摘要
武威汉代医简对于中药的用法要求包括方剂的服药方式、服药时间、送药辅料、服药期间的各种调护要求.在中药的服药方式上,多采用含服、饮服、吞服等,说明当时医家已意识到通过改变不同剂型能针对性的提高药物疗效.在服药时间上,分为饭后服、晨起空腹、昼夜皆服等,是中医时间医学在简牍中的体现.在送药辅料上,以酒饮、豉汁饮、酢浆饮、米糜送药;在服药次数上,应根据患者病情轻重,不拘次数,视病情而定.在服药禁忌上,武威汉代医简记载饮食禁忌、感受风寒、禁房内、忌过劳等服药禁忌,认为在服药期间应重视各种调护措施.在煎煮次数及程度上,应分类对待.这些服药方法沿用至今,极具文献价值和地域医学特色,对现代临床仍有较好的指导价值.
Abstract
The usage of drugs recorded in the medical wooden slips of the Han dynasty in Wuwei includes several aspects,including the way of taking the prescription,the time of taking the medication,the delivery of excipients,and contraindications for taking the medication.In terms of medication administration,the use of oral,drinking,and swallowing methods indicates that at that time,doctors had realized that changing different dosage forms could achieve targeted therapeutic effects.In terms of medication time,it can be divided into taking after meals,taking on an empty stomach in the morning,and taking it in the morning and evening,which is reflected in traditional Chinese medicine time medicine in the wooden slips.In terms of taking medication,alcohol,soy sauce,vinegar,and rice soup are used to take medication;In terms of medication frequency,it should be determined based on the severity of the patient's condition,regardless of the frequency of medication taken,depending on the patient's condition.In terms of medication taboos,the medical woden slips of the Han dynasty in Wuwei recorded dietary taboos,taboos against wind and cold evil,taboos against sexual activity,and taboos against excessive fatigue.It was believed that various physical maintenance measures should be taken seriously during the medication period.These medication methods have been used to this day,with great literature value and regional medical characteristics,and still have good guiding value for modern clinical practice.
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