《五十二病方》和历代医家对“般(瘢)”的认识及当代价值研究  

Understanding of"ban(scar)"in Wu Shi Er Bing Fang(Formulas for Fifty-two Diseases)and by physicians throughout history,and its modern value

作　　者：周蓉娴 田毅 杨志波[2] 罗健 ZHOU Rongxian;TIAN Yi;YANG Zhibo;LUO Jian(Hunan University of Chinese Medicine,Changsha,Hunan 410208,China;The Second Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410005,China;Hunan Academy of Chinese Medicine,Changsha,Hunan 410000,China)

机构地区：[1]湖南中医药大学,湖南长沙410208 [2]湖南中医药大学第二附属医院,湖南长沙410005 [3]湖南省中医药研究院,湖南长沙410000

出　　处：《湖南中医药大学学报》2024年第12期2315-2319,共5页Journal of Hunan University of Chinese Medicine

基　　金：马王堆医学文化研究(23WTA10);湖南省社会科学基金项目(22ZDA003);湖南省社会科学基金项目(23WTA10)。

摘　　要：中医对“瘢”的认识历史悠久。早在马王堆出土的《五十二病方》等医书中,就有关于“瘢”的预防和治疗的详细记载,是现存最早介绍“瘢”的预防和治疗的经典著作,为后世医家提供了重要的理论依据。该书详细地讨论了外伤性、陈旧性和烧伤性瘢痕,并提出了中草药与其他疗法结合的防治措施,强调内外兼治的治疗方式,对减少瘢痕形成具有显著疗效。后世医家在《五十二病方》的基础上,通过理论创新和实践积累,不断完善瘢痕治疗体系,使治疗方法多样化,药物选材精准化。现代医学从《五十二病方》中汲取了宝贵的经验,特别是在外伤性、陈旧性及烧伤性瘢痕治疗方面,指导了中医特色瘢痕治疗产品的研发,为当代医学提供了理论支撑与实践依据。The understanding of"ban(scar)"in Chinese Medicine(CM)has a long history.As early as the medical book Wu Shi Er Bing Fang(Formulas for Fifty-two Diseases)unearthed from the Mawangdui Han Tombs,there are detailed records of scar prevention and treatment.This is the earliest extant classic introducing the prevention and treatment of scars,providing an important theoretical basis for later physicians.The book discussed traumatic,old,and burn scars in detail,proposing combined treatments using medicinal herbs and other therapies.It emphasized integrated internal and external therapy,demonstrating significant efficacy in reducing scar formation.Building on the Wu Shi Er Bing Fang(Formulas for Fifty-two Diseases),later physicians continuously refined the therapeutic system of scars through theoretical innovations and practical experience,diversifying treatment methods and improving the precision of medicinal selections.Modern medicine has drawn valuable insights from this book,particularly in the treatment of traumatic,old,and burn scars.It has guided the development of CM-based scar treatment products,and provided theoretical support and practical evidence for contemporary medical practices.

关 键 词：般(瘢) 毋瘢 不瘢 故瘢 灭瘢 减瘢 

分 类 号：R2[医药卫生—中医学]