三七的临床应用及其用量探究

Study on Clinical Application and Dosage of Panax Notoginseng

通过搜集古医籍及现代医家临床经验,总结出三七具有以下特点:1)冲服用量为0.5~11.25 g,入汤剂用量为3~15 g;2)根据疾病、证型、症状寻求最佳用量,如化瘀止血冲服治疗各种出血疾病、月经病、糖尿病视网膜病变,为1~9 g,入汤剂治疗各种出血症状、年老之崩漏、胃溃疡等,为3~15 g;活血化瘀冲服治疗消化系统疾病、心系疾病、内分泌系统疾病等,如早期肝硬化、冠状动脉粥样硬化性心脏病、糖尿病,为0.5~11.25 g,入汤剂治疗黄褐斑、月经后期、慢性病毒性肝炎等,为3~15 g。3)根据不同疾病,三七配伍不同药物,化瘀止血可配伍花蕊石、血余炭、益母草等,活血化瘀配伍当归、赤芍、延胡索等。

By collecting the clinical experience of ancient medical books and modern physicians,it is concluded that panax notoginseng has the following characteristics:1.The dosage of granule is 0.5-11.25 g,and the dosage of decoction is 3-15 g.2.Seek the optimal dosage according to the diseases,syndrome type and symptoms.For example,the dosage of granule of resolving blood stasis to stop bleeding to treat various bleeding diseases,menstrual diseases,diabetic retinopathy,and its dosage was 1-9 g.The decoction was used to treat various bleeding symptoms,disintegrating in old age,and gastric ulcer,and the dosage ranged from 3 g to 15 g.For the treatment of digestive system diseases,heart diseases,endocrine system diseases,etc,for example,early cirrhosis,coronary heart disease,diabetes,the dosage was 0.5-11.25 g.The decoction was used to treat chloasma,late menstruation and chronic viral hepatitis 3-15 g.3.According to different diseases,panax notoginseng can be combined with different drugs to remove blood stasis and stop bleeding.It can be combined with stamen stone,blood carbon,motherwort,to remove blood stasis and stop bleeding.It can also be combined with angelica root,red peony root,rhizoma corydalis,leech and peach to activating blood circulation to dissipate blood stasis.