京宛两地用药差异小议

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中药的品种及炮制与临床疗效有密切的关系.同一中药,常因产地不同,或炮制方法不一而具有不同的功效.如牛膝有川、怀之分,川牛膝以活血见长,怀牛膝以滋肾为胜;荆芥一物,生用则解表,炒炭则止血.因此,临床处方选药应注意其产地及炮制方法.一般说来,在处方中,药物的产地和炮制方法是由其处方用名来表示的,但在不同地区,处方用名与调配习惯有所不同.笔者考察了北京地区和河南省南阳地区(旧称宛城)中药房的配药常规,发现京宛两地对一些常用中药的使用有较大差异.今举数例.黄芪,生用或蜜炙用.北京地区对写如“黄芪”的处方常配以炙黄芪,对处以 The variety and preparation of traditional Chinese medicine are closely related to clinical curative effect. The same traditional Chinese medicine often has different effects due to different origins or different processing methods. For instance, Achyranthes chuanchuanensis and Huaizhifen, Chuanxiong are known for their blood circulation, and cowskin. Kidney to kidney to win; Nepeta one thing, students use the solution table, charcoal to stop bleeding. Therefore, the clinical prescription drug selection should pay attention to its place of production and processing methods. Generally speaking, in the prescription, the drug’s origin and processing The method is represented by its prescription name, but in different regions, the prescription name and the deployment habits are different. The author examined the dispensing practices of the pharmacies in the Beijing area and the Nanyang area of ​​Henan Province (formerly known as Wancheng), and discovered that Jingwan There are major differences in the use of some commonly used Chinese medicines in the two places. There are several examples in this area. Huangqi, raw or candied fruits are used. The prescriptions written in Beijing, such as “Huangxi”, are often supplemented with 炙 黄炙.
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