经典名方竹叶石膏汤关键信息考证  

Textual Research on Key Information of Classic Prescription Zhuye Shigaotang

作　　者：尹周安[1] 李玉丽 袁振仪[1] 毛娅男[1] 龙玲[1] 罗成宇[1] YIN Zhouan;LI Yuli;YUAN Zhenyi;MAO Yanan;LONG Ling;LUO Chengyu(Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学,长沙410208

出　　处：《中国实验方剂学杂志》2024年第13期176-183,共8页Chinese Journal of Experimental Traditional Medical Formulae

基　　金：湖南省教育厅科学研究项目(4906000200803608);湖南中医药大学校级科研项目(99820001116004);湖南省教育科学十三五规划课题项目(XJK20CGD021)。

摘　　要：竹叶石膏汤为国家中医药管理局公布的百首经典名方之一,该研究采用溯源法和文献计量学方法对竹叶石膏汤的主治病证、功效方义、现代疾病谱等方面进行考辨分析,以进一步推进该方复方制剂的研发。考证结果表明竹叶石膏汤最早源自《伤寒杂病论》,组成为淡竹叶、石膏、半夏、麦冬、人参、甘草、粳米,古籍记载的竹叶石膏汤主治病证广涉内、外、妇、儿各科病证,包括中暑、咳喘、疮疡、汗证、呃逆、失眠、疟疾、头痛、血证、鼻渊、喉痹等,细究其病机总属“余热未尽,气阴两伤,胃气失和”。研究发现,该方还可用于治疗痘疮、麻疹、霍乱等疫病,尤其适用于疫病后期。方中竹叶、石膏清热除烦;人参、麦冬、甘草、粳米生津益气;半夏和胃降逆止呕。全方配伍精妙,共奏清热除烦,益气生津,和胃降逆之效。竹叶石膏汤的现代临床应用广泛,其中在消化系统、儿科相关病证、呼吸系统、传染病、循环系统、神经系统的应用频次较高,具体病证包括复发性口疮、呃逆、小儿肺炎、小儿夏季热、不明原因发热、上呼吸道感染、流行性出血热、麻疹后期等。Zhuye Shigaotang is one of the 100 classic prescriptions published by the National Administration of Traditional Chinese Medicine.This study used the traceability method and bibliometrics method to analyze the main applicable syndromes,efficacy and meanings,modern disease spectrum,and other aspects of Zhuye Shigaotang,so as to further promote the research and development of this prescription.The results showed that Zhuye Shigaotang originated from the Treatise on Febrile Diseases,and its ingredients included Lophatheri Herba,Gypsum Fibrosum,Pinelliae Rhizoma,Ophiopogonis Radix,Ginseng Radix et Rhizoma,Glycyrrhizae Radix et Rhizoma,and Oryza sativa.The main applicable syndromes of Zhuye Shigaotang recorded in ancient books included heatstroke,cough and asthma,sores,sweat syndrome,hiccup,insomnia,malaria,headache,blood syndrome,nasosinusitis,laryngitis,etc.,involving diseases of internal medicine,surgery,gynecology,and pediatrics.Its pathogenesis was"incomplete residual heat,both Qi and Yin injuries,and stomach-Qi disharmony".The research found that Zhuye Shigaotang could also be used to treat acne,measles,and cholera,and it was especially suitable for the treatment at the later stage of epidemic diseases.Lophatheri Herba and Gypsum Fibrosum in the prescription could clear away heat and relieve vexation.Ginseng Radix et Rhizoma,Ophiopogonis Radix,Ginseng Radix et Rhizoma,and Oryza sativa could promote body fluid production and invigorate Qi.Pinelliae Rhizoma could harmonize the stomach and stop vomiting.The prescription had stable compatibility and had the effects of clearing away heat,relieving vexation,invigorating Qi,promoting body fluid production,and harmonizing the stomach.Zhuye Shigaotang was widely applied in modern clinical practices,with high application frequency in the digestive system,pediatric-related diseases,respiratory system,infectious diseases,circulatory system,and neuropsychiatric system.The specific symptoms included recurrent aphtha,hiccup,infantile pneumonia,infantile summer fever,unexplaine

关 键 词：文献研究 经典名方 竹叶石膏汤 疫病 

分 类 号：R284[医药卫生—中药学] R285[医药卫生—中医学] R289R287R22R2-031R33R24