人参、黄芪、山萸肉治疗老年慢性多脏器衰竭急性加重经验——仝小林三味小方撷萃  

Efficacy of ginseng,milkvetch root,cornelian cherry fruit in treating acute exacerbations of chronic multiple organ failure in elderly patients:experience with Tong Xiaolin's triad formula

作　　者：邢潇潇 李君毅[1] 王涵 XING Xiaoxiao;LI Junyi;WANG Han(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：《吉林中医药》2025年第1期36-38,共3页Jilin Journal of Chinese Medicine

基　　金：北京中医药大学壶天客座教授科研启动经费资助项目(2023-XJ-KYQD-006)。

摘　　要：老年慢性多脏器衰竭多因久病痼疾所致,机体肾阴肾阳耗伤,急病引动,则见阳气暴脱,病情危笃。仝小林教授认为,老年慢性多脏器衰竭应以急补元气、温阳固脱为主要治则,选用人参、黄芪、山萸肉组方“吊命汤”。人参大补元气,临床常用剂量为15~60 g。黄芪益气固脱,临床常用剂量为30~120 g。山萸肉专攻收敛、益阴固阳,临床常用剂量为30~120 g。三药大剂量使用,共奏“益气、敛阳、固脱”之功。Elderly patients with chronic multiple organ failure often suffer from long-standing ailments.Over the years,both kidney yin and yang are depleted,and an acute illness may lead to a sudden loss of yang energy,resulting in critical conditions.Professor Tong Xiaolin,an academician of the Chinese Academy of Sciences,suggests that at this point,the primary treatment principle should focus on urgently replenishing vital energy and warming yang to relieve the depletion of yang energy.This can be achieved using ginseng,milkvetch root,cornelian cherry fruit,formulated as"Diao Ming Decoction".Ginseng is a major tonic for vital energy,with a common clinical dosage of 15-60 g.Milkvetch root benefits qi and relieves the depletion of energy,typically used in dosages of 30-120 g.Cornelian cherry fruit specifically helps in astringing,nourishing yin,and securing yang,with a clinical dosage range of 30-120 g.The key to this treatment lies in the high dosages of these three herbs,collectively enhancing"qi replenishment,yang astringency,and energy stabilization",forming a core prescription crucial for managing critical cases in clinical practice.

关 键 词：人参 黄芪 山萸肉 慢性多脏器衰竭 

分 类 号：R249[医药卫生—中医临床基础]