《伤寒杂病论》汤剂与3509首现代汤剂药味、用量比较  

Ingredient and dose comparison of prescriptions in“Shanghan Zabing Lun”with 3 509 modern prescriptions

作　　者：程先宽[1] 韩振蕴[2] 范吉平 陈志刚[2] 

机构地区：[1]北京中医药大学,北京100029 [2]北京中医药大学附属东方医院,北京100078 [3]中国中医药出版社,北京100029

出　　处：《北京中医药大学学报》2006年第7期445-447,共3页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家中医药管理局科学技术研究专项资助项目(No.02-03JP06)

摘　　要：目的比较《伤寒杂病论》汤剂经方与现代中医汤剂处方的药物组成、用量。方法计算221首经方平均药物组成；按照不同剂量折算标准,结合对不规范用量药物的量化折算,对205首经方汤剂剂量进行古今折算,计算经方平均药物用量；随机抽取东直门医院、河南中医学院第一附属医院3 d门诊汤剂处方,上海龙华医院1 d门诊汤剂处方,计算处方平均药物组成、用量,与经方比较。结果3家医院平均处方药味较经方明显增多,有显著差异,P＜0．05；现代处方平均用量与经方大剂量折算用量无明显差异,经方小剂量折算用量明显小于现代处方用量。结论与经方相比,现代中医处方药味明显增加；不同折算经方用量与现代中医处方相比,经方单味药物用量较大,即经方组方药少量大,现代处方则是药多量小。经方药物组成、用量值得深入研究。Objective To compare the ingredients and doses of classical prescriptions in ＂Shanghan Zabing Lun＂ with 3 509 modern prescriptions of Chinese medicine. Methods The ingredients of 221 classical prescriptions and the average doses of 205 classical prescriptions were calculated after the conversion of classical prescriptions according to different metrological method in ancient and modern times. The decoction prescriptions were randomly collected for 3 days from clinics of Dongzhimen Hospital and the First Affiliated Hospital of Henan College of Chinese Medicine respectively, and for 1 day from the clinic of Shanghai Longhua Hospital. The average ingredients and doses of the prescriptions of above three hospitals were calculated and compared with the classical prescriptions. Results The ingredients of the prescriptions used in above three hospitals were more compared with those of the classical prescriptions, and the difference was significant （P 〈 0.05 ）. There was no significant difference between average doses of modern prescriptions and the high - dose conversions of the classical prescriptions, while the doses of low-dose conversions of the classical prescriptions were lower significantly than those of modern prescriptions. Conclusion The ingredients of modern prescriptions were more significantly compared with those of the classical prescriptions. In the classical prescriptions the dose of a single ingredient is higher, that means ＂the ingredients are fewer with higher doses＂, but in modern prescriptions, ＂the ingredients are more with lower doses＂ after the comparison between the doses of different dose conversions of the classical prescriptions and modern prescriptions.

关 键 词：中医处方 经方 药物组成 药量 

分 类 号：R222.19[医药卫生—中医基础理论]