文章摘要
唐逸,李茗香,王伟夷,等.《清宫医案集成》中熏洗方运用初探[J].浙江中医药大学学报,2024,48(3):350-357.
《清宫医案集成》中熏洗方运用初探
A Preliminary Study on the Use of Fumigating and Washing Decoctions in Medical Records Integration of Palace in Qing Dynasty
DOI:10.16466/j.issn1005-5509.2024.03.018
中文关键词: 清宫医案集成  清代  宫廷医疗  中药熏洗  用药特色  遣方用药  中医外治法
英文关键词: Medical Records Integration of Palace in Qing Dynasty  Qing Dynasty  palace medical treatment  fumigation with Chinese medicinal decoction  medication characteristics  using herbs and prescriptions  TCM external treatment
基金项目:2021年故宫博物院开放课题(中国青基会梅赛德斯-奔驰星愿基金、北京故宫文物保护基金会公益资金)(202111037)
作者单位
唐逸 北京中医药大学中医学院 北京 102488 
李茗香 北京中医药大学第三附属医院 
王伟夷 北京中医药大学中医学院 北京 102488 
范颐超 北京中医药大学护理学院 
李佳颖 北京中医药大学东直门医院 
张子龙 北京中医药大学中药学院 
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中文摘要:
      [目的] 探究《清宫医案集成》中熏洗方治疗疾病的特殊性和有效性,为现代临床外治法提供参考。[方法] 以《清宫医案集成》中117首熏洗方为研究对象,运用Excel软件,对清宫熏洗方的组成、剂量、药性、功效进行整理统计,并结合该书中的相关医案及按语,对熏洗方在清宫中的特色运用进行系统整理。[结果] 《清宫医案集成》中的117首宫廷熏洗方在遣方用药上展现出种类繁多、质量上乘,方简药精、效专力宏,随证加减、用药灵活,治病为先、不拘药量,善用风药、不避毒药等多种特色;且另有受众广泛、方式独特、器具考究、药液制备过程细致等其他优势。[结论] 《清宫医案集成》中的熏洗方颇具宫廷特色及优势,对其运用展开探索能够获得独特的见解和启示,有助于发扬宫廷用药特色,促进中医药外治疗法的发展,具有较高的研究价值。
英文摘要:
      [Objective] To explore the specificity and effectiveness of Medical Records Integration of Palace in Qing Dynasty for the treatment of diseases, and to provide a reference for the modern clinical external therapy. [Methods] Taking 117 fumigating and washing decoctions in Medical Records Integration of Palace in Qing Dynasty as the research object, using Excel software, the formulas, dosage, medicinal properties, and efficacy of Qinggong fumigating and washing decoctions were organized and counted. Combining with the relevant medical cases and the commentaries in the book, the use of the fumigating and washing decoctions in the Qing Palace was systematically organized. [Results] The 117 fumigating and washing decoctions in Medical Records Integration of Palace in Qing Dynasty show many features such as there are many kinds of formula, the quality of the formula is refined; the effect is strength and special focus, formula with modification according to symptoms, flexible usage of medicine, treatment first, independent use of the amount of medicine, good use of the wind-extinguishing medicinal, filling in the poisonous features when needed. It also has other advantages such as a wide range of audiences, a unique approach, sophisticated instruments, and a meticulous process of preparation of the liquid. [Conclusion] The use of the fumigating and washing decoctions in Medical Records Integration of Palace in Qing Dynasty has palace characteristics and advantages, exploring its use can gain unique insights and revelations, which helps to carry forward the characteristics of court medication and promotes the development of external therapeutic methods of traditional Chinese medicine as high research value.
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