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Yinyanghuo (Epimedium Herb)---淫羊藿

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This medicinal is the dried part(above the ground) of Epimedium brevicornum maxim, E.sagittatum Maxim, E.punescens Maxim, E.wushanense T.S.Ying or E.koreaum Nakai. It is collected in summer and autumn, when the stem and leaves are full bloom and it is dried by natural sunlight and cut into pieces. It is used in its unprocessed or stir-baked with sheep fat form.

[ Medicinal Properties ]: Pungent, sweet and warm; relate to kidney and liver meridians.

[ Medicinal Efficacies ]: Tonfiy kidney yang; strengthen tendons and bones; expel wind-damp.

[ Clinical Applications ]: 1. Declination of kidney yang, impotence, frequent urination, lumbar limpness     In this case, it is used in the form of wine infusion, by itself, for oral administration or it may be used in combination with Shudihuang and Baijitian.

2. Wind-cold-damp arthralgia, numbness in limbs      In this case, it is prescribed with Weilingxian, Chuanxiong and Rougui, as in the xianlingpi Powder.

Furthermore, it is effective for cough and dyspnea due to deficiency of kidney-yang and hypertension in women after menopause.

[ Usage and Dosage ]: 3-15g.

[ Precautions ]: It is not recommended for yin-deficiency with effflgent-fire.

淫羊藿为小檗科植物淫羊藿Epimedium brevicornum Maxim.和箭叶淫羊藿E.sagittatum(S.et Z.)Maxim.或柔毛淫羊藿E.Pubescens Maxim.等的全草。主产于陕西、辽宁、山西、湖北、四川等地。夏秋茎叶茂盛时采收,割取地上部分,晒干,切碎。生用或以羊脂油炙用。

       【药性】辛、甘,温。归肾、肝经。        【功效】补肾壮阳,祛风除湿。       
 
【应用】        1.肾阳虚衰,阳痿尿频,腰膝无力。本品辛甘性温燥烈,长于补肾壮阳,单用有效,亦可与其他补肾壮阳药同用。单用本品浸酒服,以益丈夫兴阳,理腰膝冷痛,如淫羊藿酒(《食医心镜》);与肉苁蓉、巴戟天、杜仲等同用,治肾虚阳痿遗精等,如填精补髓丹(《丹溪心法》)。       
 
2.风寒湿痹,肢体麻木。本品辛温散寒,祛风胜湿,入肝肾强筋骨,可用于风湿痹痛,筋骨不利及肢体麻木,常与威灵仙、苍耳子、川芎、肉桂同用,即仙灵脾散(《圣惠方》)。       
 
 此外,现代用于肾阳虚之喘咳及妇女更年期高血压,有较好疗效。       
 
【用法用量】煎服,3~15g。        【使用注意】阴虚火旺者不宜服。       
 
【古籍摘要】        1.《神农本草经》:“主阴痿绝伤,茎中痛,利小便,益气力,强志。       
 
 2.《日华子本草》:“治一切冷风劳气,补腰膝,强心力,丈夫绝阳不起,女子绝阴无子,筋骨挛急,四肢不任,老人昏耄,中年健忘。”       
 
 3.《分类草药性》:“治咳嗽,去风,补肾而壮元阳。       
 
【现代研究】        1.化学成分:淫羊藿类植物的化学成分主要是黄酮类化合物,还含有木脂素,生物碱和挥发油等。       
 
 2.药理作用:淫羊藿能增强下丘脑—垂体—性腺轴及肾上腺皮质轴、胸腺轴等内分泌系统的分泌功能,淫羊藿提取液能影响“阳痿”模型小鼠DNA合成,并促进蛋白质的合成,调节细胞代谢,明显增强动物体重及耐冻时间,淫羊藿醇侵出液能显著增强离体兔心冠脉流量,淫羊藿煎剂及水煎乙醇侵出液给兔、猫、大鼠静注,均呈降压作用。       
 
 3.临床研究:淫羊藿、西洋参口服,对防治早衰有显著疗效(辽宁中医杂志,1992,19(10):26);淫羊藿、菟丝子研末服治疗阳痿有效(云南中医杂志,1989,10(6):13);淫羊藿浸膏片治疗病毒性心肌炎获良好疗效(中西医结合杂志,1984,9:523);以淫羊藿为主组成的二仙肾气汤可用治老年胸腰椎骨质疏松症(中国骨伤,1994,7(5):9);自拟健骨汤治疗糖尿病性骨代谢紊乱有效(黑龙江中医药,2000,(1):46)。淫羊藿配伍麻杏石甘汤或玉屏风散用语治疗小儿喘息性支气管炎有良效 (吉林中医药,2002,1:21)。       

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