牡丹皮的临床应用及其用量探究

Exploration about the Clinical Application and Dosage of Paeonia suffruticosa Andr.

通过搜集中医古籍及检索现代名家临证经验,总结出牡丹皮有以下特点:1)临床多用1.5~60 g。2)结合疾病、证型、症状选择牡丹皮的最佳剂量,用于活血化瘀时,如治疗子宫内膜异位症、子宫肌瘤、乳腺增生等妇科疾病常用6~15 g;用于清热凉血时,如治疗急性胰腺炎、胆囊炎、溃疡性结肠炎等消化系统疾病及高热昏迷、斑疹、吐血、过敏性紫癜等循环系统疾病常用9~60 g;用于清热凉血、活血化瘀治疗儿科疾病及心血管系统疾病时,常用1.5~10 g。3)根据疾病、证型、症状的需要,配伍相应中药,如活血化瘀常配伍赤芍、当归,清热凉血配伍生地黄、栀子等。

Summarize the clinical experience of Paeonia suffruticosa Andr.from ancient medical books and modern physicians,and draw the following conclusion:Firsr,the dosage is mostly 1.5-60 g.Second,according to diseases,syndromes,symptoms,we choose the best dosage.For instance,when treating gynecological diseases like endometriosis,uterine fibroids and breast hyperplasia,using its activating blood and resolving stasis effect,its dosage is 6-15 g.When treating digestive diseases like acute pancreatitis,cholecystitis,ulcerative colitis and circulatory diseases like fever,coma,rash,vomiting blood,allergic purpura,using its clearing heat and cooling blood effect,its dosage is 9-60 g.When treating pediatric disease using its clearing heat,cooling blood,activating blood and resolving stasis effect,its dosage is 1.5-10 g.Third,when treating diseases,syndromes and symptoms,it compatibles with different herbs.For example,it often compatibles with Radix Paeoniae Rubra and Chinese Angelica using its activating blood and resolving stasis effect.It often compatibles with Radix Rehmanniae Recens and Fructus Gardeniae using its clearing heat and cooling blood effect.