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收敛止血药之棕榈炭——用药分享-
收敛止血药之棕榈炭——用药分享

收敛止血药之棕榈炭——用药分享

棕榈炭

【性用概要】

收敛止血药之棕榈炭——用药分享

棕榈炭

又名棕皮、棕毛。为棕榈科常绿植物棕榈树叶柄基部的棕毛。其味苦、涩,性平。入肺、肝、大肠经。具有收敛止血作用。本品苦涩,善涩血络而固脱,为收敛止血之要药。常用于吐血、衄血、崩漏、便血等各种出血症。如邪热炽盛及挟有瘀滞之血证,则不宜应用。

用法:水煎服;用量6一12克。

【临证配用】

棕榈炭-血余炭

收敛止血药之棕榈炭——用药分享

血余炭

棕榈炭苦涩平和,收敛止血;血余炭止血涩脉,活血消瘀。二药相配,有止血消瘀之功。治疗吐血、衄血、尿血、崩漏下血及月经过多等症有较好疗效。《类证治裁》之三灰散以二味与绢灰相配,常用于治疗崩漏及月经过多。

棕榈炭-蒲黄

收敛止血药之棕榈炭——用药分享

蒲黄

棕榈炭苦涩性平,收敛止血;蒲黄凉血清热,止血消瘀。相配则止血而不留瘀,活血而不妄行,相得益彰。用于治疗崩漏下血、脐腹疼痛以及吐血、衄血、尿血、便血等症,皆有较好疗效。二药相配,即《普济本事方》之棕毛散。

棕榈炭-艾叶

收敛止血药之棕榈炭——用药分享

艾叶

棕榈炭苦涩性平。收敛止血;艾叶温经止血,《别录》谓其“止吐血、下痢,下部匿疮,妇人崩血。”二药合用,温经收敛止血的作用显著。用于治疗下元虚寒所致的崩漏下血、肠风便血等症有较好疗效。对吐血、衄血亦可配用。二药相配,即《圣济总录》之棕艾散。

棕榈炭-蚕砂

收敛止血药之棕榈炭——用药分享

蚕沙

阿胶方中棕榈炭收敛止血;蚕砂祛湿化浊,和血祛瘀,《本草纲目》谓其治“妇人血崩”;阿胶养血安胎止血:三药合用,有养血止血,和血安胎之功,常用于治疗胎动不安、下血不止、脐腹疼痛以及崩漏下血、月经过多等症。三药相配即《圣济总录》之棕灰散。

【现代研究】

棕榈的化学成分中含有鞣质及糖类。药理实验证明,棕榈炭具有止血作用,能明显缩短出凝血时间。未经炒炭的陈棕皮煎剂无止血作用。因血余炭、蒲黄、艾叶均有止血作用,故皆常与棕榈炭相配用于多种出血证。

 

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