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class='position'>目录</a> > 第十七章 驱虫?> <span class='pageCurrent'>槟榔</span></span></div> </div> <div id="main"> <div id="content"> <div class="contentPosition"> <p style="FLOAT: left"><a id="HL_Pre" href="zzZhongYao235.htm">上一个:苦楝?/a>   <a id="HL_MuLu" href="ZhongYaoXueMuLu.aspx">返回目录</a>   <a id="HL_Next" href="zzZhongYao237.htm">下一个:南瓜?/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"> 将本页发送Email到自己或他人的信?/a> </p> </div> <div class="clear"></div> <p><span id="LB_Info"><div class='title' style='font-size:18px;font-weight:bold;'>槟榔 <span style='font-weight:normal;'>Binglang</span></div><div class='ChuChu'>《名医别录?/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/Binglang-YuanTai.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Binglang-YuanTai-L.jpg' border='0' alt='槟榔-原?></a></td><td align='center' valign='bottom'><a href='//www.ji1k3.cn/Images_ZhongYaoXue/Binglang-YaoCai.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Binglang-YaoCai-L.jpg' border='0' alt='槟榔-药材'></a></td><td align='center' valign='bottom'><a href='//www.ji1k3.cn/Images_ZhongYaoXue/Binglang-YinPian.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Binglang-YinPian-L.jpg' border='0' alt='槟榔-饮片'></a></td></tr><tr><td align='center' valign='bottom'>槟榔-原?/td><td align='center' valign='bottom'>槟榔-药材</td><td align='center' valign='bottom'>槟榔-饮片</td></tr></table></div><div class='clear'></div><div class='miaoshu' style='font-family:楷体_GB2312;'>    为棕榈科植物槟榔Areca catechu L.的干燥成熟种子。主产于海南、福建、云南、广西、台湾等地。春末至秋初采收成熟果实,用水煮后,干燥,除去果皮,取出种子,晒干。浸透切片或捣碎用?/div><div class='content'>       【药性】苦,辛,温。归胃、大肠经?br>       【功效】杀虫消积,行气,利水,截疟?br>       【应用?br>       1.多种肠道寄生虫病。本品驱虫谱广,对绦虫、蛔虫、蛲虫、钩虫、姜片虫等肠道寄生虫都有驱杀作用,并以泻下作用驱除虫体为其优点。用治绦虫证疗效最佳,可单用(《千金方》),亦可与木香同用,如圣功散(《证治准绳》),现代多与南瓜子同用,其杀绦虫疗效更佳;与使君子、苦楝皮同用,可治蛔虫病、蛲虫病;与乌梅、甘草配伍,可治姜片虫病?br>       2.食积气滞,泻痢后重。本品辛散苦泄,入胃肠经,善行胃肠之气,消积导滞,兼能缓泻通便。常与木香、青皮、大黄等同用,治疗食积气滞、腹胀便秘等证,如<a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi199.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>木香槟榔?/a>(?a href='//www.ji1k3.cn/user/rmsq/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>儒门事亲</a>》);与木香、黄连、芍药等同用,可治湿热泻痢,?a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi53.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>芍药?/a>(?a href='//www.ji1k3.cn/user/swbjqybmj/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>素问病机气宜保命?/a>》)?br>       3.水肿,脚气肿痛。本品既能利水,又能行气,气行则助水运。常与商陆、泽泻、木通等同用,治疗水肿实证,二便不利,如<a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi37.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>疏凿饮子</a>(《济生方》);与木瓜、吴茱萸、陈皮等配伍,用治寒湿脚气肿痛,如鸡鸣散(《证治准绳》)?br>       4.疟疾。本品截疟,常与常山、草果等同用,如截疟七宝饮(《伤寒素问病机气宜保命集》)?br>       【用法用量】煎服,3~10g。驱绦虫、姜片虫30~60g。生用力佳,炒用力缓;鲜者优于陈久者?br>       【使用注意】脾虚便溏或气虚下陷者忌用;孕妇慎用?br>       【古籍摘要?br>       1.?a href='//www.ji1k3.cn/user/mybl/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>名医别录</a>》:“主消谷,逐水,除痰癖,杀三虫伏尸,疗寸白。?br>       2.《药性论》:“宣利五脏六腑壅滞,破坚满气,下水肿,治心痛,风血积聚。?br>       3.?a href='//www.ji1k3.cn/user/bcgm/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>本草纲目</a>》:“治泻痢后重,心腹诸痛,大小便气秘,痰气喘息。疗诸疟,御瘴疠。?br>       【现代研究?br>       1.化学成分:含生物碱0.3%~0.6%,主要为槟榔碱,其余有槟榔次碱,去甲基槟榔碱,去甲基槟榔次碱,槟榔副碱,高槟榔碱,异去甲基槟榔次碱等,均与鞣酸结合而存在。又含脂肪油14%,其中脂肪酸有月桂酸、肉豆蔻酸、棕榈酸,十四碳烯酸、油酸、亚油酸、硬脂酸等。尚含鞣质及槟榔红色素?br>       2.药理作用:槟榔能使绦虫虫体引起驰缓性麻痹,触之则虫体伸长而不易断,故能把全虫驱出;槟榔碱对猪肉绦虫有较强的麻痹作用,能使全虫各部都麻痹,对牛肉绦虫仅能使头节和未成熟节片麻痹;槟榔对蛲虫、蛔虫、钩虫、肝吸虫、血吸虫均有麻痹或驱杀作用;对皮肤真菌、流感病毒、幽门螺旋杆菌均有抑制作用;槟榔碱有拟胆碱作用,兴奋胆碱受体,促进唾液、汗腺分泌,增加肠蠕动,减慢心率,降低血压,滴眼可使瞳孔缩小?br>       3.临床研究:槟榔30~120g,带皮南瓜子50~150g,煎煮取汁,清晨空腹服,30~60分钟后冲服硫酸镁?~30g,治疗绦虫病22例,全部治愈(中国寄生虫防治杂志?001??9);新鲜干槟榔果8g,水150ml?小时,文火煎?0~70ml,上午空腹服1次,2周为1疗程,治疗幽门螺旋杆菌感?2例,胃镜复查后,糜烂性胃?例,均获效,十二指肠球部溃疡24例,有效23例(中国中西医结合杂志,1994??48);槟榔碱制成眼用药膜,将其置于眼结膜囊内之穹隆处,治疗青光眼患?7?0只眼,一般用药后10分钟即开始瞳孔缩小,15分钟后眼压逐渐下降(成都中医学院学报,1980??9)。另有用槟榔治疗疟疾、麻痹性肠梗阻、乳糜尿、小儿咳喘等?br>       </div> </div> <div style="padding:20px;"> <!-- tcm100_Content_Bottom --> <ins class="adsbygoogle" style="display:inline-block;width:336px;height:280px" data-ad-client="ca-pub-6536413627886269" 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