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红曲的临床应用及其用量探究 被引量:12

Clinical Application and Dosage of Hongqu
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摘要 通过搜集古医籍及现代医家临床经验,总结出红曲具有以下特点:汤剂用量多为0.46~30 g,常用剂量6~15 g,散剂用量范围为20.7~37 g。根据疾病、证型、症状寻求最佳用量,如止痢消食和胃治疗消化性疾病(细菌性痢疾,慢性结肠炎,食积,痞满,呕吐等),为0.46~15 g;降脂泄浊治疗代谢性疾病(高脂血症,糖尿病,高血压,高尿酸血症,脂肪肝),为5~20 g。根据疾病、证型及症状,配伍相应中药,如降脂泄浊常配伍山楂、荷叶、绞股蓝、桑叶、泽泻、决明子;活血消积常配伍山楂、荷叶、大黄、当归、肉桂等;止痛疗伤常配伍红花、苏木、乌头、牛膝、杜仲等。 Through the collection of ancient medical books and the clinical experience of modern doctors, it is concluded that hongqu has the following characteristics: The dosage of decoction is mostly 0.46-30 g, the usual dosage is 6-15 g, and the dosage of powder is in the range of 20.7-37 g. According to the difference of diseases, type of syndrome and symptoms, we choose the best dosage. For instance, using its stopping diarrhea and relieving dyspepsia to treat digestive diseases(Bacterial dysentery, chronic colitis, dyspepsia, vomiting, distention and fullness, etc), its dosage is 0.46-15 g. Using its lowering lipid and eliminating turbid to treat metabolic diseases(hyperlipidemia, diabetes, hypertension, hyperuricemia, fatty liver), its dosage is 5-20 g. When treating different diseases, syndromes type and symptoms, it is compatible with different herbs. For example, it is often compatible with Fructus Crataegi, Folium Nelumbinis, Gynostemma Pentaphylla, Folium Mori, Rhizoma Alismatis, Semen Cassiae to lower lipid and eliminate turbid. It is often compatible with Fructus Crataegi, Folium Nelumbinis, Radix et Rhizoma Rhei, Radix Angelicae Sinensis, Cortex Cinnamomi to promote blood circulation and eliminate amassment. It is often compatible with Flos Carthami, Lignum Sappan, Radix Aconiti and Radix Aconiti Kusnezoffii, Radix Achyranthis Bidentatae,Cortex Eucommiae to relieve pain and heal wound.
作者 马晨欢 邵建柱 王青 韦宇 马将 MA Chenhuan;SHAO Jianzhu;WANG Qing;WEI Yu;MA Jiang(Tongde Hospital of Zhejiang Province,Hangzhou 310012,China;Community Health Service Center of Xiditou Town,Beichen District,Tianjin 300408,China;Beijing University of Chinese Medicine,Beijing 100029,China;Guangwai Hospital,Xicheng District,Beijing 100053,China)
出处 《吉林中医药》 2020年第10期1368-1371,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) 国家自然科学基金重点项目(81430097)。
关键词 红曲 临床经验 用量 配伍 Hongqu clinical experience dosage compatibility of of medicine
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