摘要
麦门冬汤是国家公布的首批“古代经典名方”,考证其剂量、组成等关键信息具有重要意义。综观仲景诸方,麦门冬汤“麦门冬七升”的用量与惯例有所不协,故不得不质疑:“麦门冬七升”是否为仲景原量?文章运用校勘学等方法,结合汉至唐期间诸方的麦冬用量惯例、经方汤剂药水比以及相关古籍记载等依据,得出《金匮要略》麦门冬汤之“麦门冬七升”并非仲景原量,而《外台秘要》所记载的“麦门冬二升”当为仲景原量。本研究有助于正确认识麦冬用量及麦门冬汤;有助于降低医疗风险,提升临床疗效;有助于减少商业开发耗材,食用更加安全。
Maimendong Decoction is the first batch of‘ancient classic prescription'announced by the state.It is of great significance to study its dosage,composition and other key information.Taking a comprehensive view of ZHANG Zhongjing's prescriptions,the dosage of‘Radix Ophiopogonis seven liters'is inconsistent with the practice.Therefore,it is necessary to question whether the‘Radix Ophiopogonis seven liters'of Maimendong Decoction is the original dosage of ZHANG Zhongjing?In this paper,using the methods of collation,combined with ZHANG Zhongjing's dosage habits,dosage practices between Han and Tang dynasties,the ratio of medicine and water in classical prescriptions and related ancient records,it is concluded that the‘Radix Ophiopogonis seven liters'of Maimendong Decoction in Synopsis of Golden Chamber is not the original amount of ZHANG Zhongjing,while the‘Radix Ophiopogonis two liters'recorded in Arcane Essentials from the Imperial Library is the original amount of ZHANG Zhongjing.This study is helpful to correctly understand the dosage of Radix Ophiopogonis and Maimendong Decoction,help to reduce medical risks and improve clinical efficacy,it helps to reduce commercial development consumables and make food safer.
作者
赵京博
邱旭东
周珍
徐爽
钟相根
ZHAO Jingbo;QIU Xudong;ZHOU Zhen;XU Shuang;ZHONG Xianggen(School of Tradisional Chinese Medicine,Bejing University of Chinese Medicine,Beijing 100029,China;National Resource Centre for Chinese Materia Medica,China Academy of Chinese Medical Sciences,State Key Laboratory for Quality Ensurance and Sustainable Use of Dao-di Herbs,Beijing 100700,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2024年第5期2393-2396,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
中央本级重大增减支项目“名贵中药资源可持续利用能力建设项目”(No.2060302-2301-16)
全国中医临床优秀人才研修项目(No.国中医药人教函[2022]239号)
北京中医药大学教育科学研究专项课题(No.XJZX2019)。
关键词
麦门冬汤
经典名方
麦门冬
剂量
《金匮要略》
Maimendong Decoction
Classical prescriptions
Radix Ophiopogonis
Dosage
Synopsis of Golden Chamber
