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经典名方丁香柿蒂散的文献考证与现代临床应用     被引量:4

Textual Research and Modern Clinical Application of Dingxiang Shidi Powder

文献类型:期刊文献

中文题名:经典名方丁香柿蒂散的文献考证与现代临床应用

英文题名:Textual Research and Modern Clinical Application of Dingxiang Shidi Powder

作者:许琳琳[1];张潇亚[1];李廷保[1]

第一作者:许琳琳

机构:[1]甘肃中医药大学中医临床学院,甘肃兰州730000

第一机构:甘肃中医药大学中医临床学院

年份:2024

卷号:19

期号:9

起止页码:1717

中文期刊名:世界中西医结合杂志

外文期刊名:World Journal of Integrated Traditional and Western Medicine

收录:CSTPCD

基金:甘肃省自然科学基金项目(23JRRA1722)。

语种:中文

中文关键词:经典名方;丁香柿蒂散;古籍文献;历史沿革;处方考证

外文关键词:Classical Prescriptions;Dingxiang Shidi Powder;Ancient Books and Documents;Historical Evolution;Textual Research on Prescription

摘要:目的系统整理有关丁香柿蒂散的古籍条文及现代研究,对其基本信息进行分析考证,为经典名方丁香柿蒂散的开发研究提供参考。方法采用文献计量及考证学方法,整理有关丁香柿蒂散的中医古籍,对其处方渊源、组方规则、药物配伍、药物剂量、主治病证、服药方法等信息进行归纳整理,同时筛选并总结此方在现代临床中的应用。结果共搜集相关中医古籍文献信息70条,筛选出有效中医古籍23部。现收录在《古代经典名方目录(第一批)》中的第83首丁香柿蒂散,出自清·杨栗山撰《伤寒瘟疫条辨》,由丁香、柿蒂、人参、生姜4味药组成,病机为“治久病呃逆,因下寒者”,具有温中降逆、和胃益气的功效,主治虚寒呃逆。据考证清代折算标准,《伤寒瘟疫条辨》中该方的组成及剂量为:丁香7.46 g,柿蒂7.46 g,人参3.73 g,生姜11.19 g。现代临床应用及网络药理学研究相关文献20篇,现代多应用于消化系统疾病,并涉及心脑血管系统、呼吸系统、血液系统等系统疾病,常配合越鞠丸、旋覆代赭汤等治疗顽固性呃逆、胃食管反流病、肿瘤化疗后恶心、术后恶心呕吐等病证。结论通过对丁香柿蒂散古籍文献的挖掘及现代应用的分析,以期为丁香柿蒂散更高效的临床运用及后续进一步探究研发提供参考依据。
Objective To systematically study the key information of the classical prescription Dingxiang Shidi Powder in ancient Chinese medical books and modern studies and provide reference for the development and research of this prescription.Methods By means of bibliometrics and textual research,the ancient Chinese medical books about Dingxiang Shidi Powder were reviewed,and the information about the origin,compatibility,dosage,indications,and usage of this prescription was summarized.Furthermore,the application of this prescription in modern clinical practice was summarized.Results A total of 70 ancient Chinese medical books were collected,in which 23 effective books were selected.Dingxiang Shidi Powder included in the Catalogue of Ancient Classical Prescriptions(the First Batch)is first recorded in the Systematic Differentiation of Cold Damage and Warm Epidemics(Shang Han Wen Yi Tiao Bian)written by Yang Lishan in the Qing Dynasty.It is composed of Caryophylli Flos,Kaki Calyx,Ginseng Radix et Rhizoma,and Zingiberis Rhizoma Recens and used to treat hiccup in the patients with chronic diseases due to cold in the lower energizer.With the effects of warming the middle energizer to descend adverse qi and harmonizing stomach to replenish qi,this prescription is mainly used to treat hiccup due to deficiency and cold.The modern composition of this prescription in the Systematic Differentiation of Cold Damage and Warm Epidemics was calculated as follows:7.46 g Caryophylli Flos,7.46 g Kaki Calyx,3.73 g Ginseng Radix et Rhizoma,and 11.19 g Zingiberis Rhizoma Recens.There are 20 articles about the modern clinical application and network pharmacological research of this prescription.At present,Dingxiang Shidi Powder is mostly used to treat digestive system diseases as well as the diseases involving the cardiovascular and cerebrovascular system,respiratory system,and blood system.It is often combined with Yueju Pills and Xuanfu Daizhe Decoction to treat intractable hiccup,gastroesophageal reflux disease,nausea after tumor chemotherapy,and nausea and vomiting after surgery.Conclusion This study reviews the ancient Chinese medical books and modern studies of Dingxiang Shidi Powder,aiming to provide reference for efficient clinical application and further research and development of this prescription.

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