大黄临床应用及其用量

整理古医籍及现代医家临证经验及临床应用,总结大黄临床用量及配伍具有以下特点。1)临床多用3～120 g。2)结合疾病、证型、症状选择大黄最佳剂量。如泻下攻积、利湿退黄消脂,治疗胆囊炎、胆囊结石、急性胰腺炎、黄疸、上消化道出血、代谢综合征,为6～75 g;逐瘀通经止血,常治疗吐血、衄血、下焦蓄血之妇科疾患,为10～120 g。3)根据疾病、证型及症状配伍相应中药。如泻下攻积、利湿退黄消脂常配伍郁金、金钱草、栀子、茵陈、车前子、黄连、黄芩,逐瘀通经止血常配伍桃仁、石菖蒲、赤芍等。

Exploration about the Clinical Application and Dosage of Rhubarb

Summarize the clinical experience and application of Rhubarb from Ancient medical books and modern physicians, and draw the following conclusion: First, the clinical dosage range is 3-120 g. Second, according to diseases, syndromes type, symptoms, we choose the best dosage of Rhubarb. For instance, when treating cholecystitis, the gallbladder stones, acute pancreatitis, jaundice, upper gastrointestinal bleeding, metabolic syndrome using its eliminating waste, dampness, jaundice and cellulite, its dosage is 6-75 g. When treating hematemesis, bleeding disease, the gynecological disease of blood storage using its dissipating blood stasis to activate blood circulation and stop hemorrhage, its dosage is 10-120 g. Third, when treating diseases, syndromes and symptoms, Rhubarb compatibles with diff erent herb. For example, Rhubarb often compatibles with curcuma, Lysimachia christinae Hance, gardenia, oriental wormwood, Semen plantaginis, Rhizoma coptidis, scutellaria baicalensis using its eliminating waste, dampness, jaundice and cellulite. It often compatibles with Peach kernel, Rhizoma acori graminei, Radix paeoniae rubra using its dissipating blood stasis to activate blood circulation and stop hemorrhage.