穿山龙的临床应用及其用量探究

Exploration about the Clinical Application and Dosage of Rhizoma Dioscoreae Nipponicae

通过搜集、整理、总结现代医家关于穿山龙的临床经验,得出穿山龙有以下特点:1)临床多用10～80 g。2)结合疾病、证型、症状选择其最佳用量,如穿山龙在发挥祛风湿、通经络功效时,治疗痹症(如风湿性关节炎、强直性脊柱炎等)、皮肤病(如干燥型湿疹),为12～50 g;补虚时,治疗免疫性血小板减少症、高尿酸血症、甲亢、慢性肾炎等,为10～60 g。3)根据疾病、证型及症状,配伍相应中药,如祛风湿、通经络常配伍苍术、桂枝、地龙;补虚常配伍赤白芍、生熟地、当归等。

Summarize characteristics of Rhizoma Dioscoreae Nipponicae by sorting out,summarizing experience from modern physicians:First,clinical dosage is 10-80 g.Second,according to diseases,type of syndromes and symptoms,we choose the best dosage.For instance,when treating arthralgia(rheumatoid arthritis),skin diseases(dry eczema),using its expelling wind-damp and smoothening channels and collaterals,is 12-50 g.When treating immune thrombocytopenia,hyperuricemia,hyperthyroidism,chronic nephritis,using its tonifying deficiency,is 10-60 g.Third,when treating diseases,syndromes and symptoms,it compatibles with different herbs.It compatibles with Atractylodes Lancea(Thunb.)Dc.,Cinnamomi Ramulus,Earthworm using its expelling wind-damp and smoothening channels and collaterals.It compatibles with Herba Peony,Rehmanniae Radix Praeparata,Angelicae Sinensis Radix using its tonifying deficiency.