古代经典名方黄芩汤的关键信息考证及质量标志物预测分析

Key Information Textual Research and Quality Marker Prediction Analysis of the Ancient Classic Formula Huangqin Decoction

  • 摘要: 黄芩汤为《古代经典名方目录(第二批)》发布的经典名方, 通过系统整理、考证与分析记载黄芩汤的古代及现代临床文献, 梳理黄芩汤的处方源流、组成、药物基原、炮制方法、用法用量、功效主治等关键问题, 并对其质量标志物(Q-Marker)进行预测分析, 从文献考证、制剂开发、质量评价全程为黄芩汤的临床运用及制剂开发提供文献与理论支撑。经分析与考证, 黄芩汤出自张仲景《伤寒论》, 其组方为黄芩、白芍、甘草、大枣, 其中大枣为引, 药用基原遵循2020版《中国药典》, 其中黄芩、白芍用生品, 甘草为清炒甘草, 大枣用时切开; 药物用量方面, 黄芩11.19 g,芍药7.46 g,甘草7.46 g, 大枣根据情况适宜加减; 制法与服法为加水2 000 mL, 煎煮至600 mL, 不拘时温服, 1日3次。该方古代常用于治疗痢疾, 现亦用于治疗以腹泻为主症的溃疡性结肠炎、慢性结肠炎等消化系统疾病。黄芩汤的Q-Marker建议为黄芩苷、黄芩素、汉黄芩素、芍药苷、甘草酸、甘草苷。

     

    Abstract: Huangqin Decoction is a classic formula published in the Catalogue of Ancient Classical Famous Prescriptions (the Second Batch). This paper systematically collates, researches and analyzes the ancient and modern clinical literature that records Huangqin Decoction, sorts out key issues such as the prescription origin, composition, medicine origin, processing method, usage and dosage, efficacy and indications of Huangqin Decoction, and performs predictive analysis on its quality markers (Q-Marker) to provide literature and theoretical support for the clinical application and preparation development of Huangqin Decoction from the entire process of textual research-preparation development-quality evaluation. After analysis and research, it is found that Huangqin Decoction is derived from Zhang Zhongjing's Treatise on Cold Damage. It consists of Scutellaria baicalensis, Radix Paeoniae Alba, and Glycyrrhiza, with Jujube serving as the guiding herb. The medicine origin follows the 2020 edition of the Chinese Pharmacopoeia. Scutellaria baicalensis and Radix Paeoniae Alba are taken in the raw form; Glycyrrhiza is lightly fried and Jujubes with sliced pieces. The doasge of medicine is 11.19 of Scutellaria baicalensis, 7.46 g of Radix Paeoniae Alba and Glycyrrhiza, and jujubes are added or subtracted according to the situation. The method of preparation and administration is that all herbs are added with 2 000 mL of water, decocting to 600 mL. The decoction can be consumed warm 3 times a day at any suitable time. The formula was commonly used in ancient times for dysentery, but now it is also used for other digestive system diseases such as ulcerative colitis and chronic colitis, which are mainly characterized by diarrhea. The suggested Q-markers for Huangqin Decoction are baicalin, baicalein, wogonin, paeoniflorin, glycyrrhizin and glycyrrhizic acid.

     

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