唐以前中药煎煮技术整理及初步分析-国际中医中药杂志.PDFVIP

国际中医中药杂志2014年4月第36卷第4期 Int J Trad Chin Med, April 2014, Vol. 36, No.4 ·289 · ·专题论坛· 唐以前中药煎煮技术整理及初步分析 马佩宏 【摘要】 从《黄帝内经》等唐代及以前中医名著为蓝本，分别从煎药溶媒、煎煮时间、 煎煮火候及特殊煎法等方面进行整理。煎前浸泡目的主要为减少副作用及提高疗效，煎煮溶媒包 括水、醋等十余种，加水量为药量6 至8 倍，煎煮次数一般为一次，特殊煎法中除先煎、后下还 包括十余种药材煎汤代水、分煎再和合、冲服、泡服等，汤液煎成一般不放置过夜除取其泄大热 之效。笔者认为，中药煎煮方法对其功效有较大影响，对其进行系统整理，可为医生提供更多的 用药思路，为患者提供煎煮指导。 【关键词】 中药汤剂；煎煮方法；时间；火候；特殊煎法 Sorting and preliminary analysis of traditional Chinese medicine decoction technique of the Tang and its previous dynasties Ma Peihong Yunnan University of TCM, Kunming 650500, China 【Abstract 】 From the Yellow Emperor and other representative Chinese classics of the Tang and its previous dynasties we assorted the contents of extracting solvent, boiling time, boiling heat and special frying methods. By studying these contents, we found that immersion can reduce side effects and improve efficacy; boiling solvents include water, vinegar and so on; 6-8 times the amount of water than the drug is preferred, boiling times is usually once; special frying methods include decoction first, decoction later, decocted medicine water used in place of water as solvent, infused decoction, etc. Decoctions were generally not allowed to stand overnight. TCM decocting methods had great impacts on its effectiveness. It can provide more medication ideas for doctors and provide boiling guidance to patients. 【Key words 】 Decoction ；Boiling method ；Boiling time ；Boiling heat ；Special frying method 中药煎煮技术恰当与否对药效有很大影响， 百合地黄汤方皆言“以水洗百合，渍一宿，当白 ［］ 2 534 清代医家徐灵胎指出：“煎药之法，最宜深讲，药 沫出，出其水” ，煎药前百合要浸泡一晚，浸 ［］ 1 之效与不效，全在乎此” 。中药煎煮技术的研究 出白沫，再