浙贝母的临床应用及其用量

Clinical application and dosage of thunberg fritillary bulb

通过搜集古医书及现代医家临证经验,总结出浙贝母具有以下量效特点:临床用量多为3.7~30 g。结合病种、证型、症状选择其最佳剂量,如发挥其清热化痰时,治疗表证、呼吸系统疾病、耳鼻咽喉病等,为3.7~12 g;解毒散结通络时,治疗脾胃病、癌性疼痛、痹证、慢性阻塞性肺病等,为10~30 g;消痈时,治疗冠心病、皮肤病、妇科疾病、内分泌及代谢疾病等,为6~30 g。为发挥其最佳功效,常根据病种、证型及症状,配伍相应中药,如清热化痰常配伍桑叶、薄荷叶、陈皮;解毒散结通络常配伍玄参、生地黄、瓜蒌;消痈常配伍薏苡仁、法半夏、鱼腥草等。

By summarizing the clinical experience of Zhebeimu (thunberg fritillary bulb) from ancient medical books and modern physicians,we came to the conclusion as follows.The clinical dosage range is 3.7-30 g.According to diseases,syndromes,symptoms,we choose the best dosage of it.For instance,when treating superficial syndrome,disease of respiratory system,otolaryngology,using its heat-phlegm clearing function,its dosage is 3.7-12 g.When treating spleen and stomach disease,cancerous pain,poliomyelitis,chronic obstructive pulmonary disease,using its detoxification to disperse knot and dredge meridian,its dosage is 10-30 g.When treating coronary heart disease,skin disease,disease of gynaecology,using it to dissipate carbuncle,its dosage is 6-30 g.According to diseases,syndromes and symptoms,it compatibles with different herbs.For example,it often compatibles with Sangye (mulberry leaves),Boheye (mint leaves) and Chenpi (dried tanggerline) to clear heat phlegm.It often compatibles with Xuanshen (figwort root),Shengdi (unprocessed rehmannia root),Gualou (snakegourd fruit) with detoxification to disperse knot and dredge meridian.It often compatibles with Yiyiren (coix seed),Fabanxia (processed pinellia tuber),Yuxingcao (heartleaf houttuynia herb) to dissipate carbuncle.