种因素,随病施量、因证施量、因配伍施量。
Based on the collection of the clinical experience recorded in ancient medical books and of modern physicians,it is concluded that szechwan chinaberry fruit has the following application characteristics:The clinical decoction dosage range is 6-20 g,and the commonly used range is 3-15 g,while the clinical dosage range in pills or powders is usually 0.3 g.The optimal dosage is determined according to the diff erent types of disease,syndrome types and symptoms.For instance,when used for dispersing stagnated liver and regulating qi for relieving qi stagnation to treat menstrual disorders,amenorrhea,infertility,climacteric syndrome,sarcoidosis of the breast and other gynecological diseases,its dosage is 6-10 g.For dispersing stagnated liver and relieving heat,regulating qi and relieving pain to treat eczema,herpes zoster,testicular swelling and pain,bronchiectasis,chronic prostatitis and other diseases,its dosage is 3-15 g.According to the diff erent types of disease,syndrome types and symptoms,szechwan chinaberry fruit is compatible with corresponding Chinese medicines.For example,it is often combined with Chinese thorowax root,nutgrass galingale rhizome,turmeric root tuber,fi nger citron,etc.,for dispersing stagnated liver and regulating qi for relieving qi stagnation;.It is often combined with yanhusuo,unprocessed rehmannia root,baical skullcap root,Chinese angelica,etc.,for dispersing stagnated liver and relieving heat,regulating qi and relieving pain.Therefore,the clinical dosage of szechwan chinaberry fruit should be considered comprehensively for various factors,including diff erent diseases,syndrome types and compatibility of varying medicines.
作者
方心怡
丁齐又
于同月
邵蒙苏
FANG Xinyi;DING Qiyou;YU Tongyue;SHAO Mengsu(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China;Changchun University of Chinese Medicine,Changchun 130117,China)
出处
《吉林中医药》
2021年第7期939-942,共4页
Jilin Journal of Chinese Medicine
基金
国家重点基础研究发展计划(973计划)项目(2010CB530601)
国家自然科学基金青年科学基金项目(81804080)。
关键词
川楝子
临床经验
用量
配伍
szechwan chinaberry fruit
clinical experience
dosage
compatibility of medicines
