摘要
搜集古代医籍及现代医家临证经验,总结水蛭的特点如下。1)若打粉吞服,药量为0.3～10 g;若煎服,药量为1～36 g。2)剂量不同所发挥的作用及治疗的疾病也有所差异。如治疗脑梗死、老年痴呆症1～36 g,治疗冠心病、顽固性头痛、动脉粥样硬化1～9 g,治疗糖尿病周围神经病变、慢性肾病、肝硬化等0.3～10 g研末吞服。3)配伍相应的中药发挥不同的功效。破血逐瘀配伍虻虫、桃仁、大黄,活血化瘀配伍当归、川芎、赤芍,活血通络、逐瘀消癥配伍三七粉、莪术、大黄、黄芪等。
By collecting ancient medical books and clinical experience of modern physicians, the characteristics of leech were summarized: First,the commonly used dosage of leech is 0.3-10 g if swallowed with powder, and1-36 g if taken with decoction. Second, when the dosage of leech is different, the treatment effect of leech is also dif ferent. The dosage is 1-36 g when treat cerebral infarction, cerebral hemorrhage and Alzheimer’s disease, 1-9 g when treat coronary heart disease, intractable headache and atherosclerosis, and 0.3-10 g when it comes to diabetic peripheral neuropathy, chronic nephropathy and liver cirrhosis. Third, when leech compatibles with dif ferent herbs, it plays dif ferent roles. It can break blood stasis when compatibles with Tabania, peach kernel, rhubarb, activate blood circulation to dissipate blood stasis when compatibles with angelica, the rhizome of Chuanxiong, peony, promote blood circulation to remove meridian obstruction when compatibles with panax notoginseng powder, curcuma zedoary, rhubarb, astragalus.
作者
沈仕伟
邸莎
韦宇
赵林华
仝小林
SHEN Shiwei;DI Sha;WEI Yu;ZHAO Linhua;TONG Xiaolin(Yuhuan People’s Hospital,Yuhuan 317600,Zhejiang Province,China;Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Heilongjiang University of Chinese Medicine,Harbin 150040,China)
出处
《吉林中医药》
2019年第3期313-316,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)
关键词
水蛭
临床应用
用量
配伍
leech
clinical application
dosage
compatibility of medicine
