首页|经典名方丁香柿蒂散的文献考证与现代临床应用

经典名方丁香柿蒂散的文献考证与现代临床应用

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目的 系统整理有关丁香柿蒂散的古籍条文及现代研究,对其基本信息进行分析考证,为经典名方丁香柿蒂散的开发研究提供参考.方法 采用文献计量及考证学方法,整理有关丁香柿蒂散的中医古籍,对其处方渊源、组方规则、药物配伍、药物剂量、主治病证、服药方法等信息进行归纳整理,同时筛选并总结此方在现代临床中的应用.结果 共搜集相关中医古籍文献信息70条,筛选出有效中医古籍23部.现收录在《古代经典名方目录(第一批)》中的第83首丁香柿蒂散,出自清·杨栗山撰《伤寒瘟疫条辨》,由丁香、柿蒂、人参、生姜4味药组成,病机为"治久病呃逆,因下寒者",具有温中降逆、和胃益气的功效,主治虚寒呃逆.据考证清代折算标准,《伤寒瘟疫条辨》中该方的组成及剂量为:丁香7.46 g,柿蒂7.46 g,人参3.73 g,生姜11.19 g.现代临床应用及网络药理学研究相关文献20篇,现代多应用于消化系统疾病,并涉及心脑血管系统、呼吸系统、血液系统等系统疾病,常配合越鞠丸、旋覆代赭汤等治疗顽固性呃逆、胃食管反流病、肿瘤化疗后恶心、术后恶心呕吐等病证.结论 通过对丁香柿蒂散古籍文献的挖掘及现代应用的分析,以期为丁香柿蒂散更高效的临床运用及后续进一步探究研发提供参考依据.
Textual Research and Modern Clinical Application of Dingxiang Shidi Powder
Objective To systematically study the key information of the classical prescription Dingxiang Shidi Powder in ancient Chinese medical books and modern studies and provide reference for the development and research of this prescription.Methods By means of bibliometrics and textual research,the ancient Chinese medical books about Dingxiang Shidi Powder were reviewed,and the information about the origin,compatibility,dosage,indications,and usage of this prescription was summarized.Furthermore,the application of this prescription in modern clinical practice was summa-rized.Results A total of 70 ancient Chinese medical books were collected,in which 23 effective books were selected.Dingxiang Shidi Powder included in the Catalogue of Ancient Classical Prescriptions(the First Batch)is first recorded in the Systematic Differentiation of Cold Damage and Warm Epidemics(Shang Han Wen Yi Tiao Bian)written by Yang Lishan in the Qing Dynasty.It is composed of Caryophylli Flos,Kaki Calyx,Ginseng Radix et Rhizoma,and Zingiberis Rhizoma Recens and used to treat hiccup in the patients with chronic diseases due to cold in the lower energizer.With the effects of warming the middle energizer to descend adverse qi and harmonizing stomach to replenish qi,this prescription is mainly used to treat hiccup due to deficiency and cold.The modern composition of this prescription in the Systematic Differentia-tion of Cold Damage and Warm Epidemics was calculated as follows:7.46 g Caryophylli Flos,7.46 g Kaki Calyx,3.73 g Ginseng Radix et Rhizoma,and 11.19 g Zingiberis Rhizoma Recens.There are 20 articles about the modern clinical appli-cation and network pharmacological research of this prescription.At present,Dingxiang Shidi Powder is mostly used to treat digestive system diseases as well as the diseases involving the cardiovascular and cerebrovascular system,respiratory sys-tem,and blood system.It is often combined with Yueju Pills and Xuanfu Daizhe Decoction to treat intractable hiccup,gas-troesophageal reflux disease,nausea after tumor chemotherapy,and nausea and vomiting after surgery.Conclusion This study reviews the ancient Chinese medical books and modern studies of Dingxiang Shidi Powder,aiming to provide refer-ence for efficient clinical application and further research and development of this prescription.

Classical PrescriptionsDingxiang Shidi PowderAncient Books and DocumentsHistorical EvolutionTextual Research on Prescription

许琳琳、张潇亚、李廷保

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甘肃中医药大学中医临床学院,甘肃兰州 730000

经典名方 丁香柿蒂散 古籍文献 历史沿革 处方考证

甘肃省自然科学基金项目

23JRRA1722

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(9)
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