赤小豆的临床应用及其用量探究  

Clinical application and dosage of rice bean

作　　者：于同月 赵林华[1] YU Tongyue;ZHAO Linhua(Guang'amnen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China)

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《长春中医药大学学报》2022年第6期610-613,共4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);北京市自然科学基金资助项目(7212189)。

摘　　要：通过搜集古医书及现代医家临证经验,总结出赤小豆具有以下特点:临床汤剂用量多为6~250 g,常用量为15~30 g,散剂的剂量为0.25~7.5 g,其作为药膳时应用剂量为50~250 g,但大剂量应用时多以去豆饮汤为主(用50~100 g时未标明服用时长及不良反应,250 g应用时早晚服用,连服3~5天,未标明具体服法及可能的不良反应)。结合病种、证型、症状选择其最佳剂量,如利水消肿治疗肾病综合征、水肿等,为10~250 g,作为药膳时应用剂量为50~250 g,服用方法多为去豆饮汤(用50~100 g时未标明服用时长及不良反应,250 g应用时早晚服用,连服3~5天,未标明具体服法及可能的不良反应);清热解毒治疗肠痈、皮肤病(湿疹、痤疮等),汤剂用量为9~30 g,散剂用量为0.25 g;健脾化湿除满治疗腹胀、溃疡性结肠炎、高脂血症等,汤剂为6~45 g,散剂为7.5 g;养血活血治疗不孕、卵巢过度刺激综合征等,为20~45 g。为发挥其最佳功效,常根据病种、证型及症状,配伍相应中药,如利水消肿常配伍薏苡仁;清热解毒常配伍连翘;健脾化湿除满常配伍槟榔;养血活血常配伍当归。By collecting ancient medical books and the clinical experience of modern doctors,it is concluded that rice bean has the following characteristics:Its dosage range in clinical decoction is mostly 6-250 g,and its commonly used dosage range is 15-30g,while in powders 0.25-7.5 g.When used as a medicinal diet,its dosage range is 50-250 g.Only consumed in the form of soups is rice bean administered in large dose(No duration and adverse reactions are specified for 50-100 g,while for 250 g,it is taken in the morning and evening for consecutive 3-5 days,yet no specific administration method and possible adverse reactions are specified).The optimal dosage of rice bean is selected according to different types of disease,syndrome types and symptoms.For example,when used for inducing diuresis for removing edema to treat nephrotic syndrome and edema,its dosage range is 10-250 g,while as a medicated diet 50-250 g,usually with only in the form of soups(No duration and adverse reactions are specified for 50-100 g,while for 250 g,it is taken in the morning and evening for continuous 3-5 days,yet no specific administration method and possible adverse reactions are specified).For clearing heat and removing toxicity to treat intestinal abscess and dermatosis(eczema,acne,etc.),its dosage range in decoction is 9-30 g,while in powders 0.25 g.For invigorating spleen for eliminating dampness and indigestion in the treatment of abdominal distension,ulcerative colitis,hyperlipidemia,etc.,its dosage range in decoction is 6-45 g,while in powders 7.5 g.For nourishing blood and activating blood circulation in the treatment of infertility,ovarian hyperstimulation syndrome,etc.,its dosage range is 20-45 g.In order to give full play to its best effect,rice bean is often combined with corresponding herbs according to various types of disease,syndrome types and symptoms.For example,for inducing diuresis to remove edema,it is often compatible with coix seed.For clearing heat and removing toxicity,it is often compatible with weeping forsythia capsule

关 键 词：赤小豆 量效关系 配伍 临床应用 

分 类 号：R282[医药卫生—中药学]