| 引用本文: |
唐艳丹,彭永,何顺清,饶桂兰,王海英.经典名方黄芪桂枝五物汤古籍文献分析[J].湖南中医药大学学报,2022,42(12):2105-2110[点击复制] |
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| 经典名方黄芪桂枝五物汤古籍文献分析 |
| 唐艳丹,彭永,何顺清,饶桂兰,王海英 |
| (湖南中医药大学, 湖南 长沙 410208;湖南中医药高等专科学校附属第一医院神经内科, 湖南 株洲 412000;北京万方医学信息科技有限公司, 北京 100089) |
| 摘要: |
| 黄芪桂枝五物汤出自《金匮要略》,是百首古代经典名方之一。经过对黄芪桂枝五物汤的来源、历史发展、变化进程、使用剂量、炮制方法等系统考证发现:“黄芪桂枝五物汤”“黄芪五物汤”“桂枝五物汤”在古籍文献中属于异名同方;元宋时期医学古籍对黄芪桂枝五物汤记载尚处转抄阶段,至明清时期对黄芪桂枝五物汤的认识逐步深入且应用更灵活;“调养营卫,温经通痹”是黄芪桂枝五物汤贯穿始终的核心功效,应用范围除血痹外,还有预防中风、一切痹症属虚者、风痹、中风后半身不遂、中暑等,但其始终为血痹门中首方。如按原文煎煮方法,推荐以“黄芪9 g,桂枝9 g,芍药9 g,生姜18 g,大枣12枚”作为定量参考,更有利于黄芪桂枝五物汤在临床应用和研究开发中发挥作用。 |
| 关键词: 经典名方 黄芪桂枝五物汤 功效 剂量 文献研究 |
| DOI：10.3969/j.issn.1674-070X.2022.12.025 |
| 投稿时间：2021-10-06 |
| 基金项目:湖南省中医药管理局重点课题(201915); 湖南省卫生健康委员会课题(B20180815); 湖南中医药高等专科学校附属第一医院优秀科研创新团队(B2021-003) |
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| Ancient literature analysis of Huangqi Guizhi Wuwu Decoction |
| TANG Yandan,PENG Yong,HE Shunqing,RAO Guilan,WANG Haiying |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Department of Neurology, The First Hospital of Hunan Chinese Medical College, Zhuzhou, Hunan 412000, China;Beijing Wanfang Medical Information Technology Co., Ltd., Beijing 100089, China) |
| Abstract: |
| Huangqi Guizhi Wuwu Decoction(HQGZWW), from Jin Gui Yao Lüe(the Essentials from the Golden Cabinet), is one of the 100 ancient classic formulas. By comprehensively studying the source, historical development, change process, dosage and processing method of HQGZWW, we concluded that "Huangqi Guizhi Wuwu Decoction", "Huangqi Wuwu Decoction" and "Guizhi Wuwu Decoction" were the same formula with different names in ancient books. In the Yuan and Song Dynasties, the records of HQGZWW in ancient medical books were still in the stage of copying. In the Ming and Qing Dynasties, HQGZWW were gradually understand deeply and applied more flexibly. The core efficacy of HQGZWW was to "regulate and harmonize the Ying nutrients and Wei-defense, warm meridians and dredge impediment". In addition to blood impediment, HQGZWW was applied to prevent stroke, all impediment disorders with deficiency, wind impediment, hemiplegia after stroke, heatstroke, and others.Furthermore, HQGZWW was always the first formula for blood impediment. According to the decocting method in the original text, "Huangqi(Radix Astragali seu Hedysari) 9 g, Guizhi(Ramulus Cinnamomi) 9 g, Shaoyao(Paeonia lactiflora Pall.) 9 g, Shengjiang(Rhizoma Zingiberis Recens) 18 g, Dazao(Fructus Jujubae) 12 dates" was the quantitative reference, which could enable HQGZWW to play a positive role in clinical application, research and development. |
| Key words: classic famous formula Huangqi Guizhi Wuwu Decoction efficacy dosage literature study |
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