首页|经典名方栀子豉汤的古代文献分析

经典名方栀子豉汤的古代文献分析

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通过检索中国基本古籍库、中医智库数据图书馆、中醫笈成、尚古汇典等中医古籍数据库,搜集中医古籍中"栀子豉汤"的相关文献记载,共获古代文献219条,筛选有效数据94条,涉及中医古籍56本。《伤寒论》首次记载栀子豉汤,由栀子、淡豆豉两味药组成。后世医家在此基础上发挥沿用,大多紧扣热郁胸膈这一核心病机,症状表现多样,有"烦""不寐""烦热""痛"等。在用药剂量方面大多沿用《伤寒论》中栀子14枚、淡豆豉4合,具体用量因各朝代度量衡不同在后世医书籍中稍有变化。本方中栀子为茜草科植物栀子的干燥成熟果实,豆豉为淡味的大豆发酵物,煎法为水煎服,大多数医家认为本方的使用应中病即止。现代药理学研究发现栀子豉汤的有效成分具有抗抑郁、保护心血管、营养神经等作用,本方在临床中被广泛应用。
Analysis of Ancient Literature on the Classic Prescription of Zhizi Chi Decoction(栀子豉汤)
By searching databases of traditional Chinese medicine such as the Chinese Basic Ancient Books Library,Zhongyi Zhiku Data Library,Zhongyi Jicheng,and Shanggu Huidian,this paper collected relevant literature records on"Zhizi Chi Decoction"in ancient Chinese medicine books.A total of 219 ancient literature were obtained,and 94 valid data were screened,involving 56 ancient Chinese medicine books.The Treatise on Febrile Diseases recorded Zhizi Chi Decoction for the first time,which was composed of two kinds of medicine,Zhizi(Gardeniae Fructus)and Dandouchi(Sojae Semen Praeparatum).On this basis,later medical practitioners had continued to use it,mostly focusing on the core pathogenesis of heat stagnation in the chest and diaphragm.The symptoms were diverse,including"annoyance","insomnia","annoyance with heat","pain",and so on.In terms of medication dosage,most of them inherited the dosage of 14 pieces of Zhizi(Gardeniae Fructus)and 4 he Dandouchi(Sojae Semen Praeparatum)used in Treatise on Febrile Diseases.The specific dosage may vary slightly in later medical books due to differences in measurement in different dynasties.In this prescription,Zhizi(Gardeniae Fructus)is the dry and mature fruit of Gardenia jasminoides in the Rubiaceae family,and Douchi(Sojae Semen Fermentatum)is a light flavored soybean fermentation product.The decoction method is water decoction.Most doctors believe that this prescription should be stopped once the treatment is effective.Modern pharmacological studies have found that the active components of Zhizi Chi Decoction have the effects of anti-depression,cardiovascular protection,nutritional nerve and so on,and have been widely used in clinics.

Zhizi Chi Decoctionclassical prescriptiondispersing depressed heathistorical evolutionlitera-ture research

赖云婕、李艳、徐宁聪

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广州中医药大学,广东 广州 510405

广东省中医院,广东 广州 510120

栀子豉汤 经典名方 宣发郁热 历史沿革 文献研究

广东省中医药局科研项目

20223036

2024

中医药导报
湖南省中医药学会 湖南省中医管理局

中医药导报

CSTPCD
影响因子:0.952
ISSN:1672-951X
年,卷(期):2024.30(1)
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