经典名方厚朴麻黄汤的古代文献分析与考证  

Textual Research and Analysis of Classical Formula Houpo Mahuang Decoction(厚朴麻黄汤)Based on Ancient Literature

作　　者：石丹丹 马祺鑫 李木兰 张毅[1] 刘杰[1] 肖碧跃[1] 易亚乔[1] 艾碧琛[1] SHI Dandan;MA Qixin;LI Mulan;ZHANG Yi;LIU Jie;XIAO Biyue;YI Yaqiao;AI Bichen(Hunan University of Traditional Chinese Medicine,Changsha 410000,Hunan,China)

机构地区：[1]湖南中医药大学,湖南长沙410000

出　　处：《辽宁中医药大学学报》2025年第4期175-182,共8页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：第四批全国中医(临床、基础)优秀人才研修项目(湘中医药函〔2017〕91号);国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函〔2022〕257号)。

摘　　要：经典名方是中医药古籍中的精髓,凝聚着中医药文化的核心价值,是中华民族瑰宝。对经典名方的关键信息进行考证总结,有利于全面挖掘其发展方向和发展现状,为后续的研究奠定基础。厚朴麻黄汤作为国家公布的百首经典名方之一,最早来源于东汉张仲景的《金匮要略》,由厚朴、麻黄、杏仁、石膏、五味子、半夏、干姜、细辛和小麦九味药物组成,功效为散饮除热、止咳平喘,主要用于治疗寒饮内停、挟热迫肺证。作者系统整理历代中医古籍中有关厚朴麻黄汤的文献记载,对其来源、药物组成、主治病证、药物用量、药物基原和炮制、服法和制法等关键信息进行考证与分析。共收集相关中医古籍55部(包含日本古籍6部),其中26部中医古籍详细记载了厚朴麻黄汤组成、主治病证、炮制、剂量等内容。研究表明,厚朴麻黄汤在明清时期应用最为广泛。随着后世流传,其主治病证、组成、用药剂量、炮制方法、煎服方法等均略有变化,但大体与《金匮要略》一致。通过对记载厚朴麻黄汤的古籍挖掘整理,以期对厚朴麻黄汤的临床应用及成方制剂提供理论参考。Classical prescriptions are the essence of ancient Chinese medicine,condensing the core value of Chinese medicine culture,and are the treasures of the Chinese nation.Summarising the key information of classic prescriptions is conducive to comprehensively exploring the direction and current status of their development and laying the foundation for subsequent research.As one of the 100 classical prescriptions announced by the state,Houpo Mahuang Decoction(厚朴麻黄汤)was firstly derived from Synopsis of the Golden Chamber(Han Dynasty,ZHANG Zhongjing),which consists of nine medicines,namely,Houpo(Magnoliae Officinalis Cortex),Mahuang(Ephedrae Herba),Xingren(Armeniacae Semen Amarum),Shigao(Gypsum Fibrosum),Wuweizi(Schisandrae Chinensis Fructus),Banxia(Pinelliae Rhizoma),Ganjiang(Zingiberis Rhizoma),Xixin(Asari Radix Et Rhizoma)and Xiaomai(Wheat Seed),and its effect is to disperse the drink and remove the heat and stop coughing and wheezing,and it is mainly used for treating the cases of cold drink and heat forcing the lungs.The author systematically collates the literature about Houpo Mahuang Decoction in ancient Chinese medical books of different generations,and examines and analyses the key information such as its origin,drug composition,main treatment symptoms,drug dosage,drug base and concoction,method of serving and method of preparation.A total of 55 ancient Chinese medical texts(including 6 Japanese texts)were collected,of which 26 contained detailed records of the composition of Houpo Mahuang Decoction,its main treatments,its concoctions,and its dosage,and so on.It was found that Houpo Mahuang Decoction was most widely used in the Ming and Qing Dynasties.With the later circulation,its main treatment,composition,dosage,preparation and decoction were slightly changed,but it was generally the same as that of the Synopsis of the Golden Chamber.Through the excavation and collation of the ancient records of Houpo Mahuang Decoction,it is hoped to provide theoretical references for the clinical application of Hou

关 键 词：经典名方 厚朴麻黄汤 《金匮要略》 文献考证 

分 类 号：R289.5[医药卫生—方剂学]