续断的临床应用及用量探究

Exploration of the clinical application and dosage of himalayan teasel root

搜集整理古现代医家临证经验,总结出续断具有以下特点:续断汤剂中临床用量范围为0.74~41.4 g,其中常用剂量在6~30 g,丸散剂临床用量范围为1.43~12 g。根据不同病证区分用量,如补肝肾、通经脉、止崩漏治疗便血、血分病、妇科病等,用量为0.74~41.4 g,丸散剂用量为1.43~12 g;补肝肾、强筋骨、祛风湿、续折伤,治疗类风湿性关节炎、慢性肾小球肾炎、关节病、骨折等,用量为6~30 g,丸散剂用量为1.85~8.57 g。根据不同病证,配伍相应中药,如治疗肝肾亏虚、崩漏便血,常用续断配伍熟地黄、菟丝子、干姜、当归、川芎等;治疗筋骨萎软、风湿痹痛,常用续断配伍桑寄生、牛膝、杜仲、狗脊、补骨脂、骨碎补、独活等。

Based on collecting and sorting out the clinical experience of the ancient medical books and modern doctors,it is concluded that himalayan teasel root has the following characteristics:Its clinical dosage in Xuduan Decoction ranges from 0.74 to 41.4 g,of which its usual dosage range is 6-30 g,and in pills or powders 1.43-12 g.The dosage of himalayan teasel root is differentiated according to different diseases and syndrome types.For example,when used for invigorating the liver and kidney,unblocking the meridians,stopping metrorrhagia in the treatment of hematochezia,hematopathy,gynecological diseases,etc.,its dosage range is 0.74-41.4 g,and in pills or powders 1.43-12 g.For tonifying the liver and kidney,strengthening the tendons and bones,dispelling wind and eliminating dampness,improving fractures in the treatment of rheumatoid arthritis,chronic glomerulonephritis,arthropathy,fracture,etc.,its dosage in decoction is 6-30 g,and the dosage in pills or powders is 1.85-8.57 g.Himalayan teasel root can be combined with corresponding Chinese medicines according to different diseases and syndrome types.For example,it is compatible with prepared rehmannia root,dodder seed,dried ginger,Chinese angelica,Sichuan lovage rhizome,etc.for the treatment of liver-kidney deficiency,metrorrhagia and hematochezia.While for treating withering or weakness in the tendons and bones,arthralgia caused by wind-dampness pathogens,it is often compatible with Chinese taxillus herb,twotoothed achyranthes root,eucommia bark,cibot rhizome,malaytea scurfpea fruit,fortune’s drynaria rhizome,doubleteeth pubescent angelica root,etc.