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经典名方半夏厚朴汤的古代文献分析与考证 被引量:10

Analysis of Banxia Houpo Tang Based on Ancient Literatures
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摘要 半夏厚朴汤现代临床使用广泛,疗效确切,是2018年国家中医药管理局公布的《古代经典名方目录(第一批)》的经典名方之一。采用文献计量学方法,搜集中医古籍中半夏厚朴汤的相关文献,分析与考证方剂来源、历史沿革、组成、方义、功能、剂量、炮炙、制法与煎服法等。共获得相关古代文献数据259条,涉及中医古籍107部。归纳分析发现半夏厚朴汤出自汉代张仲景《金匮要略》,由半夏、厚朴、茯苓、紫苏叶和生姜5味药物组成。在历代医籍记载中出现厚朴汤、七气汤、四七汤、大七气汤等异名,其方剂组成、制法与煎服法被后世医家沿用,相关方义分析也鲜有争议。半夏厚朴汤中药物使用剂量可按1两折合3 g计算。其药物炮制方式与原方有别,半夏应选择"姜半夏",厚朴为"姜厚朴",其余药物炮制方式遵从2015年版《中国药典》。其主治病证亦有所延伸与拓展,除原方记载的"咽中如有炙脔"症状之外,此方还可用于心痛、胸闷、怔忡等心系病症、呕恶、噎膈、嘈杂等脾胃病证及遗精、淋浊、带下等下焦病证。 Banxia Houpo Tang is widely used in modern clinics with definite curative effect.It is one of the classic famous prescriptions in the Catalogue of Ancient Classic Famous Recipes(First Batch)published by the State Administration of Traditional Chinese Medicine(TCM)in 2018.Using bibliometrics methods,collect relevant literatures of Banxia Houpo Tang in ancient medical books,analyze and verify the origin,historical evolution,composition,prescription,function,dosage,artillery,preparation method and decoction method of prescription.A total of 259 related ancient literature data were obtained,involving 107 TCM books.The inductive analysis found that Banxia Houpo Tang originated from ZHANG Zhong-jing’s Synopsis of the Golden Chamberin the Han dynasty and consisted of the five flavors of Pinelliae Rhizoma,Magnoliae Officinalis Cortex,Poria,Perillae Folium and Zingiberis Rhizoma Recens.Houpo Tang,Qiqi Tang,Siqi Tang,Daqiqi Tang and other synonyms have appeared in the records of medical records of all dynasties.The prescription composition,preparation method and decoction method are used by later generations of medical practitioners.The analysis of related prescriptions is also rarely disputed.The dosage of drugs used in Banxia Houpo Tang can be calculated as1 g or 3 g.The drug processing method is different from the original one.Pinelliae Rhizoma should choose Pinelliae Rhizoma Praeparatum Cum Zingibere et Alumine and Magnoliae Officinalis Cortex as"Jianghoupu".The rest of the drug processing methods respect the 2015 edition of Chinese Pharmacopoeia.The cardiology of its treatment has also been extended and expanded.In addition to the symptoms of"burning in the pharynx"recorded by the original party,this side can also be used for heart diseases such as heartache,chest tightness,sorrow,vomiting,choking noisy and other spleen and stomach disease syndrome and spermatorrhea,turbidity,scorching and other lower coke disease syndrome.
作者 李煜 陈仁寿 李陆杰 薛昊 陆跃 程建明 LI Yu;CHEN Ren-Shou;LI Lu-Jie;XUE Hao;LU Yue;CHENG Jian-ming(Nanjing University of Chinese Medicine,Nanjing 210023,China)
机构地区 南京中医药大学
出处 《中国实验方剂学杂志》 CAS CSCD 北大核心 2020年第18期8-17,共10页 Chinese Journal of Experimental Traditional Medical Formulae
基金 国家自然科学基金项目(81574099) 江苏省研究生科研与实践创新计划项目(KYCX20-1519)。
关键词 经典名方 半夏厚朴汤 文献考证 主治病证 炮炙 classical formulas Banxia Houpo Tang literature research indications concocted
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