中国中药杂志

2020, v.45(17) 4262-4266

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经典名方锡类散小考
Textual research on Xilei Powder

黄羚;刘铁钢;白辰;刘邵阳;马雪颜;贺建祯;于河;谷晓红;
HUANG Ling;LIU Tie-gang;BAI Chen;LIU Shao-yang;MA Xue-yan;HE Jian-zhen;YU He;GU Xiao-hong;Beijing University of Chinese Medicine;

摘要(Abstract):

锡类散是治疗口腔溃疡的常用方剂,最初用于治疗"烂喉痧"。"烂喉痧"属于温病学"温毒"范畴,系感受时疫毒邪导致的热性传染病。锡类散在1953年版至2010年版由国家药典委员会选录的《中国药典》中均有收入,随着我国加入《濒危野生动植物种国际贸易公约》缔约组织,并对象牙、犀牛角等动物药的使用进行限制,2015年版的《中国药典》删去了锡类散。作为经典名方制剂,锡类散被广泛运用于耳鼻喉五官科、热病、妇科疾病、消化系统疾病、肿瘤等临床各个领域,疗效可靠,有较高的临床应用价值。锡类散的历史沿革、药材炮制方法、药物剂型、药味剂量和现代临床应用等方面的系统研究报道很少。锡类散在临床应用是否有独到之处?是否可以根据原方方义衍变出稳定有效的替代药味?基于此,该文通过查阅记载有锡类散的古籍、医家论述锡类散的专著及论文,对锡类散进行全面的梳理挖掘,考证锡类散的历史沿革、方义内涵,分析其中药基原、临床应用、使用方法,希冀推动锡类散的理论研究及临床应用研究。
Xilei Powder is a commonly used prescription for the treatment of oral ulcers, and is originally used to treat scarlet fever. Scarlet fever is a warm-toxin disease from the perspective of the theory of warm disease. It is a warm infectious disease caused by epidemic. Xilei Powder was recorded in the Chinese Pharmacopoeia from 1953 edition to 2010 edition. As China joined Convention on International Trade in Endangered Species of Wild Fauna and Flora(CITES), Xilei Powder was removed from the Chinese Pharmacopoeia of 2015 edition due to the limitation of the use of animal drugs, such as ivory and rhinoceros horn. Xilei Powder has been widely used to treat such diseases as otolaryngology, fever, gynecological diseases, digestive diseases, and tumors. Does Xilei Powder have a unique place in clinical application? Can stable and effective alternative drugs be derived from original prescription? Due to the lack of theoretical studies on Xilei Powder, by consulting ancient books, monographs and papers, we comprehensively summarized and studied historical evolution and prescription connotation of Xilei Powder, and analyzed its drug origin and clinical application, in the hope to promote the theoretical study and clinical application.

关键词(KeyWords): 锡类散;源流;温病学;黏膜破溃
Xilei Powder;origin;warm disease;mucosa ulceration

Abstract:

Keywords:

基金项目(Foundation): 国家自然科学基金面上项目(81874421);; 国家重点研发计划项目(2018YFC1704100)

作者(Authors): 黄羚;刘铁钢;白辰;刘邵阳;马雪颜;贺建祯;于河;谷晓红;
HUANG Ling;LIU Tie-gang;BAI Chen;LIU Shao-yang;MA Xue-yan;HE Jian-zhen;YU He;GU Xiao-hong;Beijing University of Chinese Medicine;

DOI: 10.19540/j.cnki.cjcmm.20191227.501

参考文献(References):

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