从《本草纲目》中胸痹病的主治方药探讨其治法

Discussion on the Treatment of Chest Pain Syndrome from the Main Prescriptions and Medicines in Compendium of Materia Medica

以人民卫生出版社刘衡如点校本《本草纲目》(2013年7月第二版)为数据源进行检索,共检索到该书记载主治胸痹药物4种:栝楼、韭、薤白、文蛤,附方11张,分别附录于栝楼、韭、薤白、远志叶、人参、枳实条文后,其中单味药方4张,复方7张。通过对主治药物和附方的分析后得出急者辛通,缓者温阳,兼治痰饮是明代万历以前医家对胸痹病的主要治法。

The author searched the second edition of Compendium of Materia Medica of the People’s Health Publishing House in July 2013 as the data source,and retrieved four kinds of medicines for chest pain syndrome in this book:Trichosanthes kirilowi,fragrant-flowered garlic,Xiebai,clam,11 appendices,which were appended to the articles of Trichosanthes kirilowi,fragrant-flowered garlic,Xiebai,Polygala leaf,Ginseng and fruit of citron or trifoliate orange,including 4 single prescriptions and 7 compound prescriptions.Through the analysis of the main medicines and supplementary prescriptions,it is concluded that Xintong,warming yang and phlegm and fluid retention are the main treatments for chest pain syndrome before Wanli in Ming Dynasty.