《圣济总录》香药在五官科的应用  

Application of aromatic drug in ophthalmology and otorhinolaryngology of Shengji Zonglu

作　　者：季佳丽 杨金萍 JI Jiali;YANG Jinping(Institute for Literature and Culture of Chinese Medicine,Shandong University of Traditional Chinese Medicine,Jinan 250355,China)

机构地区：[1]山东中医药大学中医文献与文化研究院,济南250355

出　　处：《中华中医药杂志》2024年第6期3155-3158,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：2015年国家中医药管理局公益性行业科研专项(No.201507006);2018年国家中医药管理局《中华医藏》提要编纂项目(No.KJS-ZHYZ-2018-014)。

摘　　要：香药香辛透散,能通达五脏,开通官窍,在《圣济总录》五官科病中运用甚多,发挥“专药专治”的重要作用。香药入方,有主药和辅药两种形式。鼻病用之通鼻止痛、宣肺散邪、化浊除湿,耳病用之利窍聪耳、行气祛邪,咽喉病用之行气开结、消肿止痛,口齿病用之化浊除臭、温通行气、去腐消肿,目病用之调达肝气、疏风散热、消肿止痛。五官科病位特殊,又采用塞香法、薰香法等外治法,利用香药之“香”进入鼻腔及皮毛腠理,直接作用于病位。部分香药还有“引经”“引导”“补益”等特殊作用。The aromatic drug is fragrant,pungent and divergent,which can reach the five viscera and open the orifices.It is widely used in the ophthalmology and otorhinolaryngology diseases of Shengji Zonglu,and plays an important role in ‘special medicine for special treatment'.There are two forms of the use of aromatic drug in prescription:main medicine and auxiliary medicine.For nasal diseases,it is used to clear the nasal cavity and relieve pain,ventilate the lung and dissipate evil,dissolve turbidity and eliminate dampness.For ear diseases,it is used to promote and clear the earhole,regulate qi and eliminate evil.For throat diseases,it is used to regulate qi and remove stasis,relieve swelling and pain.For oral-dental diseases,it is used to dissolve turbidity and dispel odor,warm-smooth and regulate qi,remove putridity and relieve swelling.For ocular diseases,it is used to regulate liver qi,dispel wind and heat,relieve swelling and pain.Due to the special location of the ophthalmology and otorhinolaryngology diseases,the external treatments such as aromatic drug tamponade method,incense method are adopted.The ‘fragrance' of aromatic drug is used to enter the nasal cavity and fur,directly acting on the disease location.Furthermore,some aromatic drug also have special functions such as ‘guiding'‘stimulating' and ‘tonifying'.

关 键 词：香药 《圣济总录》 五官科 功效 外治法 

分 类 号：R276.1[医药卫生—中医五官科学]