经典名方“完带汤”功能主治考订  

Main Functions of Traditional Chinese Medicine Classical Prescription Wandaitang

作　　者：陆跃 柴玉爽 宁娜 陈仁寿 LU Yue;CHAI Yu-shuang;NING Na;CHEN Ren-shou(Institute of Literature in Chinese Medicine,Nanjing University of Chinese Medicine,Nanjing 210023,China;Guangzhou Baiyunshan Zhongyi Pharmaceutical Co.Ltd.,Guangzhou 510530,China)

机构地区：[1]南京中医药大学中医药文献研究所,南京210023 [2]广州白云山中一药业有限公司,广州510530

出　　处：《中国实验方剂学杂志》2020年第9期1-7,共7页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：国家自然科学基金项目(81574099)。

摘　　要：完带汤出自傅山的《傅青主女科》,是古代经典名方之一,为现代临床所常用,收录于《古代经典名方目录(第一批)》中。《傅青主女科》与陈士铎的《辨证录》关系复杂,二者皆有另外一个传本,分别名为《女科仙方》和《辨证奇闻》,四书中都有记载完带汤,其组成略有不同,而方义阐释等记载则基本一致。经典名方完带汤的研发应以《傅青主女科》的记载为主。《傅青主女科》相对于其他经典名方出处的文献,其刊刻时代较晚,古籍也较少转载。对完带汤功能主治的研究,除了分析原书记载外,更多的是需要参考中医理论、药物组成、配伍意义,并结合现代名医对该方的认识、临床报道和实验研究,进行多角度分析。研究发现,完带汤的功能比较集中,但其主治与应用较广,病证涉及到内、外、妇、儿、男等多科疾病。笔者建议研发后的完带汤成药制剂在功能主治上可以标注为健脾化湿、疏肝理气、升举阳气。用于脾虚湿盛,清阳下陷,肝郁不舒所致的白带、泄泻、水肿、淋证,证见面色白光白,倦怠乏力,食少便溏,郁郁不乐;阴道炎、宫颈炎、盆腔炎、肠易激综合征、慢性肠炎、慢性肾炎、肾病综合征、慢性前列腺炎等见上述证候者。Wandaitang,which is one of classical traditional Chinese medicine(TCM)prescriptions,is derived from Collected Exegesis of Recipes of Fu Qingzhu's Obstetrics and Gynecology.It is commonly used in modern clinical practice,and included in the Catalogue of Ancient Classical Prescriptions(The First Batch).Collected Exegesis of Recipes of Fu Qingzhu's Obstetrics and Gynecology and Chen Shi-duo's Bianzhenglu have a complicated relationship.Both of them have another biography,named Nvke Xianfang and Bianzheng Qiwen.The composition of Wandaitang in the four books is slightly different,while the prescription's explanations and other records are almost the same.The research and development of Wandaitang should be based on the records of Collected Exegesis of Recipes of Fu Qingzhu's Obstetrics and Gynecology.Compared with other classical literatures,Collected Exegesis of Recipes of Fu Qingzhu's Obstetrics and Gynecology was published in a late period and less reproduced in other ancient books.To study the function of Wandaitang,we need to analyze the records in the original book.In addition,we need to make a multi-angle analysis by reference to the theory of TCM,the composition of drugs,the significance of compatibility,as well as the understanding of modern famous doctors,clinical reports and experimental studies in all aspects.The study found that the functions of Wandaitang were relatively concentrated,but with wide major functions involving internal medicine,surgery,gynecological,pediatric,andrological and other departments.According to the study,the authors believe that the functions of the classical TCM prescription of Wandaitang are invigorating spleen to eliminate dampness,dispersing the liver and rectifying Qi,and invigorating Yang.It can be used to treat leucorrhea,diarrhea,edema and stranguria with the syndromes of pale,languid,little food,loose stool and depression.Wandaitang can also be used to treat vaginitis,cervicitis,pelvic inflammatory disease,irritable bowel syndrome,chronic colitis,chronic nephritis,nephr

关 键 词：经典名方 完带汤 功能主治 健脾化湿 疏肝理气 升举阳气 

分 类 号：R22[医药卫生—中医基础理论] R242[医药卫生—中医学]