汉唐时期“大汤剂”在宋代的传承及应用  

Inheritance and Applications of Major Decoctions of Han-Tang Dynasties in the Song Dynasty

作　　者：宋佳[1] 傅延龄[1] 丁毅[2] 

机构地区：[1]北京中医药大学国际管理学院 [2]中国中医科学院中医临床基础医学研究所

出　　处：《中医杂志》2014年第4期279-282,共4页Journal of Traditional Chinese Medicine

基　　金：国家重点基础研究发展计划("973"计划)资助项目(2010CB530604)

摘　　要：宋代盛行将中医古方汤液改为煮散。在此期间,用药剂量和煎服方法与汉唐时期方剂一致的"大汤剂"仍有继承与应用,尤以庞安时与陈自明二位医家为代表,另有少量散见于其他医籍。汉唐"大汤剂"在宋代主要应用于病势重者,其应用较少与其具有一定的临床风险与医学教育模式的转变有关。而"大汤剂"在盛行煮散的大背景下依然能传承下来,体现了当时医家对"以散代汤"的质疑及中医病证与方药剂型关系的若干思考。Although decocting power （煮散） prevailed in the Song Dynasty, some doctors still used major decoctions （大汤剂） of Han-Tang Dynasties, especially PANG Anshi and CHEN Ziming. The major decoctions of Han- Tang Dynasties were mainly used in severe cases in the Song Dynasty and the fewer applications were related to the clinical risks and the changes in medical education. The inheritance and applications of major decoctions in the Song Dynasty reflected that some doctors had doubted about the replacement of decoctions with decocting powders and had thoughts on the relationship of traditional Chinese medicine patterns and prescription forms.

关 键 词：大汤剂 庞安时 陈自明 散剂 

分 类 号：R289[医药卫生—方剂学]