中药汤剂每日服用次数的分析
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摘要
目的:探讨中药汤剂每日服用次数,目前中药汤剂一日服用2次的方式有待商榷。方法:查阅文献,统计《方剂学》中药汤剂每日服用次数,考察古今中药汤剂服用次数的规律。结果:《方剂学》标明服用次数的中药汤剂有68方。其中每日顿服者7方,每日频服者1方,每日2次者6方,每日3次者48方,每日2～3次者2方,每日4次者2方,每日5次者2方。结论:中药汤剂服用次数与病情、药物峻缓、体质强弱、年龄等息息相关。不应是简单的每天1剂,1日2次服之。
Objective: To explore the daily dosage of Chinese herbal decoction,and discuss the current twice-a-day method of Chinese herbal decoction. Methods: According to the literatures,the daily dosages of traditional Chinese herbal decoction in Formula of Traditional Chinese Medicine were statistically collected to explore the regularity of daily dosage of Chinese herbal decoction. Results: There are 68 prescriptions indicating the taking number in Formula of Traditional Chinese Medicine. Among them,7 ones are taken at draught,one is with frequent administration,six ones are with twice daily,48 ones are with three times daily,two ones are with twice or three times daily,two ones are with four times daily,and two ones are with five times daily. Conclusion: The daily dosage of Chinese herbal decoction is closely related to the severity of diseases,the characteristics of prescriptions,the physical fitness,the age and so on. It may be unreasonable simply taking one prescription and twice daily.
Objective: To explore the daily dosage of Chinese herbal decoction,and discuss the current twice-a-day method of Chinese herbal decoction. Methods: According to the literatures,the daily dosages of traditional Chinese herbal decoction in Formula of Traditional Chinese Medicine were statistically collected to explore the regularity of daily dosage of Chinese herbal decoction. Results: There are 68 prescriptions indicating the taking number in Formula of Traditional Chinese Medicine. Among them,7 ones are taken at draught,one is with frequent administration,six ones are with twice daily,48 ones are with three times daily,two ones are with twice or three times daily,two ones are with four times daily,and two ones are with five times daily. Conclusion: The daily dosage of Chinese herbal decoction is closely related to the severity of diseases,the characteristics of prescriptions,the physical fitness,the age and so on. It may be unreasonable simply taking one prescription and twice daily.
引文
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18徐荣谦.儿科中药的煎、服法[J].光明中医,2010,25(8):1516-1517
19 陶曙.中药服法之我见[J].浙江临床医学,1999,1(1):71
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2 洪维贤.从《金匮要略》看中药服法[J].江西中医药,2001,32(1):50-51
3 袁海龙,肖小河.基于PD-PK的中药日服次数合理性评价模式商建[J].中草药,2011,42(3):417-419
4 邓中甲.方剂学[M].北京:中国中医药出版社,2012
5 程京艳.中药汤剂的服法与疗效[J].中国药业,2012,21(14):95
6 熊争鸣.中药服法种种[N].大众卫生报,2002-01-24(002)
7 李沛纯.“中病即止”临床应用体会[J].中国中医急症,2012,21(9):1536
8 中华人民共和国国家中医药管理局.国中医药发[2009]3号卫生部国家中医药管理局关于印发医疗机构中药煎药室管理规范的通知[S].2009
9 中国药典临床用药须知[S].2015版.中药饮片卷.2017.59
10 肖耀军.关于医院中药汤剂服用的建议[J].中国药事,1996,10(1):37-39
11 李睿,翟华强,田伟兰,等.中药煮散的历史源流及其与现代配方颗粒的对比性分析[J].中国中药杂志,2016,41(5):965-969
12 宋佳,傅延龄.论汤剂服法的演变[J].上海中医药杂志,2012,46(9):33-35
13 王博峰.基于经方本原煎服方法的方药临床用量控制研究[D].北京:北京中医药大学硕士学位论文,2016
14 张志国,杨磊,邓桂明,等.中医药历代度量衡的研究[J].辽宁中医杂志,2018,45(3):499-503
15 张琦.历代方剂汤剂用量的研究[D].南京:南京中医药大学硕士学位论文,2010
16 李凡,王孟清.以辨证之髓思服药之法[J].湖南中医杂志,2013,29(4):99-100
17 潘永南.谈中药服法的规律[J].湖北中医杂志,1994,24(2):26-27
18徐荣谦.儿科中药的煎、服法[J].光明中医,2010,25(8):1516-1517
19 陶曙.中药服法之我见[J].浙江临床医学,1999,1(1):71
20 郑集元,吴萍,杨磊,等.中药制剂水提取相关参数的研究[J].中医药导报,2012,18(9):91-93