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1.山东中医药大学,济南 250355
2.山东大学 齐鲁医院,络病理论创新转化全国重点实验室, 心血管重构与功能研究重点实验室,教育部和国家卫健委重点实验室,济南 250012
Received:12 June 2024,
Revised:2024-11-15,
Accepted:18 November 2024,
Online First:25 November 2024,
Published:05 June 2026
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胡艺璇,宋素花,王钰.经典名方大补元煎的关键信息考证[J].中国实验方剂学杂志,2026,32(11):23-33.
HU Yixuan,SONG Suhua,WANG Yu.Textual Research on Key Information of Classic Famous Formula Dabuyuanjian[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):23-33.
胡艺璇,宋素花,王钰.经典名方大补元煎的关键信息考证[J].中国实验方剂学杂志,2026,32(11):23-33. DOI: 10.13422/j.cnki.syfjx.20241719.
HU Yixuan,SONG Suhua,WANG Yu.Textual Research on Key Information of Classic Famous Formula Dabuyuanjian[J].Chinese Journal of Experimental Traditional Medical Formulae,2026,32(11):23-33. DOI: 10.13422/j.cnki.syfjx.20241719.
大补元煎是《古代经典名方目录(第二批)——汉族医药》发布的经典名方之一,由人参、山药、熟地黄、杜仲、当归、山茱萸、枸杞子、炙甘草组成,治男妇气血大坏,精神失守危剧等证。该研究查阅古今文献,运用文献溯源法和文献计量学方法,对大补元煎的历史源流、方名、药物组成、方义分析、药物剂量、药物基原与炮制、煎服法及临床应用等方面进行关键信息考证。结果表明大补元煎最早记载于《景岳全书》,剂量上大多遵循原方,按照明清时期的剂量折算,人参轻证者5.60 g、重证者39.17 g,山药7.46 g,熟地黄轻证者9.32 g、重证者93.25 g,杜仲7.46 g,当归9.32 g,山茱萸3.73 g,枸杞子9.32 g,炙甘草5.60 g;考查药物基原与炮制,人参为五加科植物人参
Panax ginsen
的干燥根和根茎,山药为薯蓣科植物薯蓣
Dioscorea opposita
的干燥根茎清炒,熟地黄为参科植物地黄
Rchmannia glutinosa
的干燥块根蒸制,杜仲为杜仲科植物杜仲
Eucommia ulmoides
的干燥树皮,当归为伞形科植物当归
Angelica sinensis
的干燥根,山茱萸为山茱萸科植物山茱萸
Cornus officinalis
的干燥成熟果肉,枸杞子为茄科植物宁夏枸杞
Lycium barbarum
的干燥成熟果实,炙甘草为豆科植物甘草
Glycyrrhiza uralensis
的干燥根和根茎的炒制品;煎服法为加水400 mL,煎至140 mL,日2~3剂,饭后1 h服药;临床应用广泛,包括妇产病
、虚损、怔忡惊恐、消渴、血证和耳鼻喉病等,现代临床主要用于神经系统、妇科、泌尿系统、心血管系统、消化系统、肌肉骨骼系统及结缔组织、免疫系统、血液系统、男科等疾病。通过分析研究大补元煎的古今文献,梳理历史沿革,确定关键信息,以期为临床安全有效运用和后续研发提供理论参考。
Dabuyuanjian is one of the classic famous formulas in the Catalog of Ancient Classic Famous Formulas (Second Batch)-Medicine of Han Ethnic Group. It consists of Ginseng Radix et Rhizoma, Dioscoreae Rhizoma, Rehmanniae Radix Praeparata, Eucommiae Cortex
,
Angelicae Sinensis Radix, Corni Fructus, Lycii Fructus, and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle, and is used to treat the symptoms of men and women who have a great loss of Qi and blood and a critical and dramatic loss of spiritual guardianship. This study reviewed the ancient and modern literature, and used literature tracing and bibliometrics methods to mine the key information of the historical origin, formula name, drug composition, compatibility, drug dosage, original plants and processing of drugs, decocting method, and clinical application of Dabuyuanjian. The results showed that Dabuyuanjian was first recorded in the
Jing Yue's Collected Works
(
Jing Yue Quan Shu
), with the dosage mainly following the original formula. According to the dosage in the Ming and Qing dynasties, the formula is composed of 5.60 g (for mild cases)/39.17 g (for severe cases) Ginseng Radix et Rhizoma, 7.46 g Dioscoreae Rhizoma, 9.32 g (for mild cases)/ 93.25 g (for severe cases) Rehmanniae Radix Praeparata, 7.46 g Eucommiae Cortex,
9.32 g Angelicae Sinensis Radix, 3.73 g Corni Fructus, 9.32 g Lycii Fructus, and 5.60 g Glycyrrhizae Radix et Rhizoma Praeparata cum Melle. Regarding the original plants of drugs, Ginseng Radix et Rhizoma is produced from the dried roots and rhizomes of
Panax ginseng
, Dioscoreae Rhizoma from stir-fried dried rhizomes of
Dioscorea opposita
, Rehmanniae Radix Praeparata from steamed dried roots of
Rehmannia glutinosa
, Euc
ommiae Cortex from the dried bark of
Eucommia ulmoides
,
Angelicae Sinensis Radix from the dried roots of
Angelica sinensis
, Corni Fructus from the dried mature fruit flesh of
Cornus officinalis
, Lycii Fructus from the dried mature fruits of
Lycium barbarum
, and Glycyrrhizae Radix et Rhizoma Praeparata cum Melle from the honey-processed dried roots and rhizomes of
Glycyrrhiza uralensis.
These medicinal materials are decocted in 400 mL water to reach a volume of 140 mL, and the decoction should be taken 1 h after meals, 2-3 doses per day. Dabuyuanjian has a wide range of clinical applications, including gynecological and obstetrical diseases, deficiency, baffling and panic, consumptive thirst, and blood, ear, nose, and throat diseases. In modern clinical practice, it is mainly used for diseases of the nervous system, gynecology, urinary system, cardiovascular system, digestive system, musculoskeletal system, connective tissue, immune system, blood, and men. Through the review of ancient and modern literature, this study sorted out the historical evolution and mined the key information of Dabuyuanjian, aiming to provide a theoretical reference for safe and effective clinical application and subsequent research and development of this formula.
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National Administration of Traditional Chinese Medicine . National Administration of Traditional Chinese Medicine .State Drug Administration of the General and Planning and Finance Division on the release of the "Ancient Classical Famous Formulas Key Information Examination Principles" "Ancient Classical Famous Formulas Key Information Table (7 Formulas)" Notice[EB/OL].( 2020-10-15 )[ 2023-12-09 ]. https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20201111091109170.html https://www.nmpa.gov.cn/xxgk/fgwj/gzwj/gzwjyp/20201111091109170.html .
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National Administration of Traditional Chinese Medicine . State Administration of Traditional Chinese Medicine Office of the State Drug Administration Division of Comprehensive and Planning Finance on the release of the " Ancient Classical Famous Formulas Key Information Sheet (25 Formulas) " Notice [EB/OL].( 2022-09-16 )[ 2023-09-09 ]. http://www.natcm.gov.cn/kejisi/gongzuodongtai/2022-09-27/27803.html http://www.natcm.gov.cn/kejisi/gongzuodongtai/2022-09-27/27803.html .
国家中医药局综合司 , 国家药监局综合司 。 关于发布《古代经典名方关键信息表(“旋覆代赭汤”等43首方剂)》的通知 [EB/OL]. ( 2025-01-26 )[ 2025-02-14 ]. https://www.nmpa.gov.cn/directory/web/nmpa/xxgk/fgwj/gzwj/gzwjyp/20250214104811166.html https://www.nmpa.gov.cn/directory/web/nmpa/xxgk/fgwj/gzwj/gzwjyp/20250214104811166.html .
General Office of the National Administration of Traditional Chinese Medicine , General Office of the National Medical Products Administration . Notice on Issuing the Key Information Table of Ancient Classic Famous Prescriptions (43 Prescriptions Including Inula and Haematite Decoction) [EB/OL]. ( 2025-01-26 )[ 2025-02-14 ]. https://www.nmpa.gov.cn/directory/web/nmpa/xxgk/fgwj/gzwj/gzwjyp/20250214104811166.html https://www.nmpa.gov.cn/directory/web/nmpa/xxgk/fgwj/gzwj/gzwjyp/20250214104811166.html .
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Department of General Affairs, National Administration of Traditional Chinese Medicine . Notice on issuing the "key information table of ancient classical famous formulas (25 formulas including 'Zhuye Shigao Tang') "[EB/OL].( 2023-07-28 )[ 2023-12-09 ]. http://www.natcm.gov.cn/kejisi/gongzuodongtai/2023-07-28/31404.html http://www.natcm.gov.cn/kejisi/gongzuodongtai/2023-07-28/31404.html .
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