Objective:To analyze the origin,composition,dosage,decocting methods,indications,efficacy,and theoretical foundation of Minor Chest-Draining Decoction as well as its modern disease spectrum so as to provide a basis for its contemporary clinical applications and pharmaceutical formulation development.Methods:Ancient literature was retrieved from the library collections of Hunan University of Chinese Medicine,Duxiu Database,and BOL Medical Classics Database using the keywords"Minor Chest-Draining Decoction"or"Draining Chest".Photocopies of ancient texts were also consulted for content verification.For modern clinical research,the CNKI Data-base was used,with"Minor Chest-Draining Decoction"as the main search term.Results:Minor Chest-Draining Decoction was first re-corded in Treatise on Cold Damage by Zhang Zhongjing of the Eastern Han Dynasty.The formula includes Huanglian(Rhizoma Copti-dis),Banxia(Rhizoma Pinelliae),and Gualoushi(Semen Trichosanthis).Subsequent physicians have frequently documented the formu-la under names such as"Zhang Zhongjing's Minor Chest-Draining Decoction"or"Ancient Minor Chest-Draining Decoction,"or"Pinellia and Coptis and Trichosanthes Decoction."The decoction method mostly follows Zhang Zhongjing's instruction:"Boil the Gua-lou first,remove the dregs,then add other drugs and continue boiling."The indications of this formula are extensive,covering diseases in various internal medicine fields,including respiratory,cardiovascular,digestive,and endocrine systems,with a particular focus on cir-culatory,respiratory,and digestive disorders.Conclusion:The pathogenesis of Minor Chest-Draining Decoction syndrome is the combined phlegm and heat.Its therapeutic effects include clearing heat,resolving phlegm,unblocking obstructions,and relieving pain.
Minor Chest-Draining Decoctionliterature studyTreatise on Cold Damage DiseasesZhang Zhongjing
维普
万方数据
