基于李时珍药学学术思想传承的国医大师金世元附子调剂技术研究

National physician master Jin Shiyuan's dispensing technology of Aconiti Lateralis Radix Praeparata based on Li Shizhen's pharmaceutical academic thought

整理李时珍对附子性状鉴别、临床炮制应用经验,对比分析国医大师金世元教授相关实践操作及理论认识,以利于传承和完善附子临床调剂技术。在分析过程中,以"附子"、"李时珍"、"法像药理"、"金世元"、"调剂技术"为主题词,在CNKI,万方等数据库进行文献检索,并查阅《伤寒论》、《本草纲目》、《医宗说约》、《中国药典(2015年版)》等书籍,归纳附子历代炮制方法和古今煎煮用量,同时结合技术调查以及实践操作,分析梳理出李时珍对附子描述和金世元教授对附子调剂的研究。李时珍在《本草纲目》中用法象药理学的方法记载附子性状鉴别、临床炮制应用;国医大师金世元教授发扬李时珍的用药精髓,以其自身"精药通医"的知识结构传承李时珍药学学术思想,为附子的临床应用提供科学的药学服务,首次提出附子调剂技术,包括性状鉴别、临床炮制、临床煎煮、处方应付发药交代技术和附子等级规格。该文以附子为例分析中药调剂的关键技术,日后将中药的关键调剂技术运用到各个常用中药中。

To collect Li Shizhen＇s experience in Aconiti Lateralis Radix Praeparata identification and clinical application,compare and analyze national physician master Jin Shiyuan＇s practical operation and theoretical knowledge,which is beneficial for the inheritance and improvement of Aconiti Lateralis Radix Praeparata clinical dispensing technology. In the analysis process,CNKI,Wanfang and other databases were searched with ＂ Aconiti Lateralis Radix Praeparata＂, ＂ Li Shizhen＂, ＂ pharmacological method state theory＂ ＂ Jin Shiyuan＂ and ＂ Chinese medicine dispensing technology＂ as the key words. In addition,Treatise on Febrile Disease,Compendium of Materia Medica,Chinese Pharmacopoeia（ 2015 edition）,Notes to Medical Professions（ Yi Zong Shuo Yue）,and other medicine books were accessed to summarize the processing methods and decoction dosage of Aconiti Lateralis Radix Praeparata in both ancient and modern medicine,and in consideration of technical research and practice operation,Li Shizhen＇ s description of Aconiti Lateralis Radix Praeparata and Professor Jin Shiyuan＇s research on Aconiti Lateralis Radix Praeparata dispensing technology were analyzed and collected. Li Shizhen recorded the nature identification and clinical application of Aconiti Lateralis Radix Praeparata by using pharmacological method state theory in Compendium of Materia Medica. National physician master Jin Shiyuan carries forward the essence of Li Shizhen＇s pharmaceutical academic thought with his own proficient knowledge structure in medicine,providing scientific pharmaceutical service for clinical application of Aconiti Lateralis Radix Praeparata Professor. Jin Shiyuan put forward the dispensing technology for the first time,including nature identification technology,clinical processing technology,clinical decocting technology,prescription coping technology,and class specifications of Aconiti Lateralis Radix Praeparata. In this paper,Aconiti Lateralis Radix Praeparata was used as an example to analyze the key dispensing technology of traditional Chinese medicine,and apply the key dispensing technology of traditional Chinese medicine in various commonly used Chinese medicines in the future.