一般情(qing)況下服用雷(lei)公藤造成的閉(bi)經可以恢復。
雷(lei)公(gong)(gong)藤性寒(han)、味苦,長期(qi)過量(liang)服(fu)用可能引(yin)起(qi)宮(gong)寒(han)、體寒(han)等(deng)(deng)病(bing)癥,從(cong)而引(yin)發閉經(jing)。此時患者(zhe)應停(ting)止服(fu)用雷(lei)公(gong)(gong)藤,并且(qie)遵醫(yi)囑使用溫經(jing)湯、桂(gui)枝茯苓丸(wan)、艾附(fu)暖(nuan)宮(gong)丸(wan)等(deng)(deng)藥(yao)物(wu)治療(liao),有助于去(qu)除胞宮(gong)以及身體經(jing)脈內的寒(han)氣,從(cong)而使月經(jing)正(zheng)常。患者(zhe)還可輔(fu)以針灸、推拿(na)、穴位按摩等(deng)(deng)治療(liao),促進胞宮(gong)氣血運行(xing),通常閉經(jing)可以恢復。
患者應避免自行(xing)使用雷(lei)公藤,必要時需在醫生(sheng)指(zhi)導下使用,防止反(fan)復閉經(jing)。平時少吃生(sheng)冷寒涼(liang)的食物,如西瓜、苦瓜、柿子等,可適當(dang)進(jin)食溫性食物,如榴蓮、大(da)棗、板栗等,有助(zhu)于身(shen)體(ti)恢復。
雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)具(ju)有(you)祛(qu)風除濕、消(xiao)(xiao)腫止(zhi)痛、通經(jing)(jing)活(huo)絡、清(qing)熱解(jie)毒的(de)功(gong)效,以(yi)往用(yong)(yong)(yong)(yong)于(yu)(yu)類風濕性(xing)(xing)關(guan)節炎(yan)。 銀(yin)屑病(bing) 雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)治(zhi)(zhi)療(liao)(liao)(liao)(liao)銀(yin)屑病(bing),為(wei)每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)口服(fu)(fu)3次(ci)(ci),每(mei)(mei)(mei)(mei)(mei)次(ci)(ci)5.4克(ke)(ke)(相(xiang)當(dang)于(yu)(yu)生(sheng)藥(yao)(yao)(yao)(yao)(yao)),飯后(hou)服(fu)(fu)。部(bu)分患(huan)(huan)(huan)(huan)(huan)者可(ke)(ke)并用(yong)(yong)(yong)(yong)外用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)治(zhi)(zhi)療(liao)(liao)(liao)(liao)。部(bu)分復(fu)(fu)發(fa)患(huan)(huan)(huan)(huan)(huan)者再服(fu)(fu)雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)后(hou)仍(reng)有(you)效。但(dan)無(wu)效患(huan)(huan)(huan)(huan)(huan)者即使用(yong)(yong)(yong)(yong)大劑量亦無(wu)效。為(wei)防止(zhi)患(huan)(huan)(huan)(huan)(huan)者復(fu)(fu)發(fa)可(ke)(ke)在(zai)緩解(jie)后(hou),每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)服(fu)(fu)用(yong)(yong)(yong)(yong)10克(ke)(ke),以(yi)小(xiao)劑量持(chi)續(xu)應用(yong)(yong)(yong)(yong)2年。 多型(xing)紅(hong)斑 雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)治(zhi)(zhi)療(liao)(liao)(liao)(liao)多型(xing)紅(hong)斑,為(wei)每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)服(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)總(zong)量30克(ke)(ke)(相(xiang)當(dang)于(yu)(yu)生(sheng)藥(yao)(yao)(yao)(yao)(yao)),分3次(ci)(ci)服(fu)(fu),2周(zhou)為(wei)1療(liao)(liao)(liao)(liao)程(cheng)(cheng)。 濕疹樣皮(pi)炎(yan) 雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)治(zhi)(zhi)療(liao)(liao)(liao)(liao)濕疹樣皮(pi)炎(yan),為(wei)每(mei)(mei)(mei)(mei)(mei)次(ci)(ci)10克(ke)(ke)(相(xiang)當(dang)于(yu)(yu)生(sheng)藥(yao)(yao)(yao)(yao)(yao)),每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)3次(ci)(ci)口服(fu)(fu)。開(kai)始時,可(ke)(ke)每(mei)(mei)(mei)(mei)(mei)晚加服(fu)(fu)苯噻啶0.5毫克(ke)(ke),外用(yong)(yong)(yong)(yong)樟酚(fen)酊搽劑,見效后(hou)停用(yong)(yong)(yong)(yong)。 斑禿(tu) 雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)治(zhi)(zhi)療(liao)(liao)(liao)(liao)斑禿(tu),為(wei)每(mei)(mei)(mei)(mei)(mei)次(ci)(ci)15克(ke)(ke)(相(xiang)當(dang)于(yu)(yu)生(sheng)藥(yao)(yao)(yao)(yao)(yao)),每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)2次(ci)(ci)口服(fu)(fu),2個(ge)(ge)月為(wei)1療(liao)(liao)(liao)(liao)程(cheng)(cheng)。療(liao)(liao)(liao)(liao)程(cheng)(cheng)結(jie)束已痊愈者,繼(ji)續(xu)服(fu)(fu)維(wei)持(chi)量1個(ge)(ge)月。維(wei)持(chi)量為(wei)治(zhi)(zhi)療(liao)(liao)(liao)(liao)量的(de)1/2。個(ge)(ge)別病(bing)情嚴(yan)重(zhong)的(de)患(huan)(huan)(huan)(huan)(huan)者可(ke)(ke)適(shi)當(dang)延長維(wei)持(chi)量的(de)時間,以(yi)鞏固療(liao)(liao)(liao)(liao)效。 掌跖(zhi)膿皰(pao)病(bing) 雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)治(zhi)(zhi)療(liao)(liao)(liao)(liao)掌跖(zhi)膿皰(pao)病(bing),為(wei)每(mei)(mei)(mei)(mei)(mei)次(ci)(ci)20克(ke)(ke)(相(xiang)當(dang)于(yu)(yu)生(sheng)藥(yao)(yao)(yao)(yao)(yao)),每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)服(fu)(fu)2次(ci)(ci)。少數(shu)重(zhong)癥患(huan)(huan)(huan)(huan)(huan)者可(ke)(ke)每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)增加至60克(ke)(ke),分3次(ci)(ci)口服(fu)(fu)。服(fu)(fu)用(yong)(yong)(yong)(yong)本(ben)(ben)(ben)藥(yao)(yao)(yao)(yao)(yao)后(hou),療(liao)(liao)(liao)(liao)效最快(kuai)者1—2周(zhou)即始見效,瘙(sao)癢減(jian)輕或消(xiao)(xiao)失、膿瘡減(jian)少或消(xiao)(xiao)退(tui);服(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)2—4周(zhou)后(hou),皮(pi)膚(fu)損害可(ke)(ke)基(ji)本(ben)(ben)(ben)消(xiao)(xiao)退(tui)。復(fu)(fu)發(fa)患(huan)(huan)(huan)(huan)(huan)者繼(ji)續(xu)用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)后(hou)仍(reng)能(neng)獲效。 天(tian)皰(pao)瘡 雷(lei)(lei)(lei)公(gong)(gong)藤(teng)(teng)(teng)片(pian)治(zhi)(zhi)療(liao)(liao)(liao)(liao)天(tian)皰(pao)瘡,為(wei)每(mei)(mei)(mei)(mei)(mei)次(ci)(ci)15克(ke)(ke)(相(xiang)當(dang)于(yu)(yu)生(sheng)藥(yao)(yao)(yao)(yao)(yao)),每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)3次(ci)(ci)口服(fu)(fu),少數(shu)重(zhong)癥患(huan)(huan)(huan)(huan)(huan)者每(mei)(mei)(mei)(mei)(mei)日(ri)(ri)可(ke)(ke)服(fu)(fu)60—80克(ke)(ke),1個(ge)(ge)月為(wei)1療(liao)(liao)(liao)(liao)程(cheng)(cheng),根據病(bing)情增減(jian)用(yong)(yong)(yong)(yong)量。 不(bu)良反(fan)應:服(fu)(fu)藥(yao)(yao)(yao)(yao)(yao)后(hou)——部(bu)分女性(xing)(xing)患(huan)(huan)(huan)(huan)(huan)者有(you)閉(bi)經(jing)(jing)現(xian)象,一般(ban)(ban)停藥(yao)(yao)(yao)(yao)(yao)后(hou)月經(jing)(jing)可(ke)(ke)自行復(fu)(fu)潮(chao);部(bu)分男(nan)性(xing)(xing)患(huan)(huan)(huan)(huan)(huan)者可(ke)(ke)出現(xian)無(wu)精(jing)子、精(jing)子數(shu)減(jian)少,活(huo)動力差等現(xian)象,一般(ban)(ban)停藥(yao)(yao)(yao)(yao)(yao)后(hou)即可(ke)(ke)恢復(fu)(fu)。少數(shu)患(huan)(huan)(huan)(huan)(huan)者有(you)胃腸不(bu)適(shi)、惡心、輕微腹疼等現(xian)象,但(dan)一般(ban)(ban)不(bu)影(ying)響(xiang)治(zhi)(zhi)療(liao)(liao)(liao)(liao)。 編輯(ji)本(ben)(ben)(ben)段注意(yi)事(shi)項心、肝(gan)、腎功(gong)能(neng)不(bu)全患(huan)(huan)(huan)(huan)(huan)者,嚴(yan)重(zhong)貧血患(huan)(huan)(huan)(huan)(huan)者,胃及(ji)十二指(zhi)腸活(huo)動性(xing)(xing)潰瘍患(huan)(huan)(huan)(huan)(huan)者慎用(yong)(yong)(yong)(yong)。用(yong)(yong)(yong)(yong)藥(yao)(yao)(yao)(yao)(yao)過程(cheng)(cheng)中(zhong)應定期(qi)檢查(cha)血、尿常規(gui),肝(gan)、腎功(gong)能(neng)及(ji)心電圖等,青年男(nan)性(xing)(xing)定期(qi)檢查(cha)精(jing)液(ye)。因(yin)本(ben)(ben)(ben)藥(yao)(yao)(yao)(yao)(yao)有(you)一定的(de)毒性(xing)(xing),故不(bu)宜服(fu)(fu)用(yong)(yong)(yong)(yong)過量,孕婦忌服(fu)(fu)。
雷(lei)(lei)公(gong)(gong)藤(teng)具有(you)抗炎和免疫抑(yi)制作(zuo)(zuo)用(yong)(yong),與糖皮質(zhi)類(lei)固醇相似,可用(yong)(yong)于治療自身免疫性(xing)疾病。雷(lei)(lei)公(gong)(gong)藤(teng)的(de)(de)副(fu)作(zuo)(zuo)用(yong)(yong)較大,但是現在人為(wei)提(ti)取作(zuo)(zuo)成的(de)(de)雷(lei)(lei)公(gong)(gong)藤(teng)多苷(gan)片使其副(fu)作(zuo)(zuo)用(yong)(yong)減少(shao)(shao)了不(bu)(bu)少(shao)(shao),但是對胃腸(chang)道,皮膚黏膜,生殖(zhi)和骨髓造(zao)血(xue)系統及腎臟還是有(you)一定的(de)(de)影(ying)響.生殖(zhi)系統對女性(xing)月經(jing)有(you)明顯影(ying)響,一般用(yong)(yong)藥(yao)(yao)二(er)三個月后(hou),即出(chu)現月經(jing)紊(wen)亂,以月經(jing)量減少(shao)(shao),和閉經(jing)。不(bu)(bu)過(guo)年(nian)輕女性(xing),停藥(yao)(yao)后(hou)一般會恢復月經(jing),不(bu)(bu)過(guo)也有(you)可能數月不(bu)(bu)來(lai)潮,那就需要(yao)到婦科看(kan)看(kan)了,吃些黃體酮一類(lei)的(de)(de)雌激(ji)素(su)可以幫助恢復.
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