《金匮要略》中“狼牙”之考辨

Textual Research on "Wolf’s Teeth" in Synopsis of the Golden Chamber

《金匮要略方论》有两处方剂使用了"狼牙"一药,即"狼牙汤"和"九痛丸",但历来狼牙在以上方剂中的应用存在一定的争议,出现了使用狼牙还是狼毒的不同观点。经相关考证,狼牙即现在所习用的鹤草芽,从功效主治来看与狼毒应为不同种药物。本文从方剂功用角度进行考辨认为,"狼牙汤"中使用"狼牙"较为妥当;从功效主治、方源年代、病因病机等方面分析,"九痛丸"中使用"狼毒"较为合理,载为狼牙可能因后世医家校注时的抄误所致。

There are two prescriptions using langya in Synopsis of Golden Chamber,including Langya Decoction and Anti Various Pain Pill.However,it is debatable on the using of these two prescriptions. There is a different view of the use of Langya or Stellera chamaejasme. According to the relevant research, Langya is now used as Gemma agrimoninae and should be different from Stellera chamaejasme.By textual researching from prescriptions efficacy,the article indicates that using Langya in Langya Decoction is more reasonable. And using Stellera chamaejasme in Anti Various Pain Pills is proper according to the efficacy and main treatment, the age,the etiology and pathogenesis. It may be caused by a misreading.