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苍术临床应用及其用量
引用本文:赵艺如,王青,安春耀,金德,包琦,赵生慧,邸莎. 苍术临床应用及其用量[J]. 吉林中医药, 2019, 39(7): 873-876
作者姓名:赵艺如  王青  安春耀  金德  包琦  赵生慧  邸莎
作者单位:中国中医科学院广安门医院,北京,100053;中国中医科学院广安门医院,北京 100053;北京中医药大学,北京 100029
基金项目:国家重点基础研究发展计划(973计划)
摘    要:整理古籍及现代医家临床经验,总结临床应用苍术具有以下特点。1)苍术用量多为3~50 g。2)根据疾病、证型、症状的不同寻求最佳用量:如苍术发挥燥湿健脾、滋阴助阳功效,治疗妇科疾病(如不孕症、多囊卵巢综合征、原发性痛经等),多为5~25 g;发挥蠲痹通络、清热利湿功效,治疗类风湿关节炎、痛风性关节炎,多为12~15 g。3)根据所治疗的疾病不同,苍术有不同的配伍药物,如清热燥湿常配伍黄柏、黄连、半夏等,健脾祛湿常配伍厚朴、陈皮等。

关 键 词:苍术  量效研究  配伍  燥湿健脾  祛风散寒

Clinical Application and Dosage of Atractylodes Rhizome
ZHAO Yiru,WANG Qing,AN Chunyao,JIN De,BAO Qi,ZHAO Shenghui,DI Sha. Clinical Application and Dosage of Atractylodes Rhizome[J]. Jilin Journal of Traditional Chinese Medicine, 2019, 39(7): 873-876
Authors:ZHAO Yiru  WANG Qing  AN Chunyao  JIN De  BAO Qi  ZHAO Shenghui  DI Sha
Affiliation:(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China)
Abstract:Through collecting ancient books and clinical experience of modern physicians, it is concluded that atractylodes rhizome has the following characteristics: First, the dosage of atractylodes rhizome is mostly 3-50 g.Second, according to the difference of diseases, type of syndrome and symptoms, we choose the best dosage. For example, when drying dampness and fortifying the spleen, enriching yin and supplying yang to treat gynecological diseases(such as infertility, polycystic ovary syndrome, primary dysmenorrhea, etc.), its dosage is 5-25 g. When diffusing impediment and unblocking the collaterals, clearing heat and draining dampness to treat rheumatoid arthritis and gouty arthritis, its dosage is 12-15 g. Third, when treating diseases, syndromes and symptoms, it compatibles with different herbs. For instance, it often compatibles with Phellodendron amurense, Coptis chinensis and Pinellia ternata using its clearing heat and drying dampness. It often compatibles with Magnolia officinalis and Citrus peel using its fortifying the spleen and drying dampness.
Keywords:atractylodes rhizome  dose-effect study  compatibility of medicine  eliminating dampness and invigorating spleen  dispelling pathogenic wind and cold
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