经典名方阳和汤古籍文献与现代临床应用分析  

Analysis of Ancient Literature and Modern Clinical Application of Yanghe Decoction(阳和汤)

作　　者：郭红梅 王悦良 代波[1,2] 陈豪斌 王权胜[2] GUO Hongmei;WANG Yueliang;DAI Bo;CHEN Haobin;WANG Quansheng(Guangxi University of Chinese Medicine,Nanning 530200,Guangxi,China;The First Affiliated Hospital of Guangxi University of Chinese Medicine,Nanning 530023,Guangxi,China)

机构地区：[1]广西中医药大学,广西南宁530200 [2]广西中医药大学第一附属医院,广西南宁530023

出　　处：《辽宁中医药大学学报》2025年第5期152-159,共8页Journal of Liaoning University of Traditional Chinese Medicine

基　　金：广西壮族自治区中医药管理局科研课题(GXZYA20230039,GXZYA20230050);中央引导地方科技发展专项(桂科ZY20198022)。

摘　　要：阳和汤疗效确切,源自清代王维德所撰《外科证治全生集》,是治阴疽之祖方,收录于2023年国家中医药管理局公布的《古代经典名方目录(第二批)——汉族医药》。使用Excel对文献进行计量学分析,从阳和汤的方名源流、组成、功效、中药基原及炮制、用量、制法用法与现代临床应用等方面进行梳理分析。建议阳和汤现代用量及用法为熟地黄37.3 g,鹿角胶11.19 g,麻黄1.87 g,白芥子7.46 g,肉桂3.73 g,生甘草3.73 g,炮姜炭1.87 g,煎服方法为以水600 mL煎至300 mL,去药渣,入鹿角胶,在空腹或饭后2~4 h分2次温服。全方温阳补血,散寒通滞,主治骨槽风、流注、脱骨疽、鹤膝风、乳岩、结核、石疽、贴骨疽等一切阴疽。现代应用涉及肌肉骨骼及结缔组织、呼吸、循环、皮肤、妇科等多个系统,具体在膝骨性关节炎、类风湿性关节炎、腰椎间盘突出症、强直性脊柱炎等肌肉骨骼系统方面更有优势。该研究通过对阳和汤古籍文献的挖掘梳理,确定其关键信息,以期为经典名方的临床应用及制剂研发提供理论参考。Yanghe Decoction(阳和汤),with its accurate efficacy,was derived from the Complete Collection of Surgical Syndrome Treatment written by WANG Weide in the Qing Dynasty.It is the ancestral prescription for the treatment of Yin gangrene.It was included in the Catalogue of Ancient Classical Prescriptions(the Second Batch)published by the National Administration of Traditional Chinses Medicine(TCM)in 2023.The author used Excel to conduct a metrological analysis of the literature,and analyzed the origin,composition,efficacy,Chinese medicine origin and processing,dosage,preparation method and modern clinical application of Yanghe Decoction.The author suggests that the modern dosage and usage of Yanghe Decoction are 37.3 g of Shudihuang(Rehmanniae Radix Praeparata),11.19 g of Lujiaojiao(Cervi Cornus Colia),1.87 g of Mahuang(Ephedrae Herba),7.46 g of Baijiezi(Sinapis Semen),3.73 g of Rougui(Cinnamomi Cortex),3.73 g of Shenggancao(Glycyrrhizae Radixet Rhizoma),1.87 g of Paojiangtan(Zingiberis Rhizoma Praeparatum).The decoction method is as follows.Firstly,add 600 mL of water and boil it to about 300 mL,then remove the dregs,add Lujiaojiao(Cervi Cornus Colia),and take it twice on an empty stomach or 2-4 h after meal.The whole prescription warms Yang and replenishes blood,disperses cold and dredges stagnation,and mainly treats maxillary osteomyelitis,multiple abscess,bone off gangrene,crane knee wind,carcinoma of breast,tuberculosis,stone gangrene,bone stick gangrene and other Yin gangrene.Modern applications involve musculoskeletal and connective tissue,respiration,circulation,skin,gynecology and other systems,specifically in knee osteoarthritis,rheumatoid arthritis,lumbar disc herniation,ankylosing spondylitis and other musculoskeletal systems have more advantages.In this study,the key information of Yanghe Decoction was determined by excavating and combing the ancient literature of Yanghe Decoction,in order to provide theoretical reference for the clinical application of classical prescriptions and the research and deve

关 键 词：经典名方 阳和汤 古今应用 处方考证 

分 类 号：R289.5[医药卫生—方剂学]