摘要
《证治准绳》记载的养胃汤善治外感风寒、内伤生冷及疟疾等,现已被收录于2018年国家中医药管理局公布的《古代经典名方目录(第一批)》。采用文献学研究方法,通过系统整理相关古籍文献及现代文献发现《证治准绳》养胃汤类方众多,与《证治准绳》养胃汤交织衍化且临床应用广泛,为厘清其历史沿革和衍化脉络,对养胃汤及其类方的历史源流进行梳理,并对方义组成、药物基原、炮制方法、功效主治等关键信息进行考证分析。该研究共获取《证治准绳》养胃汤数据896条,经筛选纳入26条有效数据,涉及中医古籍17部,另纳入《证治准绳》养胃汤类方有效数据29条,涉及23部古籍供脉络梳理。考证发现,养胃汤最早可追溯至宋代《太平惠民和剂局方》所载之“人参养胃汤”,并沿用至今,后世医家在此基础上进行加减应用,因而流传版本较多。经对比分析,历代《证治准绳》养胃汤方剂组成较为统一,其药物基原和炮制方法基本清晰,建议“清半夏、厚朴(姜汁炒)、苍术(米泔水制)各37.3 g,橘红27.98 g,藿香叶、草果、茯苓、人参各18.65 g,炙甘草9.33 g。上述药物粉碎为粗粒,每服14.92 g,以水450 mL,生姜7 g,乌梅2 g,煎至270 mL,热服”。《证治准绳》养胃汤具有温中解表,燥湿除疟之效,主治病证广泛,如外感风寒、内伤生冷等脾胃不和之症及各类疟疾。现代临床未见有《证治准绳》所载养胃汤相关报道,故需加大对该方的挖掘和应用。
The classical prescription Yangweitang,derived from Zhengzhi Zhunsheng,is specialized in treating syndromes of chill and fever due to exogenous pathogens,inner-cooling,and malaria,and it has been included in the Catalogue of Ancient Classical Formulas(the First Batch)published by the National Administration of Traditional Chinese Medicine(TCM)in 2018.Through bibliographical research,the relevant ancient books and modern documents were systematically sorted out,and it was found that there were many prescriptions related to the Yangweitang from Zhengzhi Zhunsheng.They were interwoven with Yangweitang from Zhengzhi Zhunsheng and widely used in clinical practice.In order to clarify their history and evolution,this paper combed the historical origin of Yangweitang and its related prescriptions and conducted textual analysis on key information such as semantic composition,herb origin,processing method,and efficacy.A total of 896 pieces of data on Yangweitang from Zhengzhi Zhunsheng were collected.26 pieces of effective data were included after the screening,involving 17 ancient TCM books.Then,a total of 28 pieces of data on prescriptions related to the Yangweitang from Zhengzhi Zhunsheng were included,involving 23 ancient TCM books for reference.The textual analysis showed that Yangweitang originated from the Renshen Yangweitang recorded in Taiping Huimin Heji Jufang in the Song dynasty.Based on the original formula,medical experts from later generations have modified it into many different versions.A comparative analysis showed that Yangweitang from different generations had similar compositions,and the herb origin and processing method were basically clear.The recommended prescriptions are as follows:37.3 g of Pinelliae Rhizoma Praeparatum Cum Alumine,Magnoliae Officinalis Cortex(fried with ginger juice),and frying with rice water Atractlodis Rhizoma,27.98 g of Citri Exocarpium Rubrum,18.65 g of Pogostemon cablin leaf,Tsaoko Fructus,Poria,and Ginseng Radix et Rhizoma,and 9.33 g of Glycyrrhizae Radix et Rhizoma.They could be ground into a coarse powder,with 14.92 g for every dose,and they could be orally taken after being decocted with 450 mL of water,7 g of fresh ginger,and 2 g of Mume Fructus to 270 mL in warm conditions.Yangweitang from Zhengzhi Zhunsheng has the effect of warming the middle and releasing the external,and it can treat many syndromes including spleen and stomach disharmony caused by chill and fever due to exogenous pathogens and inner-cooling,as well as all kinds of malaria.Modern clinical applications mainly focus on chronic atrophic gastritis and other digestive system diseases.
作者
梁绿圆
曹佳蕾
王艺萍
耿萌萌
朱路君
魏文希
魏炳琦
史文丽
马丙祥
LIANG Lyuyuan;CAO Jialei;WANG Yiping;GENG Mengmeng;ZHU Lujun;WEI Wenxin;WEI Bingqi;SHI Wenli;MA Bingxiang(Pediatric Hospital,The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450099,China;School of Pediatrics,Henan University of Chinese Medicine,Zhengzhou 450046,China;Zhengzhou Shizhuo Pharmaceutical Technology Co.Ltd.,Zhengzhou 450000,China;School of Traditional Chinese Medicine,Henan University of Chinese Medicine,Zhengzhou 450046,China)
出处
《中国实验方剂学杂志》
CAS
CSCD
北大核心
2024年第12期147-157,共11页
Chinese Journal of Experimental Traditional Medical Formulae
基金
国家自然科学基金项目(81904252)
河南省科技攻关项目(222102310454)
河南省中医管理局国家中医临床研究基地专项课题(2019ZY2116)
河南省特色骨干学科中医学学科建设项目(STG-ZYX06-202144)。
关键词
经典名方
养胃汤
考证
《证治准绳》
关键信息
香砂养胃汤
藿香养胃汤
classic prescription
Yangweitang
textual analysis
Zhengzhi Zhunsheng
key information
Xiangsha Yangweitang
Huoxiang Yangweitang
