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class='position'>目录</a> > 第十六章 消食è?> <span class='pageCurrent'>山楂</span></span></div> </div> <div id="main"> <div id="content"> <div class="contentPosition"> <p style="FLOAT: left"><a id="HL_Pre" href="zzZhongYao224.htm">上一个:柿蒂</a>   <a id="HL_MuLu" href="ZhongYaoXueMuLu.aspx">返回目录</a>   <a id="HL_Next" href="zzZhongYao226.htm">下一个:神曲</a> </p> <p style="FLOAT:right;MARGIN-RIGHT:5px"> <a id="HL_Email" href="../../../PageSendEmail.aspx" target="_blank"><img src="//www.ji1k3.cn/images/email.gif" border="0"> å°†æœ¬é¡µå‘送Email到自己或他人的信ç®?/a> </p> </div> <div class="clear"></div> <p><span id="LB_Info"><div class='title' style='font-size:18px;font-weight:bold;'>山楂 <span style='font-weight:normal;'>Shanzha</span></div><div class='ChuChu'>《本草经集注ã€?/div></span></p> <div style="padding:30px;"> <!-- tcm100_Content_Top --> <ins class="adsbygoogle" style="display:inline-block;width:336px;height:280px" data-ad-client="ca-pub-6536413627886269" data-ad-slot="5827230435"></ins> </div> <div id="Panel_Article"> <div class='clear'></div><div class='imgTable'><table width='700' cellSpacing='1' cellPadding='0' align='center'><tr><td align='center' valign='bottom'><a href='//www.ji1k3.cn/Images_ZhongYaoXue/Shanzha-YuanTai.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Shanzha-YuanTai-L.jpg' border='0' alt='山楂-原æ€?></a></td><td align='center' valign='bottom'><a href='//www.ji1k3.cn/Images_ZhongYaoXue/Shanzha-YaoCai.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Shanzha-YaoCai-L.jpg' border='0' alt='山楂-药材'></a></td></tr><tr><td align='center' valign='bottom'>山楂-原æ€?/td><td align='center' valign='bottom'>山楂-药材</td></tr></table></div><div class='clear'></div><div class='miaoshu' style='font-family:楷体_GB2312;'>    æœ¬å“ä¸ºè”·è–‡ç§‘植物山里红Crataegus pinnatifida Bge.var.major N.E.Br.或山楂C. pinnatifida Bge. 的成熟果实。主产于河南、山东、河北等地,以山东产量大质佳。多为栽培品。秋季果实成熟时采收。切片,干燥。生用或炒用ã€?/div><div class='content'>       ã€è¯æ€§ã€‘酸、甘,微温。归脾、胃、肝经ã€?br>       ã€åŠŸæ•ˆã€‘消食化积,行气散瘀ã€?br>       ã€åº”用ã€?br>       1.饮食积滞证。本品酸甘,微温不热,功善消食化积,能治各种饮食积滞,尤为消化油腻肉食积滞之要药。凡肉食积滞之脘腹胀满、嗳气吞酸、腹痛便溏者,均可应用。如《简便方》即以单味煎服,治食肉不消。若配莱菔子、神曲等,可加强消食化积之功。若配木香,青皮以行气消滞,治积滞脘腹胀痛,如匀气散(《证治准绳》)ã€?br>       2.泻痢腹痛,疝气痛。山楂入肝经,能行气散结止痛,炒用兼能止泻止痢。治泻痢腹痛,可单用焦山楂水煎服,或用山楂炭研未服,å¦?《医钞类编ã€?方;亦可配木香、槟榔等同用。治疝气痛,常与橘核,荔枝核等同用ã€?br>       3.瘀阻胸腹痛,痛经。本品性温兼入肝经血分,能通行气血,有活血祛瘀止痛之功。治瘀滞胸胁痛,常与川芎、桃仁、红花等同用。若治疗产后瘀阻腹痛、恶露不尽或痛经、经闭,朱丹溪经验方即单用本品加糖水煎服;亦可与当归、香附、红花同用,如通瘀煎(ã€?a href='//www.ji1k3.cn/user/jyqs/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>景岳全书</a>》)ã€?br>       çŽ°ä»£å•ç”¨æœ¬å“åˆ¶å‰‚治疗冠心病,高血压病,高脂血症,细菌性痢疾等,均有较好疗效ã€?br>       ã€ç”¨æ³•ç”¨é‡ã€‘煎服,10ï½?5g,大剂量30g。生山楂、炒山楂多用于消食散瘀,焦山楂、山楂炭多用于止泻痢ã€?br>       ã€ä½¿ç”¨æ³¨æ„ã€‘脾胃虚弱而无积滞者或胃酸分泌过多者均慎用ã€?br>       ã€å¤ç±æ‘˜è¦ã€?br>       1.ã€?a href='//www.ji1k3.cn/user/xxbc/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>新修本草</a>》:“汁服主水利,沐头及洗身上疮痒。â€?br>       2.《日用本草》:“化食积,行结气,健胃宽膈,消血痞气块。â€?br>       3.ã€?a href='//www.ji1k3.cn/user/bcgm/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>本草纲目</a>》:“化饮食,消肉积,癥瘕,痰饮痞满吞酸,滞血胀痛。â€?br>       ã€çŽ°ä»£ç ”究ã€?br>       1.化学成分:山楂含黄酮类、三萜皂苷类(熊果酸、齐墩果酸、山楂酸等),皂苷鞣质、游离酸、脂肪酸、维生素C、无机盐、红色素等ã€?br>       2.药理作用:所含脂肪酸能促进脂肪消化,并增加胃消化酶的分泌而促进消化,且对胃肠功能有一定调整作用。其提取物能扩张冠状动脉,增加冠脉流量,保护心肌缺血缺氧;并可强心、降血压及抗心律失常;又降血脂,抗动脉粥样硬化,其降低血清胆固醇及甘油三酯,可能是通过提高血清中高密度胆固醇及其亚组分浓度,增加胆固醇的排泄而实现的。另外,山楂还能抗血小板聚集、抗氧化、增强免疫、利尿、镇静、收缩子宫、抑菌等ã€?br>       3.临床研究:据报道,用山楂或经适当配伍治疗消化不良、小儿厌食症、婴幼儿腹泻、菌痢、腹痛、产后瘀滞等多种疾病,均取得满意疗效。近年临床还报道:服降脂乐(每片含山æ¥?.5g)治疗中老年高脂血ç—?9例,结果降胆固醇及甘油三酯的有效率分别为69.49%å’?0.28%,并能改善食欲不振,神疲乏力、血压偏高等症状(河南中医,1990ï¼?âˆ?3);用山楂与葛根提取物制成的心血宁片,治疗冠心病心绞ç—?86例,有效çŽ?9.87%,并有良好的降血压和降血脂功效(中成药,1994ï¼?âˆ?5);每日以生山楂90g煎服(儿童减量),治疗急慢性肾盂肾ç‚?05例,效果良好(陕西新医药ï¼?975ï¼?âˆ?5)。此外,又可治疗肝炎、月经逾期不至、下肢软组织损伤、顽固性呃逆,声带息肉,冻疮等ã€?br>       4.不良反应:多食山楂可引起胃酸过多,还有因吃山楂过量而造成胃石症和小肠梗阻的报道。市售山楂片对小儿虽有促进食欲助消化作用,但因含糖较多,如食用量大,使血糖维持较高水平,则将影响食欲,久之可造成营养不良,贫血等。故中医认为山楂只消不补,无积滞或脾胃虚弱者应慎用或不用(中国食品报,2001ï¼?2.01)ã€?br>       ã€å…¶ä»–】研究不同炮制温度,对山楂有机酸和胃肠推进功能的影响,提示用于消食时炮制温度最好控制在160℃~200℃之间为宜(湖北中医学院学报ï¼?001ï¼?âˆ?6)ã€?br>       </div> 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