首页|经典名方甘草泻心汤的古代文献考证与现代临床应用分析

经典名方甘草泻心汤的古代文献考证与现代临床应用分析

扫码查看
目的:明确经典名方甘草泻心汤方剂组成与应用,为其现代临床应用与药物研发提供文献证据支撑及科学依据.方法:以"甘草泻心汤"为关键词,检索古籍数据库及国家知识基础设施数据库(CNKI),根据纳入标准及排除标准进行文献筛选,并对其来源、组成、用法用量、药物基原、炮制方法、功效主治及临床应用进行归纳整理.结果:甘草泻心汤原方出自汉代张机《伤寒论》,筛选出来有效条目107条,其中涉及中医古籍89部,方剂组成与原文一致的共46条,即由甘草、黄芩、干姜、大枣、半夏、黄连等6味药物组成,甘草、黄芩、干姜、黄连组成比例以4∶3∶3∶1出现频次最多,占比77.52%,除甘草以炙甘草入药外,其余都以生品入药.甘草泻心汤的临床应用也非常广泛,可用于治疗多系统病证,其中占比最大的口腔系统达34.19%.其中医证型主要为伤寒痞证、胃气虚弱,充分印证了张机"益气和胃、消痞止呕"之诊治原理.结论:甘草泻心汤首见于汉代,历代古籍中对甘草泻心汤记载多遵从原方,其现代临床应用范围逐渐扩大,但病证均与"脾胃气虚"有关.
Ancient Literature Research and Modern Clinical Application of Classic Prescription Gancao Xiexin Decoction
Objective:This study aimed to clarify the composition and application of the classic prescription Gancao Xiexin Decoc-tion,so as to provide literature evidence support and scientific basis for its modern clinical application and drug development.Methods:Using the keyword"Gancao Xiexin Decoction",The study searched ancient book databases and China National Knowl-edge Infrastructure(CNKI)and selected literature based on inclusion and exclusion criteria.In addition,its source,composition,us-age and dosage,drug origin,processing methods,efficacy indications,and clinical application were summarized.Results:The origi-nal prescription of Gancao Xiexin Decoction was included in the Treatise on Febrile Diseases(Zhang Zhongjing in Han Dynasty),and 107 effective entries were selected.Among them,89 ancient traditional Chinese medicine books were involved,and a total of 46 prescriptions were consistent with the original text.The prescription was mainly composed of six medicines:Glycyrrhizae Radix et Rhizom,Scutellaria Radix,dried ginger,Ziziphus jujuba,Rhizoma Pinelliae,and Coptis Rhizoma,of which Glycyrrhizae Radix et Rhizom,Scutellaria Radix,dried ginger,and Coptis Rhizoma had the highest frequency of 4∶3∶3∶1,accounting for 77.52%,and all of them are raw except for Glycyrrhizae Radix et Rhizom,which was used as Glycyrrhizae Radix et Rhizoma Praeparata cum Melle.The clinical application of Gancao Xiexin Decoction was extensive,and it could treat multi-systemic diseases,of which the oral sys-tem disease accounts for the largest proportion of 34.19%.Its traditional Chinese medicine symptoms mainly included typhoid fever and distension,spleen-stomach weakness,fully demonstrating Zhang Zhongjing's diagnosis and treatment principle of"benefiting vi-tality and harmonizing the stomach,eliminating lumps and stopping vomiting".Conclusion:Gancao Xiexin Decoction was first seen in the Han Dynasty,and the records of Gancao Xiexin Decoction in ancient books throughout history mostly follow the original pre-scription.Its modern clinical application scope gradually expands,but the disease is always related to"weakness of the spleen and the stomach".

Famous prescriptionGancao Xiexin DecoctionHistorical evolutionClinical applicationStatistical analysisRe-trievalAncient traditional Chinese medicine bookLiterature screening

杨思雨、森林、刘义飞、刘迪

展开 >

湖北中医药大学药学院,武汉,430065

名方 甘草泻心汤 历史沿革 临床应用 统计分析 检索 中医古籍 文献筛选

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(20)