黄土汤临床与实验研究进展  

The Advances in Clinical and Experimental Research of Huangtu Tang

作　　者：胡泽雨 王颖[1] HU Zeyu;WANG Ying

机构地区：[1]浙江中医药大学,浙江杭州310053

出　　处：《新中医》2018年第10期33-37,共5页New Chinese Medicine

基　　金：国家自然科学基金青年项目(81703961)

摘　　要：目的:追溯黄土汤的渊源、概述黄土汤的方证、研究黄土汤的现代临床应用及进展。方法:查阅秦汉至明清时期的医史、史籍中关于黄土汤的早期记载,考证黄土汤的来源及发展;检索近20年来关于黄土汤的临床应用及实验研究文献,总结黄土汤的现代临床应用,尤其是在治疗消化道出血、消化道肿瘤、癌症等方面的应用,并阐释其药理作用。结果:古方黄土汤最早由东汉著名医学家张仲景所创制,主要治疗因脾虚气寒、中阳不足、统摄无权所致出血症状,千年来倍受历代医家的推崇,并以黄土汤为基础,辨证加减施治,疗效甚好。现代常以黄土汤加减治疗消化道出血、慢性溃疡性结肠炎、肿瘤等,临床研究或实验研究均有多方报道。结论:黄土汤不仅可用于治疗脾不统血所致出血诸证,对于糖尿病性腹泻、慢性结肠炎等症也效如桴鼓,对于产后呕吐、口腔溃疡等症也多有疗效,而在治疗肿瘤方面应用较少,仍需进一步深入研究。Objective：To trace the origin of Huangtu tang,summarize applicable syndromes of it,and to study the modern clinical application and progress of it. Methods：Referred to the medical history of the Qin and Han dynasties to the Ming and Qing dynasties and the early records of Huangtu tang in the historical books,and found out its origin and development. Searched the clinical application and experimental research literature of Huangtu tang in recent 20 years and summarized the modern clinical application of it,especially in the treatment of gastrointestinal bleeding, gastrointestinal tumor, cancer, etc. Illustrated its pharmacological effects. Results：Huangtu tang,an ancient prescription,was first created by ZHAN Zhongjing,a famous physician of the Eastern Han Dynasty,to treat bleeding symptoms caused by spleen deficiency and cold qi, deficiency of middle energizer-yang, and ineffective control of qi. For thousands of years, it has been highly praised by practitioners in the past dynasties, and modified Huangtu tang based on syndrome differentiation has significant therapeutic effect. In modern times,modified Huangtu tang is often used to treat gastrointestinal bleeding,chronic ulcerative colitis,tumors and so on. It is recorded in clinical or experimental studies. Conclusion：Huangtu tang can be used in the treatment of the syndromes due to the spleen governing the blood ineffectively,and has significant effect in treating diabetic diarrhea and chronic colitis,puerperal vomiting and oral ulcer. While it has been less used in the treatment of tumors and the futher research is needed.

关 键 词：黄土汤 临床应用 实验研究 文献综述 

分 类 号：R285.6[医药卫生—中药学]