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河北中医学院 护理学院,石家庄 050200
李付平,硕士,副教授,从事中医古籍文献、中西医结合研究,Tel:0311-89926325,E-mail:lifupingzhang@163.com
张秀芬,副教授,从事中医古籍文献、中西医结合研究,Tel:0311-89926325,E-mail:zhxf0311@163.com
收稿日期:2020-08-18,
网络出版日期:2020-09-16,
纸质出版日期:2020-11-20
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李付平,葛玉琴,宗义君等.半夏泻心汤的古代文献考证[J].中国实验方剂学杂志,2020,26(22):164-171.
LI Fu-ping,GE Yu-qin,ZONG Yi-jun,et al.Analysis of Banxia Xiexintang Based on Ancient Literatures[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(22):164-171.
李付平,葛玉琴,宗义君等.半夏泻心汤的古代文献考证[J].中国实验方剂学杂志,2020,26(22):164-171. DOI: 10.13422/j.cnki.syfjx.20202085.
LI Fu-ping,GE Yu-qin,ZONG Yi-jun,et al.Analysis of Banxia Xiexintang Based on Ancient Literatures[J].Chinese Journal of Experimental Traditional Medical Formulae,2020,26(22):164-171. DOI: 10.13422/j.cnki.syfjx.20202085.
半夏泻心汤是治疗消化系统疾病常用经典名方之一。该文采用文献计量学的方法,搜集有关半夏泻心汤的古籍文献,筛选出有效数据共399条,涉及中医古籍238部。从半夏泻心汤的历史源流、药物组成、主治病证、组方原理、用药剂量、药味炮制、制法、煎法、服法等进行统计、分析,发现半夏泻心汤源于东汉著名医家张仲景所著《伤寒杂病论》,由半夏、黄芩、干姜、人参、炙甘草、黄连、大枣7味药物组成,主治寒热错杂之痞证。后世记载的半夏泻心汤大多遵从《伤寒杂病论》中的方剂组成和主治,并在临床应用有延伸和扩展。在有主治病证记载的352条文献中,痞证(341)最多,约占96.88%,此外,亦零星用于暑证、疟疾、反胃、湿温、黄疸等病证。在记载药物剂量的122条文献中,近二分之一与《伤寒杂病论》原文记载完全相同。在有药味炮制的112条文献中,甘草(86)最多,多为炙(80);其次为半夏(79),多为“汤洗去滑”(67)。在有煎法记载的111条文献中,继承《伤寒杂病论》“去滓再煮”最多(68),另有“水煎”(32)和“姜枣煎”(11)。在有服法的108条文献中,近一半继承了《伤寒杂病论》“温服一升,日三服”。通过挖掘整理、系统分析记载半夏泻心汤的中医古籍文献,以期为经典名方的临床应用、研发提供更准确的古代文献参考。
Banxia Xiexin Tang is one of the classic prescriptions for treating digestive system diseases.In this paper,using the method of bibliometrics,information of Banxia Xiexintang in ancient Chinese medical literatures were collected and screened out 399 effective data from 238 kinds of ancient books.Based on the statistics and analysis of the history,drug composition,main disease and syndrome,principle of prescription,dosage,processing,preparation,decocting and taking methods of Banxia Xiexin Tang,it is found that Banxia Xiexin Tang originated from
Treatise on Febrile and Miscellaneous Disease
written by ZHANG Zhong-jing,a famous physician in the Eastern Han dynasty,it is composed of seven herbs,namely,Pinelliae Rhizoma,Scutellariae Radix,Zingiberis Rhizoma,Ginseng Radix et Rhizoma,Glycyrrhizae Radix et Rhizoma Praeparata cum Melle,Coptidis Rhizoma,and Jujubae Fructus. It was mainly used to treat pizheng of mixed cold and heat. Most of the Banxia Xiexin Tang recorded in later generations follow the prescription composition and indications in
Treatise on Febrile and Miscellaneous Disease
and its clinical application has been extended and expanded,among the 352 literatures with the main diseases and syndromes recorded,the most common (341) were pizheng,accounting for about 96.88%,in addition,it is also used sporadically for shuzheng,malaria,nausea,damp-wen,jaundice,etc. Among the 122 documents with drug dosage records,nearly half of them are identical with the original records in
Treatise on Febrile and Miscellaneous Disease
. Among the 112 literatures with pharmaceutical processing,licorice (86) was the most,most of them were roasted (80),followed by pinellia ternata (79),and most of them were "decoction washing and sliding" (67). Among the 111 documents recorded in the decoction method,most of them inherited
Treatise on Febrile and Miscellaneous Disease
by "removing the dross and again cooking" (68),there are also "Water Decoction" (32) and "Ginseng Radix et Rhizoma and Jujubae Fructus Decoction" (11). Among the 108 documents with the method of taking medicine,nearly half of them inherited
Treatise on Febrile and Miscellaneous Disease
,which is "a liter of warm taking ,three times daily". Based on the ancient Chinese medical literatures,Banxia Xiexintang was systematically analyzed in order to provide more accurate ancient literature reference for the clinical application and development of classic prescriptions.
国家中医药管理局 . 关于发布《古代经典名方目录(第一批)》的通知 [EB/OL]. http://kjs.satcm.gov.cn/zhengcewenjian/2018-04-16/7017.html http://kjs.satcm.gov.cn/zhengcewenjian/2018-04-16/7017.html , 2018-04-16 / 2019-05-20 .
齐豫 . 基于半夏泻心汤Meta分析辛开苦降法研究 [D]. 广州 : 广州中医药大学 , 2016 .
国家药品监督管理局 . 《古代经典名方中药复方制剂简化注册审批管理规定》 [EB/OL].( 2018-06-01 )[ 2019-05-20 ]. http://www.nmpa.gov.cn/WS04/CL2138/228247.html http://www.nmpa.gov.cn/WS04/CL2138/228247.html , 2018-06-01 / 019 - 05 - 20 .
彭林佳 , 刁建新 , 王琳琳 . 半夏泻心汤药理作用研究进展 [J]. 中国医药导报 , 2019 , 16 ( 36 ): 37 - 39,45 .
张仲景 . 伤寒杂病论(桂林古本) [M]. 2版 . 桂林罗哲初手抄.南宁 : 广西人民出版社 , 1980 : 82 , 84 .
孟如 , 张家礼 , 项平 . 金匾要略选读 [M]. 上海 : 上海科技出版社 , 1997 : 125 .
清·尤怡 . 伤寒贯珠集 [M]. 北京 : 中国中医药出版社 , 2003 : 25 .
蔡永敏 , 徐江雁 . 中医古籍珍本集成(伤寒金匮卷金匮玉函经二注) [M]. 长沙 : 湖南科技出版社 , 2013 : 125 .
清·陆廷珍 . 六因条辨 [M]. 北京 : 人民卫生出版社 , 2010 : 45 .
李刘坤 . 吴鞠通医学全书 [M]. 北京 : 中国中医药出版社 , 2015 : 54 .
明·方广 . 丹溪心法附余 [M]. 北京 : 中国中医药出版社 , 2015 : 267 .
清·张倬 . 伤寒兼证析义 [M]. 北京 : 中国中医药出版社 , 2016 : 19 .
清·柯琴 . 伤寒附翼 [M]. 北京 : 学苑出版社 , 2013 : 32 .
清·尤怡 . 金匮要略心典 [M]. 北京 : 中国中医药出版社 , 2009 : 142 .
孙志其 , 韩涛 , 黄海量 . 半夏泻心汤原方药物用量及半夏炮制方法考探 [J]. 山东中医药大学学报 , 2020 , 44 ( 2 ): 130 - 133,163 .
李时珍 . 本草纲目 [M]. 北京 : 人民卫生出版社 , 1982 : 771 .
汉·张仲景 . 金匮玉函经 [M]. 北京 : 人民卫生出版社影印 , 1955 : 86 .
吴皓 , 钟凌云 , 李伟 , 等 . 半夏炮制解毒机制的研究I [J]. 中国中药杂志 , 2007 , 32 ( 14 ): 1402 - 1406 .
日·丹波元简 著, 王春燕 , 田思胜校注 . 药治通义 [M]. 北京 : 中国医药科技出版社 , 2019 : 135 .
毛盛芳 , 张洁 . 不同煎煮方法对半夏泻心汤中有效成分的影响分析 [J]. 中草药 , 2019 , 50 ( 15 ): 3654 - 3659 .
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