生姜、干姜、炮姜量效配伍及临床应用

Exploration about the Clinical Application and Dosage of Fresh Ginger, Dried Ginger and Roasted Ginger

整理古医籍及现代医家临床经验,总结生姜、干姜、炮姜用量具有以下特点。1)生姜临床用量范围为3～120 g,可结合疾病、证型、症状选择最佳剂量及配伍。如生姜调和营卫、发汗祛邪常用3～41.4 g,可配伍桂枝、白芍、大枣等;温中散寒、降逆止呕常用10～69 g,可配伍法半夏、木香、吴茱萸等;温通血脉、化饮消痞常用15～120 g,可配伍附子、桂枝、肉桂等。2)干姜临床用量范围为1～500 g。干姜与黄连相伍辛开苦降治疗糖尿病及其并发症时常用1～15 g;温肺化饮常用5～50 g,可配伍细辛、五味子、桂枝等;温心除痹、温肾回阳常用10～120 g,可配伍附子、肉桂、仙茅等。3)炮姜临床用量范围为0.18～60 g。炮姜温中散寒常用6～30 g,配伍干姜、制附子、小茴香等;温经止血常用6～60 g,可配伍当归、桂枝、吴茱萸等。

Summarize the clinical experience of fresh ginger,dried ginger and roasted ginger from ancient medical books and modern physicians,and draw the following conclusion.1)The main dosage of ginger is 3-120 g,combined with disease,syndrome type,and symptoms,the best dosage and compatibility can be selected,such as ginger harmonizing ying wei,sweating and eliminating pathogenic factors commonly used 3-41.4 g,compatible with cinnamon twig,white peony root,jujube.Warming and dispersing cold,reducing adverse reaction and relieving vomiting commonly used 10-69 g,which can be used in combination with prepared pinellia tuber,saussurea lappa,evodiae Fructus.Warming blood vessels,eliminating phlegm and disperse fluid commonly used 15-120 g,whinc can be used with aconite,cassia twig,cinnamon.2)The main dosage of dried ginger is 1-500 g.The dried ginger and the coptis chinensis are used in the treatment of diabetes and its complications.It is usually 1-15 g.Warming lung for resolving fluid retention is usually used in 5-50 g,which can be combined with asarum,schisandra chinensis,cassia twig.Warming the heart and removing arthralgia,warming kidney and returning yang used 10-120 g,which can be associated with aconite,cassia,common curculigo rhizome.3)The main dosage of roasted ginger is 0.18-60 g.Warming spleen and stomach for dispelling cold commonly used 6-30 g,which is compatible with dried ginger,aconite,fennel.Warming channel for stopping bleeding is usually 6-60 g,which can be used together with angelica sinensis,cinnamon twig,evodiae fructus.