基于古今文献的儿科经典名方异功散考证

Textual Research of Pediatric Classic Famous Prescription of Yigong Powder Based on Ancient and Modern Literature

  • 摘要: 异功散为《古代经典名方目录(第二批儿科部分)》发布的经典名方, 通过系统整理、考证与分析异功散的古代及现代临床文献, 梳理异功散的处方源流、组成、药物基原、炮制方法、用法用量、功效主治等关键问题, 为儿科经典名方异功散的开发与临床运用提供文献数据支撑。经分析与考证, 异功散出自钱乙《小儿药证直诀》, 其组方为人参、茯苓、白术、陈皮、甘草, 姜、枣为之引, 药用基原遵循2020版《中国药典》, 其中人参、茯苓、陈皮用生品, 白术为麸炒白术, 甘草为炙甘草; 药物用量方面, 小儿与成人应做区分, 小儿用量为人参、茯苓、白术、陈皮、甘草各1.4~1.7 g之间, 成人用量为各5.6~6.8 g之间; 制法与服法为将药物锉碎, 以水300 mL, 加姜、枣煎至210 mL, 饭前温服, 根据实际情况调整服药频率。该方古代常用于小儿厌食、泄泻等病症, 经后世医家临证发挥, 现亦用于消化系统疾病、小儿反复呼吸道感染、过敏性鼻炎等。

     

    Abstract: Yigong powder is one of the classic famous prescriptions published in the Catalogue of Ancient Classical Famous Prescriptions (the Second Batch of Pediatrics). Through systematically collating textual research and analyzing ancient literatures and clinical literatures on Yigong decoction, the key issues of prescription origin, composition, drug base, processing method, usage and dosage, efficacy and indications of Yigong powder were summarized, providing literature data support for the development and clinical application of the classic pediatric prescription of Yigong powder. According to the analysis and research, Yigong powder comes from Qian Yi's Key to Diagnosis and Treatment of Children's Diseases and is consisted of ginseng, poria cocos, atractylodes, tangerine peel and licorice, with ginger and jujube being used as guiding medicine. The medicinal base follows the 2020 edition of Chinese Pharmacopoeia. Ginseng, poria cocos, and orange peel are used as raw products, atractylodes is used as bran fried atractylodes, licorice is used as processed licorice. Children should be differentiated from adults in terms of drug dosage. The dosage for children is 1.4— 1.7 g each for ginseng, poria cocos, atractylodes, tangerine peel and licorice, and the dosage for adults is 5.6 g— 6.8 g each. The method of making and taking medicine is to file drugs down, take 300 mL water, add ginger and jujube and fry to 210 mL, take warm medicine before meals and adjust the frequency according to the actual situation. The ancient prescription was often used in children anorexia, diarrhea and other diseases. After the innovation of later generations of doctors, it is also used for digestive system diseases, recurrent respiratory tract infections in children, allergic rhinitis and so on.

     

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