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经典名方温脾汤主治与用药的文献考证OA

Literature research on the indications and medication of classical prescription Wenpi Decoction

中文摘要英文摘要

经典名方温脾汤出自《千金要方》,该书收录两首主治及用药极为相近的方剂.据两方的配伍与功效,可分别命名为小温脾汤与大温脾汤.小温脾汤重用大黄、轻用附子,旨在泻下攻积;大温脾汤重用附子、伍以桂心,旨在温阳祛寒,两方可用于脾虚寒积型泄泻的不同时期.考虑到临床的安全性,推荐《古代经典名方关键信息表("旋覆代赭汤"等43 首方剂)》以小温脾汤作为经典名方研发的主方,而将大温脾汤作为附方备注于后.

The classic formula Wenpi Decoction comes from the book"Qianjin Yaofang",which includes two prescriptions with very similar indications and medications.Based on their respective compositions and effects,they can be named Xiao Wenpi Decoction and Da Wenpi Decoction.Xiao Wenpi Decoction emphasizes the use of rhubarb and light use of aconite,with the aim of promoting diarrhea and attacking accumulation;Da Wenpi Decoction uses aconite and combines it with cassia to warm yang and dispel cold.The two formulas can be used at different stages of diarrhea due to spleen deficiency and cold accumulation.Considering the safety of clinical practice,it is recommended that"Key Information Table"adopts Xiao Wenpi Decoction as the main formula for the development of the classic formula,with Da Wenpi Decoction noted as an auxiliary formula.

孟庆鸿;胡晶;曾凤

北京中医药大学,北京 102488北京中医药大学,北京 102488北京中医药大学,北京 102488

医药卫生

经典名方温脾汤《千金要方》文献考证

classical prescriptionWenpi DecoctionQianjin Yaofangliterature research

《长春中医药大学学报》 2026 (1)

8-11,4

国家社会科学基金项目(21BTQ026)北京中医药大学2024年拔尖创新人才培养"后资助"项目(90011161020026)

10.13463/j.cnki.cczyy.2026.01.002

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