摘要
通过搜集古医籍及现代医家临床经验,总结出灶心土具有以下特点:临床汤剂用量为4.14〜800g,常用剂量为10〜30g,煎汤代水剂量为60〜120 g,丸、散剂常用量为1.44〜2.5 g。根据疾病、证型、症状寻求最佳用量,如行气通便治疗消化科疾病(小儿便秘),为10g;调理中气、降逆止咳、升降气机治疗消化科疾病(胆汁反流性胃炎)、呼吸科疾病(咳嗽)等,为10〜30 g(汤剂)、2.5 g(丸剂);温中燥湿止泻治疗消化科疾病(小儿泄泻)、内分泌系统疾病(糖尿病胃肠功能紊乱)等,为10〜300 g(未说明服用时长及配伍注意事项);温胃止呕治疗消化科疾病(小儿呕吐、妊娠呃逆等),为10〜300g(未说明服用时长及配伍注意事项);温中摄血治疗消化科疾病(便血、十二指肠球部溃疡出血等),为10〜300g(未说明服用时长及配伍注意事项);温经止血治疗妇科疾病(经间期出血、崩漏等),为4.14〜500g(未说明服用时长及配伍注意事项)、1.44g(散剂);平肝降火,降气止血治疗呼吸系统疾病(肺癌并发咳血),为800 g。根据疾病、证型及症状,配伍相应中药,如行气通便常配伍甘草;调理中气、降逆止咳、升降气机常配伍木香、大黄等;温中燥湿止泻常配伍肉豆蔻、诃子、肉桂等;温胃止呕常配伍柴胡、藿香等;温中摄血常配伍肉桂、白术、大黄等;温经止血常单用或配伍赤石脂、肉桂、干地黄等;平肝降火,降气止血常单用。
By collecting the clinical experience of ancient medical books and modem doctors,it is concluded that oven earth has the following characteristics:Its clinical dosage range in decoction is 4.14-800 g,and its usual dosage range is 10-30 g,while its dosage range in decoction as water is 60-120 g,and in pills or powders 1.44-2.5 g.The optimal dosage of oven earth should be decided on according to different diseases,syndrome types or symptoms.For example,for activating qi to facilitate feces excretion in the treatment of digestive system diseases(infantile constipation),its dosage is 10 g.For regulating qi parapoplexy,lowering adverse qi and relieving cough,promoting upward and downward qi movement in the treatment of digestive system diseases(bile reflux gastritis),respiratory diseases(cough),etc.,its dosage range is 10-30 g(in decoction)and 2.5 g(in pills).For warming the spleen and stomach,eliminating dampness and relieving diarrhea in the treatment of digestive diseases(infantile diarrhea),endocrine system diseases(diabetic gastrointestinal disorders),etc.,its dosage range is 10-300 g(its administration duration and precautions of compatibility are not specified).For wanning the stomach and relieving vomiting in the treatment of digestive system diseases(infantile vomiting,gestational hiccups,etc.),its dosage range is 10-300 g(its administration duration and precautions of compatibility are not specified).For warming the spleen and stomach to keep blood in the treatment of digestive system diseases(hematochezia,duodenal ulcer bleeding,etc.),its dosage range is 10-300 g(its administration duration and precautions of compatibility are not specified).For warming channels to arrest bleeding in the treatment of gynecological diseases(intermenstrual bleeding,metrorrhagia and metrostaxis,etc.),its dosage range is 4.14-500 g(its administration duration and precautions of compatibility are not specified),and 1.44 g in powders.For suppressing hyperactive liver and lowering fire,descending adverse qi for hemostasis in the treatment of respiratory diseases(lung cancer complicated with hemoptysis),its dosage is 800 g.According to varying diseases,syndrome types or symptoms,oven earth is compatible with corresponding Chinese medicines.For instance,it is often combined with liquorice root for activating qi to facilitate feces excretion.For regulating qi parapoplexy,lowering adverse qi and relieving cough,promoting upward and downward qi movement,it is often combined with common aucklandia root,rhubarb root and rhizome,etc.For warming the spleen and stomach,eliminating dampness and relieving diarrhea,it is often combined with nutmeg,medicine terminalia fruit,cassia bark,etc.For warming the stomach and relieving vomiting,it is often combined with Chinese thorowax root,cablin patchouli herb,etc.For warming the spleen and stomach to keep blood,it is often combined with cassia bark,largehead atractylodes rhizome,rhubarb root and rhizome,etc.For warming channels to arrest bleeding,it is usually used alone or combined with halloysite,cassia bark,dried rehmannia root,etc.For suppressing hyperactive liver and lowering fire,descending adverse qi for hemostasis,it is often used alone.
作者
王欢
卫若楠
朱向东
WANG Huan;WEI Ruonan;ZHU Xiangdong(Gansu University of Chinese Medicine,Lanzhou 730000,China)
出处
《吉林中医药》
2021年第12期1665-1668,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)(2010CB530601)
北京市自然科学基金资助项目(7212189)。
关键词
灶心土
临床经验
用量
配伍
oven earth
clinical experience
dosage
compatibility of medicines
