目的:比较《伤寒杂病论》205首汤剂经方与北京东直门医院、河南中医学院一附院、上海龙华医院等3家医院中医处方的药物组成、用量。方法:按照中国历代度量衡量值表,对205首经方进行古今折算,计算经方平均药物组成、用量。随机抽取东直门医院、河南中医学院一附院3天门诊汤剂处方,上海龙华医院一天门诊汤剂处方,分别计算它们的处方平均药物组成、用量,分别与经方比较。结果:现代3家医院平均处方用药较经方明显增多,有显著差异,P<0．05。河南中医学院一附院平均处方用量与经方用量无明显差异;北京东直门医院处方用量较经方用量小,有显著差异,P< 0．05;上海龙华医院处方平均用量较经方用量大,差异显著,P<0．05。结论:与经方相比,东直门医院、河南中医学院一附院、上海龙华医院处方药味明显增加;与现代医院处方相比,经方单味药物用量较大。经方药物组成、用量值得深入研究。

This study is to compare the ingredient and dose between prescriptions given by three different hospitals and classical prescriptions. The two hundred and five classical prescriptions were calculated according to Chinese traditional metrology conversion, and as well the prescriptions randomly chosen from three hospitals in Beijing, Shanghai and Zhengzhou were also calculated. Their ingredient and dose were observed and compared. As a result, the ingredient of three modern hospitals are quite different from that of classical prescriptions, p<0.05; There's little difference conserving dose between the first affiliated hospital of Henan University of T.C.M and classical prescription. The dose of prescription of Dongzhimen hospital decreased significantly in comparison with classical prescriptions, p<0.05, while that of Shanghai Longhua hospital increased significantly, p<0.05. It can be concluded that the ingredient of these three hospitals increase significantly, and the dose of...更多 every drug of classical description is more than that of the three hospitals. There is marked difference between modern hospitals and classical prescriptions in terms of ingredient and dose. Meanwhile, the ingredient and dose of classical prescription are worth further study.

国家中医药管理局科学技术研究专项(02-03JP06)《伤寒杂病论》经方剂量折算研究对当今现代组方配伍规律影响的研究,