何首乌的临床应用及其用量

Clinical application and dosage of fleeceflower root

通过搜集古医籍及现代医家临床经验,总结何首乌具有以下特点:用量多为3~50 g。根据疾病、证型、症状寻求最佳用量,如治疗疟疾,用量11.1~37 g;治疗瘰疬、疮肿痒痛等,用量多为15~30 g;治疗便秘,用量多为12~30 g;治疗更年期、经期紊乱等,用量多为3~50 g;治疗肥胖、胸痹等,用量多为30 g。根据疾病、证型及症状,如截疟,配伍人参;解毒消痈,配伍夏枯草、防风等;润肠通便,配伍瓜蒌、薤白等;补肝肾、益精血,配伍女贞子、熟地黄等;化浊降脂,配伍泽泻、党参等。

Based on the collection of ancient medical records and clinical experience of modern doctors,the following characteristics of Heshouwu (fleeceflower root) were summarized.Firstly,the dosage is mostly 3-50 g.Secondly,according to the disease,syndrome type and symptom,the best dosage should be 11.1-37 g for malaria treatment,15-30 g for scrofula and sore,12-30 g for constipation,3-50 g for menopause and menstrual disorder,30 g for obesity and chest discomfort.Thirdly,it is often combined with Renshen (ginseng) for malaria interception,Xiakucao (common selfheal fruit-spike) and Fangfeng (divaricate saposhnikovia root) for detoxification and carbuncle elimination,Gualou (snakegourd fruit) and Xiebai (longstamen onion bulb) for moistening and unblocking the bowels,Nyuzhenzi (glossy privet fruit),Shudihuang (prepared rehmannia root) for tonifying the liver and kidney and benefiting the blood essence;Zexie (oriental waterplantain rhizome),Dangshen (tangshen) for turbidity and lipid reduction.