主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2020, Vol. 43 ›› Issue (10): 809-813.doi: 10.3969/j.issn.1006-2157.2020.10.003

• 理论研究 • 上一篇    下一篇

“医以丸药下之”之丸药探究*

宋秋梦, 刘宁, 贾春华#   

  1. 北京中医药大学中医学院 北京 100029
  • 收稿日期:2020-03-10 出版日期:2020-10-30 发布日期:2020-11-04
  • 通讯作者: #贾春华,男,博士,教授,主任医师,博士生导师,主要研究方向:基于认知科学的张仲景方证理论体系研究,E-mail: jiachunhua125 @163.com
  • 作者简介:宋秋梦,女,在读硕士生
  • 基金资助:
    *国家自然科学基金面上项目(No.81874514)

Interpretation of “pills” in the line “the doctor purged it with pills”*

Song Qiumeng, Liu Ning, Jia Chunhua#   

  1. School of Chinese Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2020-03-10 Online:2020-10-30 Published:2020-11-04
  • Contact: Prof. Jia Chunhua, Ph. D., Chief Physician, Doctoral Supervisor. School of Chinese Medicine, Beijing University of Chinese Medicine, No. 11 Beisanhuan Donglu Road, Chaoyang District, Beijing 100029. E-mail: jiachunhua125@163.com
  • Supported by:
    National Natural Science Foundation of China (No. 81874514)

摘要: 关于《伤寒论》中“医以丸药下之”中丸药的考证,古今医家多有猜测,却没有详细论述。本文从原文和语境出发,结合历代注家的研究,分析“丸药”的性质、功效及组成,推测“丸药”是一类含有药性峻猛甚至有毒药物且具有辛热药性的攻下药丸,其适应症为表证未解,邪气入里导致的大便不通。为此详细查阅《外台秘要》与《千金要方》两本医书,寻找到符合条件的类似方剂——深师快豉丸、古今录验续命丸和快豉丸。

关键词: 医以丸药下之, 丸药, 《伤寒论》, 深师快豉丸, 古今录验续命丸

Abstract: Regarding the meaning of the line “the doctor purged it with pills” in Shang Han Lun (Treatise on Cold Damage Diseases), there have been various speculations since ancient time, but no detailed interpretation could be traced. Based on the original text and its context, this article attempted to analyze the nature, action, and composition of “pills” combined with previous annotations. It is deduced that those “pills” might be a class of purgatives that contain violent and even toxic drugs with pungent properties, and their indication is possibly constipation caused by unresolved exterior pathogenic factors entering the exterior of the body. Based on such deduction, two classical medical books of Wai Tai Mi Yao (Arcane Essentials from the Imperial Library) and Qian Jin Yao Fang (Important Formulas Worth a Thousand Gold Pieces) are searched to find corresponding prescriptions, namely, Shenshi Kuaichi Pill, Gujin Luyan Xuming Pill and Kuaichi Pill.

Key words: “The doctor purged it with pills”, pills, Shang Han Lun (Treatise on Cold Damage Diseases), Shenshi Kuaichi Pill, Gujin Luyan Xuming Pill

中图分类号: 

  • R222.2