火麻仁的临床应用及其用量探究

通过搜集古籍、现代医家临证经验,总结出火麻仁具有以下特点:1)临床用量多为3.8～60 g。2)结合病、证、症选择其最佳剂量,常配伍杏仁、当归等药以润肠通便,治疗便秘、肠易激综合征、溃疡性结肠炎等消化性疾病,常用3.8～47.4 g;配伍麦冬、阿胶等以滋阴养血,治疗冠心病、病毒性心肌炎等心血管性疾病,常用6～30 g;配伍决明子等以滋阴泻火,治疗阴虚内热型偏头痛、痤疮、甲状腺功能亢进等疾病,常用9～60 g。

Exploration about the Clinical Application and Dosage of Fructus Cannabis

By summarizing the clinical experience of Fructus Cannabis from ancient medical books and modern physicians,we draw the following conclusion:First,the dosage is mostly 3.8-60 g.Second,according to diseases,syndromes,symptoms,we choose the best dosage.For instance,when using its moistening intestines to relieve constipation effect to treat digestive diseases like constipation,irritable bowel syndrome,ulcerative colitis,it often compatibles with Semen Armeniacae Amarum and Radix Angelica sinensis and its dosage is 3.8-47.4 g.When using its nourishing yin and blood effect to treat cardiovascular diseases like coronary heart disease and viral myocarditis,it often compatibles with Radix Ophiopogonis and Asini Corii Colla,and its dosage is 6-30 g.When using its nourishing yin and purging fire effect to treat yin deficiency with internal heat syndrome like migraine,acne,hyperthyroidism,it often compatibles with Catsia tora Linn,and its dosage is 9-60 g.