西部中医药
西部中醫藥
서부중의약
GANSU JOURNAL OF TRADITIONAL CHINESE MEDICINE
2015年
5期
98-99,100
,共3页
中华本草%豆科%治乳病药物%药性规律
中華本草%豆科%治乳病藥物%藥性規律
중화본초%두과%치유병약물%약성규률
ZhongHua BenCao%legume%the herbs for mammary disese%medicinal property
目的：基于文献研究为临床服务的宗旨，找出豆科药物治疗乳病的共性和个性，为完善中药学理论提供支撑，同时为指导临床应用豆科治乳病药物提供借鉴。方法：从《中华本草》中筛选出治疗乳病的豆科药物(豆科治乳病药物)共60味，分析选取药物的四气、五味、归经、毒性、功效主治。结果：豆科治乳病药物多甘平，主归肝、脾经，无毒者占大部分，可入食者多，第一高频功效为解毒，以治疗乳痈为主；甘平归脾胃经的豆科药物多可治疗产后缺乳的虚证，即乳汁不足；有通乳作用的豆科药物多性甘辛温，且有利尿作用的药物多有通乳的效果；而性味苦寒，多归肝、肺经的豆科药物以治疗乳痈为主，说明乳痈的致病因素与患者的情志变化密切相关；性味偏于辛苦温的豆科药物则有软坚散结的功效。结论：豆科治乳病药物主要高频功效为解毒、利水利湿、健脾、散结等，以治疗乳痈、水肿、淋证、乳汁不通、乳汁不足、乳癖等为主，在临床上应用广泛。
目的：基于文獻研究為臨床服務的宗旨，找齣豆科藥物治療乳病的共性和箇性，為完善中藥學理論提供支撐，同時為指導臨床應用豆科治乳病藥物提供藉鑒。方法：從《中華本草》中篩選齣治療乳病的豆科藥物(豆科治乳病藥物)共60味，分析選取藥物的四氣、五味、歸經、毒性、功效主治。結果：豆科治乳病藥物多甘平，主歸肝、脾經，無毒者佔大部分，可入食者多，第一高頻功效為解毒，以治療乳癰為主；甘平歸脾胃經的豆科藥物多可治療產後缺乳的虛證，即乳汁不足；有通乳作用的豆科藥物多性甘辛溫，且有利尿作用的藥物多有通乳的效果；而性味苦寒，多歸肝、肺經的豆科藥物以治療乳癰為主，說明乳癰的緻病因素與患者的情誌變化密切相關；性味偏于辛苦溫的豆科藥物則有軟堅散結的功效。結論：豆科治乳病藥物主要高頻功效為解毒、利水利濕、健脾、散結等，以治療乳癰、水腫、淋證、乳汁不通、乳汁不足、乳癖等為主，在臨床上應用廣汎。
목적：기우문헌연구위림상복무적종지，조출두과약물치료유병적공성화개성，위완선중약학이론제공지탱，동시위지도림상응용두과치유병약물제공차감。방법：종《중화본초》중사선출치료유병적두과약물(두과치유병약물)공60미，분석선취약물적사기、오미、귀경、독성、공효주치。결과：두과치유병약물다감평，주귀간、비경，무독자점대부분，가입식자다，제일고빈공효위해독，이치료유옹위주；감평귀비위경적두과약물다가치료산후결유적허증，즉유즙불족；유통유작용적두과약물다성감신온，차유이뇨작용적약물다유통유적효과；이성미고한，다귀간、폐경적두과약물이치료유옹위주，설명유옹적치병인소여환자적정지변화밀절상관；성미편우신고온적두과약물칙유연견산결적공효。결론：두과치유병약물주요고빈공효위해독、이수리습、건비、산결등，이치료유옹、수종、림증、유즙불통、유즙불족、유벽등위주，재림상상응용엄범。
Objective:To provide the evidence for perfecting the theory of Chinese meteria medica, and the reference for guiding clinical application of legume in treating mammary disease by finding out similarities and specific characters of the treatment based on literature study service for clinical application. Methods:All 60 kinds of leguminous herbs (only the herbs for mammary disease) were screened in ZhongHua BenCao to ananlyze their property, taste, meridians, toxicity, function and indications. Results: Leguminous herbs are of sweet taste and neutral nature, of liver and spleen meridians, mostly non-toxic and edible, the first high-frequency function is detoxification, mainly used in the treatment for mammary disease; legume of sweet taste and neutral nature, of spleen and stomach meridian could be applied to deficiency pattern of postpartum hypogalactia, that is, insufficient milk;legume which could promote the secretion of milk is of sweet and acrid tastes, warm nature mostly, diuretic legume usually could promote the secretion of milk;legume, of bitter taste and cold nature, liver and lung meridians, could be used for treating acute mastitis, contrarily, pathogenic factors of acute mastitis are closely related to emotional changes of the patients;the herbs of acrid, bitter tastes and warm nature usually could soften and resolve hard mass. Conclusion:Main high-frequency functions of legume are detoxification, removing water and dampness, invigorating spleen, resolving hard mass and other, they are mainly appied to acute mastitis, edema, stranguria, lactiferous ducts occlusion, postpartum hypogalactia, breast lump and others, widely used in clinic.
