基于《伤寒杂病论》文献挖掘的中药生熟异用规律
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摘要
本文对《伤寒杂病论》所用药物运用统计学方法,分析了《伤寒杂病论》所反映的中药生熟异用情况,提出了中药生熟异用的一些基本规律,如生寒熟温、生清熟补、生峻熟缓、生降熟升、生行熟止等,对临床应用有一定的指导意义。同时,提出了《伤寒杂病论》逐渐扩大了中药熟品(即炮制品)的应用范围,推动了中药生熟异用理论的形成与发展。
This paper makes a statistical analysis of the medicines recorded in Treatise on Febrile Diseases and Miscellaneous Diseases, and analyzes the differences between the medicines used in raw and processed medicine. On the one hand, it put forward some basic rules of the different effects of Chinese medicine before and after processing, such as it is cold before processing, and warm after processing; it can clear away evil gas before processing, and it can replenish positive gas after processing; it has severe effect before processing, and it has palliative effect after processing, it can make the gas settle before processing, and it can lift the gas up after processing; it can active blood before processing, and stop bleeding after processing. On the other hand, it is proposed that Treatise on Febrile and Miscellaneous Diseases gradually enlarged the scope of application of cooked Chinese medicines(i.e. processed products), and promoted the formation and development of the theory of different uses of raw and mature Chinese medicines.
This paper makes a statistical analysis of the medicines recorded in Treatise on Febrile Diseases and Miscellaneous Diseases, and analyzes the differences between the medicines used in raw and processed medicine. On the one hand, it put forward some basic rules of the different effects of Chinese medicine before and after processing, such as it is cold before processing, and warm after processing; it can clear away evil gas before processing, and it can replenish positive gas after processing; it has severe effect before processing, and it has palliative effect after processing, it can make the gas settle before processing, and it can lift the gas up after processing; it can active blood before processing, and stop bleeding after processing. On the other hand, it is proposed that Treatise on Febrile and Miscellaneous Diseases gradually enlarged the scope of application of cooked Chinese medicines(i.e. processed products), and promoted the formation and development of the theory of different uses of raw and mature Chinese medicines.
引文
1 贾天柱.再论中药生熟的变化与作用.中成药, 2006, 28(7):984-986.
2 韩燕全,陈芮,潘凌宇,等.中药“生熟异用”机理研究进展.中医药临床杂志, 2017, 29(8):1187-1192.
3 赵紫伟.何首乌生熟异用作用机理的研究.昆明:云南中医学院硕士研究生学位论文, 2012.
4 佟鑫,高慧,裴启洋,等.五味子“生熟异用”之止泻作用.中国医院药学杂志, 2014, 34(7):523-526.
5 黄一峰,姚映芷.中药蒲黄生熟异用研究进展.安徽医药, 2013, 17(3):504-505.
6 李敏兰,张振凌,马永洁.地黄生熟异用对四物汤增强家蚕寿命影响的比较研究.时珍国医国药, 2013, 24(7):1582-1583.
7 杨涛.大黄生熟异用相关研究.成都:成都中医药大学硕士研究生学位论文, 2012.
8 王侃.茜草生熟异用的初步探讨.南京:南京中医药大学硕士研究生学位论文, 2012.
9 容景瑜,陈壮忠,李毅敏,等.《伤寒论》方中甘草应用规律初探.国医论坛, 2007(1):4-6.
10 王尊龙.《伤寒杂病论》中姜之应用规律研究.沈阳:辽宁中医药大学硕士研究生学位论文, 2017.
11 高建忠.理中丸与甘草干姜汤.中国中医药报, 2013-03-27.
12 刘芳.《伤寒论》“方后注”文献研究.北京:北京中医药大学博士研究生学位论文, 2014.
13 汤永恩,蒋小敏.浅谈大黄在《伤寒论》中的运用.江西中医药, 2016,4:20-21.
14 王雨桐,王蕾.剖析《伤寒杂病论》中用酒的方法及其作用.中医药学报, 2014, 6:115-117.
15 黄盛娜,姚洁敏,徐玉萍,等.《伤寒杂病论》枳实运用探析.江苏中医药, 2017, 9:63-65.
16 徐成贺,刘素文.《金匮要略》药物炮制方法探讨.国医论坛, 1999, 6:1-4.
17 陆维承.《伤寒论》和《金匮要略》方中厚朴功效之探讨.中国药业,2001, 3:50-51.
18 于留荣,应钶.中药厚朴炮制沿革的探讨.中成药研究, 1985, 12:15-16.
19 李卫民.影响方剂中地黄功效发挥方向的诸因素研究.成都:成都中医药大学博士研究生学位论文, 2009.
20 王自立.对张仲景书中干地黄的认识.陕西中医, 1985, 2:90.
21 王建康.《金匮要略》杏仁功用浅析.中医研究, 2005, 9:11.
22 王洪.控制桃仁在复方中功效发挥的多因素研究.成都:成都中医药大学硕士研究生学位论文, 2006.
23 徐荣,杜健,孟晓红.仲景运用龙牡用药剂量及炮制方法.黑龙江中医药, 1992, 3:55.
24 周小波.浅谈中药炮制的目的及与临床疗效的关系.世界最新医学信息文摘, 2017, 34:147, 149.
2 韩燕全,陈芮,潘凌宇,等.中药“生熟异用”机理研究进展.中医药临床杂志, 2017, 29(8):1187-1192.
3 赵紫伟.何首乌生熟异用作用机理的研究.昆明:云南中医学院硕士研究生学位论文, 2012.
4 佟鑫,高慧,裴启洋,等.五味子“生熟异用”之止泻作用.中国医院药学杂志, 2014, 34(7):523-526.
5 黄一峰,姚映芷.中药蒲黄生熟异用研究进展.安徽医药, 2013, 17(3):504-505.
6 李敏兰,张振凌,马永洁.地黄生熟异用对四物汤增强家蚕寿命影响的比较研究.时珍国医国药, 2013, 24(7):1582-1583.
7 杨涛.大黄生熟异用相关研究.成都:成都中医药大学硕士研究生学位论文, 2012.
8 王侃.茜草生熟异用的初步探讨.南京:南京中医药大学硕士研究生学位论文, 2012.
9 容景瑜,陈壮忠,李毅敏,等.《伤寒论》方中甘草应用规律初探.国医论坛, 2007(1):4-6.
10 王尊龙.《伤寒杂病论》中姜之应用规律研究.沈阳:辽宁中医药大学硕士研究生学位论文, 2017.
11 高建忠.理中丸与甘草干姜汤.中国中医药报, 2013-03-27.
12 刘芳.《伤寒论》“方后注”文献研究.北京:北京中医药大学博士研究生学位论文, 2014.
13 汤永恩,蒋小敏.浅谈大黄在《伤寒论》中的运用.江西中医药, 2016,4:20-21.
14 王雨桐,王蕾.剖析《伤寒杂病论》中用酒的方法及其作用.中医药学报, 2014, 6:115-117.
15 黄盛娜,姚洁敏,徐玉萍,等.《伤寒杂病论》枳实运用探析.江苏中医药, 2017, 9:63-65.
16 徐成贺,刘素文.《金匮要略》药物炮制方法探讨.国医论坛, 1999, 6:1-4.
17 陆维承.《伤寒论》和《金匮要略》方中厚朴功效之探讨.中国药业,2001, 3:50-51.
18 于留荣,应钶.中药厚朴炮制沿革的探讨.中成药研究, 1985, 12:15-16.
19 李卫民.影响方剂中地黄功效发挥方向的诸因素研究.成都:成都中医药大学博士研究生学位论文, 2009.
20 王自立.对张仲景书中干地黄的认识.陕西中医, 1985, 2:90.
21 王建康.《金匮要略》杏仁功用浅析.中医研究, 2005, 9:11.
22 王洪.控制桃仁在复方中功效发挥的多因素研究.成都:成都中医药大学硕士研究生学位论文, 2006.
23 徐荣,杜健,孟晓红.仲景运用龙牡用药剂量及炮制方法.黑龙江中医药, 1992, 3:55.
24 周小波.浅谈中药炮制的目的及与临床疗效的关系.世界最新医学信息文摘, 2017, 34:147, 149.