经典名方清燥救肺汤的历史沿革及现代应用进展

Historical evolution and modern application process of classical prescription Qingzao jiufei tang

清燥救肺汤出自清代喻昌所著《医门法律》,由桑叶、石膏、甘草、人参、胡麻仁、阿胶、麦冬、杏仁、枇杷叶组成,是治疗温燥重证、气阴两伤之代表方。2018年,该方纳入我国《古代经典名方目录(第一批)》。为厘清其发展脉络,明确其功能主治,本文收集了记载清燥救肺汤的古籍与现代研究文献,采用文献计量学的方法对方剂来源与组成、药物基原与炮制、用药剂量、功能主治与现代临床应用进行了系统研究。结果表明,部分医籍在该方药材基原与炮制、用药剂量的记载上有所差异;该方以清燥、生津、滋阴、益气为主要功效,以“诸气膹郁,诸痿喘呕”为主治,现代临床应用范围较广,包括呼吸系统疾病、皮肤疾病、消化系统疾病等。

Qingzao jiufei tang,which is derived from Yuchang’s Medical Laws in the Qing dynasty,composes of Folium Mori,Gypsum Fibrosum,Glycyrrhiza uralensis,Panax ginseng,Sesamum indicum,Equus asinus,Ophiopogon japonicus,Prunus armeniaca and the leaves of Eriobotrya japonica.It is a representative formula for the treatment of severe syndrome of warm-dryness and deficiency of both Qi and Yin.In 2018,it was included in the Catalogue of Ancient Famous Classical Formulas(the First Batch).In order to clarify its development context and clarify its functions and indications,this paper collects the ancient and modern literature of Qingzao jiufei tang to systematically study the source and composition of it,its origin and processing,dosage,functions and indications and modern clinical application with a method of bibliometrics.Results show that some medical books differ in origin,processing and dosage of the formula.This formula takes moistening dryness,encouraging production of body fluids,nourishing Yin,tonifying Qi as the main efficacy.“Qi depression,flaccidity,dyspnea and vomiting”is the main indication.It is widely applied in the clinic,involving respiratory diseases,skin diseases,digestive diseases,etc.