卢尚岭大剂量用药经验总结与思考

卢尚岭教授临证常重用益母草、土茯苓、丹参、葶苈子、石菖蒲、附子、川乌、枳实、生地黄、麦冬、蜈蚣等药物,每取佳效。其用药主要以长期临床实践经验为依据,同时也因病位高下、病性虚实、病势急缓而异。单味药治病,也常取大剂奏效。从卢老的用药经验可知,大剂量用药需熟谙药性,有胆有识。人体生理功能的改变、疾病病情的需要、药物性状的古今差异可能是增加大剂量用药需求的影响因素。

Summary and Reflection of LU Shangling's Experience in Using Drugs with Large Dose

In clinical practice,Professor LU Shangling often uses following drugs with large dose,Yimucao(Leonuri Herba),Tufuling(Smilacis Glabrae Rhizoma),Danshen(Salivae Miltiorrhizae Radix Et Rhizoma),Tinglizi(Descurainiae Semen,Lepidii Senen),Shichangpu(Acori Tatarinowii Rhizome),Fuzi(Aconiti Lateralis Radix Praeparaia),Chuanwu(Aconiti Radix),Zhishi(Aurantii Fructus Immaturus),Shengdihuang(Rehmanniae Radix),Maidong(Ophiopogonis Radix),Wugong(Scolopendra),etc.,which always achieve good curative effect.The unique use of drugs by him is mainly based on his accumulation of long-term clinical experience,and also varies according to the location,nature and priority of the disease. In addition,when uses a single drug to treat disease,he also uses it with large dose to achieve effect. From Professor LU's experience,we can see that when use drugs with large dose,we not only need to be familiar with the nature of the drugs,but also have courage and knowledge to do so. For the question why the dose of the drugs need to be enlarged,the changes of physical functions of human body,the disease condition and the differences of drugs' properties between ancient and modern times may be the answer.