苦瓜的临床应用及其用量探析

Clinical Application and Dosage of Momordica Charantia

通过搜集古代医籍及现代医家临床应用,总结出苦瓜具有以下特点:临床应用范围为10~60 g,常用剂量范围为15~30 g。临床根据疾病、证型、症状的不同而选择不同的苦瓜剂量,如清热利湿、泄浊解毒治疗脾虚痰瘀型肾炎,其用量为10 g;清热除湿、消导化浊治疗2型糖尿病、糖尿病肾病,用量为15~60 g。根据疾病、证型及症状,配伍相应中药,如清热利湿常配伍知母、黄连、桑叶等;清热泄浊解毒,常配伍全瓜蒌、茯苓、橘红、丹参、红花等。

Through the collection of ancient medical books and clinical application of modern doctors,it is concluded that Momordica Charantia has the following characteristics:The range of clinical application is 10-60 g,and the usual dosage range is 15-30 g.According to different diseases,syndrome types and symptoms,different dosage of Momordica Charantia is selected,such as clearing heat and promoting diuresis,eliminate turbidity,clearing away turbidness and detoxicationto treat spleen deficiency and phlegm stasis type nephritis,the dosage was 10 g;clearing heat and eliminating dampness,eliminating turbidity to treat type 2 diabetes,diabetic nephropathy the dosage was 15-60 g.According to the disease,syndrome type and symptoms,the corresponding traditional Chinese medicine is compatible,such as clearing heat and promoting diuresis,it often compatible with Rhizoma Anemarrhenae,Rhizoma Coptidis,Folium Mori,et al.Clearing heat,clearing away turbidness and detoxication,it often compatible with Fructus Trichosanthis,Poria,Exocarpium Citri Rubrum,Radix Salviae Miltiorrhizae,Flos Carthami and so on.