桔梗“载药上行”探寻与评议

Literature Study in Jiegeng [Radix Platycodonis,桔梗] “Taking Herbs Bottom-up”

桔梗是临床常用中药,被誉为"舟楫之剂",能"载诸药上浮"。通过对古今中医药文献的研究发现,桔梗功效众多,临证运用甚广,确有"载药上行"之功,同时在治疗肺系疾病中也确实有效。认为桔梗要发挥载药上行的作用时用量要小,一般6~9 g即可且要后下;当发挥豁痰散痈功效时用量可稍大,但需注意中病即止。通过探寻桔梗载药上行之意,有助于全面了解桔梗的功效及临证运用方法,为临床合理应用提供思路。

Jiegeng [ Radix Platycodonis, 桔梗] is a commonly used herb in clinic, which Is called ＂boatnKe herb＂ and can ＂take other herbs bottom-up＂. By researching ancient and modem Chinese medicine literature, the authors find that Jiegeng has many effects. It is widely used clinically. It is certain that Jiegeng has the effect of ＂tak- ing herbs bottom-up＂. Meanwhile, it is effective in treating pulmonary diseases. The authors hold that small dose of Jiegeng to provide reference for clinical rational application.