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class='position'>目录</a> > 第二十二?平肝息风?> 第二?息风止痉?> <span class='pageCurrent'>天麻</span></span></div> </div> <div id="main"> <div id="content"> <div class="contentPosition"> <p style="FLOAT: left"><a id="HL_Pre" href="zzZhongYao361.htm">上一个:钩藤</a>   <a id="HL_MuLu" href="ZhongYaoXueMuLu.aspx">返回目录</a>   <a id="HL_Next" href="zzZhongYao363.htm">下一个:地龙</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;'>天麻 <span style='font-weight:normal;'>Tianma</span></div><div class='ChuChu'>《神农本草经?/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/Tianma-YuanTai.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Tianma-YuanTai-L.jpg' border='0' alt='天麻-原?></a></td><td align='center' valign='bottom'><a href='//www.ji1k3.cn/Images_ZhongYaoXue/Tianma-YaoCai.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Tianma-YaoCai-L.jpg' border='0' alt='天麻-药材'></a></td><td align='center' valign='bottom'><a href='//www.ji1k3.cn/Images_ZhongYaoXue/Tianma-YinPian.jpg' target='blank'><img src='//www.ji1k3.cn/Images_ZhongYaoXue/Tianma-YinPian-L.jpg' border='0' alt='天麻-饮片'></a></td></tr><tr><td align='center' valign='bottom'>天麻-原?/td><td align='center' valign='bottom'>天麻-药材</td><td align='center' valign='bottom'>天麻-饮片</td></tr></table></div><div class='clear'></div><div class='miaoshu' style='font-family:楷体_GB2312;'>    为兰科植物天麻Gastrodia elata Bl.的干燥块茎。主产于四川、云南、贵州等地。立冬后至次年清明前采挖,冬季茎枯时采挖者名“冬麻”,质量优良;春季发芽时采挖者名“春麻”,质量较差。采挖后,立即洗净,蒸透,敞开低温干燥。用时润透或蒸软,切片?/div><div class='content'>       【药性】甘,平。归肝经?br>       【功效】息风止痉,平抑肝阳,祛风通络?br>       【应用?br>       1.肝风内动,惊痫抽搐。本品主入肝经,功能息风止痉,且味甘质润,药性平和。故可用治各种病因之肝风内动,惊痫抽搐,不论寒热虚实,皆可配伍应用。如治小儿急惊风,常与羚羊角、钩藤、全蝎等息风止痉药同用,如钩藤饮(?a href='//www.ji1k3.cn/user/yzjj/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>医宗金鉴</a>》);用治小儿脾虚慢惊,则与人参、白术、白僵蚕等药配伍,如醒脾丸(?a href='//www.ji1k3.cn/user/pjbsf/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>普济本事?/a>》);用治小儿诸惊,可与全蝎、制南星、白僵蚕同用,如天麻丸(《魏氏家藏方》),若用治破伤风痉挛抽搐、角弓反张,又与天南星、白附子、防风等药配伍,?a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi154.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>玉真?/a>(?a href='//www.ji1k3.cn/user/wkzz/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>外科正宗</a>》)?br>       2.眩晕,头痛。本品既息肝风,又平肝阳,为治眩晕、头痛之要药。不论虚证、实证,随不同配伍皆可应用。用治肝阳上亢之眩晕、头痛,常与钩藤、石决明、牛膝等同用,如<a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi158.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>天麻钩藤?/a>(《杂病证治新义》);用治风痰上扰之眩晕、头痛,痰多胸闷者,常与半夏、陈皮、茯苓、白术等同用,如<a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi195.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>半夏白术天麻?/a>(?a href='//www.ji1k3.cn/user/yxxw/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>医学心悟</a>》);若头风攻注,偏正头痛,头晕欲倒者,可配等量川芎为丸,如天麻丸(?a href='//www.ji1k3.cn/user/pujifang/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>普济?/a>》)?br>       3.肢体麻木,手足不遂,风湿痹痛。本品又能祛外风,通经络,止痛。用治中风手足不遂,筋骨疼痛等,可与没药、制乌头、麝香等药配伍,如天麻丸(?a href='//www.ji1k3.cn/user/sjzl/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>圣济总录</a>》);用治妇人风痹,手足不遂,可与牛膝、杜仲、附子浸酒服,如天麻酒(《十便良方》);若治风湿痹痛,关节屈伸不利者,多与秦艽、羌活、桑枝等祛风湿药同用,如秦艽天麻汤。(?a href='//www.ji1k3.cn/user/yxxw/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>医学心悟</a>》)?br>       【用法用量】煎服,3?g。研末冲服,每次1?.5g?br>       【鉴别用药】钩藤、羚羊角、天麻均有平肝息风、平肝潜阳之功,均可治肝风内动、肝阳上亢之证。然钩藤性凉,轻清透达,长于清热息风,用治小儿高热惊风轻证为宜;羚羊角性寒,清热力强,除用治热极生风证外,又能清心解毒,多用于高热神昏,热毒发斑等症;天麻甘平质润,清热之力不及钩藤、羚羊角,但肝风内动、惊痫抽搐之寒热虚实皆可配伍应用,且能祛风止痛?br>       【古籍摘要?br>       1.《开宝本草》:“主诸风湿痹,四肢拘挛,小儿风痫、惊气,利腰膝,强筋力。?br>       2.《用药法象》:“疗大人风热头痛;小儿风痫惊悸;诸风麻痹不仁;风热语言不遂。?br>       3.《本草汇言》:“主头风,头痛,头晕虚旋,癫痫强痉,四肢挛急,语言不顺,一切中风,风痰。?br>       【现代研究?br>       1.化学成分:本品含天麻苷,天麻苷元,β-甾谷醇和胡萝卜苷,柠蒙酸及其单甲酯,棕榈酸、琥珀酸和蔗糖等;尚含天麻多糖,维生素A,多种氨基酸,微量生物碱,多种微量元素,如铬、锰、铁、钴、镍、铜、锌等?br>       2.药理作用:天麻水、醇提取物及不同制剂,均能使小鼠自发性活动明显减少,且能延长巴比妥钠、环己烯巴比妥钠引起的小鼠睡眠时间,可抑制或缩短实验性癫痫的发作时间,天麻还有降低外周血管,脑血管,和冠状血管阻力,并有降压,减慢心率及镇痛抗炎作用,天麻多糖有免疫活性?br>       3.临床研究:据报道,用天麻注射液肌注治疗以头痛、头晕、睡眠障碍为主要症状的脑外伤综合?6例,总有效率?7%(新药与临床?985?:8);用天麻注射液治疗轻型破伤风,用药?5?20分钟显效,病人安静,抽搐次数减少,显示出镇静作用(陕西新医药?981?:45);用天麻、川芎、法半夏治疗眩晕?0例,总有效率?4.4%(实用医学杂志,1994?:50)。另有用天麻等治疗神经衰弱、神经痛、面肌痉挛、高脂血症、老年血管性痴呆等?br>       4.不良反应:天麻及天麻制剂偶有过敏性反应及中毒的发生。如:口服天麻粉引起荨麻疹药疹;口服天麻丸引起过敏性紫癜;肌注天麻注射液致过敏性休克;大剂量炖服天麻致急性肾功能衰竭及昏迷等。天麻中毒解救的方法为:早期催吐,洗胃;出现过敏性反应及肾功能衰竭时,可对症处理?br>       附药 密环?br>       密环菌Armillaria mellea Fr.是一种发光真菌,天麻种子和块茎皆依赖于密环菌供给营养生长。研究证明,密环菌的固体培养物具有与天麻相似的药理作用和临床疗效,现多以密环菌制剂代替天麻药用,主要适用于眩晕、头痛、失眠、半身不遂、肢体麻木等症?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" data-ad-slot="7303963638"></ins> </div> </div> <div id="Nav"> <!-- <div class="Bar">每周图书推荐(中药类?/div> <div class="NavContent"> </div> --> <div class="Bar">资源导航</div> <div class="iwe"> <div class="iwe"> <div id="Link2_PanelLink"> <ul style='padding:0;margin:10px;LIST-STYLE-TYPE:none;TEXT-ALIGN:left'><li style=''margin:0px;WIDTH:180px;padding:10px 0 6px 16px;'><a href='//www.ji1k3.cn/ShuJuKu/YaoZhou/YaoZhouMuLu.aspx' target='_blank.htm' style='color:#000000;text-decoration :none;'>药粥?20种)</a></li><li style=''margin:0px;WIDTH:180px;padding:10px 0 6px 16px;'><a href='//www.ji1k3.cn/ShuJuKu/YanFang/YanFangMuLu.aspx' target='_blank.htm' 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style='color:#000000;font-weight:bold;text-decoration :none;' target=_blank>按章?/a></li><li style='FLOAT:left;margin:0px;WIDTH:60px;padding:10px 0 10px 10px;'><a href='ZhongYaoXueMuLu_ChuChu.aspx' style='color:#000000;font-weight:bold;text-decoration :none;' target=_blank>按出?/a></li></ul> </div> </div> <div class="clear"></div> <div class="Bar">同类中药</div> <div class="NavContent"> <div id="UC_ZhongYaoSameCategory1_ZhongYaoSameCategory"> <div style='TEXT-ALIGN:left;padding:10px 10px 10px 10px;line-height:20px;'><span style='font-weight:bold;'>第二十二?平肝息风?/span><br><div style='font-family:仿宋_GB2312;font-weight:bold;color:#333333;padding-top:6px;padding-bottom:2px;margin:0px;'>第一?平抑肝阳?/div><span style='font-weight:normal;'><a href='zzZhongYao350.htm' style='color:#000000;text-decoration :none;'>石决?/a></span> <span style='font-weight:normal;'><a href='zzZhongYao351.htm' style='color:#000000;text-decoration :none;'>珍珠?/a></span> <span style='font-weight:normal;'><a href='zzZhongYao352.htm' style='color:#000000;text-decoration :none;'>牡蛎</a></span> <span style='font-weight:normal;'><a href='zzZhongYao353.htm' style='color:#000000;text-decoration :none;'>紫贝?/a></span> <span style='font-weight:normal;'><a href='zzZhongYao354.htm' style='color:#000000;text-decoration :none;'>代赭?/a></span> <span style='font-weight:normal;'><a href='zzZhongYao355.htm' style='color:#000000;text-decoration :none;'>刺蒺?/a></span> <span style='font-weight:normal;'><a href='zzZhongYao356.htm' style='color:#000000;text-decoration :none;'>罗布麻叶</a></span> <span style='font-weight:normal;'><a href='zzZhongYao357.htm' style='color:#000000;text-decoration :none;'>生铁?/a></span> <br><div style='font-family:仿宋_GB2312;font-weight:bold;color:#333333;padding-top:6px;padding-bottom:2px;margin:0px;'>第二?息风止痉?/div><span style='font-weight:normal;'><a href='zzZhongYao358.htm' style='color:#000000;text-decoration :none;'>羚羊?/a></span> <span style='font-weight:normal;'><a href='zzZhongYao359.htm' 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