摘要
目的:敦煌医方是敦煌中医药文献的重要组成部分,蕴含有丰富的中医治疗学思想,其中角药配伍精简,构思灵巧,善用八法,组药活泛,彰显以奇制胜及阴阳深层次的哲学意义,具有很高的临床借鉴价值。李应存教授为国内研究敦煌医学的专家,在临床中广泛使用敦煌医方,尤其是在两味药组成的对药和三味药组成的角药运用方面,独具匠心,风格独特,收效颇佳。通过分析敦煌古遗书完卷中独立成方之“大黄”角药的配伍与临床应用,为系统研究敦煌古医方及临床遣方用药提供有益借鉴。方法:统计敦煌古遗书完整卷子中独立成方之“大黄”角药出现的频率,从方药组成、治则治法、配伍原则与部分方子的临床应用4个方面做详尽分析。结果:敦煌完卷中独立成方的大黄角药有8组,方症相符的有5组,并见一首有名无方据考证为角药的组方形式的方剂,其中多数可应用于临床,并能够发挥较好的治疗效果。结论:敦煌遗书中所含大黄“角药”方在现代临床上仍然具有应用价值,值得借鉴应用。
Objective Dunhuang prescription is an important part of Dunhuang traditional Chinese medicine literature.It contains abundant TCM therapeutics thoughts.Among them,the compatibility of horn medicine is simplified,the mind is clever,the eight methods are well used,the combination of drugs is vivid,showing the philosophical significance of winning by surprise and the deep-seated Yin and Yang,which has high clinical reference value.Professor Li Yingcun,a domestic expert in Dunhuang medicine,has widely used Dunhuang prescriptions in clinical practice,especially in the application of corner medicine composed of two kinds of drugs and three kinds of drugs.He has unique ingenuity,unique style and good results.The purpose of this study is to analyze the compatibility and clinical application of rhubarb horn medicines,which are independent prescriptions in Dunhuang ancient relics,and to provide useful reference for the systematic study of Dunhuang ancient medical prescriptions and clinical prescriptions.Methods The frequency of the emergence of rhubarb horn medicines in the complete volume of Dunhuang ancient relics was counted,and the composition of prescriptions,treatment principles,Compatibility Principles and clinical application of some prescriptions were analyzed in detail.Results There were 8 groups of rhubarb horn drugs which were independently prescribed in Dunhuang finished volume,and 5 groups which were compatible with prescriptions and symptoms,and a prescription which had no name and was proved to be a prescription of horn medicine,most of which could be used in clinic and could play a better therapeutic effect.Conclusion rhubarb“horn medicine”in Dunhuang Chinese medical literature have Clinical application value.
作者
叶红
李鑫浩
李俊珂
刘玲
杨佳楠
李应存
YE Hong;LI Xinhao;LI Junke;LIU Ling;YANG Jianan;LI Yingcun(Dunhuang Medical Science and Transformation Department of Gansu University of Traditional Chinese Medicine co-founded the Key Laboratory of the Ministry of Education,Lanzhou 730000,China;Beijing University of Traditional Chinese Medicine,Beijing 100029,China;First Affiliated Hospital of Guangzhou University of Traditional Chinese Medicine,Guangzhou 510080,China;Chinese Academy of Traditional Chinese Medicine,Beijing 100029,China)
出处
《中国民族民间医药》
2019年第24期59-62,共4页
Chinese Journal of Ethnomedicine and Ethnopharmacy
基金
敦煌医学文献研究及数字化信息提取与整理(DHYX1415-001)
敦煌医学诊疗技术与临床应用建设项目(DHYX1415-004)
关键词
敦煌古医方
角药
李应存
大黄
Dunhuang Ancient Medical Prescription
Cape Drug
Li Yingcun
Rhubarb
