竹叶石膏汤中石膏药性探析OA
Analysis of Medicinal Properties of Shigao in Zhuye Shigao Decoction(竹叶石膏汤)
对于石膏药性微寒还是大寒的争论由来已久,受白虎汤清热作用以及《名医别录》中石膏大寒记载的影响,后世多认为《伤寒杂病论》中所用石膏为大寒之品.然而《神农本草经》记载石膏药性微寒,分析《伤寒杂病论》中治疗发热且含有石膏的8首方剂发现,石膏大多并非清热;在白虎汤类方中虽为清热,但也以辅助知母为主.以石膏药性微寒为前提,重新分析石膏在竹叶石膏汤中的功用,发现石膏在竹叶石膏汤中以降逆止呕为主,发热并不是竹叶石膏汤的必备证候,可拓宽竹叶石膏汤在瘥后、咳嗽、呕吐等方面的临床应用.
The debate over whether the medicinal property of Shigao(Gypsum Fibrosum)is slightly cold or extremely cold has persisted for a long time.Impacted by the heat-clearing effect of Baihu Decoction(白虎汤)and the record of Shigao being extremely cold in Treatise on the Medicinal Substances by Famous Physicians,later generations generally believe that Shigao used in Treatise on Febrile and Miscellaneous Diseases is an extremely cold substance.Nevertheless,Shennong's Herbal Classic of Materia Medica recorded that the medicinal property of Shigao was slightly cold.Through the analysis of the 8 prescriptions in Treatise on Febrile and Miscellaneous Diseases for treating fever and containing Shigao,it is discovered that Shigao is mostly not used for clearing heat;although it is used for clearing heat in the prescriptions of the Baihu Decoction type,it mainly assists Zhimu(Rhizoma Anemarrhenae).Based on the premise that the medicinal property of Shigao is slightly cold,the function of Shigao in Zhuye Shigao Decoction(竹叶石膏汤)is re-analyzed,it is found that Shigao in Zhuye Shigao Decoction mainly serves to suppress adverse rising and stop vomiting.Fever is not an essential syndrome of Zhuye Shigao Decoction,and it can expand the clinical application of Zhuye Shigao Decoction in post-recovery,cough,and vomiting,etc.
王显斌;张倩;邵霞;马婷
山东中医药大学,山东济南 250355潍坊护理职业学院,山东潍坊 261000山东中医药大学,山东济南 250355山东中医药大学,山东济南 250355
医药卫生
《伤寒杂病论》石膏竹叶石膏汤方解微寒止呕
Treatise on Febrile and Miscellaneous DiseasesShigaoZhuye Shigao Decoctionformulas analysisslightly coldstop vomiting
《山东中医杂志》 2026 (1)
32-35,63,5
山东省自然科学基金重大基础研究项目(编号:ZR2019ZD23)山东中医药大学科学研究基金项目(编号:KYZK2024M07)
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