再议“柴胡劫肝阴”

Reconsideration "Bupleurum liver and robbery"

就明清医家提出的"柴胡劫肝阴",从柴胡的功效、柴胡在温病学中的应用、柴胡的临床报道和药理研究等方面加以探讨,认为"柴胡劫肝阴"值得商榷,临床上对于柴胡的应用在辨证符合柴胡运用范围时当大胆使用;对于肝阴不足者,应用柴胡当用小剂量,并应配伍大剂量的滋阴之品。但都须注意中病即止,避免柴胡的大剂量、长时间服用。并通过对文献的研究整理,总结柴胡的禁忌症为中虚湿郁者,脾虚失运、寒饮内停者,阴虚水亏而孤阳劳热者,虚火上炎、牙龈出血或阴虚吐血者,上盛下虚、肝火偏盛者或肝阳上亢者。临床除明确辨证外,对柴胡剂量的调整和配伍的把握是减少或避免柴胡副作用的主要途径。

Doctors on Ming＇s ＂Bupleurum liver and robbery,＂ the effect from Bupleurum in febrile diseases in the application, Bupleurum clinical and pharmacological research in the field reported to be explored, that ＂Bupleurum liver robbery Yin ＂is questionable, the clinical application of the dialectic for Bupleurum Bupleurum use of range in line when the bold use; for the liver and inadequate, application Bupleurum when a small dose, and dose of Yin should be compatibility of the product. But they should be noted that the disease lasts, to avoid large doses of Bupleurum, taking a long time. And sorting through the study of literature, as summarized in Bupleurum contraindications those virtual damp depression, loss of trans- portation deficiency, cold drink within the park are, yin yang water loss and lone workers heat, virtual fire burning, or vaginal bleeding gums virtual hematemesis who, on the virtual Morishita, anger Piansheng or hyperactivity were. In addition to defining the clinical syndrome, the dose adjustment of Bupleurum and compatibility of the grasp is to reduce or avoid side effects of Bupleurnm the main way.