《脉经·平三关病候并治宜》所涉经方的辑佚与整理研究  

Study on Compilation and Collation of Classic Formulas Involved in Pulse Classic·Disease Syndromes and Treatment Based on Pulse Manifestations of Sanguan

作　　者：包伯航 冯惠童 周登威 BAO Bohang;FENG Huitong;ZHOU Dengwei(The Second Affiliated Hospital of Guangzhou University of Chinese Medicine,Guangzhou 510120,China;Huangpu Hospital,Guangdong Second Hospital of Traditional Chinese Medicine,Guangzhou 510700,China)

机构地区：[1]广州中医药大学第二附属医院,广东广州510120 [2]广东省第二中医院黄埔医院,广东广州510700

出　　处：《山东中医药大学学报》2024年第5期622-628,共7页Journal of Shandong University of Traditional Chinese Medicine

基　　金：国家中医药管理局高水平中医药重点学科建设项目(编号:zyyzdxk-2023154)。

摘　　要：《平三关病候并治宜》(简称《平三关》)出自王叔和编撰的《脉经》,内含丰富的经方内容,既往认为此篇所涉及的方药已佚不可考,然而笔者在整理宋以前医学文献的过程中发现,《平三关》方药可能以多种形式散落在出土医学文献及存世方书之中。文章以前胡汤、平胃丸、五味子汤、竹皮汤、女萎丸、紫菀丸、葶苈子茱萸丸等经方为例,阐述了作者补辑《平三关》佚方的3个原则:①依《脉经》的其他传本进行补辑;②依宋以前医籍中与《平三关》篇所录医方主治相同或相近的方证条文进行补辑;③依宋以前医籍中方药组成与《平三关》篇所录方名相关的文献辑佚。并讨论了《平三关》方散佚的年代、原因与辑佚《平三关》方的重要意义,旨在为今后的《脉经》研究及其他类似文献的辑佚与整理工作提供新的参考与借鉴。Disease Syndromes and Treatment Based on Pulse Manifestations of Sanguan(Based on Pulse Manifestations of Sanguan for short)comes from WANG Shuhe’s Pulse Classic,which contains rich content of classic formulas.It was believed that the formulas involved in this chapter have been lost.However,in the process of sorting out medical documents before the Song Dynasty,the author found that formulas in Based on Pulse Manifestations of Sanguan may be scattered in various forms among unearthed medical documents and surviving medical formularies.Taking Qianhu Decoction(前胡汤),Pingwei Pill(平胃丸),Wuweizi Decoction(五味子汤),Zhupi Decoction(竹皮汤),Nyuwei Pil(l女萎丸),Ziwan Pil(l紫菀丸)and Tinglizi Zhuyu Pill(葶苈子茱萸丸)as examples,this paper expounded the author’s three principles of supplementing the lost formulas in Based on Pulse Manifestations of Sanguan.①Supplementing according to other copies of Pulse Classic;②Supplementing according to the clauses about formulas and syndromes in the medical books before the Song Dynasty that are the same or similar to the indications of the formulas recorded in Based on Pulse Manifestations of Sanguan;③Compilation and collation according to the documents about composition of formulas in the medical books before the Song Dynasty that are relevant to the formula names as those recorded in Based on Pulse Manifestations of Sanguan.The paper also discussed the age and reason of the lost formulas in Based on Pulse Manifestations of Sanguan and the significance of collecting the lost formulas,which could provide new reference for the research of Pulse Classic,compilation and collation of other similar documents.

关 键 词：《脉经》 《平三关病候并治宜》 经方 辑佚 敦煌医学文献 

分 类 号：R241.11[医药卫生—中医诊断学]