摘要
乌乐美-7散是利尿效果绝佳的蒙医经典方,临床上常用于心、肾、肝等脏腑源性水肿,其加减配伍法繁多,为了对该经典方更好的开发利用,有必要对其进行文献探究。运用传统文献学方法,系统梳理历代蒙藏医药古籍文献,结合现代蒙药规范标准,对乌乐美-7散的方名、组成、主治、加减配伍以及剂量配比等方面进行了考证。该方最迟在16世纪便已广泛运用于临床,在历史衍变过程中,除红花、香青兰、蓝盆花、木鳖子(制)、麦冬、瞿麦、栀子等固定的7味组成外,另有丁香、沉香、秦艽花等17种药材的配伍。临床上可依据水臌病的病因、病性、病机、发病部位、水臌发生类型以及伴随症状等,将该方与脏腑专用方药搭配或交替使用。该方主要药味和剂量相对稳定,具有进一步开发应用的价值。
ölmei-7 is a medicinal formula in classic Mongolian medicine,renowned for its diuretic efficacy.Clinically,it is widely used in the treatment of visceral-origin edema associated with disorders of the heart,kidney,liver,and other internal organs.This study reviewed the ancient texts of Mongolian and Tibetan medicine across various historical periods with traditional philological methods,drawing on the standards of Mongolian medicine.The study examined the origin,name,composition,indications,modifications,and dosage ratios ofölmei-7.It was found thatölmei-7 had been skillfully applied in clinical practice up to the 16 th century.Its basic or fixed composition was constructed with seven herbs-safflower,fragrant green orchid,scabiosa flos,Cochinchina Momordica Seed(processed),maitake,quomai,and gardenia.It was also associated with another 17 herbs as it medically evolved,such as clove,sedum,and gentiana.Clinically,ölmei-7 can be used for internal organs alternatively according to etiology,pathogenesis,nature of disease,predilection sites,and simultaneous phenomenon of the condition of dropsy.The main medicinal flavor and dosage ofölmei-7 is also believed relatively stable clinically.It has the value of further development and application.
作者
通娜拉
才·奥日丽玛
铁木尔扎克·巴登木才次克
包哈申
Tongnala;Cai·aorilima;Tiemuerzhake·badengmucaicike;Baohashen(School of Mongolian Medicine and Pharmacy,Inner Mongolia Medical University,Hohhot 010110,China;Department of Internal Medicine,Hoboksar County Mongolian Medicine Hospital,Tacheng 834499,China)
出处
《中华医史杂志》
2025年第2期102-107,共6页
Chinese Journal of Medical History
基金
内蒙古自治区一流学科科研专项项目(YLXKZX-NYD-001)
内蒙古医科大学中医学(蒙医学)一流学科建设项目(myxylxk202327)。
关键词
乌乐美-7散
水臌
药物品种
加减配伍
剂量
经典方
ölmei-7
edema
medicinal varieties
modification strategies in formula composition
dosage
classical prescription
