摘要
通过对《金匮要略》中30首含茯苓方剂的条文、药对配伍和用量3个方面进行浅析,总结归纳茯苓的用法用量及规律。发现含有茯苓的30首方剂按茯苓在其中发挥的主要功效分为六类:健脾除湿、温化痰饮、淡渗利水、补益心脾、淡渗利湿、健脾宁心、逐水化饮宁心;《金匮要略》中茯苓最常用的配伍药物是细辛、泽泻、半夏、干姜、白术、桂枝、甘草7味;茯苓用量一般为3~4两,当茯苓在方中起健脾除湿的作用且不是方剂主要功效时,用量在3分至4两,占全方剂量比在2%~11%;当茯苓在方中起温化痰饮作用且不是方剂主要功效时,茯苓用量在3~8两,占全方总剂量在11%~48%;当茯苓在方中起健脾除湿的作用时,用量在1分~8两,占全方总剂量比在7%~35%;茯苓起补益心脾、淡渗利湿功效时用量是4两,占全方总剂量33%;茯苓起健脾宁心的作用,用量为2两,占全方总剂量14%;起逐水化饮宁心作用时茯苓用量3两,占全方总剂量18%。浅析茯苓的应用规律,为今后在实践中使用茯苓提供更有效对症的用量用法。
Through the analysis of the provisions,compatibility and dosage of 30 prescriptions containing Fuling(Poria)in Synop sis of Golden Chamber,the usage,dosage and law of Fuling(Poria)were summarized.It is found that 30 prescriptions containing Fuling(Poria)can be divided into six categories according to the main functions of Fuling(Poria):invigorating spleen and removing dampness,warming and resolving phlegm and fluid retention,promoting urination with bland drugs,tonifying heart and spleen,promoting urination with bland drugs,invigorating spleen and tranquilizing heart,expelling water,resolving fluid retention and tranquilizing heart.The most commonly used compatible drugs for Fuling(Poria)in Synopsis of the Golden Chamber are Xixin(Asari Radix Et Rhizoma),Zexie(Alismatis Rhizoma),Banxia(Pinelliae Rhizoma),Ganjiang(Zingiberis Rhizoma),Baizhu(Atractylodis Macrocephalae Rhizoma),Guizhi(Cinnamomi Ramulus)and Gancao(Glycyrrhizae Radix Et Rhizoma).The dosage of Fuling(Poria)is generally 3~4 Liang.When Fuling(Poria)plays a role in strengthening spleen and removing dampness in the formula and is not the main effect of the formula,the dosage is between three to four Liang,accounting for a proportion of 2%~11%of the total formula dosage.When Fuling(Poria)has a warming and phlegm-relieving effect in the formula and is not the main effect of the formula,the dosage of Fuling(Poria)is 3~8 Liang,accounting for 11%~48%of the total dosage of the formula.When Fuling(Poria)plays a role in strengthening spleen and removing dampness in the formula,the dosage is 1 fen~8 Liang,accounting for a total dosage ratio of 7%~35%of the entire formula.The dosage of Fuling(Poria)for tonifying heart and spleen,reducing permeability and promoting dampness is 4 Liang,accounting for 33%of the total dosage of the entire formula.Fuling(Poria)has the effect of strengthening spleen and calming heart,with a dosage of 2 Liang,accounting for 14%of the total dose of the entire formula.The dosage of Fuling(Poria)is 3 Liang,accounting for 18%of the total dose of the entire formula,when it has the effect of soothing heart,resohing fluid retention and calming mind.It analyzed the application rules of Fuling(Poria),and provided more effective symptomatic dosage and usage for future practical use of Fuling(Poria).
作者
石璐瑶
王一帆
张琳琪
SHI Luyao;WANG Yifan;ZHANG Linqi(Henan University of Traditional Chinese Medicine,Zhengzhou 450003,Henan,China;The First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450003,Henan,China)
出处
《辽宁中医杂志》
CAS
北大核心
2024年第11期10-14,共5页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金面上项目(81973806)
第七批全国老中医药专家学术经验继承工作项目(国中医药人教函[2022]76号)。
关键词
金匮要略
茯苓
剂量
运用规律
Synopsis of Golden Chamber
Fuling(Poria)
dosage
application rule
作者简介
石璐瑶(1998-),女,河南济源人,硕士,研究方向:中医药防治肾脏疾病研究;通讯作者:张琳琪(1963-),女,河南郑州人,教授、主任医师,博士,研究方向:中医及中西医结合防治肾脏病基础与临床研究,E-mail:zlq971688@126.com。
