升降散研究进展
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摘要
升降散首见于明代龚廷贤所著的《万病回春·卷二·瘟疫》所载的"内府仙方",后经清代陈良佐的《二分析义》记载改分量、变服法,更名为赔赈散。杨璇将之更名为升降散,收载于《伤寒温疫条辨》组成:白僵蚕2钱,蝉衣1钱,姜黄3分,生大黄4钱。诸药相合,升降相因,宣通三焦,条达气血,清升浊降,全方共奏"清升浊降"之功,给浊毒以出路。后世医家对此方的应用发挥甚广,究其组方,凡辨证属清浊升降失常所致之浊毒病症均可随证加减。现代医家根据"异病同治"理论,应用此方辨证论治喘证、水肿、泄泻、糖尿病、慢性肾衰等病机属于"清浊升降失常"者,均取得显著疗效。
Shengjiang Powder first appeared in the "inner mansion immortal prescription" in a book named Ten Thousand Diseases Come Back to Spring Volume Two Plague writted by GONG Tingxian of the Ming dynasty. Later,it was changed the dose and recorded in CHEN liangzuo's book called Two Analyses of Justice in the Qing Dynasty. YANG Xuan changed its name to Shengjiang Powder,which was recorded in articles on Typhoid Fever and Epidemic Diseases. The composition was: white stiff silkworm 2 qian,cicada 1 qian,turmeric 3 fen and rhubarb 4 qian. All kinds of drugs are combined,the whole party plays the role of "qing sheng turbid fall" together,and gives the turbid poison a way out. Later generations of doctors have played a very wide role in the application of this method.According to the theory of "treating different diseases with the same treatment",modern doctors apply this prescription to treat asthma,edema,diarrhea,diabetes mellitus,chronic renal failure and other pathogenesis of "abnormal clearing and turbidity lifting",all of which have achieved significant efficacy.
Shengjiang Powder first appeared in the "inner mansion immortal prescription" in a book named Ten Thousand Diseases Come Back to Spring Volume Two Plague writted by GONG Tingxian of the Ming dynasty. Later,it was changed the dose and recorded in CHEN liangzuo's book called Two Analyses of Justice in the Qing Dynasty. YANG Xuan changed its name to Shengjiang Powder,which was recorded in articles on Typhoid Fever and Epidemic Diseases. The composition was: white stiff silkworm 2 qian,cicada 1 qian,turmeric 3 fen and rhubarb 4 qian. All kinds of drugs are combined,the whole party plays the role of "qing sheng turbid fall" together,and gives the turbid poison a way out. Later generations of doctors have played a very wide role in the application of this method.According to the theory of "treating different diseases with the same treatment",modern doctors apply this prescription to treat asthma,edema,diarrhea,diabetes mellitus,chronic renal failure and other pathogenesis of "abnormal clearing and turbidity lifting",all of which have achieved significant efficacy.
引文
[1]董振华.柴芩升降散加减治疗干燥综合征伴腮腺肿大45例[J].风湿病与关节炎,2013,2(11):42-44.
[2]赵元辰,花宝金.从升降散浅谈以气机升降论治恶性肿瘤[J].辽宁中医杂志,2015,42(11):2122-2123.
[3]刘明坤,吕文良.浅议升降散的临床应用[J].环球中医药,2012,5(9):689-691.
[4]刘娟,魏胜利,刘春生,等.HPLC测定两种大黄四类功效组分的含量[J].中国实验方剂学杂志,2012,18(24)∶346-350.
[5]余美荣,蒋福升,丁志山.姜黄素的研究进展[J].中草药,2009,40(5)∶828.
[6]徐树楠,张美玉,王永梅,等.蝉蜕镇咳、祛痰、平喘作用的药理研究[J].中国药理学通报,2007,23(12)∶1678-9.
[7]中国医学科学院,中国协和医科大学药用植物研究所,北京医科大学药学院,等.中药志(Ⅵ).北京:人民卫生出版社,1998.284.
[8]魏秀娟,石织宏等.中药升降散加减联合针刺治疗急性扁桃体炎疗效观察[J].内蒙古医科大学学报,2015,37(s2):62-63.
[9]郑丽,尧传翔,郑家本.升降散随症加味治疗麻疹合并肺炎临床观察[J].中国中医急症,2014,23(4):699-701.
[10]柳芬,赵永萍.麻杏石甘汤合升降散加减治疗小儿支气管哮喘发作期疗效观察[J].中医儿科杂志,2015,11(1):15-17.
[11]潘晓.升降散合麻杏石甘汤加减治疗小儿肺炎支原体肺炎痰热闭肺证45例疗效观察[J].中医儿科杂志,2015,11(3):14-16.
[12]秦鸿,辛大永.宣白承气汤合升降散治疗慢性阻塞性肺疾病急性加重期并肺部感染的临床研究[J].中医药导报,2016,22(8):85-87.
[13]高俊杰,杨洪庆,汪芳丽,等.归芪升降散治疗2型糖尿病早期糖尿病肾病疗效观察[J].河北中医药学报,2013,28(3):23.
[14]李建英,初德波,于俊生.于俊生教授运用升降散治疗肾脏病经验[J].新疆中医药,2015,33(5):52-54.
[15]郝玉杰,董燕飞,王桂英,等.升降散联合针灸治疗对肥胖相关性肾病患者血清瘦素、脂联素的影响[J].中国中医基础医学杂志,2015,21(11):1438-1440.
[16]吕东波.升降散治疗糖尿病肾病40例[J].中国中医药现代远程教育,2012,20(148):16-18.
[17]李艳艳,刘洁,闰永彬.升降散儿科临床应用举隅[J].中医临床研究,2013,5(2):77-78.
[18]周卫东.升降散治疗新生儿腹胀34例[J].中国中医药现代远程教育,2012,24(152):22-24.
[19]高红伟,冯斌.大柴胡汤合升降散加减治疗小儿疱疹性口腔炎临床研究[J].中医学报,2012,27(170):900-902.
[20]周刚,张朝晖,龚勋,等.升降散治疗重症患者全身炎症反应综合征临床研究[J].中国中医急症,2012,21(4):537-538.
[21]马妍,崔远武.柴胡加龙骨牡蛎汤与升降散合方治疗皮肌炎1例[J].新中医,2013,21(4):537-538.
[22]陈东亮.升降散加味治疗类风湿关节炎临床观察[J].四川中医,2012,30(1):56-58.
[23]杨雪洁.升降散加减治疗慢性功能性便秘50例[J].广西中医药,2013,36(1):36-37.
[24]李凯杰.小柴胡汤合升降散在慢性乙型肝炎中的疗效观察[J].中国医药导报,2012,9(3):109-110.
[25]胡学跃,左明晏.升降散加减治疗粘连性肠梗阻24例[J].内蒙古中医药,2015,10:16-17.
[26]梁碧琪,陆玉霞,孙令军,等.升降散穴位贴敷治疗腹泻型IBS临床观察与护理[J].辽宁中医药大学学报,2013,15(2):175-177.
[27]顾雯艳,赵雷,钱风华,等.升降散治疗急性胰腺炎[J].吉林中医药,2013,33(12):1232-1234.
[28]耿昌明,韦道明,郑士荣等.补阳还五汤合升降散治疗中风的临床观察[J].深圳中西医结合杂志,2013,23(6):373-374.
[29]黎胜驹.升降散合通窍活血汤治疗瘀阻脑络型偏头痛80例[J].中医研究,2014,27(7):37-38.
[30]黎胜驹.升降散合半夏白术天麻汤治疗痰浊上扰型偏头痛79例[J].广西中医药,2014,37(2):65-66.
[31]史江峰,马健,孙菊光.升降散治疗血管性痴呆64例疗效分析[J].江苏医药,2015,41(27):2569-2571.
[32]柳自彬,高鹏,杨京慧.升降散治疗湿疹皮炎应用体会[J].中国实用医药,2016,11(3):183-185.
[33]陈赐慧,花宝金.升降散在肿瘤治疗中的应用体会[J].吉林中医药,2013,33(1):16-18.
[34]魏永明.升降散加味治疗妇科病3例临床观察[J].基层医学论坛,2013,17(32):4317-4318.
[35]董先惠.升降散治疗结核性渗出性胸膜炎50例[J].中国中医药现代远程教育,2014,12(178):28-29.
[36]马珊,李亚飞.升降散加味治疗眼科疾病验案举隅[J].云南中医学院学报,2012,35(3):52-53.
[2]赵元辰,花宝金.从升降散浅谈以气机升降论治恶性肿瘤[J].辽宁中医杂志,2015,42(11):2122-2123.
[3]刘明坤,吕文良.浅议升降散的临床应用[J].环球中医药,2012,5(9):689-691.
[4]刘娟,魏胜利,刘春生,等.HPLC测定两种大黄四类功效组分的含量[J].中国实验方剂学杂志,2012,18(24)∶346-350.
[5]余美荣,蒋福升,丁志山.姜黄素的研究进展[J].中草药,2009,40(5)∶828.
[6]徐树楠,张美玉,王永梅,等.蝉蜕镇咳、祛痰、平喘作用的药理研究[J].中国药理学通报,2007,23(12)∶1678-9.
[7]中国医学科学院,中国协和医科大学药用植物研究所,北京医科大学药学院,等.中药志(Ⅵ).北京:人民卫生出版社,1998.284.
[8]魏秀娟,石织宏等.中药升降散加减联合针刺治疗急性扁桃体炎疗效观察[J].内蒙古医科大学学报,2015,37(s2):62-63.
[9]郑丽,尧传翔,郑家本.升降散随症加味治疗麻疹合并肺炎临床观察[J].中国中医急症,2014,23(4):699-701.
[10]柳芬,赵永萍.麻杏石甘汤合升降散加减治疗小儿支气管哮喘发作期疗效观察[J].中医儿科杂志,2015,11(1):15-17.
[11]潘晓.升降散合麻杏石甘汤加减治疗小儿肺炎支原体肺炎痰热闭肺证45例疗效观察[J].中医儿科杂志,2015,11(3):14-16.
[12]秦鸿,辛大永.宣白承气汤合升降散治疗慢性阻塞性肺疾病急性加重期并肺部感染的临床研究[J].中医药导报,2016,22(8):85-87.
[13]高俊杰,杨洪庆,汪芳丽,等.归芪升降散治疗2型糖尿病早期糖尿病肾病疗效观察[J].河北中医药学报,2013,28(3):23.
[14]李建英,初德波,于俊生.于俊生教授运用升降散治疗肾脏病经验[J].新疆中医药,2015,33(5):52-54.
[15]郝玉杰,董燕飞,王桂英,等.升降散联合针灸治疗对肥胖相关性肾病患者血清瘦素、脂联素的影响[J].中国中医基础医学杂志,2015,21(11):1438-1440.
[16]吕东波.升降散治疗糖尿病肾病40例[J].中国中医药现代远程教育,2012,20(148):16-18.
[17]李艳艳,刘洁,闰永彬.升降散儿科临床应用举隅[J].中医临床研究,2013,5(2):77-78.
[18]周卫东.升降散治疗新生儿腹胀34例[J].中国中医药现代远程教育,2012,24(152):22-24.
[19]高红伟,冯斌.大柴胡汤合升降散加减治疗小儿疱疹性口腔炎临床研究[J].中医学报,2012,27(170):900-902.
[20]周刚,张朝晖,龚勋,等.升降散治疗重症患者全身炎症反应综合征临床研究[J].中国中医急症,2012,21(4):537-538.
[21]马妍,崔远武.柴胡加龙骨牡蛎汤与升降散合方治疗皮肌炎1例[J].新中医,2013,21(4):537-538.
[22]陈东亮.升降散加味治疗类风湿关节炎临床观察[J].四川中医,2012,30(1):56-58.
[23]杨雪洁.升降散加减治疗慢性功能性便秘50例[J].广西中医药,2013,36(1):36-37.
[24]李凯杰.小柴胡汤合升降散在慢性乙型肝炎中的疗效观察[J].中国医药导报,2012,9(3):109-110.
[25]胡学跃,左明晏.升降散加减治疗粘连性肠梗阻24例[J].内蒙古中医药,2015,10:16-17.
[26]梁碧琪,陆玉霞,孙令军,等.升降散穴位贴敷治疗腹泻型IBS临床观察与护理[J].辽宁中医药大学学报,2013,15(2):175-177.
[27]顾雯艳,赵雷,钱风华,等.升降散治疗急性胰腺炎[J].吉林中医药,2013,33(12):1232-1234.
[28]耿昌明,韦道明,郑士荣等.补阳还五汤合升降散治疗中风的临床观察[J].深圳中西医结合杂志,2013,23(6):373-374.
[29]黎胜驹.升降散合通窍活血汤治疗瘀阻脑络型偏头痛80例[J].中医研究,2014,27(7):37-38.
[30]黎胜驹.升降散合半夏白术天麻汤治疗痰浊上扰型偏头痛79例[J].广西中医药,2014,37(2):65-66.
[31]史江峰,马健,孙菊光.升降散治疗血管性痴呆64例疗效分析[J].江苏医药,2015,41(27):2569-2571.
[32]柳自彬,高鹏,杨京慧.升降散治疗湿疹皮炎应用体会[J].中国实用医药,2016,11(3):183-185.
[33]陈赐慧,花宝金.升降散在肿瘤治疗中的应用体会[J].吉林中医药,2013,33(1):16-18.
[34]魏永明.升降散加味治疗妇科病3例临床观察[J].基层医学论坛,2013,17(32):4317-4318.
[35]董先惠.升降散治疗结核性渗出性胸膜炎50例[J].中国中医药现代远程教育,2014,12(178):28-29.
[36]马珊,李亚飞.升降散加味治疗眼科疾病验案举隅[J].云南中医学院学报,2012,35(3):52-53.