首页|《金匮要略》麦门冬汤之"麦门冬七升"辨正

《金匮要略》麦门冬汤之"麦门冬七升"辨正

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麦门冬汤是国家公布的首批"古代经典名方",考证其剂量、组成等关键信息具有重要意义.综观仲景诸方,麦门冬汤"麦门冬七升"的用量与惯例有所不协,故不得不质疑:"麦门冬七升"是否为仲景原量?文章运用校勘学等方法,结合汉至唐期间诸方的麦冬用量惯例、经方汤剂药水比以及相关古籍记载等依据,得出《金匮要略》麦门冬汤之"麦门冬七升"并非仲景原量,而《外台秘要》所记载的"麦门冬二升"当为仲景原量.本研究有助于正确认识麦冬用量及麦门冬汤;有助于降低医疗风险,提升临床疗效;有助于减少商业开发耗材,食用更加安全.
Discrimination of the'Radix Ophiopogonis seven liters'of Maimendong Decoction in Synopsis of Golden Chamber
Maimendong Decoction is the first batch of'ancient classic prescription'announced by the state.It is of great significance to study its dosage,composition and other key information.Taking a comprehensive view of ZHANG Zhongjing's prescriptions,the dosage of'Radix Ophiopogonis seven liters'is inconsistent with the practice.Therefore,it is necessary to question whether the'Radix Ophiopogonis seven liters'of Maimendong Decoction is the original dosage of ZHANG Zhongjing?In this paper,using the methods of collation,combined with ZHANG Zhongjing's dosage habits,dosage practices between Han and Tang dynasties,the ratio of medicine and water in classical prescriptions and related ancient records,it is concluded that the'Radix Ophiopogonis seven liters'of Maimendong Decoction in Synopsis of Golden Chamber is not the original amount of ZHANG Zhongjing,while the'Radix Ophiopogonis two liters'recorded in Arcane Essentials from the Imperial Library is the original amount of ZHANG Zhongjing.This study is helpful to correctly understand the dosage of Radix Ophiopogonis and Maimendong Decoction,help to reduce medical risks and improve clinical efficacy,it helps to reduce commercial development consumables and make food safer.

Maimendong DecoctionClassical prescriptionsRadix OphiopogonisDosageSynopsis of Golden Chamber

赵京博、邱旭东、周珍、徐爽、钟相根

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北京中医药大学中医学院,北京 100029

中国中医科学院中药资源中心,道地药材品质保障与资源持续利用全国重点实验室,北京 100700

麦门冬汤 经典名方 麦门冬 剂量 《金匮要略》

中央本级重大增减支项目全国中医临床优秀人才研修项目北京中医药大学教育科学研究专项

2060302-2301-16国中医药人教函[2022]239号XJZX2019

2024

中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
年,卷(期):2024.39(5)