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Baill或华中五味子 Schisandra sphenanthera Rehd. et Wils. 的成熟果实。前者习称““北五味子”，主产于东北；后者习称“南五味子”，主产于西南及长江流域以南各省。秋季果实成熟时采取。晒干。生用或经醋、蜜拌蒸晒干用?/div><div class='content'>       【药性】酸、甘，温。归肺、心、肾经?br>       【功效】收敛固涩，益气生津，补肾宁心?br>       【应用?br>       1．久咳虚喘。本品味酸收敛，甘温而润，能上敛肺气，下滋肾阴，为治疗久咳虚喘之要药。治肺虚久咳，可与罂粟壳同用，如五味子丸(《卫生家宝?；治肺肾两虚喘咳，常与山茱萸、熟地、山药等同用，如都气??a href='//www.ji1k3.cn/user/yzjrb/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>医宗己任?/a>?；本品长于敛肺止咳，配伍麻黄、细辛、干姜等，可用于寒饮咳喘证，?a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi5.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>小青龙汤</a>(?a href='//www.ji1k3.cn/user/shl/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>伤寒?/a>??br>       2．自汗，盗汗。本品五味俱全，以酸为主，善能敛肺止汗。治自汗、盗汗者，可与麻黄根、牡蛎等同用?br>       3．遗精，滑精。本品甘温而涩，入肾，能补肾涩精止遗，为治肾虚精关不固遗精、滑精之常用药。治滑精者，可与桑螵蛸、附子、龙骨等同用，如桑螵蛸丸(?a href='//www.ji1k3.cn/user/sydxf/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>世医得效?/a>?；治梦遗者，常与麦冬、山茱萸、熟地、山药等同用，如麦味地黄??a href='//www.ji1k3.cn/user/yzjj/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>医宗金鉴</a>??br>       4．久泻不止?本品味酸涩性收敛，能涩肠止泻。治脾肾虚寒久泻不止，可与吴茱萸同炒香研末，米汤送服，如五味子散(?a href='//www.ji1k3.cn/user/pjbsf/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>普济本事?/a>?；或与补骨脂、肉豆蔻、吴茱萸同用，如<a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi96.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>四神?/a>(?a href='//www.ji1k3.cn/user/nkzyao/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>内科摘要</a>??br>       5．津伤口渴，消渴。本品甘以益气，酸能生津，具有益气生津止渴之功。治热伤气阴，汗多口渴者，常与人参、麦冬同用，?a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi73.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>生脉?/a>(《内外伤辨惑论?；治阴虚内热，口渴多饮之消渴证，多与山药、知母、天花粉、黄芪等同用, ?a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi165.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>玉液?/a>(?a href='//www.ji1k3.cn/user/yxzzcxl/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>医学衷中参西?/a>??br>       6．心悸，失眠，多梦?本品既能补益心肾，又能宁心安神?治阴血亏损?心神失养，或心肾不交之虚烦心悸、失眠多梦，常与麦冬、丹参、生地、酸枣仁等同用，?a href='//www.ji1k3.cn/user/JiaoCai/FangJiXue/zzFangJi106.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>天王补心?/a>(《摄生秘剖??br>       【用法用量】煎服， 3?g；研末服??g?br>       【使用注意】凡表邪未解，内有实热，咳嗽初起，麻疹初期，均不宜用?br>       【古籍摘要?br>       1．?a href='//www.ji1k3.cn/user/snbcj/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>神农本草?/a>》：“主益气，咳逆上气，劳伤羸瘦，补不足，强阴，益男子精”?br>       2．?a href='//www.ji1k3.cn/user/bcby/index.htm' target='_blank' style='color:#154BA0;text-decoration:none;'>本草备要</a>》：“性温，五味俱全，酸咸为多，故专收敛肺气而滋肾水，益气生津，补虚明目，强阴涩精，退热敛汗，止呕住泻，宁嗽定喘，除烦渴”?br>       3．《医林纂要》：“宁神，除烦渴，止吐衄，安梦寐”?br>       【现代研究?br>       1．化学成分：北五味子主含挥发油、有机酸、鞣质、维生素、糖及树脂等。种子挥发油中的主要成分为五味子素?br>       2．药理作用：本品对神经系统各级中枢均有兴奋作用，对大脑皮层的兴奋和抑制过程均有影响，使之趋于平衡。对呼吸系统有兴奋作用，有镇咳和祛痰作用。能降低血压。能利胆，降低血清转氨酶，对肝细胞有保护作用。有与人参相似的适应原样作用，能增强机体对非特异性刺激的防御能力。能增加细胞免疫功能，使脑、肝、脾脏SOD活性明显增强，故具有提高免疫，抗氧化、抗衰老作用。对金色葡萄球菌、肺炎杆菌、肠道沙门氏菌、绿脓杆菌等均有抑制作用?br>       3．临床研究：据报道，以五味子、地龙、鱼腥草煎服，治疗重度哮?0例效佳（中医杂志?988?9??7）。以五味子制成蜜丸，内服(天津医药,1980,8?1:704)；以五味子核仁用乙醇提取，浓缩干燥并制成片剂或胶囊，内服(辽宁中级医刊?980??5)?以五味子粉，分别制成丸，内服(广西中医药，1985???1)分别治疗慢性肝炎、急性肝炎、以及服用抗精神病药物而引起的GPT升高有良效，但停药后易形成反跳现象。故在GPT值恢复正常后，还需用药1~2周。取五味子、延胡索、黄芪，???比例?制成片剂?内服，治冠心?4例，获良?山东中医杂志?986??2)。另外，有用本药治疗神经官能症、克山病等报道?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> 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