羌活的临床应用及其用量探究

Clinical Application and Dosage of Qianghuo (Notopterygii Rhizoma Et Radix)

通过搜集古医籍及现代医家临床经验,总结出羌活具有以下特点:汤剂用量为3~30 g。根据疾病、证型、症状寻求最佳用量及配伍,如提升清阳、疏肝行气治疗眩晕、神经官能症、泄泻等病症,为3~15 g;散寒解表治疗风寒外感、头痛、鼻炎等,为6~15 g;祛风胜湿、通络开痹治疗类风湿性关节炎、中风、肩背疼痛等疾病,为10~30 g。根据疾病、证型及症状,配伍相应中药,如提升清阳常配伍柴胡、防风等;解表散寒常配伍荆芥、川芎、葛根等;祛风胜湿常配伍独活、秦艽、茵陈等。

Summarize the clinical experience of Qianghuo(Notopterygii Rhizoma Et Radix) from ancient medical books and modern physicians,and draw the following conclusion:(1)The dosage of decoction is 3-30 g.According to the difference of diseases,type of syndrome and symptoms,we choose the best dosage and compatibility of medicines.For example,when using its promoting the Qingyang,soothing the liver and promoting qi,treating vertigo,neurosis,diarrhea,its dosage is 3-15 g;When using its dispelling cold and relieving exterior syndrome,treating external wind cold,headache,rhinitis,its dosage is 6-15 g;When using its dispelling wind and dampness and dredging collaterals and expelling obstruction,treating rheumatoid arthritis,stroke,shoulder back pain,its dosage is 10-30g;According to the disease,syndrome type and symptoms,it is combined with corresponding traditional Chinese medicine.For example,it often compatibles with Chaihu (Bupleuri Radix),Fangfeng (Saposhnikoviae Radix),for upgrading Qingyang;compatibles with Jingjie (Schizonepetae Herba),Chuanxiong (Chuanxiong Rhizoma),Gegen (Puerariae Lobatae Radix) for resolving the exterior and dissipatting cold;compatibles with Duhuo (Angelicae Pubescentis Radix),Qinjiao (Gentianae Macrophyllae Radix),Yinchen (Artemisiae Scopariae Herba),for expelling wind and eliminating dampness.