基于《中华医典》的驻景丸文献学分析

Textual Analysis of Zhujing Pills in the Chinese Medical Canon

目的整理《中华医典》中驻景丸的组成、主治和功效。方法纳入《中华医典》收录的医学古籍中含驻景丸及其相关内容的条文,对中药名称进行规范化处理后,将处方名称、药物组成、主治、功效和出处录入Excel 2016软件建立数据库,而后进行分析。结果(1)一般情况:共检索出古籍24部,涉及条文30条,其中含驻景丸26条,驻景圆2条,驻京丸、车前子丸各1条。(2)药物组成:共得到15个驻景丸处方,均以菟丝子和车前子为核心药物。(3)主治功效:主治病症主要有肝肾俱虚、眼常昏暗、多见黑花、视物不明、迎风有泪等;功效主要为补肝肾、明目。结论不同古籍文献中驻景丸的药物组成及剂量各异,菟丝子、车前子药物组合是驻景丸方核心药对,熟地黄是重要组成药物,主要治疗以肝肾不足为主的目昏暗等内障眼病。

OBJECTIVE To compile the components,indications,and effects of Zhujing Pills in the Chinese Medical Canon.METHODS Textual excerpts containing Zhujing Pills or related content from ancient medical texts within the Chinese Medical Canon were included.After standardizing the names of Chinese medicines,prescription names,Chinese medicines compositions,indications,effects,and sources were entered into an Excel 2016 software to establish a database for subsequent analysis.RESULTS(1)General information:A total of 24 ancient texts were retrieved,comprising 30 relevant excerpts.Among these,there were 26 records of Zhujing Pills,two of Zhujing Yuan,one record of Zhujing Pills(驻京丸),one of Plantago Asiatica Pills.(2)Chinese medicines composition:A total of fifteen different prescriptions of Zhujing Pills were identified,all primarily featuring Semen Cuscutae and Plantago Asiatica as core ingredients.(3)Indications and effects:The main indications included simultaneous liver and kidney deficiency,persistent dim vision,frequent floaters,unclear vision,and tearing in windy conditions.The main effects were tonifying liver and kidneys,improving vision.CONCLUSIONS The compositions and dosages of Zhujing Pills varied across different ancient texts.Semen Cuscutae and Plantago Asiatica were consistent core ingredients,with Rehmannia glutinosa being an important constituent.Primarily targeting internal ocular diseases associated with liver and kidney deficiencies,such as persistent dim vision,Zhujing Pills showcased their efficacy.