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乌程汉简疫病医方药物考证五则

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[目的]对乌程汉简医方简中的"臧(臧)堵、廬如、沙參、白沙參、署蟲、防祭(己)"等六味药进行相关探究,以期还原其本来面貌.[方法]采用文献搜查法及二重证据法等具体方法查阅大量相关论文、书籍,对比总结出所探究结果.[结果]此医方共二十六味药,药物炮制方法丰富.臧(臧)堵应为今人所用之"代赭";"沙参"应为"南沙参";"白沙参"应为"北沙参";"署虫"应为"蛰虫";廬如的具体药味可能有二:一为"屈草",二为(蔄)如;防祭(己)"应为"防葵".此医方应是用于治疗以寒湿为病因,以大便不通、咳喘、体痛为主证,以外寒内饮、热结不通为病机的"寒湿疫".[结论]考证还原乌程汉简医药简药方真实面貌,既有利于进一步探讨传统医学的发展历程,又具有中医现代研究的现实借鉴意义,对浙派中医的溯源研究亦有一定价值.
Research on Five Proven Prescriptions for the Treatment of Epidemic Diseases in Wucheng Hanjian
[Objective]To explore the six medicinal ingredients,namely"(臧)Zangdu,Luru,Shashen,Baishashen,Shuchong and Fangji(ji)",in the Wucheng Hanjian prescription,in order to restore their original appearance.[Methods]Through literature search and double evidence method,a large number of relevant papers and books were consulted,and the research results were compared and summarized.[Results]This prescription consists of twenty-six medicinal ingredients,and the methods of preparation are diverse."(臧)Zangdu"should be"Daizhe"used by modern people;"Shashen"should be"Nanshashen",and"Baishashen"should be"Beishashen";"Shuchong"should be"Zhechong";there are two possible specific medicinal ingredients for"Luru",one is"Qucao",and the other is"lvru";"Fangji(ji)"should be"Fangkui".This prescription is used to treat"cold and dampness epidemic"with the etiology of cold and dampness,the main symptoms of constipation,coughing,and body pain,and the pathogenesis of external cold,internal drinking,and heat stagnation.[Conclusion]The research and restoration of the true appearance of the Wucheng Hanjian prescription is not only beneficial for further exploring the development process of traditional medicine,but also has practical reference significance for modern research on Chinese medicine,and also has certain value for the tracing research of Zhe school of traditional Chinese medicine.

Wucheng HanjianZang((臧))duShashenBaishashenShuchongLuruFangji(已)

韩梓逸、王启航、熊益亮

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北京中医药大学国学院 北京 100029

乌程汉简 臧(臧)堵 沙参 白沙参 署蟲 廬如 防祭(己)

国家社科基金冷门绝学重点研究专项

19VJX164

2024

浙江中医药大学学报
浙江中医药大学

浙江中医药大学学报

CSTPCD
影响因子:1.049
ISSN:1005-5509
年,卷(期):2024.48(2)
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