薤白的临床应用及其用量  

Clinical application and dosage of longstamen onion bulb

作　　者：吴浩然 赵林华[1] 邸莎 代丹 王新苗 WU Haoran;ZHAO Linhua;DI Sha;DAI Dan;WANG Xinmiao(Guang’anmen Hospital,China Academy of Chinese Medical 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：《长春中医药大学学报》2020年第1期29-31,共3页Journal of Changchun University of Chinese Medicine

基　　金：国家重点基础研究发展计划(973计划)(2010CB530601);国家自然科学基金面上项目(81774296)

摘　　要：通过搜集中医古籍及检索现代名家临证经验,总结出薤白有以下特点:经方中用量为41~279 g,现代医家用量为8~30g。结合疾病、证型、症状选择薤白的最佳剂量,用于通阳散结时,如治疗冠心病、心绞痛、心肌梗死等心血管疾病常用10~30 g;用于行气导滞时,如治疗胃痛、溃疡性结肠炎、肠梗阻、痢疾、月经不调、食管狭窄等气机阻滞诸症常用8~20 g;用于通阳泄浊治疗中风、梅尼埃病、便秘等阴浊凝滞诸症时,常用10~15 g;用于行气祛痰治疗哮喘、肺纤维化、支气管炎、肺炎等呼吸系统疾病时,常用10~20 g。薤白通阳散结常配伍瓜蒌、桂枝,行气导滞配伍枳实、陈皮等。By summarizing the clinical experience of Xiebai(longstamen onion bulb)from ancient medical books and modern physicians,we draw the following conclusion as follows.The dosage is mostly 41-279 g in classical formulas and 8-30g in modern physicians’clinical experience.According to diseases,syndromes,symptoms,we choose the best dosage.For instance,when treating cardiovascular diseases like coronary heart disease,angina pectoris and myocardial infarction,using its activating yang and dissipating mass effect,its dosage is 10-30 g.When treating qi stagnation syndrome like stomachache,ulcerative colitis,intestinal obstruction,dysentery,irregular menstruation and esophageal stricture,using its moving qi and removing stagnation effect,its dosage is 8-20 g.When treating yin and turbid pathogen like stroke,Ménière disease,constipation using its activating yang and descending the turbid effect,its dosage is 10-15 g;when treating respiratory diseases like asthma,pulmonary fibrosis,bronchitis and pneumonia,using its moving qi and resolving phlegm effect,its dosage is 10-20 g.It often compatibles with Gualou(snakegourd fruit)and Guizhi(cassia twig)using its activating yang and dissipating mass effect.It often compatibles with Zhishi(immature orange fruit)and Chenpi(dried tangerline peel)using its moving qi and removing stagnation effect.

关 键 词：薤白 量效研究 配伍 临床应用 

分 类 号：R282[医药卫生—中药学]