苓甘五味姜辛汤的关键信息考证、研究进展及质量标志物预测分析OACHSSCD
Textual Verification of Key Information,Research Progress,and Predictive Analysis of Quality Markers of Linggan Wuwei Jiangxin Decoction
苓甘五味姜辛汤是东汉张机所著《金匮要略》中记载的温肺化饮的经典名方,经历代医家传承、创新、发扬至今.现采用文献计量学方法,系统整理相关古籍文献及现代文献,对苓甘五味姜辛汤的组成、药物基原与炮制、煎服法、组方原理与古今临床应用进行了系统的梳理及考证分析.共收集相关有效古籍文献信息328条,涉及中医古籍20部.经考证,古籍中该方的药物基原基本清晰,药物剂量、炮制与煎服方法的关键信息为茯苓55.2 g,甘草、干姜、细辛各41.4 g,五味子51.3 g.加水1 600 mL,煎至600 mL,去药渣,趁温热时服用100 mL,3次/d,即日总服药量为300 mL.苓甘五味姜辛汤是温肺化饮的常用方,其主要用于治疗因寒邪伤肺所致的咳痰量多,质清稀,色白,或喜唾涎沫,胸满不舒等症状.苓甘五味姜辛汤在现代临床中可用于治疗阻塞性肺疾病、哮喘和支气管炎等多种疾病.苓甘五味姜辛汤的质量标志物建议为6-姜辣素、6-姜酚、6-姜烯酚、细辛脂素、芝麻脂素、茯苓酸、五味子醇甲、五味子乙素、甘草苷、甘草酸.
Linggan Wuwei Jiangxin Decoction is a classical prescription for warming the lungs and resolving retained fluid,first re-corded in the Synopsis of the Golden Chamber by ZHANG Zhongjing of the Eastern Han Dynasty.It has been inherited,developed,and promoted by generations of physicians.In this study,bibliometric methods were employed to systematically collect and analyze relevant ancient and modern literature.The composition,botanical origins and processing methods of the constituent herbs,decoction and administration procedures,formulation principles,and ancient and modern clinical applications of Linggan Wuwei Jiangxin De-coction were systematically reviewed and critically examined.A total of 328 valid records from relevant ancient literature were col-lected,involving 20 traditional Chinese medicine(TCM)classics.Textual research demonstrated that the botanical origins of the constituent herbs recorded in ancient literature were generally clear.The key information regarding dosage,processing,and adminis-tration was as follows:Poria 55.2 g;Glycyrrhizae Radix et Rhizoma,Zingiberis Rhizoma,and Asari Radix et Rhizoma 41.4 g each;and Schisandrae Chinensis Fructus 51.3 g.The herbs were decocted with 1 600 mL of water and reduced to 600 mL.After removal of the residue,100 mL was taken warm per dose,three times daily,resulting in a total daily dosage of 300 mL.Linggan Wuwei Jian-gxin Decoction is a commonly used prescription for warming the lungs and resolving retained fluid.It is primarily used to treat symptoms caused by cold pathogens injuring the lungs,including expectoration with profuse sputum,thin and clear sputum,white sputum,frequent expectoration of saliva or frothy sputum,and chest fullness or discomfort.In modern clinical practice,it has been used for the treatment of various diseases,including chronic obstructive pulmonary disease,asthma,and bronchitis.The recommen-ded quality markers of Linggan Wuwei Jiangxin Decoction include 6-shogaol,6-gingerol,6-paradol,asarinin,sesamin,pachymic acid,schizandrol A,schizandrin B,liquiritin,and glycyrrhizic acid.
李静雯;史文丽;梁绿圆;曹佳蕾;唐箐;常雨洁;王选;张慧珍;魏炳琦;马丙祥
河南中医药大学第一附属医院儿科医院,郑州,450099||河南中医药大学儿科医学院,郑州,450046中国中医科学院西苑医院,北京,100091河南中医药大学第一附属医院儿科医院,郑州,450099||河南中医药大学儿科医学院,郑州,450046||郑州世卓医药科技有限公司,郑州,450000河南中医药大学第一附属医院儿科医院,郑州,450099||河南中医药大学儿科医学院,郑州,450046河南中医药大学第一附属医院儿科医院,郑州,450099||河南中医药大学儿科医学院,郑州,450046河南中医药大学第一附属医院儿科医院,郑州,450099||河南中医药大学儿科医学院,郑州,450046河南中医药大学中医学院,郑州,450046河南中医药大学中医学院,郑州,450046河南中医药大学中医学院,郑州,450046河南中医药大学第一附属医院儿科医院,郑州,450099||河南中医药大学儿科医学院,郑州,450046
医药卫生
苓甘五味姜辛汤经典名方文献考证研究进展质量标志物
Linggan Wuwei Jiangxin DecoctionClassic formulaTextual verificationResearch progressQuality markers
《世界中医药》 2026 (6)
1106-1117,12
国家自然科学基金项目(81973904)国家自然科学基金青年科学基金项目(81904252,82305309)国家中医药传承创新中心科研专项(2023ZXZX1060)河南省重点研发与推广专项科技攻关项目(232102311208)河南省特色骨干学科中医学学科建设项目(STG-ZYX06-202144,STG-ZYXKY-2020023)2023年度河南省中医学"双一流"创建科学研究专项(HSRP-DFCTCM-2023-3-06,HSRP-DFCTCM-2023-2-08).
评论