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逍遥散的古籍文献考证与现代临床应用

牛蔚露 吕承启 敬康 苗明三 王顺喜 王刚 王宁丽 刘学伟 李建伟

世界中医药2026,Vol.21Issue(11):2032-2042,11.
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世界中医药2026,Vol.21Issue(11):2032-2042,11.DOI:10.3969/j.issn.1673-7202.2026.11.009

逍遥散的古籍文献考证与现代临床应用

Textual Research on Xiaoyao Powder from Ancient Literature and Its Modern Clinical Application

牛蔚露 1吕承启 2敬康 2苗明三 2王顺喜 2王刚 1王宁丽 1刘学伟 3李建伟1

作者信息

  • 1. 河南中医药大学第一附属医院,郑州,450000
  • 2. 河南中医药大学,郑州,450046
  • 3. 河南中医药大学第一附属医院,郑州,450000||河南中医药大学,郑州,450046
  • 折叠

摘要

Abstract

Xiaoyao Powder was first recorded in Comprehensive Recording of Sage-like Benefit(Sheng Ji Zong Lu),compiled by the Imperial Medical Bureau of the Northern Song Dynasty.It consists of six principal Chinese medicinal herbs,namely Bupleuri Radix,Poria,Angelicae Sinensis Radix,Paeoniae Radix Alba,Glycyrrhizae Radix et Rhizoma,and Atractylodis Macrocephalae Rhi-zoma,together with two medicinal adjuvants,Menthae Haplocalycis Herba and roasted Zingiberis Rhizoma Recens.In this study,bibliometric methods were used to systematically investigate the ancient literature records and modern applications of Xiaoyao Pow-der from the perspectives of formula name and source,dosage evolution,formula composition,decoction method,herb origins and processing methods,and modern clinical applications.Eight aliases of Xiaoyao Powder have been identified,including Xiaoyaotang,Xiaoyaosan,and Luoshi Xiaoyaosan.Regarding the medicinal dosage,according to Comprehensive Recording of Sage-like Benefit,the original dosage was converted into modern units,and the dosage of each principal herb in one prescription was as follows:41.3 g of Poria,41.3 g of Atractylodis Macrocephalae Rhizoma,41.3 g of Angelicae Sinensis Radix,41.3 g of Paeoniae Radix Al-ba,41.3 g of Bupleuri Radix,and 20.65 g of roasted Glycyrrhizae Radix et Rhizoma,with a total dosage of 227.15 g for the six principal herbs.The herb origins of all eight medicinal materials were verified and found to be consistent with those specified in the 2020 edition of the Chinese Pharmacopoeia.Regarding processing methods,Bupleuri Radix should be used after removing the seed-lings;Poria should be peeled to remove the black skin;Angelicae Sinensis Radix should be sliced and baked;raw Atractylodis Macrocephalae Rhizoma and Paeoniae Radix Alba should be used;and Glycyrrhizae Radix et Rhizoma should be used after stir-fry-ing.Regarding the decoction method,the six principal herbs should be coarsely crushed and sieved to prepare coarse powder with a particle size of approximately 2 to 4 mm.For each administration,8.26 g of the coarse powder should be taken,mixed with 600 mL of water,and decocted with 9 g of Zingiberis Rhizoma Recens and 1 g of Menthae Haplocalycis Herba until 420 mL of decoction re-mains.After removing the residues,the decoction should be taken warm three times daily,30 min after meals.The cumulative daily dosage of the principal herbs is 24.78 g.Regarding ancient applications,high-frequency related keywords include blood deficiency,depression,cold and heat,irritability and heat,irregular menstruation,night sweats,dry mouth and throat,and umbilical and abdom-inal distension and pain.Modern applications of Xiaoyao Powder involve 125 diseases across 18 clinical departments,including psy-chiatry,gynecology,and neurology.

关键词

逍遥散/逍遥汤/古籍/文献考证/药物基原/炮制/现代应用/经典名方

Key words

Xiaoyao Powder/Xiaoyaotang/Ancient books/Textual research/Herb origin/Processing/Modern application Clas-sic prescriptions

分类

医药卫生

引用本文复制引用

牛蔚露,吕承启,敬康,苗明三,王顺喜,王刚,王宁丽,刘学伟,李建伟..逍遥散的古籍文献考证与现代临床应用[J].世界中医药,2026,21(11):2032-2042,11.

基金项目

国家重点研发计划项目(2024YFC3505301) (2024YFC3505301)

河南省中医药科学研究专项(20-21ZY2185) (20-21ZY2185)

河南省卫生健康委国家中医临床研究基地科研专项(2022JDZX132,2022JDZX009,2022JDZX032) (2022JDZX132,2022JDZX009,2022JDZX032)

河南省教育科学规划2023年度一般课题项目(2023YB0126) (2023YB0126)

河南省中医药拔尖人才培养项目(2022ZYBJ04) (2022ZYBJ04)

河南省科技攻关计划项目(212102311120) (212102311120)

郑州市医疗卫生领域科技创新指导计划项目(2024YLZDJH060,2025YLZDJH339) (2024YLZDJH060,2025YLZDJH339)

河南省文化和旅游厅2025年度文化和旅游研究课题(7). (7)

世界中医药

OACHSSCD

1673-7202

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