《伤寒杂病论》剂量溯源、传承及展望

古代随着社会的发展,方剂药物用量从原来的不确定、不精确到《伤寒杂病论》用量的相对精确,体现了医学的发展。由于历代度量衡的变迁、医家对于经方的应用见仁见智,形成了后世对于经方剂量折算的不同认识,一定程度上影响了经方的准确继承。《伤寒杂病论》剂量折算一直以来众说纷纭,悬而未决。经方剂量的确定应有其事实根据,并且要以疗效为基础。通过对医家有关论述、现代度量衡考证等进行认识,同时辅以实证的方法对经方剂量折算的研究有重要意义。

Tracing to Source, Inheritance and Prospect of Dosage in Treatise on Cold Pathogenic Diseases and Miscellaneous Diseases ( Shanghan Zabing Lun )

Along with the development of the society,the herbal dosage was developed from the uncertainty and imprecisionin primary formulae to relatively exactness in classical formulae of Treatise on Cold Pathogenic Diseases and Miscellaneous Diseases(Shanghan Zabing Lun);it embodied the medicinal development.Due to the vicissitudes of metrology in past dynasties,doctors applied the classical formulae were opinions differ from each other,formed the different recognitions of later ages on dosage conversions in classical formulae;it in a certain extent influenced the accurate inheritance of classical formulae.There was no agreement among many views on dosage conversions of the classical formulae all the times and it was suspense.The definition of dosage in classical formulae properly had its fact evidences,and it must be based on therapeutic effect.Through the cognition of relevant discussions and the textual research on weights and measures in modern time et al,it was quite helpful for the definition of dosage conversions;meanwhile it had important significance to research on dosage conversions in classical formulae assisted with demonstration method.