《东医寿世保元》方药用量初步研究  

Preliminary Study on the Recipe Dosage of Dongyi Shoushi Baoyuan( 东医寿世保元)

作　　者：田智慧[1] 张林[1] 陈丽名[1] 田恩惠[1] 傅延龄[2] 

机构地区：[1]北京中医药大学 [2]北京中医药大学继续教育学院

出　　处：《中医杂志》2014年第11期964-966,共3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：目的根据《东医寿世保元》对韩国朝鲜末期医家李济马临床方药用量规律进行分析。方法收集李济马著作《东医寿世保元》中的新定方剂处方,统计处方中单味药使用频次及四象体质（少阴、少阳、太阴、太阳）各类方中药物频次、方剂组成药味数、每服剂量及药物用量。结果共计60首新定方的100味药物纳入分析。出现频次前5位药物依次为大枣、炙甘草、白芍、陈皮、生姜,每味药平均用量分别为2枚、1钱、1.53钱、1钱、3片;少阴人用药频次前3位为大枣、炙甘草、白芍,少阳人用药频次前3位为防风、荆芥、泽泻,太阴人用药频次前3位为桔梗、黄芩、麦冬,太阳人用药频次前3位为芦根、木瓜、葡萄根。60首方剂药味组成以6~10味最多共43首,占71.67%;每服剂量6~20钱,平均为12.22钱,以10~15钱最多共34首,占56.67%。结论李济马临床组方用药特点为药味少、用量小、毎服剂量小,其组方用药至今仍为韩国医家临床常用。Objective To analyze the recipe dosage of Korean doctor LI Jima according to Dongyi Shoushi Baoyuan （东医寿世保元, Longevity and Life Preservation in Korean Medicine）. Methods The newly-made formulas in LI Jima＇s Dongyi Shoushi Baoyuan were collected. The frequency of herb frequency, herb number, formula dosage and herb dosage in formulas made according to Sasang constitution were counted. Results Totally 60 formulas and 100 herbs were included and analyzed. The top 5 frequent herbs were Dazao （Fructus Jujubae）, Zhigancao （ Radix et Rhizoma Glycyrrhizae Praeparata cure Melle）, Baishao （ Radix Paeoniae Alba）, Chenpi （ Pericarpium Citri Reticulatae） and Shengjiang （Rhizoma Zingiberis Recens） and the average dosage was 2 pieces, 1 qian （钱）, 1.53 qian （钱）, 1 qian （钱） and 3 slices in turn. The top 3 frequent herbs used in Shaoyin persons were Dazao, Zhigan- cao and Baishao. The top 3 frequent herbs used in Shaoyang persons were Fangfeng （Radix Saposhnikoviae）, Jingjie （Herba Schizonepetae） and Zexie （Rhizoma Alismatis）. The top 3 frequent herbs used in Taiyin persons were Jiegeng （ Radix Platycodonis）, Huangqin （ Radix Scutellariae） and Maidong （ Radix Ophiopogonis）. The top 3 frequent herbs used in Taiyang persons were Lugen （Rhizoma Phragmitis ）, Mugua （Fructus Chaenomelis ） and Putaogen （Vitis Viniferae Radix）. There were 43 formulas composed of 6 to 10 herbs, accounting for 71.67%. The each-serving dos- age was 6 to 20 qian （ 钱）, with an average of 12.22 qian （钱）. There were 34 formulas with an single-serving dosage from 10 to 15 qian （钱） , accounting for 56.67%. Conclusion The formulas made by LI Jima are commonly used in clinic nowadays with a feature of fewer herbs and smaller dosage and single-serving dosage.

关 键 词：李济马 四象医学 东医寿世保元 方药用量 

分 类 号：R-092[医药卫生]