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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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