从量效关系探讨张志远运用大黄经验
Exploration of ZHANG Zhiyuan's Experience in Using Dahuang (
Radix et Rhizoma Rhei ) based on Dose Effect Relationship
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1.山东中医药大学中医文献与文化研究院,山东省济南市长清区大学路4655号,250355
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段展辉, 刘桂荣. 从量效关系探讨张志远运用大黄经验[DB/OL].(2022-11-22)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32290657&Fpath=home&index=0
DUAN Zhanhui, LIU Guirong. Exploration of ZHANG Zhiyuan's Experience in Using Dahuang (
段展辉, 刘桂荣. 从量效关系探讨张志远运用大黄经验[DB/OL].(2022-11-22)[2023-11-05].http://cccl-tcm.cacm.org.cn/thesisDetails?columnId=32290657&Fpath=home&index=0 DOI:
DUAN Zhanhui, LIU Guirong. Exploration of ZHANG Zhiyuan's Experience in Using Dahuang (
基于量效关系总结张志远运用大黄的临证经验。围绕大黄寒沉藏、泻热存阴和味臭香、性走不守的功效基础,将大黄用量分为小剂量1~3 g、中剂量6~18 g、大剂量30~60 g不同剂量段。总结认为大黄的量效关系为小剂量健胃、降逆、通经、行药力,用于治疗各种饮食积滞、逆气上冲所致的脾胃病及瘀血闭阻所致的月经后期、闭经、痹证等;中剂量清热解毒,用于治疗各种热证;大剂量破血攻积,用于治疗神志病。同时将不同剂量大黄分别与他药灵活配伍,即小剂量大黄配伍赭石、半夏,中剂量大黄配伍石膏,小剂量、中剂量大黄配伍栀子、茵陈,不同剂量大黄配伍桃仁,以产生更多功效而扩展其临床应用范围。
This article discussed ZHANG Zhiyuan's experience in using Dahuang (,Radix et Rhizoma Rhei,) based on the dose-effect relationship. Dahuang has the nature of cold, deep and storage, and can drain heat and store,yin,; moreover, it's flavor and smelling are fragrant, and keeps wandering but not good at maintaining. Based on these functions, the dosage of Dahuang is divided into small (1-3 g), medium (6-18 g) and large (30-60 g) doses. Dose-effect relationship analysis showed that small doses of Dahuang can strengthen the stomach, direct counterflow downward, unblock meridians, and perform medicinal power, and can be used to treat all kinds of spleen and stomach diseases caused by food stagnation and upward rushing of counterflow,qi,, as well as delayed menstruation, amenorrhea and,bi ,(痹) syndrome induced by obstruction of stasis blood. Medium doses of Dahuang can clear heat and resolve toxins, and is used for treating all kinds of heat syndrome. Large doses have the function of breaking up blood and attacking accumulation, and can be used to treat mental diseases. The function and its application in clinical practice can be expanded when different doses of Dahuang are combined with other herbs, such as small doses of Dahuang in combination Zheshi (,Haematitum,) and Banxia (,Rhizoma Pinelliae,), medium doses of Dahuang in combination with Shigao (,Gypsum Fibrosum,), small and medium doses of Dahuang in combination with Zhizi (,Fructus Gardeniae,) and Yinchen (,Herba Artemisiae Scopariae,), and all different doses of Dahuang with Taoren (,Semen Persicae,).
大黄量效关系名医经验张志远
Dahuang (Radix et Rhizoma Rhei)dose-effect relationshipfamous doctors' experienceZHANG Zhiyuan
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