张仲景水蛭用法刍议  

My Humble Opinion of Zhang Zhongjing Using Leech

作　　者：高小威[1] 

机构地区：[1]湖北中医药大学,湖北武汉430065

出　　处：《中医学报》2014年第10期1429-1430,共2页Acta Chinese Medicine

基　　金：湖北省教育厅项目资助(编号:2009270)

摘　　要：张仲景所创含水蛭之方有汤剂、丸剂。但目前多数学者认为水蛭素为水蛭主要有效成分,当水蛭煎煮时水蛭素破坏殆尽而未发挥作用,故主张生服水蛭粉剂。经查阅文献及临床报道后发现,水蛭的现代药理学研究存在以下三个问题:水蛭素为水蛭主要有效成分值得商榷;古今临床及现代药理实验所用水蛭是否为同一种类难以考证;水蛭的现代药理学实验设计存在一定的缺陷。因此,研究人员应不断完善水蛭研究的设计思路,使研究结果对临床更具指导意义。Prescription with leech,created by Zhang Zhongjing,included decoction,pill. At present,the majority of scholars believe that the main effective component of leech is hirudin,which would been almost destroyed after decocting. So they advocate oral leech powder. For this,through consulting massive literature material,the auther find the modern pharmacological studies of leech have the following three problems： whether hirudin is the main effective constituent of leech is debatable; Whether leeches＇ s species are the same,is difficult to research,in clinical and pharmacological experiments of ancient and modern; There exists certain defect in modern pharmacology experiment designs of leech,which remain to be perfected.

关 键 词：张仲景 水蛭 抵挡汤 抵挡丸 大黄虫丸 

分 类 号：R222.2[医药卫生—中医基础理论]