小便不利dysuria淋浊strangur

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1、小便不利dysuria淋浊strangury水肿edema湿疮dampTypeofSore适应证Indications：水湿停留之证waterretentionanddampblockage痰饮PhlegmandFluidRetention泄泻diarrhea黄疸jaundice水湿停留之证waterretentionanddampblockage湿痹BisyndromemarkedbylocalizedPain湿温damp-warmsyndromewaterretentionanddampblockage水湿停留之证第九章利水渗湿药DrugsforInduc

2、ingDiuresisandExcretingDampness利水渗湿药，甘淡多之乎功善利小便，渗湿效更殊本类耗阴液，津伤当慎服定义Definition：凡能通利小便，渗泄水湿，治疗水湿内停为主要作用的药物称为利水渗湿药。功效Effects：通利小便，渗泄水湿。将体内蓄积的水湿从小便排泄。部分药兼有清利湿热的作用。性味归经Characters,FlavorsandChannelTropism:味甘、淡，性平或微寒，归膀胱、小肠经。配伍方法MethodofCompatibility水肿兼有表证者配宣肺发汗药。水肿而见脾阳虚者配温补脾肾药。湿热交蒸者配清热燥湿药。

3、寒湿相并者配祛寒药。热伤血络而尿血者配凉血止血药。气行则水行，气滞则水停，故本类要常与理气药配伍，提高疗效。使用注意Attention：利尿能伤阴，阴虚者慎用或忌用。利水渗湿药的分类Classify：茯苓、薏苡、猪苓、泽泻、冬瓜皮、玉米须、葫芦、泽漆、椒目、茯苓皮、大腹皮、蝼蛄、香加皮荠菜（14味）利尿消肿药滑石、通草、木通、海金沙、石韦、地肤子、萆薢、车前子、冬葵子、萹蓄、瞿麦（12味）。利湿退黄药利尿通淋药茵陈、金钱草、地耳草（3味）。药歌利水渗湿猪茯苓猪苓Polyporus(SclerotiumofpolyporusUmbellati)茯苓Poria(S

4、clerotiumPoriaecocos)药歌地肤金钱滑二通地肤子FructusKochiae(BroomCypressFruit)金钱草HerbaLysimachiae(Lysimachia)滑石Talcum(Talc)通草MedullaTetrapanacis(Ricepaperpith)川木通CaulisClematidisArmandii原植物为毛茛科小木通Clematisarmandii关木通CaulisAristolochiaemanshuriensis(ManshurianAristolochia)木通CaulisAkebiae(AkebiaSt

5、em)中国药典2005版药歌金沙石韦茵陈萆海金沙SporaLygodii(ClimbingFernSpore)茵陈HerbaArtemisiaeScopariae(OrientalWormwood)石韦FoliumPyrrosiae(PyrrosiaLeaf)萆薢RhizomaDioscoreaeSeptemlobae(Seven-lobedYam)药歌车苡葫芦葵子灯车前子SemenPlantaginis(Plantainseed)薏苡仁SemenCoicis(CoixSeed)葫芦壳ExocarpiumLagenariasicerariae(Calabash

6、Peel)冬葵子(果)FructusMalvaeMalvaverticillata正确错误灯心草MedullaJunci(Rush)药歌萹蓄瞿麦泽漆共萹蓄HerbaPolygoniAvicularis(CommonKnotweedHerb)瞿麦HerbaDianthiChinesePinkHerb泽泻RhizomaAlismatis(OrentalWaterplantainRhizome)泽漆HerbaEuphorbiaeHelioscopiae(SunEuphoriaeHerb)药歌椒目苓皮大腹冬椒目SemenZanthoxylum大腹皮Pericarpiu

7、mArecaeCatechu(ArecaPeel)冬瓜皮ExocarpiumBenincaasae(WaxgourdPeel)药歌蛄荠地耳加玉须蝼蛄Gryllotalpa(molecricket)地耳草HerbaHyperici玉米须StigmataMaydis(tasselsofmaize)香加皮CortexperiplocaeChineseSilkvineRoot-bark荠菜HerbaCapsellae(shepherd’spurse)利水渗湿猪茯苓地肤金钱滑二通金沙石韦茵陈萆车苡葫芦葵子灯萹蓄瞿麦泽漆共椒目苓皮大腹冬蛄荠地耳加玉须利水渗湿均有功药歌29

8、味茯苓〔来源〕多孔菌科真菌茯苓Ｐｏｒｉ