摘要
《覆载万安方》为日本镰仓时代中医代表性医籍,作者梶原性全根据自己的经验和理解纳入大量中国唐宋医籍,成为日本继《医心方》后具代表性的汉方医学全书。通过文本检索发现《覆载万安方》中含有柴胡的方剂共96首,其中纳入4首《伤寒论》柴胡剂,分别为小柴胡汤、大柴胡汤、柴胡桂枝汤及柴胡加芒硝汤。通过梳理《覆载万安方》中柴胡剂相关文献,并结合《伤寒论》在日本的传播与发展,可以发现梶原性全运用柴胡剂重视方证相对,灵活加减化裁,重视煎服法且关注到剂量的问题。通过整理文献发现《伤寒论》在日本镰仓时代流传并不广泛,梶原性全没有亲阅《伤寒论》,最后分析《覆载万安方》中引自各医籍的《伤寒论》柴胡剂内容,探讨《覆载万安方》对当今柴胡剂及《伤寒论》研究的文献学意义及临床价值。
Fu Zai Wan An Fang is a masterpiece of traditional Chinese medicine in the Kamakura period of Japan.The author WEIYUAN Xingquan included a large number of Chinese Tang and Song medical books according to his own experience and perception,and became a representative medicine encyclopedia after Yi Xin Fang in Japan.Through text retrieval,it was found that there were 96 prescriptions containing bupleurum in Fu Zai Wan An Fang,including 4 bupleurum preparations of Shanghan Lun,which are Xiaochaihu Decoction,Dachaihu Decoction,Chaihu Guizhi Decoction and Chaihu plus Mangxiao Decoction.To sort out the literatures related to bupleurum in Fu Zai Wan An Fang,combined with the spread and development of Shanghan Lun in Japan,it was found that WEIYUAN Xingquan’s use of bupleurum attaches importance to the relativity of prescription and syndrome,flexibly adds or subtracts the modification,attaches importance to the decoction method and pays attention to the dosage.Through literature research,it was found that Shanghan Lun was not widely circulated in the Kamakura period of Japan,and WEIYUAN Xingquan did not read Shanghan Lun personally.Finally,by analyzing the content of bupleurum in Shanghan Lun cited from various medical books in Fu Zai Wan An Fang,the philological significance and clinical value of Fu Zai Wan An Fang for the study of Radix Bupleuri and Shanghan Lun were discussed.
作者
李瑶
张涛
LI Yao;ZHANG Tao(Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China)
出处
《天津中医药》
CAS
2024年第8期1018-1022,共5页
Tianjin Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(82004241)
天津市卫健委中医中西医结合科研项目(2021117)。
