槟榔的临床应用及其用量探究

Clinical application and dosage of areca seed

通过搜集古医书及现代医家临证经验,总结出槟榔具有以下特点:临床汤剂用量多为1.1~90 g,常用量为10~15 g,丸剂用量为0.13 g。结合病种、证型、症状选择其最佳剂量,如消食导滞、消胀行气治疗便秘、肠梗阻等,汤剂为3~27 g,丸剂为0.13 g;驱杀诸虫治疗蛔虫病,用量为10~90 g;通经活络治疗郁证等为15 g;清热利尿治疗扁桃体炎、肾病综合征等为3~15 g;行气截疟治疗疟疾,为2.07~7.4 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,如消食导滞、消胀行气常配伍枳实、木香等;驱杀诸虫常配伍乌梅;通经活络常配伍路路通、茯苓;清热利尿常配伍车前子、泽泻等;行气截疟常配伍常山、草果等。

By summarizing the clinical experience from ancient medical books and modern physicians,it is concluded that areca seed has the following characteristics:The dosage range in clinical decoction is 1.1-90 g,and the usual dosage is 10-15 g,while the dosage for pills is 0.13 g.Its best dosage is determined according to different diseases,syndrome types and symptoms.For instance,when used for resolving food stagnation,eliminating abdominal distension and activating qi movement to treat constipation,intestinal obstruction,etc.,the dosage in decoction is 3-27 g,and 0.13 g in pills.When used for expelling intestinal parasites to treat ascariasis,the dosage is 10-90 g.For dredging channels and activating collaterals to treat depression syndrome,its dosage is 15 g.For clearing heat and diuresis to treat tonsillitis,nephrotic syndrome,etc.,its dosage is 3-15 g.For activating qi flowing and preventing malaria to treat malaria,its dosage is 2.07-7.4 g.For exerting its best curative efficacy in treating varying diseases,syndrome types and symptoms,areca seed can be compatible with different corresponding herbs.For example,it is often compatible with immature orange fruit and common aucklandia root for resolving food stagnation,eliminating abdominal distension and activating qi flowing.It is often compatible with smoked plum for expelling intestinal parasites.It is often compatible with beautiful sweetgum fruit and Indian bread for dredging channels and activating collaterals.It is often compatible with plantain seed and oriental waterplantain rhizome for clearing heat and diuresis.It is often compatible with antifeverile dichroa root and fruit of caoguo for activating qi movement and preventing malaria.