文献类型：期刊文献

中文题名：北沙参的临床应用及其用量探究

英文题名：Exploration of clinical application and dosage of coastal glehnia root

作者：翟艳会[1];王新苗[2];张伟[1];卫若楠[3]

第一作者：翟艳会

机构：[1]甘肃中医药大学,兰州730000;[2]中国中医科学院广安门医院,北京100053;[3]十堰市中医医院,湖北十堰442000

第一机构：甘肃中医药大学

年份：2022

卷号：38

期号：11

起止页码：1201

中文期刊名：长春中医药大学学报

外文期刊名：Journal of Changchun University of Chinese Medicine

收录：CSTPCD

基金：甘肃省教育厅产业支撑计划项目(2021CYZC-03);国家重点基础研究发展计划(973计划)(2010CB530601);中国科学院学部咨询评议项目(2021-ZW10-A-017)。

语种：中文

中文关键词：北沙参;量效研究;配伍;临床应用

外文关键词：coastal glehnia root;dose-effect study;compatibility of medicines;clinical application

摘要：通过搜集古医籍及现代医家临床经验,总结出北沙参具有以下特点:1)临床汤剂用量为7.5~100 g(100 g时浓煎顿服,仅服1剂,未说明配伍注意事项),常用剂量为10~30 g。2)根据疾病、证型、症状寻求最佳用量,如清咽润喉治疗慢性咽炎,为10 g;益胃生津治疗胃痛、胃炎,为10~15 g;清肺润燥治疗肺系疾病(咳嗽、间质性肺疾病、支气管扩张病、百日咳痉咳期、非典型性肺炎),为7.5~50 g;滋阴清热润燥治疗消化系统疾病(胆道疾病、慢性乙型肝炎、便秘、肝炎),内分泌疾病(甲状腺功能亢进症、甲状腺癌)、传染病(霍乱),用量多为10~40 g,治疗皮肤病(湿疹、斑秃)、妇科疾病(产后恶露不尽),用量为15~40 g,治疗免疫系统疾病(银屑病)用量为65 g;养阴清热治疗瘟疫重症,其用量为100 g(浓煎顿服,仅服1剂,未说明配伍注意事项)。3)根据疾病、证型及症状,配伍相应中药,如清咽润喉常配伍麦冬、桔梗;益胃生津常配伍麦冬、石斛、白芍;清肺润燥常配伍麦冬、知母、百合、银柴胡、白薇等;滋阴清热润燥常配伍黄芪、党参、生地黄、天花粉、地骨皮等;养阴清热常配伍赤芍、红花。
Through collecting the ancient medical books and the clinical experience of modern physicians,it is concluded that coastal glehnia root has the following characteristics:(1) Its clinical dosage range in decoctions is 7.5-100 g (decocted into thick decoction,one dose at a time,one dose only,no precautions for its compatibility when the clinical dosage is 100 g),and its common dosage range is 10-30 g.(2) Its optimal dosage should be determined according to various diseases,syndrome types and symptoms.For example,when used for clearing heat from throat to treat chronic pharyngitis,its dosage is 10 g.For benefiting stomach and promoting production of fluids to treat stomach pain and gastritis,its dosage range is 10-15 g.For clearing lung-heat and moistening dryness to treat lung diseases (cough,interstitial lung disease,bronchiectasis,pertussis spasmodic cough,SARS),its dosage range is 7.5-50 g.For nourishing yin,clearing heat and moistening dryness to treat digestive system diseases (bile duct diseases,chronic hepatitis B,constipation,hepatitis),endocrine diseases (hyperthyroidism,thyroid cancer),communicable diseases (cholera),its dosage range is mostly 10-40 g,and to treat skin diseases (eczema,alopecia areata),gynecological diseases (postpartum lochia),its dosage range is 15-40 g,while to treat immune system diseases (psoriasis),its dosage is 65 g.For nourishing yin and clearing heat in the treatment of severe plague,its dosage is 100 g (decocted into thick decoction,one dose at a time,one dose only,no precautions for its compatibility).(3) Coastal glehnia root can be combined with corresponding Chinese medicines according to different diseases,syndrome types and symptoms.For example,for clearing heat from throat,it is often compatible with dwarf lilyturf tuber and platycodon root.For benefiting stomach and promoting production of fluids,it is often compatible with dwarf lilyturf tuber,dendrobium and debark peony root.For clearing lung-heat and moistening dryness,it is often compatible with dwarf lilyturf tuber,common anemarrhena rhizome,lily bulb,star-wort root,blackend swallowwort root,etc.For nourishing yin,clearing heat and moistening dryness,it is often compatible with milkvetch root,tangshen,unprocessed rehmannia root,snakegourd root,Chinese wolfberry root-bark,etc.For nourishing yin and clearing heat,it is often compatible with peony root and safflower.