婦科典籍運用四物湯治療血虛與血瘀之藥物劑量研究

The Relationship of dosage of herbs used in Si-Wu-Tang with Blood-deficiency and Blood stasis patterns

賴宇彥(Yu-Yan Lai) ； 許雅鈐(Ya-Chien Hsu) ； 蘇珊玉(Shan-Yu Su)

《中醫婦科醫學雜誌》 25期 (2020/06) Pp. 6-16

https://doi.org/10.30030/JTCGM.202006_(25).0002

摘要

四物湯最初記載於唐朝藺道人《仙授理傷續斷秘方》一書當中，此方由當歸、白芍、地黃、川芎各等分所組成，主治傷重腸內有瘀血，原為一標準傷科方劑，然而經過經歷代醫家各學派因應不同證型、主治，增補修改四物湯中四味藥物的劑量，此方逐漸轉為一帖治療婦科疾病常用的複方。本研究蒐集及分析自唐代到清末為止，婦科典籍共二十六本，共計統整出五十四張以四物湯為基底加減的藥方，分析四物湯中各藥物使用劑量與血虛及血瘀證的相關性，研究結果發現川芎的劑量是使用四物湯治療血瘀證的關鍵。

關鍵字

四物湯 ； 劑量 ； 川芎 ； 血虛 ； 血瘀

並列摘要

Si Wu Tang, which consists of Danggui, Shaoyao, Dihuang and Chuanxiong, was first recorded by the Tang Dynasty doctor Lin Daoren. In his book, the dosage of the four Chinese herbs were the same and the formula was used to treat injury-caused blood stasis in the intestinal tract. As time passed, the dosage of herbs in Si Wu Tang had been modified. Gradually, Si Wu Tang has become a common formula for gynecological disease. In this study, we analyzed the relationship between the dosages of herb in Si Wu Tang and Blood-deficiency and Blood-stasis patterns. The results found that Chuanxiong played an role when Si Wu Tang was used to treat Blood-stasis pattern.

並列關鍵字

Si Wu Tang ； dosage ； Chuanxiong ； blood-deficiency ； blood stasis

參考文獻

藺道人：仙授理傷續斷秘方唐; Available from: https://ctext.org/wiki.pl?if=gb&c-hapter=378734

張賢哲、彭文煌： 四物湯之典籍文獻分析研究. 中國醫藥大學藥學院中國醫學研究所

佚名： 張氏婦科 618-907 唐開通年間; Available from: https://ctext.org/wiki.pl?if-=gb&chapter=301919

齊仲甫： 女科百問 1220 宋; Available from: https://ctext.org/wiki.pl?if=gb&res=957372

陳自明：婦人大全良方1237宋; Available from: https://ctext.org/wiki.pl?if-=gb&res=196584