基于先秦两汉简帛医药文献探析早期经方医学的历史发展

Exploration on the Historical Development of Early Classical Prescription Medicine Based on Bamboo and Silk Medical Texts from the Pre-Qin to Han Dynasties

  • 摘要: 对出土东汉以前医方简帛文献作全面介绍。先秦至秦时期的经方类文献中的医方多是单方或由2~3味药组成的药方,且夹杂一定数量的巫祝方;西汉初期的经方类文献体系较为完整,药方配伍复杂;西汉中后期的经方类文献内容丰富,药方数量众多,该时期侍医李柱国校正方技之时,创造性提出“经方”之名;目前出土的东汉时期的经方类文献整体数量较少,难以全面考察经方医学在东汉时期的发展与变化。秦汉经方医学在不同时间段呈现出不同的特征,提示秦汉经方医学一直在发展、创新之中,正是这种发展、创新精神,使得经方医学历经数千年而不衰。

     

    Abstract: This paper provides a comprehensive introduction to the bamboo and silk medical texts unearthed before the Eastern Han Dynasty. The medical prescriptions in the classical literature from the Pre-Qin to Qin periods were mostly single prescriptions or prescriptions composed of 2~3 herbs, mixed with a certain amount of witchcraft prescriptions. The literature system of classical prescriptions in the early Western Han Dynasty was relatively complete, and the compatibility of prescriptions was complex; in the middle and late period of the Western Han Dynasty, there were abundant contents and numerous prescriptions in the field of traditional Chinese medicine. During this period, when the attendant physician Li Zhuguo was correcting the prescription techniques, he creatively proposed the name "Jing Fang". However, the overall number of excavated Eastern Han Dynasty classics is relatively small, making it difficult to comprehensively investigate the development and changes of traditional Chinese medicine in the Eastern Han Dynasty. The traditional Chinese medicine of the Qin and Han dynasties showed different characteristics at different times, indicating that the traditional Chinese medicine of the Qin and Han dynasties has been constantly developing and innovating. It is precisely this spirit of development and innovation that has enabled traditional Chinese medicine to endure for thousands of years without decline.

     

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