西洋参临床应用及其用量

Exploration about the Clinical Application and Dosage of Panax Quinquefolium L.

整理古医籍及现代医家临床经验,总结西洋参临床用量及配伍具有以下特点。1)入汤剂临床用量范围为2~30 g。2)因证配伍,因用施量。如西洋参补气养阴,治疗心肌炎并心律失常、2型糖尿病、崩漏、小儿血小板减少性紫癜等,用量2~30 g;西洋参益气(补气)生津,治疗肢节烦疼、不明原因的长期低热等,用量3~7.5 g;西洋参发挥益气为主功效,治疗重症肌无力、咳喘类疾病、心绞痛、慢性泌尿系感染等,用量3~12 g;西洋参取其性凉养阴清热,治疗血虚生风证、湿温肠道出血证等,用量2~12 g。3)根据所治疗疾病的不同,西洋参有不同的配伍药物,如补气养阴常配伍丹参、五味子、鳖甲等,益气(补气)生津常配伍红参、生黄芪、地骨皮等,益气为主时配伍黄芪、山药等,养阴清热常配伍阿胶、生鳖甲等。

Summarize ancient medical books and the clinical experience of Panax quinquefolium L. from modern physicians, and draw the following conclusion. First, the clinical dosage range of Panax quinquefolium L. is 2-30 g.Second, compatibility is selected according to symptoms and dosage is selected according to clinical application. For instance, when treating myocarditis with arrhythmia, type 2 diabetes, uterine bleeding, pediatric thrombocytopenicpurpura, etc. It plays its role in boosting qi and nourishing yin. Then, its dosage range is 2-30 g. When treating pains in limbs, unexplained long-term low fever, etc. It plays its role in supplementing qi and promoting fluid. Then, its dosage range is 3-7.5 g. When treating myasthenia gravis, cough and asthma diseases, angina pectoris, chronic urinary tract infection, etc. It plays its role in boosting qi. Then, its dosage range is 3-12 g. When treating blood deficiency and wind syndrome, wet and warm intestinal bleeding syndrome, etc. It plays its role in nourishing yin and clearing heat. Then, its dosage range is 2-12 g. Third, it is often compatible with different herbs to treat different diseases. For example, when applying its role of boosting qi and nourishes yin, it is often compatible with radix salvia miltiorrhiza, schisandra, turtle shell. When applying its role of supplementing qi and promoting fluid, it is often compatible with red ginseng, astragalus, cortex Lycii. When applying its role of boosting qi, it is often compatible with astragalus, yam. When applying its role of nourishing yin and clearing heat, it is often compatible with colla Corii Asini, turtle shell.