中国中药杂志

2019, v.44(11) 2191-2196

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基于第一批经典名方的分析与思考
Analysis and consideration based on first classical prescriptions

王奕博;黄平情;杜媛媛;尹兴斌;董晓旭;倪健;
WANG Yi-bo;HUANG Ping-qing;DU Yuan-yuan;YIN Xing-bin;DONG Xiao-xu;NI Jian;School of Chinese Materia Medica, Beijing University of Chinese Medicine;Institute of Traditional Chinese Medicine, Beijing University of Chinese Medicine;

摘要(Abstract):

经典名方是我国医学先贤留给后人的宝贵财富,也是我国中医药宝库的重要组成部分,在我国有悠久丰富的人用历史,在维护人民健康方面发挥着重要作用。2018年国家中医药管理局公布了《古代经典名方目录(第一批)》,激发了中药生产企业研究古代经典方剂、开发经典名方复方制剂的热情。该文基于公布的第一批经典名方,从剂型、经方来源、处方组成、煎煮程度、有毒药使用及炮制方法6个方面进行综述。发现该批经典名方大部分剂型为汤剂及煮散,散剂和膏剂仅4首,皆源自历代有代表性的典籍;汤剂的每服剂量和煎煮程度较煮散大,汉唐时期的用药量与煎煮程度和明清时期接近,高于宋金时期,汉代方剂平均使用药味数最少;有毒中药的使用以汉代最为频繁,出现最多的有毒中药是半夏;炮制方法丰富多样,包括净制、切制、炒制、炙法和烘焙等。该文同时对传统膏剂所属剂型类别、古代煎药的时间概念、传统炙法、有毒药物炮制方法等方面进行讨论,以期为经典名方的深入开发提供思路与参考。
Classical prescriptions are precious wealth left by ancient Chinese medical scientists. Moreover,they are also the important part of the treasure-house in Chinese medicine. Classical prescriptions have a long and rich history for human-use in China and play an important role in keeping people healthy. The state administration of traditional medicine of China published the Catalogue of Classical Prescriptions(first batch) in 2018. This measure has inspired the enthusiasm of Chinese medicine manufacturers to study ancient classical prescriptions and develop classical compound prescriptions. Based on the first batch of classical prescriptions, the dosage forms, sources, prescription components, decocting degree, use of toxic drugs and processing methods of classical prescriptions. The results showed that most of the classical prescriptions in the first batch were decoction and boiled powder,while only four of them were powder and paste forms,all of which were originated from representative classics in the past dynasties. The dosage and decocting degree of decoction were greater than those of boiled powder. The dosage and decocting degree of decoction in Han and Tang Dynasties was close to that in Ming and Qing Dynasties,higher than that in Song and Jin Dynasties. Moreover,the average number of herbs in the prescriptions in Han Dynasty was the smallest. The use of toxic traditional Chinese medicine was the most frequent in Han Dynasty, and Pinellia ternata was the most common toxic medicine. There were various processing methods, including cleansing, cutting, stir-frying, roasting and so on. In this paper, the dosage forms of traditional paste, the time concept of decoction in the ancient times, the traditional roasting method and the processing method of toxic drugs were summarized to provide ideas and reference for further development of classical prescriptions.

关键词(KeyWords): 经典名方;剂型;处方组成;煎煮时间;炮制方法
classical prescriptions;dosage forms;prescription component;decoction time;processing methods

Abstract:

Keywords:

基金项目(Foundation): 北京中医药大学协同创新建设计划项目(2013-XTCX-03)

作者(Authors): 王奕博;黄平情;杜媛媛;尹兴斌;董晓旭;倪健;
WANG Yi-bo;HUANG Ping-qing;DU Yuan-yuan;YIN Xing-bin;DONG Xiao-xu;NI Jian;School of Chinese Materia Medica, Beijing University of Chinese Medicine;Institute of Traditional Chinese Medicine, Beijing University of Chinese Medicine;

DOI: 10.19540/j.cnki.cjcmm.20190115.004

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