从方剂基本要素探析伤寒方规范化的方法-方剂学专业论文.docxVIP

中文摘要 目的：运用文献学方法，从方剂学基本要素方面研究伤寒方的规范化方法。 方法：收集《伤寒论》113 首方，用 Microsoft Excel 建立数据库，结合历代本 草、方书、现代医案统计相关数据，用文献学方法进行相关分析，以规范伤寒方 组成、剂量、功效及主治。 结果：组成方面，统一规范了“桂枝、白芍、连翘、桑白皮”四味药物名称。 剂量方面，将“斤、两、升、合、尺、个、枚、如鸡子大”等，统一折算成国际 重量单位“g”。功效方面，对伤寒方均作出了规范的功效补充。主治方面，规范 后包括病机与证候两部分，其中证侯包括主症、次症（或然症）、兼症（舌、脉） 三个方面。 结论：组成方面，规范后药材均为药店常规用药，便于临床应用。剂量方面， 折算后比现代药物用量偏大，但重要药物配比基本保持一致。功效方面，经补充 后功效更明确，补充了伤寒方简于大法或以方释法的不足。主治按现代中医规范 化要求，病机清晰，症状详实有层，弥补了伤寒方精简于舌脉的症状描述。综上， 从方剂学基本要素方面使伤寒方规范化具有可行性，可以使规范后的伤寒方便与 初学者学习及国际间的交流，同时对临床具有一定的指导意义。 关键词：方剂学 基本要素 伤寒方 规范化 1 abstract Objective: Using philology methods to research standardization methods of Shanghan Fang from basic elements of formulas of Chinese medicine. Method: Collecting 113 formulas in Shanghan Lun, establishing data sheet by Microsoft Excel. Combining past dynasties books of Chinese material medica, formulas, modern consilia together to process statistical data. Using philology methods to analysis and regulate the composition, dosage, effect and indication of Shanghan Fang. Results: Composition aspects , unite regulates the definition of Guizhi, Baishao, Lianqiao, Sangbaipi from. Dosage aspects, unite convert the jin, liang, sheng, he, chi, ge, mei, egg-like to international weight unit “g”. Effect aspects, replenishing the regulation effect to Shanghan Fang. Indication aspects, unite regulates pathogenesis and syndrome which including main syndrome, secondly syndrome, accompanied syndrome (tongue, pulse). Conclusion: Composition aspects, standardization medicinal materials are regular medicine, easy to use in clinical; Dosage aspects, although convertly dosage is higher than modern medicine dosage, major medicinal materials ratio keep the same; Effect aspects, effects are more explicit after the replenishing, completing the shortage of Shanghan Fang is simple than major therapy or sum up therapy by prescription; Indication base on request of TCM standard, pathogenesis more clear. Recover Shanghan Fang simplify in syndrome description of tongue and pulse.