1.北京中医药大学中医学院,北京市房山区阳光南大街与白杨东路交叉口东北角,102446
2.北京中医药大学期刊中心
收稿:2021-12-20,
修回:2022-02-26,
纸质出版:2022-08-02
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刘旎,倪胜楼,张林等.《小品方》方药服量控制策略与服药方法的文献研究[J].中医杂志,2022,63(15):1479-1483.
LIU Ni,NI Shenglou,Zhang Lin,et al.LIU Ni1, NI Shenglou2, Zhang Lin1, FU Yanling1, PAN Zhongyi1[J].Journal of Traditional Chinese Medicine,2022,63(15):1479-1483. DOI: 10.13288/j.11-2166/r.2022.15.014.
刘旎,倪胜楼,张林等.《小品方》方药服量控制策略与服药方法的文献研究[J].中医杂志,2022,63(15):1479-1483. DOI: 10.13288/j.11-2166/r.2022.15.014.
LIU Ni,NI Shenglou,Zhang Lin,et al.LIU Ni1, NI Shenglou2, Zhang Lin1, FU Yanling1, PAN Zhongyi1[J].Journal of Traditional Chinese Medicine,2022,63(15):1479-1483. DOI: 10.13288/j.11-2166/r.2022.15.014. DOI:
目的
2
探析陈延之《小品方》中方药服量的控制策略与方法。
方法
2
纳入《小品方》中方名、主治病症、药物组成、方药剂量及煎服法均完整辑录的内服方剂,并运用描述性分析对所纳入的数据进行频次统计与归纳总结。
结果
2
共纳入内服方剂194首。汤剂单次服量为30~1200 ml,以300 ml最多见,约占汤剂单次服量总频次的46.19%。散剂单次服量为0.10~15 g,以5 g最多见,约占散剂单次服量总频次的64.29%。丸剂单次服量为0.02~6 g,以2 g最多见,约占丸剂单次服量总频次的34%。服药次数为2日1服~日7服,各剂型均以日服3次最为常见,约占3种剂型日服次数总频次的68.15%。服药时间以定时服药为主,但据病情轻重、病理特点与人体生物节律等不同,有汤剂顿服、平旦服药及昼夜连服等特殊服法。
结论
2
《小品方》强调多因素综合作用下机体对于药物耐受性与敏感性的差异是决定服量轻重的关键。其通过对方药的单次服量及服药间隔时间的调整,增强了服法对于方药绝对服量的控制。
Objective
2
To explore the administration strategies and dosage control of the formulas and medicinals in the book
The Selections from Classic Formulas
(《小品方》).
Methods
2
The name of the formulas, disease and symptom indication, medicinal composition, dosage and preparation method recorded in
The Selections from Classic Formulas
(《小品方》) were extracted, and descriptive analysis was performed to count the frequency and summarize the results.
Results
2
Totally, 194 formulas for internal administration were included. The single dosage of the decoctions ranged from 30 ml to 1200 ml, with 300 ml as the most common one accounting for 46.19%. The dosage range of powders was 0.10 g to 15 g, with 5 g as the most common one accounting for 64.29%. For pills, the single dosage ranged from 0.02 g to 6 g, and 2 g was most frequently used accounting for 34%. The formulas were taken once every two days to seven times a day, and three times a day was the most frequent way for all preparation types, accounting for 68.15%.. The formulas were taken regularly most of time, but may be adjusted according to the severity of the disease, the pathological characteristics and the biological rhythm of human body, such as taking formulas at one time, taking it before breakfast or taking it day and night.
Conclusion
2
In
The Selections from Classic Formulas,
it is stressed that
the difference in the body's tolerance and sensitivity to medications is key to determining the specific dosage of the formulas. By regulating the single dosage and the administration frequency, the control of administration way over absolute dosage of formulas has been strengthened.
钱超尘 . 陈延之及其《小品方》时代考 [J]. 中医药文化 , 2013 , 8 ( 6 ): 25 - 27 .
孙思邈 . 孙思邈医学全书 //张印生,韩学杰,任春荣,等. 唐宋金元名医全书大成 [M].北京: 中国中医药出版社 , 2015 : 560 .
俞根初 , 陈谘歧 , 倪法冲 . 新校注陈修园医书(第四辑) [M]. 福州 : 福建科技出版社 , 2004 : 199 .
马继兴 . 《小品方》残卷研究 [J]. 中国医药学报 , 1986 , 1 ( 1 ): 47 - 50 .
张如青 . 论陈延之《小品方》对前代医学的传承与创新 [J]. 上海中医药大学学报 , 2007 , 21 ( 5 ): 19 - 22 .
傅延龄 , 杨琳 , 宋佳 , 等 . 论方药的服量 [J]. 中医杂志 , 2011 , 52 ( 1 ): 8 - 11 .
陈延之 . 小品方 [M]. 高文铸,辑注.北京 : 中国中医药出版社 , 1995 .
卢嘉锡 , 丘光明 , 邱隆 . 中国科学技术史(度量衡卷) [M]. 北京 : 科学出版社 , 2001 : 282 - 291 .
吴承洛 . 中国度量衡史(第一辑) [M]. 上海 : 上海书店 , 1984 : 139 - 174 .
傅延龄 , 宋佳 , 张林 . 经方本原剂量问题研究 [M]. 北京 : 科学出版社 , 2016 : 174 - 175 .
傅延龄 , 张林 , 宋佳 . 中药临床用量流域研究 [M]. 北京 : 科学出版社 , 2015 : 24 - 38 .
韩美仙 . 基于药物重量实测的经方本原剂量研究 [D]. 北京 : 北京中医药大学 , 2011 .
傅延龄 , 宋文杰 , 范佳佳 . 张仲景方药服量控制方法 [J]. 北京中医药 , 2017 , 36 ( 6 ): 486 - 489 .
傅延龄 , 李家庚 , 王庆国 , 等 . 新修伤寒论研究大辞典 [M]. 北京 : 中国中医药出版社 , 2017 : 249 .
曹霞 . 正确解读服药次数 [J]. 医药保健杂志 , 2009 , 8 ( 22 ): 38 .
曹忠贞 . 浅谈仲景特定时间用药 [J]. 吉林中医药 , 1992 , 14 ( 3 ): 47 .
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