王素梅教授应用钩藤经验举隅  

Application of Uncaria Rhynchophylla in Treating Pediatric Diseases by Professor Wang Sumei

作　　者：于文静[1] 张雯[1] 崔霞[1] 卫利[2] 

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学东方医院,北京100078

出　　处：《中医学报》2015年第8期1137-1139,共3页Acta Chinese Medicine

基　　金：国家自然科学基金项目(81273799)

摘　　要：王素梅教授在临床中运用钩藤不仅用于肝风内动所致的惊风抽搐,还依据该药的性味归经、功效主治,结合小儿咳嗽、湿疹、夜啼、多发性抽动症、注意力缺陷多动障碍等疾病的病因病机,遣方用药时酌加钩藤以提高临床疗效。但临床中还需注意两点:1钩藤质轻味薄,入药煎煮时间不宜过长,否则可显著降低其疗效。2钩藤性微寒,小儿脾常不足,过用或久用可致脾阳亏虚,而见腹痛、腹泻、恶心、呕吐等症状,故在临证时钩藤用量一般不超过10 g,同时注意顾护脾胃,清热平肝同时而无伤脾损胃之忧。Professor Wang sumei in the clinical use of uncaria not only used for autumn zephyrlily caused by epilepsy, also according to the drug＇s property and flavor and channel tropism, efficacy, combined with the etiology and pathogenesis of infantile cough, eczema, night cries,tourette syndrome ,attention deficit hyperactivity disorder,should make considered additions uncaria in order to improve the clinical curative effect. But the clinical also note two points ：①outeng（Uncaria） is thin and light flavor,the decoction time should not be too long, otherwise reduce its curative effect. ②Gouteng（Uncaria） is cold,infantile spleen is insufficiency, often use or long use can cause the spleen Yang deficiency, and abdominal pain, diarrhea, nausea, vomiting, so when the clinical dosage of uncaria is generally not more than 10 g. At the same time, pay attention to protect the spleen and stomach, clear heat fiat liver without hurting spleen damage the stomach of sorrow.

关 键 词：王素梅 钩藤 风热感冒 过敏性咳嗽 小儿湿疹 夜啼 多发性抽动症 注意力缺陷多动障碍 

分 类 号：R249.8[医药卫生—中医临床基础]