桃仁的临床应用及其用量探究  

Study on clinical application and dosage of peach kernel

作　　者：杨映映 邸莎 张海宇 赵林华[1] 仝小林[1] YANG Yingying;DI Sha;ZHANG Haiyu;ZHAO Linhua;TONG Xiaolin(Guang'anmen Hospital of China Academy of Chinese Medicine Sciences,Beijing 100053,China;Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]中国中医科学院广安门医院,北京100053 [2]北京中医药大学,北京100029

出　　处：《吉林中医药》2018年第12期1441-1446,共6页Jilin Journal of Chinese Medicine

基　　金：国家"十二五"科技支撑计划课题"‘病证结合’中医药真实世界临床科研方法学研究"(2013BAI02B10);宁夏自治区重点研发计划重大科技项目:"枸杞功效的重大基础研究及功能产品研发"

摘　　要：通过汇总《伤寒论》《金匮要略》《医林改错》及现今多位国医大师、名老中医及专家教授的医话医案,发现:1)桃仁因其平和的属性和活血化瘀的功效,可以通过不同的配伍治疗上、中、下三焦各处的瘀血病证。2)桃仁的临床用量范围为3～30 g(个别医家因剂型的差异而有所出入),其中5～15 g为常用量。15 g以上的大剂量多用于肠痈、脑出血等急重症。3)桃仁常同红花、赤芍、生地、当归、川芎、牡丹皮、鳖甲、土鳖虫、水蛭、三棱、莪术、三七等活血药相须为用,或补血活血,或活血破瘀,或温经活血,或凉血活血。4)桃仁常同桂枝、乌药等药相配以温经活血;同柴胡、枳壳、桔梗等药相配以行气活血;同连翘、金银花、柴胡等药相配以解毒活血;同茯苓、薏苡仁、泽泻等药相配以祛湿活血;同秦艽、羌活等药相配以祛风活血;同黄芪、炒白术、党参等药相配以益气活血;同大黄、芒硝等药相配以泻下逐瘀。Summarize the clinical experience about peach kernel from Shanghan Lun, Jingui Yaolue, Yilin Gaicuo, and several modern famous TCM doctors. Some conclusion can be got: 1. peach kernel can treat all kinds of blood stasis syndrome with different compatibility because of its peaceful feature and efficiency of promoting blood circulation. 2. The clinical dosage range of peach kernel is 3 ~ 30 g, but the dosage is diff erent due to the diff erent dosage forms that are not used by the doctor. 5 ~ 15 g is a common quantity. Large dosage( > 15 g) are used to treat appendicitis, hemorrhage and other critical illness. 3. It can promote blood circulation from different point by combining with different herbs, such as Honghua, Chishao, Shengdi, Danggui, Chuanxiong, Mudanpi, Biejia, Tubiechong, Shuizhi, Sanleng, Ezhu, Sanqi, etc. 4. It combines with Guizhi, Wuyao to warm the channels and invigorate blood. It combines with Chaihu, Zhiqiao, Jiegeng to move qi and invigorate blood. It combines with Lianqiao, Jinyinhua, Chaihu to resolve toxins and invigorate blood. It combines with Fuling, Yiyiren, Zexie, Qianghuo, Qinjiao to dispel dampness and invigorate blood. It combines with Huangqi, Chaobaizhu, Dangshen to boost qi and invigorate blood. It combines with Dahuang, Mangxiao to purge and expel stasis.

关 键 词：桃仁 用量 配伍 经验 

分 类 号：R289.1[医药卫生—方剂学]