少林傷科常用方「七厘散」文獻研究－以《傷科集成》為例

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Title:	少林傷科常用方「七厘散」文獻研究－以《傷科集成》為例 A Review of a Commonly Used Formula for Shaolin Traumatology , the Seven Pinches Powder: Taking Shang Ke Ji Cheng as an Example
Authors:	蔡錦坡;Chin-Po Tsai
Contributors:	中醫學系碩士班
Keywords:	七厘散;少林傷科;傷科集成;Seven Pinches Powder;Shaolin Traumatology;Shang Ke Ji Cheng
Date:	2015-01-27
Issue Date:	2015-11-04 14:42:16 (UTC+8)
Publisher:	中國醫藥大學
Abstract:	「七厘散」從明清以降，一直是傷科臨床上活血化瘀止痛的常用方劑，也是民間耳熟能詳的成方，到了現代也被收錄於中華人民共和國藥典中。清代的少林傷科文獻收錄許多民間驗方，包括了各種不同組成的「七厘散」。少林傷科文獻中收錄的方劑，多半只記載其組成、主治、及製服法，較少根據藥物的性質功效對方劑進行剖析。本論文是以《傷科集成》所收錄的少林傷科文獻記載的「七厘散」為研究對象，以組成藥物為主軸，分析其立方設法的意義。本論文將少林傷科文獻中所載「七厘散」輯錄出來，統計其使用的藥材，包括藥物使用頻次、藥物在方劑中所佔比例等，並將其依性質分類。再以明清時期本草學著作為工具，利用藥物的主治、功效等資料，對方劑進行分析與論述。「七厘散」是一個以使用劑量命名的方劑。一般認為其一次服用七厘，是因為方中多香竄辛散，行氣活血之品，內服易耗傷正氣，不宜多量久服。本研究呈現出不同組成的「七厘散」，各有其偏重的主治功效，雖然都使用「七厘散」的名稱卻顯然有不同的思維邏輯及使用時機。因此「七厘散」的使用仍應回歸到中醫師的辨證論治，根據症型變化調整用藥，方為允當。 Since Ming and Qing dynasties, Seven Pinches Powder has always been the commonly used formula to quicken the blood and transform stasis and relieve pains in clinical traumatology and it is a set formula that is quite popular among the mass public. In modern society, the above-mentioned fact has been recorded in the Pharmacopoeia of People's Republic of China. Shaolin traumatology literatures have recorded many prescriptions from the mass public, including Seven Pinches Powder with various compositions. Regarding the formula recorded in Shaolin traumatology literatures, most of them only recorded the formula composition, indication and method of administration; few of them talked about the medical effects and the analysis of formula. Taking Seven Pinches Powder recorded in Shaolin traumatology literatures of Shang Ke Ji Cheng as the research object; this study adopts this composed formula as the key subject and analyzes the meaning of this prescription's formulation. This study subtracts records of Seven Pinches Powder from Shaolin traumatology literatures, statically computes the medicinal material used in this formula, including the frequency and the proportion of medicinal material used in the formula, and makes classifications based on its nature. With the help of the theoretical pharmacognosy sourcing from Ming and Qing Dynasties, this study makes use of the indication, effects and other relevant data of medicinal material of this formula to conduct analysis and discourse for Seven Pinches Powder. Seven Pinches Powder is the formula named in accordance with the amount of dose. Generally speaking, it is suggested that patients should take this prescription seven pinches each time because much of its materials contain acridity and aroma components, which help move qi and quicken the blood. This type of medicinal material tends to damage the right qi with frequently taking, and should not be taken over a long period of time. This study proposed that Seven Pinches Powder with different compositions will have their distinctive indication effects. Although they all share the same name of Seven Pinches Powder, they were built with different logical thinking and in different times. Therefore, the usage of Seven Pinches Powder should return to the principal of "pattern identification as the basis for determining treatment " of Chinese medical physician by changing the amount and medicinal material based on different symptoms of patients.
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