藏药阿嘎杰巴同名异方的考证与临床应用研究
Research on the Verification and Clinical Application of Tibetan Medicine Agajieba with Same Name and Different Recipes
多杰才旦 1切羊让忠 1万玛措 1尼玛才让 2仁增加1
作者信息
- 1. 青海大学藏医学院 青海西宁 810016
- 2. 青海省藏医院 青海西宁 810007
- 折叠
摘要
目的:探究"阿嘎杰巴"同名异方的历史沿革、配方及疗效,为临床应用和现代经典方剂开发提供参考.方法:采用文献计量学方法,搜集记载"阿嘎杰巴"类方剂的藏医古籍文献,对其名称、方源、配方、功效和剂量进行深入考证.结果:挖掘整理出15首同名异方的"阿嘎杰巴",按命名原则分为5类,涉及34种藏药材,其中阿嘎日、肉豆蔻、广枣、川木香为核心药物,功效主要以调节五隆的紊乱为主,原始剂型为散剂.各古籍对"续杰阿嘎杰巴"的剂量记载虽有差异,但均遵循藏医散剂"无量等分增剂量,有量按量配比"的原则.结论:"阿嘎杰巴"类方剂主要治疗隆性疾病,主药"阿嘎日"具有多基源特性,建议根据不同病症,选择相应基源药物并遵循散剂配比原则.通过对记载"阿嘎杰巴"类方剂藏医古籍文献的挖掘梳理,确定其关键信息,以期为该方的临床应用、成方制剂及新药研发提供理论参考.
Abstract
Objective:the historical evolution,formulas and efficacy of"Agajieba"with same name and differ-ent recipes were explored to provide a references for its clinical application and the development of modern clas-sic prescriptions.Methods:Bibliometric methods were employed to collect ancient Tibetan medical literature documented the formulas of"Agajieba"types.A deep examination of their names,sources,prescription,efficacy and dosages was conducted.Results:15 homonym formulas named"Agajieba"were identified and organized in-to five categories based on naming principles involving 34 types of Tibetan medicinal herbs,among which Agari,Myristica fragrans,Terminalia chebula,Dolomiaea souliei are the core drugs with function of regulating the disor-der of five loong used in powder form originally.Despite variations in dosage across different ancient texts,all fol-low the Tibetan medical principle of'indefinite dosage with equal increments in dosage,definite dosage with pro-portional increment in dosage'.Conclusion:"Agajieba"formulas mainly used for treating loong disorders and the primary drug"Agari"have multiple sources.It is recommended to select the corresponding source drugs ac-cording to different diseases and follow the powder proportion principles.The excavating and sorting the Tibetan medical literature on formulas of"Agajieba"types and determining its key information provide theoretical refer-ence for its clinical application,formulation preparation,and new drug development.
关键词
藏药/阿嘎杰巴/同名异方/考证Key words
Tibetan medicine/Agajieba/variants with the same name/verification引用本文复制引用
出版年
2024