木通的临床应用及其用量探究

A study on the clinical application and dosage of akebia stem

通过搜集古医籍及现代医家临床经验,总结出木通具有以下特点:临床汤剂中木通用量为3~30 g,常用量为3~20 g,丸散剂常用1.04~5 g。根据疾病、证型、症状寻求最佳用量,如养血活血,通利血脉治疗血管性疾病(如末梢神经炎、多发神经炎、尺神经麻痹、雷诺氏病、血栓闭塞性脉管炎等)、肢体疼痛(如糖尿病周围神经病变、骨性关节炎、类风湿关节炎等)、精神类疾病(如精神分裂症、强迫性神经症、隐匿性忧郁症、脑外伤性精神病等)、皮肤病(如皮肤溃疡、荨麻疹、硬皮病等)用量为3~30 g;清热利湿治疗代谢性疾病(如高血压、高脂血症等)、时毒疫疠(如流行性出血热等)、皮肤病(如带状疱疹、急性湿疹、过敏性紫癜、银屑病、丹毒等)、泌尿生殖系统疾病(如宫颈炎、慢性肾小球肾炎、前列腺增生、慢性前列腺炎等)、消化系统疾病(如急性胆囊炎、乙型肝炎等)、癌症(如膀胱癌、卵巢癌等)汤剂用量为4.5~20 g,丸散剂1.04~5 g。根据疾病、证型及症状,配伍相应中药,如养血活血,通利血脉常配伍当归、桂枝、细辛等;清热利湿常配伍龙胆草、车前子、小蓟、滑石、白茅根、大黄等。

Based on collecting the clinical experience from ancient medical books and of modern physicians,it is concluded that akebia stem has the following characteristics:Its clinical dosage range in decoction is 3~30 g,and its common dosage range is 3~20 g,and its common dosage range in pills or powders is 1.04~5 g.Its best dosage should be decided according to different diseases,syndrome types or symptoms.For instance,when used for nourishing blood and promoting blood circulation,and dredging blood vessels to treat vascular diseases(such as peripheral neuritis,polyneuritis,ulnar nerve palsy,Raynaud’s disease,thromboangiitis obliterans,etc.),limb pain(such as diabetic peripheral neuropathy,osteoarthritis,rheumatoid arthritis,etc.),mental diseases(such as schizophrenia,obsessive-compulsive neurosis,latent depression,brain traumatic psychosis,etc.),skin diseases(such as skin ulcers,urticaria,scleroderma,etc.),its dosage range is 3~30 g.For clearing heat and promoting diuresis in the treatment of metabolic diseases(such as hypertension,hyperlipidemia,etc.),epidemic diseases(such as epidemic hemorrhagic fever,etc.),skin diseases(such as herpes zoster,acute eczema,allergic purpura,psoriasis,erysipelas,etc.),genitourinary system diseases(such as cervicitis,chronic glomerulonephritis,prostatic hyperplasia,chronic prostatitis,etc.),digestive system diseases(such as acute cholecystitis,hepatitis B),cancers(such as bladder cancer,ovarian cancer,etc.),its dosage in decoction is 4.5~20 g,while in pills or powders 1.04~5 g.According to varying diseases,syndrome types or symptoms,akebia stem is compatible with corresponding Chinese medicines.For example,for nourishing blood and promoting blood circulation,and dredging blood vessels,it is often combined with Chinese angelica,cassia twig,manchurian wildginger,etc.For clearing heat and promoting diuresis,it is often combined with Chinese gentian,plantain seeds,field thistle herb,talc,cogon grass rhizome,rhubarb root and rhizome,etc.