经典名方泽泻汤的历史衍变
投稿时间:2022-08-10     点此下载全文
引用本文:童远明,范建华,董燕,李兵,张伟娜,李斌,佟琳,吉星云,刘思鸿.经典名方泽泻汤的历史衍变[J].中国现代中药,2023,25(1):171-177
DOI:10.13313/j.issn.1673-4890.20220810001
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作者中文名作者英文名单位中文名单位英文名E-Mail
童远明 TONG Yuan-ming 广西壮族自治区中医药研究院,广西 南宁 530022 Guangxi Institute of Chinese Medicine and Pharmaceutical Sciences, Nanning 530022, China  
范建华 FAN Jian-hua 广西壮族自治区中医药研究院,广西 南宁 530022 Guangxi Institute of Chinese Medicine and Pharmaceutical Sciences, Nanning 530022, China  
董燕 DONG Yan 中国中医科学院 中医药信息研究所,北京 100700 Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
李兵 LI Bing 中国中医科学院 中药研究所,北京 100700 Institute of Chinese Materia Medica, China Academy of Chinese Medical Sciences, Beijing 100700, China  
张伟娜 ZHANG Wei-na 中国中医科学院 中医药信息研究所,北京 100700 Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
李斌 LI Bin 中国中医科学院 中医药信息研究所,北京 100700 Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
佟琳 TONG Lin 中国中医科学院 中医药信息研究所,北京 100700 Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
吉星云 JI Xing-yun 广西壮族自治区中医药研究院,广西 南宁 530022 Guangxi Institute of Chinese Medicine and Pharmaceutical Sciences, Nanning 530022, China  
刘思鸿* LIU Si-hong 中国中医科学院 中医药信息研究所,北京 100700 Institute of Information on Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China  
基金项目:中国中医科学院创新工程项目(CI2021A03708);中央级公益性科研院所基本科研业务费项目(ZZ150311,ZZ15-YQ-072);2022年广西中医药古籍、秘方、验方挖掘研究项目(GZGJ22-02)
中文摘要:泽泻汤出自汉代张仲景《金匮要略》,为治疗支饮冒眩的经典名方,被收录于《古代经典名方目录(第一批)》中。通过梳理经典名方泽泻汤历代文献,系统考证其处方来源、组方特点、功能主治等的历史沿革和研究现状。结果发现,泽泻汤原方功效主治历代变化不大,多用于心下支饮、苦眩冒等证。历代医籍中记载了大量泽泻汤同名方和加减方,其加减方主治病机多围绕水湿内停等,涉及多种疾病的治疗,如痰饮、妇科、呕吐、霍乱等。现代泽泻汤在古代应用基础上有所拓展,在治疗高血压、高血脂、眩晕、脑血管供血不足等疾病时有较好疗效。
中文关键词:泽泻汤  经典名方  历史衍变  文献研究
 
Historical Evolution of Zexietang
Abstract:Zexietang, derived from the Essentials from the Golden Cabinet by ZHANG Zhong-jing of the Han Dynasty, is a classical prescription for the treatment of thoracic fluid retention and vertigo. Zexietang is listed in the Catalogue of Ancient Famous Classical Formulas (the First Batch). This paper systematically researched the historical evolution and research status of the origin, composition, and indications of Zexietang by sorting out ancient medical books and modern literature. The results showed that the efficacy of the original prescription of Zexietang did not changed much over the past dynasties, and mostly for the syndromes such as thoracic fluid retention in epigastrium and dizziness. Multiple prescriptions with the same name and modified prescriptions of Zexietang were recorded in the medical books of past dynasties. The modified prescriptions mainly treated the pathogenesis of water dampness and internal retention, involving various diseases such as phlegm-fluid retention, gynecology, vomiting, and cholera. The modern Zexietang was improved based on the ancient application, which had an obvious effect on the treatment of hypertension, hyperlipidemia, vertigo, cerebral vascular insufficiency, and other diseases.
keywords:Zexietang  classical prescription  historical evolution  literature research
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