丹参的临床应用及其用量探究

Exploration about the Clinical Application and Dosage of Salvia Miltiorrhiza Bge.

通过搜集古医籍及现代医家临证经验,总结出丹参具有以下特点:1)临床多用10~37.3 g。2)结合疾病、证型、症状选择丹参最佳剂量,如丹参发挥祛瘀止痛功效时,常治疗血瘀心痛、瘀血头痛、脘腹疼痛、癥瘕积聚、跌打损伤、风湿痹病、肝硬化、肾病,为10~37.3 g;发挥活血调经功效时,常治疗月经不调、不孕、痛经、产后瘀滞疼痛,为12~30 g;发挥凉血消痈功效时,常治疗乳痈、痤疮、痈疮,为15~30 g;发挥除烦安神功效时,常治疗失眠,为10~15 g。3)根据疾病、证型及症状,配伍相应中药,如祛瘀止痛常配伍三七、乳香、没药;活血调经常配伍黄芪、当归;凉血消痈常配伍金银花、桑白皮;除烦安神常配伍郁金、酸枣仁、远志等。

Summarize the clinical experience and application of Salvia miltiorrhiza Bge.from ancient medical books and modern physicians,and draw the following conclusion:First,the clinical dosage range is 10-37.3 g.Second,according to diseases,syndromes,symptoms,we choose the best dosage of Salvia miltiorrhiza Bge..For instance,when treating blood stasis heart pain,blood stasis headache,abdominal pain,abdominal mass,bruises,rheumatism,cirrhosis,kidney disease using the effect analgesicing pain,its dosage is 10-37.3 g.When using this medicine to promote blood circulation and regulate menstruation,it is often used to treat irregular menstruation,infertility,dysmenorrhea,postpartum stasis and pain,the dosage is 12-30 g;When using this medicine to cool blood for eliminating carbuncles,it is often used to treat acute mastitis,acne,abscess disease,the dosage is 15-30 g;when using this medicine to eliminate dysphoria for tranquillization,it is often used to treat insomnia,the dosage is 10-15 g.Third,according to different diseases,syndrome types and symptoms,it is compatible with different traditional Chinese medicine.For example,Salvia often compatibles with Panax notoginseng,Frankincense,Myrrh using its dispelling stasis and relieving pain;compatibles with Astragalus and Angelica using its promoting blood circulation for regulating menstruation;compatibles with Honeysuckle and Mulberry white using its cooling blood resolving carbuncle;compatibles with Radix curcumae,Semen Ziziphi Spinosae,ambition using its removing dysphoria tranquillization.