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薏苡附子败酱散文献分析与考证

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目的 为薏苡附子败酱散的临床应用与研发提供参考.方法 检索《中华医典》(第 5 版)数据库、《国医典藏》中医古籍数据库、中医药基本古籍数据库(中南大学)及中医世家、中医宝典官网,以及中国知网中薏苡附子败酱散相关文献,检索时限为 1958 年 1 月至 2022 年 12 月.梳理记载薏苡附子败酱散的古代文献,并结合现代临床研究,考证该方关键信息.结果与结论 共收集相关古籍文献 84 条,涉及中医古籍 48 部,其中 23 部全面记载了该方功能主治、组成、剂量、炮制、制法与服法等内容.薏苡附子败酱散共 3 种异名方(附子汤、败酱散、薏苡附子散).其由薏苡仁、附子、败酱草组方,根据古今剂量折算,每剂含薏苡仁 34.5 g,附子 6.9g,败酱草17.25 g,附子用炒制品,薏苡仁、败酱草均用生品,加水 400 mL,煎至 200 mL,顿服.该方古籍记载主治病证为肠痈内已成脓,身无热,肌肤甲错,腹皮急,如肿状,按之软,脉数.现代研究以炎症为主要应用方向,并广泛应用于内科、妇科、儿科等学科疾病.
Literature Analysis and Textual Research of Yiyi Fuzi Baijiang Powder
Objective To provide a reference for the clinical application,research and development of Yiyi Fuzi Baijiang Powder.Methods The relevant literature on Yiyi Fuzi Baijiang Powder in the Chinese Medical Dictionary(The 5th Version)database,Traditional Chinese Medicine Ancient Books database in the National Medical Collection,Basic Ancient Chinese Medicine Books database(Central South University),Traditional Chinese Medicine Family official website,Traditional Chinese Medicine Encyclopedia official website and CNKI from January 1958 to December 2022 was searched.The ancient literature related to Yiyi Fuzi Baijiang Powder was sorted out,and the key information of this formula was verified based on the modern clinical researches.Results and Conclusion A total of 84 relevant ancient literature was collected,involving 48 traditional Chinese medicine ancient books,of which 23 have detailed records of functions,indications,composition,dosage,processing,preparation and taking methods of the formula.There are three different names of formulas for Yiyi Fuzi Baijiang Powder,including Fuzi Decoction,Baijiang Powder,Yiyi Fuzi Powder,which are composed of Coicis Semen,Aconiti Lateralis Radix Praeparata and Herba Patriniae.According to ancient and modern dose conversion,there are 34.5 g of Coicis Semen,6.9 g of Aconiti Lateralis Radix Praeparata and 17.25 g of Herba Patriniae in per dose of Yiyi Fuzi Baijiang Powder.During the preparation of Yiyi Fuzi Baijiang Powder,the stir-fried Aconiti Lateralis Radix Praeparata,raw Coicis Semen and Herba Patriniae are used;adding 400 mL of water,decocting to 200 mL,and taking at draught.According to ancient books,this formula is mainly in the treatment of intestinal abscess,manifested by absence of body heat,squamous and dry skin,tense abdomen,spongy sensation upon palpation resembling swelling,feeling soft in the abdomen while pressing and rapid pulse.In modern research,Yiyi Fuzi Baijiang Powder is mainly used for inflammation and is widely used in diseases related to internal medicine,gynecology,pediatrics and other disciplines.

Yiyi Fuzi Baijiang Powderancient literaturemodern researchherbal textual researchclinical application

魏艳婷、王萌、李佳佳、苏红宁、贡磊磊

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河北省石家庄市第四医院,河北 石家庄 050000

首都医科大学附属北京妇产医院,北京 100026

薏苡附子败酱散 古代文献 现代研究 本草考证 临床应用

国家自然科学基金北京市属医院科研培育计划项目河北省中医药管理局科研计划项目

82204698PZ20230292020282

2024

中国药业
重庆市食品药品监督管理局

中国药业

CSTPCD
影响因子:1.369
ISSN:1006-4931
年,卷(期):2024.33(16)
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