麻黄激发阳气的临床应用探讨  

Exploration on the Clinical Application of Ephedrae Herba inStimulating Yang Qi

作　　者：周逸珊 廖先勇 饶克瑯 皮鹰 ZHOU Yi-Shan;LIAO Xian-Yong;RAO Ke-Lang;PI Ying(Shenzhen Bao’an Traditional Chinese Medicine Hospital Affiliated to Guangzhou University of Chinese Medicine,Shenzhen 518133 Guangdong,China)

机构地区：[1]广州中医药大学附属宝安中医院,广东深圳518133

出　　处：《广州中医药大学学报》2024年第1期234-239,共6页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东省名中医传承工作室建设项目(粤中医办函[2020]1号)。

摘　　要：基于文献梳理及对产后尿频、小儿遗尿、高龄尿毒症并发缓慢型心律失常等具体病案的分析,探讨麻黄激发阳气之功效在临床的应用。麻黄归属肺、膀胱经,辛温发散,走窜透达,为治疗外感第一要药,具有发汗、平喘、利水之功,广泛用于外感、咳喘、水肿等病症。对于因产后气血大伤,或因先天禀赋不足,或因年老久病而肾中精气逐渐衰惫,致使肾阴阳俱虚但阴阳虚损偏颇不明显的患者,治疗时可在温肾阳的基础上,予少量麻黄,以激发阳气,有助于药力达膀胱经循行部位所属脏腑之背俞穴,从而促进脏腑功能恢复正常。麻黄发汗力强,作用峻猛,用于激发阳气时,一般以3~9 g为宜,同时需配合温阳药;使用疗程不宜过长,以防其累积剂量过大,损伤元气。Based on the literature review and the analysis of specific cases of postpartum frequent micturition,pediatric enuresis,elderly uremia complicated with bradyarrhythmia in clinic,the clinical application of the action of Ephedrae Herba in stimulating yang qi is discussed.Ephedrae Herba has the meridian tropism of the lung and bladder meridians,and is pungent,warm and dispersing,which is the most important medicine for the treatment of external contraction.Ephedrae Herba has the actions of inducing diaphoresis,calming asthma and inducing diuresis,and is widely used for the treatment of external contraction,coughing and asthma,and edema.For the patients with deficiency of both kidney yin and kidney yang without obvious bias of yin-yang consumption which result from the postpartum impairment of qi and blood,deficient innate endowment,and gradually exhaustion of essence in the kidney in the elderly or during chronic illness,a small dosage of Ephedrae Herba can stimulate yang qi during the treatment of warming kidney yang,which is helpful for promoting the drug arriving at the back shu-points of the internal organs distributed along the bladder meridian and enhancing the recovery of zang-fu organ function.Ephedrae Herba is strong in inducing diaphoresis with an intense action.When Ephedrae Herba is used to stimulate yang,the dosage of 3~9 g is appropriate,and medicines for warming yang are needs to be used together.The course of treatment with Ephedrae Herba should be avoided to be too long,in order to prevent the vital energy from the damage by its large cumulative dose.

关 键 词：麻黄 产后尿频 小儿遗尿 激发阳气 温阳药 膀胱经 

分 类 号：R282.71[医药卫生—中药学]