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当归芍药散古今源流及临床应用机制

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目的:系统梳理有关当归芍药散的古今文献,了解当归芍药散的历史沿革和临床应用概况,为当归芍药散的现代临床应用及研究提供理论基础.方法:在《中华医典》数据库中以"当归芍药散"为关键词搜索有关条目及古代书籍,在国家知识基础设施数据库(CNKI)及PubMed数据库中以"当归芍药散""DangGui ShaoYao San(DSS)"为主题词进行检索,并依据纳入和排除标准筛选,最终总结出当归芍药散的历史沿革与临床研究.结果:古代文献最终纳入111条目,共50部医籍,当归芍药散首载于《金匮要略》,其药物组成、基原、剂量、煎服方法大致延续了仲景书中的记载,书中并未记载当归芍药散的炮制方法、服药反应及禁忌证,但是后世医家及学者对当归芍药散的单个药物进行了考证和探讨,处方配伍比例当为3∶16∶8∶4∶4∶8,方中药物为生品,主治腹痛;现代文献纳入38篇文献,该方具有镇痛抗炎、调节激素水平、降低血脂程度、改善血流状态、提高免疫的功用,主要用于慢性盆腔炎、痛经、黄褐斑、糖尿病肾病等疾病.结论:当归芍药散的组成、基原、剂量、煎煮及服用方法基本上与《金匮要略》保持一致,该方主要适用证型有5型,疾病有10余种.临床治疗上,探究其临床应用机制,扩宽了当归芍药散的应用范围,为经方当归芍药散的开发与应用提供了参考.
Origin and Mechanism of Danggui Shaoyao Powder in Clinical Application from Ancient to Modern Times
Objective:To systematically review ancient and modern literature on Danggui Shaoyao Powder(DSP)to understand its historical development and clinical application,providing a theoretical basis for its modern clinical use and research.Methods:The term"Danggui Shaoyao Powder"was used to search relevant entries and ancient texts in the Zhonghua Medical Canon database.Additionally,China National Knowledge Infrastructure(CNKI)and PubMed databases were searched using"Danggui Shaoyao Pow-der"and"Danggui Shaoyao San"as keywords.Articles were selected according to inclusion and exclusion criteria,and the histori-cal evolution and clinical research on DSP were summarized.Results:A total of 111 entries from 50 medical texts were included from ancient literature.DSP was first recorded in the Synopsis of the Golden Chamber(Jin Gui Yao Lue),and its composition,origi-nal sources,dosage,and decoction methods largely followed the descriptions by ZHANG Ji.The original text did not record process-ing methods,adverse reactions,or contraindications for DSP.However,later physicians and scholars examined and discussed the in-dividual drugs in the formula.The composition ratio of the prescription was identified as 3∶16∶8∶4∶4∶8,using raw herbs,and it was primarily indicated for abdominal pain.In modern literature,38 studies were included,highlighting the analgesic,anti-inflammatory,hormone-regulating,lipid-lowering,blood circulation-improving,and immune-boosting effects.DSP has been mainly used to treat chronic pelvic inflammatory disease,dysmenorrhea,chloasma,diabetic nephropathy,and other conditions.Conclusion:The composi-tion,original sources,dosage,and methods of decoction and administration of DSP have remained largely consistent with those de-scribed in the Synopsis of the Golden Chamber.The formula is mainly applicable to five syndromes and over ten diseases.Clinical-ly,exploring its mechanisms of action has broadened the application range of DSS,providing a reference for the development and use of this classical prescription.

Danggui Shaoyao PowderSynopsis of the Golden ChamberLiterature reviewClinical applicationMechanismTheoretical originsApplication of formulaZHANG Ji

李鸿、黎柳、黄秋晴、杨诗尧、邹俊驹、向琴、刘秀、肖凡、喻嵘

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湖南中医药大学中医学院,长沙,410208

湖南中医药大学科技处,长沙,410208

湖南中医药大学方证实验室,长沙,410208

湖南中医药大学国际学院,长沙,410208

湖南中医药大学研究生院,长沙,410208

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当归芍药散 《金匮要略》 文献研究 临床应用 作用机制 理论源流 组方应用 张机

国家自然科学基金联合基金重点支持项目国家自然科学基金面上项目湖南省研究生科研创新项目

U21A2041182074400CX20220772

2024

世界中医药
世界中医药学会联合会

世界中医药

CSTPCDCHSSCD北大核心
影响因子:1.266
ISSN:1673-7202
年,卷(期):2024.19(16)