白果的临床应用及其用量探究  

Exploration on the clinical application and dosage of ginkgo seeds

作　　者：周容戎 于同月 连凤梅[1] ZHOU Rongrong;YU Tongyue;LIAN Fengmei(Guang'anmen Hospital,China Academy of Chinese Medical Sciences,Bering 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10期1084-1087,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)。

摘　　要：通过整理古籍及现代临床经验,总结临床应用白果具有以下特点:临床汤剂用量为6~20 g,散剂用量为9~15 g,丸剂用量为0.5~3 g。根据疾病、证型、症状寻求最佳用量,如收敛除湿治疗宫颈炎、阴道炎等,汤剂用量为9~15 g,丸剂用量为1~3 g;敛肺止咳祛痰治疗上呼吸道感染、咳嗽咳痰等,汤剂用量为6~20 g,丸剂用量为0.5~3 g;固本定喘治疗哮喘缓解期和慢性气管炎等,汤剂用量为9~15 g,丸剂用量为1~3 g。为发挥其最佳功效,根据疾病、证型及症状配伍相应的中药,如清热利湿、健脾益肾时常配伍车前子、苍术、炒山药等;敛肺止咳化痰时常配伍麻黄、杏仁、生甘草等,收敛固涩、补肾益精时常配伍黄芪、党参、黄精、山药、熟地黄等,固本纳气、宣肺定喘时常配伍生晒参、蛤蚧等。Through sorting out the ancient medical books and summarizing the modern clinical experience,it is concluded that the clinical application of ginkgo seeds has the following characteristics:Its clinical dosage in decoctions ranges from 6 to 20 g,while its common dosage range is 9-15 g,and in pills 0.5-3 g.The best dosage of ginkgo seeds should be determined according to different diseases,syndrome types and symptoms.For instance,when used as astringents to remove dampness in the treatment of cervicitis and vaginitis,etc.,its dosage range in decoctions is 9-15 g,and in pills 1-3 g.For astringing the lung,relieving cough and dispelling phlegm in the treatment of upper respiratory tract infection,cough and expectoration,its dosage range in decoctions is 6-20 g,and in pills 0.5-3 g.For consolidating the body resistance and relieving dyspnea to treat asthma in its remission stage and chronic tracheitis,its dosage range in decoctions is 9-15 g,while in pills 1-3 g.In order to give full play to its best effect,ginkgo seeds should be combined with corresponding Chinese medicines according to different diseases,syndrome types and symptoms.For example,for clearing heat and promoting diuresis,strengthening the spleen and kidney,it is often combined with plantain seeds,atractylodes rhizome,dried common yam rhizome,etc.For astringing the lung,relieving cough and dispelling phlegm,it is often combined with ephedra,bitter apricot seeds,raw liquorice roots,etc.For astringing and arresting,invigorating the kidney and consolidating semen,it is often combined with milkvetch roots,tangshen,solomonseal rhizome,common yam rhizome,prepared rehmannia root,etc.For consolidating the body resistance and maintaining inspiration,ventilating the lung qi and relieving dyspnea,it is often combined with dried fresh ginseng,tokay gecko,etc.

关 键 词：白果 量效研究 配伍 临床应用 

分 类 号：R282[医药卫生—中药学]