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从中医方剂研究石膏的临床应用规律
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| 篇名： | 从中医方剂研究石膏的临床应用规律 |
| TITLE： | |
| 摘要： | 目的：了解石膏在内服与外用方剂中的功效差异，为临床安全、有效用药提供参考。方法：结合《中华医典（电子丛书）》和《中华医方精选辞典》，归纳自东汉至现代（截至1979年）含有石膏的方剂，分析历代医家在临床使用石膏的规律。结果：共收集到682首含有石膏的方剂。按年代分，宋代和清代的方剂分别有169首（占24.8％）、152首（占22.3％），明代和现代（截至1979年）的分别有138首（占20.2％）、118首（占17.3％），金代和元代的共有53首（占7.8％），汉、晋、南北朝、唐代的共有52首（占7.6％）。石膏主要有清热泻火、除烦止渴、敛疮生肌、收湿止血及其他功效。其中，用于清热泻火的有516首（占75.7％），用于除烦止渴的有69首（占10.1％），用于敛疮生肌、收湿止血的分别有56、20首（分别占8.2％、2.9％），用于其他（如固齿、美容、养生等）的有21首（占3.1％）。石膏的作用以清热泻火为主，通过与其他药物进行配伍治疗因热导致的疾病，可在治疗阳明气分实热、气血（营）两燔证、气分实热兼有气阴亏虚证、他经合并有实热证、内伤杂病等方剂中使用。另外，生石膏既可内服也可外用，煅制后还可内服。结论：通过对历代医家使用石膏的方剂进行研究，可促进石膏的进一步利用，更好地发挥其临床疗效。 |
| ABSTRACT： | OBJECTIVE： To investigate the efficacy difference of gypsum in oral and external prescriptions， so as to provide reference for safe and effective drug use in clinic. METHODS： According to Chinese Medical Classics （electronic books） and Selected Dictionary of Chinese Medical Prescriptions， the prescriptions containing gypsum from the Eastern Han Dynasty to the Modern Times （up to 1979） were summarized； the regularity of clinical use of gypsum by physicians in past dynasties were analyzed. RESULTS： A total of 682 prescriptions containing gypsum were collected. According to the time， there were 169 prescriptions of the Song Dynasty （24.8％） and 152 prescriptions of the Qing Dynasty （22.3％）； there were 138 prescriptions of the Ming Dynasty （20.2％） and 118 prescriptions of the Modern Times （up to 1979， 17.3％）； there were 53 prescriptions of the Jin and Yuan Dynasty （7.8％） and 52 prescriptions of the Han Dynasty， the Jin Dynasty， Northern and Southern Dynasties， and Tang Dynasty （7.6％）. Gypsum mainly showed the efficacy of clearing heat-fire， relieving restlessness and slaking thirst， promoting wound healing and tissue regeneration， astringing dampness and stopping bleeding， etc. Among them， there were 516 prescriptions of clearing heat-fire （75.7％）， 69 prescriptions of relieving restlessness and slaking thirst （10.1％）， 56 prescriptions of promoting wound healing and tissue regeneration （8.2％）， 20 prescriptions of astringing dampness and stopping bleeding （2.9％）， 21 prescriptions of other efficacy （tooth fixation， cosmetology， health care and so on， 3.1％）. This indicated that the effect of gypsum was mainly clearing heat-fire； gypsum could treat heat-induced disease by combining with other drugs. It could be used in following prescriptions， such as yangming heat syndrome， syndrome of flaring heat in Qifen and Xuefen （Ying）， Qifen fever complicated with syndrome of deficiency of Qi and Yin， other meridians complicated with excess-heat syndrome， miscellaneous dosease due to internal injury. In addition， gypsum could be cyed erally or externally， and it can be taken orally after being calcined. CONCLUSIONS： By studying the prescriptions of gypsum used by physicians in past dynasties， it can promote the further use of gypsum， and give better play its clinical efficacy. |
| 期刊： | 2017年第28卷第35期 |
| 作者： | 王凤霞，赵阳，钟赣生 |
| AUTHORS： | WANG Fengxia，ZHAO Yang，ZHONG Gansheng |
| 关键字： | 石膏；方剂；应用规律 |
| KEYWORDS： | Gypsum； Prescriptions； Regularity of clinical use |
| 阅读数： | 473 次 |
| 本月下载数： | 2 次 |
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