《太平惠民和剂局方》外障眼病用药探析  

Analysis of Medicinal Use for External Eye Diseases in Taiping Huimin Heji Jufang

作　　者：左倩倩 王家宁 宋剑涛[1] ZUO Qianqian;WANG Jianing;SONG Jiantao(Eye Hospital,China Academy of Chinese Medical Sciences,Beijing 100040,China)

机构地区：[1]中国中医科学院眼科医院,北京100040

出　　处：《中国中医眼科杂志》2024年第9期873-877,共5页China Journal of Chinese Ophthalmology

基　　金：中国中医科学院科技创新工程(CI2021A02608)。

摘　　要：《太平惠民和剂局方》是我国历史上第一部由政府颁布的成药药典,同时也是一部以病证分类、涉及788首方剂在临床使用的大型方书,对后世临床用药产生了深远而广泛的影响。本文从《太平惠民和剂局方》眼目疾卷所用的辨证方法、外障眼病证候、方剂应用特点、剂型、服药方法等方面进行探析,发现该书眼目疾卷使用的眼科辨证方法为辨外障与内障,卷中24方(内服方18个、外用方6个)均可治疗外障眼病,其中包括散剂16方、丸剂7方、膏剂2方;并总结了24方治疗外障眼病的证候,主要包括胬肉攀睛、暴赤眼、目生翳膜、睑生风粟、睑弦赤烂、眵泪羞明等,以及用药特点。本研究可为中医眼科临床外障眼病的治疗提供一定参考。Taiping Huimin Heji Jufang is the first government-issued pharmacopeia of proprietary medicines in Chinese history and a significant classic compendium categorizing 788 prescriptions by disease and syndrome,profoundly influencing subsequent clinical medication practices.This paper investigates the ophthalmological methods,syndromes of external eye diseases,characteristics of prescriptions,dosage forms,and administration methods used in the ophthalmology section of Taiping Huimin Heji Jufang.It was found that the diagnostic method for eye diseases in this text differentiates between external and internal eye diseases.Among the 24 prescriptions(18 for internal and six for external)used for external eye diseases,16 prescriptions are in powder form,seven prescriptions are in pill form,and two prescriptions are in ointment form.This paper summarizes the syndromes treated by these 24 prescriptions,including pterygium,acute red eye,corneal opacity,hordeolum,blepharitis,and photophobia with lacrimation,as well as the characteristics of medicinal use.This study provides a reference for the clinical treatment of external eye diseases in Ophthalmology of Traditional Chinese Medicine.

关 键 词：太平惠民和剂局方 外障眼病 方药 

分 类 号：R77[医药卫生—眼科] R276.7[医药卫生—临床医学]