摘要
综合历代经典方剂及现代名家经验,总结出鹿茸具有以下临床应用特点:临床汤剂用量范围为1~18.75 g,常用剂量为3~15 g;丸散剂临床用量为0.3~11.54 g。结合病种、证型、症状选择其最佳剂量,如补肾壮阳、起痿振颓治疗早泄、难治性肾病等,常用量为3~18.75 g,丸散每服用0.5~11.54 g;益精填髓治疗中风后遗症、再生障碍性贫血、脊髓型椎间盘突出症等,常用量为1~15 g,丸散每服用0.3~3 g。根据病种、证型及症状,配伍相应中药,如补肾壮阳、起痿振颓常配伍人参、巴戟天、韭菜子、淫羊藿、仙茅等;益精填髓常配伍红参、牛脊髓粉、熟地黄等;补肾壮骨常配伍续断、骨碎补、杜仲、熟地黄。
Based on classical prescriptions of past dynasties and the experience of modern celebrated physicians,it is concluded that deer velvet has the following clinical application characteristics:Its clinical dosage range in decoctions is 1-18.75 g,and its usual dosage is 3-15 g,while its clinical dosage in pills or powders is 0.3-11.54 g.The optimal dosage of deer velvet is selected according to the varying types of diseases,syndrome types and symptoms.For example,when used for tonifying the kidneys and strengthening yang,shaking off flaccid paralysis and impotence in the treatment of premature ejaculation and refractory nephrosis,its usual dosage range is 3-18.75 g,while in pills or powders 0.5-11.54 g.For strengthening and nourishing marrow and essence to treat sequelae of apoplexy,aplastic anemia,spinal disc herniation,etc.,its usual dosage range is 1-15 g,while in pills or powders 0.3-3 g.According to the different types of diseases,syndrome types and symptoms,deer velvet can be combined with corresponding traditional Chinese drugs.For instance,for tonifying the kidneys and strengthening yang,shaking off flaccid paralysis and impotence,it is often compatible with ginseng,morinda root,tuber onion seeds,epimedium herb,common curculigo rhizome,etc.For strengthening and nourishing marrow and essence,it is often compatible with red ginseng,bovine spinal cord powders and prepared rehmannia root,etc.For tonifying the kidneys and strengthening bones,it is often used in combination with himalayan teasel root,ortune’s drynaria rhizome,eucommia bark and prepared rehmannia root.
作者
陈科宇
吉红玉
顾成娟
CHEN Keyu;JI Hongyu;GU Chengjuan(Guang’anmen Hospital,China Academy of Chinese Medical Sciences,Beijing 100053,China;Zhengzhou Hospital of Traditional Chinese Medicine,Zhengzhou 450007,China;Shenzhen Hospital of Guangzhou University of Chinese Medicine<Futian>,Guangzhou 518000,China)
出处
《长春中医药大学学报》
2022年第3期257-260,共4页
Journal of Changchun University of Chinese Medicine
基金
国家重点基础研究发展计划(973计划)(2010CB530601)
中医药科技重大成果引导项目(ZZ13-ZD-06)。
关键词
鹿茸
量效研究
配伍
临床应用
deer velvet
dose-effect study
compatibility of medicines
clinical application