世界中医药
文章摘要
引用本文:杨映映1,2,邸莎1,李青伟1,张海宇1,2,赵林华1,仝小林1.桑叶的配伍经验及用量探究[J].世界中医药,2019,(04):.  
桑叶的配伍经验及用量探究
Study on the Combination Experience and Dosage of Folium Mori
投稿时间:2018-04-24  
DOI:10.3969/j.issn.1673-7202.2019.04.057
中文关键词:  桑叶  止汗  止崩  降糖  量效  配伍  临床经验  名老中医
English Keywords:Folium Mori  Antiperspirant  Anti-uterine bleeding  Hypoglycemic  Dose-effect  Compatibility  Clinical experience  Famous TCM doctors
基金项目:国家“十二五”科技支撑计划项目(2013BAI02B10)
作者单位
杨映映1,2,邸莎1,李青伟1,张海宇1,2,赵林华1,仝小林1 1 中国中医科学院广安门医院北京100053 2 北京中医药大学北京100029 
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中文摘要:
      通过对近现代名老中医及临床专家临床应用桑叶经验的总结,发现桑叶的临床常用剂量为3~60 g,总体来看,小剂量(3~15 g)多用于疏风散热以治疗发热、咳嗽、咽痛等肺系、官窍疾病(上焦病),大剂量(15~60 g)多用于平肝、止汗、降血糖等中下焦杂病的治疗。个别案例因医家经验的差异而有所出入;桑叶除具疏散风热,清肺润燥,清肝明目的功效外,尚可凉血、止汗、止崩。可用于咳嗽、发热、咽痛、自汗、盗汗、崩漏、糖尿病、肥胖、结膜炎、三叉神经痛、带状疱疹等多种疾病的治疗。且在治疗不同的疾病时,其所配药物及所用剂量均有所不同。桑叶在用于治疗肺系、官窍疾病时,多同连翘、薄荷、菊花、桔梗等辛凉轻清之品相配;用于治疗肝系疾病时,多同菊花、天麻、女贞子、墨旱莲等滋阴熄风之品相配;用于降糖时,多同黄连、知母、赤芍等苦寒之品相配;用于止汗时,多同五味子、黄芪、麦冬等固表敛汗之品相配。
English Summary:
      The summary of the clinical experience on Folium Mori by modern and famous TCM doctors led to findings that: The clinical dose range of Folium Mori is between 3 to 60 g. Generally speaking, small doses (3 to 15 g) are used for scattering wind and dispersing heat in treating fever, cough, sore throat and other pulmonary diseases (upper jiao disease), while large doses (15~60 g) are used for calming the liver, arresting sweating and lowering blood glucose in treating middle and lower jiao diseases such as qi uprush of liver, hyperhidrosis and hyperglycemia. Individual cases vary depending on the experience of the doctors; In addition to dispersing the wind-heat, clearing the lung and moistening the dryness, clearing the liver and improving vision, Folium Mori can also cool the blood, arrest sweating and stop profuse uterine bleeding. It can be used in the treatment of various diseases such as cough, fever, sore throat, spontaneous sweating, night sweats, uterine bleeding and spotting, diabetes, obesity, conjunctivitis, trigeminal neuralgia and herpes zoster, etc. And when treating different diseases, the drug combinations and the dosage are different; Acrid-cool and light medicinals like Fructus Forsythiae, Herba Menthae, Flos Chrysanthemi, Radix Puerariae Lobatae could be chosen to combine with Folium Mori when treating lung and facial organ diseases. Medicinals with yin-nourishing and wind-distinguishing functions, such as Flos Chrysanthemi, Rhizoma Gastrodiae, Fructus Ligustri Lucidi, Herba Ecliptae, are more likely to be selected for combination when treating liver-related diseases. For hypoglycemic use, bitter-cold medicinals are more compatible, such as Rhizoma Coptidis, Rhizoma Anemarrhenae, and Radix Paeoniae Rubra; and when used as an antiperspirant, medicinals like Fructus Schisandrae Chinensis, Radix Astragali, Radix Ophiopogonisare more frequently combined with, which can consolidate the exterior and arrest sweating.
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