防己历代临床用量轨迹研究
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国家重点基础研究发展计划(973计划)资助项目(编号:2010CB530604)


Research on the Dosage of Fangji in Different Era
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    摘要:

    目的:分析总结防己自汉代至今的临床用量变化轨迹及特点,为该药的临床合理使用提供一定的依据。方法:选取汉代至今,最具代表性的医学著作及相关文献为研究对象,建立防己历代用量数据库,分别按各历史朝代对其最大用量、最小用量、平均用量、最常用量及常用量上限、下限进行统计,并结合文献对结果进行阐释与分析。结果:防己用量在汉唐时期呈现“广剂量,宽范围”的特点。从唐末开始,由于散剂普及,防己用量也随之大幅缩减。直至明代,汤剂又开始成为中药的主要剂型,防己用量也渐次回升,但常用量范围仍较为狭窄。结论:防己的平均用量随所处朝代呈现显著变化,但对于病属风湿、水肿重症者,历代医家均有大剂量、超剂量使用者。

    Abstract:

    To analyze the dosage and its characteristic of Fangji in different era, in order to provide the basis for clinical use of Fangji.Methods:The most representative medical works of each dynasty were selected, and the data base of the usage and dosage of Fang Ji was established. Maximal dosage, minimal dosage, average dosage, most common dosage, upper limit value of common usage and lower limit value of common usage of Fangji were statistically analyzed.Results:The dosage of Fangji in Han and Tang dynasties was large and broad, then decreased sharply from the late Tang dynasty, because of the prevalent of pulvis. Till Ming dynasty, as the main preparation changed form revert to decoction again, the dosage rose gradually,but the rage of common dosage was still narrow.Conclusion:The average dosage of Fangji was changed obviously in different era, meanwhile, large dose and even overdose existed in every era, which were used to treat severe cases of rheumatism or hydroncus.

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王倩,张林,傅延龄.防己历代临床用量轨迹研究[J].世界中医药,2015,10(04).

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  • 收稿日期:2014-09-11
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  • 在线发布日期: 2015-05-06
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