文献类型：期刊文献

中文题名：茯苓的量效关系及其临床应用探讨

英文题名：Dosage-effect Relationship and Clinical Application of Poria cocos

作者：兰雨泽[1];朱向东[1];白雅黎[1];樊俐慧[1];宋宁[1]

第一作者：兰雨泽

机构：[1]甘肃中医药大学基础医学院,兰州730000

第一机构：甘肃中医药大学基础医学院（敦煌医学研究所）

年份：2019

卷号：0

期号：6

起止页码：737

中文期刊名：吉林中医药

外文期刊名：Jilin Journal of Chinese Medicine

收录：CSTPCD

基金：国家重点基础研究发展计划(“973”计划)(2010CB530601)

语种：中文

中文关键词：茯苓;临床应用;量效关系;配伍

外文关键词：Poria cocos;clinical application;dosage-effect relationship;compatibility of medicine

摘要：通过搜集整理古医籍及现代医家临证经验,总结出茯苓具有以下量效特点:1)临床用量多在3~150g范围之内。2)临床运用茯苓应结合病种、证型、症状选择茯苓最佳剂量,如茯苓小剂量健脾渗湿、化痰止泻,用于治疗呼吸系统疾病(如慢性阻塞性肺疾病、慢性支气管炎、慢性咽炎等),消化系统疾病(如厌食症、泄泻等),临床用量多为3~30 g;中剂量利水行气、宁心安神,用于治疗神经系统疾病(失眠、抑郁症、癫痫等),妇科疾病(如慢性盆腔炎、输卵管阻塞性不孕等),皮肤病(如顽固性湿疹、胆碱性荨麻疹等),临床用量多为10~90 g;大剂量利水消肿、和胃止呕,用于治疗循环系统疾病(如恶性心包积液、高血压病等),内分泌及代谢疾病(如糖尿病肾病、高血脂症、类风湿关节炎等)临床用量多为10~150 g。3)为发挥茯苓最佳功效,临床常根据病种、证型及症状,配伍相应中药,如利水渗湿常配伍泽泻、白术等;宁心安神常配伍酸枣仁、知母等。
Through collecting ancient medical books and clinical experience of modern doctors,the following dosage-effect characteristics of poria cocos were summarized:1)the clinical dosage was mostly within the range of 3-150 g.2)According to diseases,syndromes,symptoms,we choose the best dosage of poria cocos,for example,poria cocos has the functions of invigorating spleen,eliminating dampness,resolving phlegm and relieving diarrhea in small dose.It is used for treating respiratory diseases(chronic obstructive pulmonary disease,chronic bronchitis,chronic pharyngitis,etc)and digestive system diseases(anorexia,diarrhea,etc),and the clinical dosage is generally 3-30 g.Middle dose diuresis,promoting qi circulation,calming the heart and tranquilizing the mind,it can be used for treating neurological diseases(insomnia,depression,epilepsy,etc),gynecological diseases(chronic pelvic inflammatory disease,tubal obstructive infertility,etc),and dermatoses(intractable eczema,choline urticaria,etc),with a clinical dosage of 10-90 g.Large dose diuresis for detumescence,harmonizing stomach and stopping vomiting,the clinical dosage for treating circulatory system diseases(malignant pericardial effusion,hypertension,etc),endocrine and metabolic diseases(diabetic nephropathy,hyperlipidemia,rheumatoid arthritis,etc)is generally 10-150 g.3)To exert the best effect of poria cocos,it often combined with corresponding traditional Chinese medicines,such as Alisma orientale and Atractylodes macrocephala,according to diseases,syndromes and symptoms.It is often combined with Semen Ziziphi Spinosae and Rhizoma Anemarrhenae to soothe the nerves and relieve restlessness.