汉唐时期丹参应用考探及古今认识差异反思

Exploration on the application of Radix Salviae Miltiorrhiza in the Han - Tang Dynasties and ponderation on the difference of its recognition between ancient and modern ages

汉唐时期含有丹参的方剂，主要用于疮痈瘙痒、妇人胎前产后、小儿外感寒热或惊痫、腰脚痹痛及腹胀肠鸣不食，这与今天关于丹参功效的认识有较大差异。结合社会背景和学术背景进行解读，这种差异与时代的疾病谱、医学发展水平、遣方用药的思路密切相关。除个别功效的失传属于临床实践的“优胜劣汰”之外，汉唐时期确认的丹参功效大体上是可靠的，应当引起临床及科研工作者的重视。

During the Han -Tang Dynasties, prescriptions containing Radix Salviae Miltiorrhiza were mainly applied for treating itching, sores, woman＇ s diseases before and after delivery, pediatrical cold and fever diseases, convulsion, bi - syndrome in the lumbar region and lower extremities, abdominal distension and rumbling, and loss of appetite. There was a gap of difference between these indications and those of the modern age. By analyzing these differences on a social and academic background, it is claimed that the difference might be due to the disease spectrum, development of medical academy at different lev- els, and the way of thinking in medicinal application. Aside from the elimination of individual indication no longer extant due to its inferior clinical recognition, most indications appeared in the Han -Tang Dynasties are convincing. This is worthy of attention in clinical and academic research works.