Study on the Dosage of Prescriptions for Children in the Comprehensive Recording of Divine Assistance
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摘要: 《圣济总录·《小儿门》集北宋以前儿科医学之大成, 通过对《小儿门》的研究发现, 小儿服方用量除与病情、药性、年龄密切相关外, 另一重要影响因素是方剂的剂型。《小儿门》方剂剂型较前代进一步丰富, 多达31种, 其中应用最多的是丸散剂。剂型多样性为小儿服方用量的精细化提供了可能。与剂型相对应, 服方用量的计量单位也呈现出形象化、多样化的特点, 除度量衡计量单位外, 还运用了大量拟量单位, 其中丸剂使用了19种拟量单位。研究《小儿门》服方用量有利于明晰小儿方剂量效关系的研究, 对现代小儿临床用药及服方用量具有一定的借鉴意义, 也对丰富方剂学的文献研究具有一定价值和意义。Abstract: The Comprehensive recording of divine assistance: Pediatric chapter is a collection of the great works of pediatric medicine before the Northern Song dynasty. Through studying the Pediatric chapter, we find that the dosage of prescriptions for children is closely related to the disease, medicine nature as well as age, and another important factor is the dosage form of the prescription. The number of dosage forms in the Pediatric chapter was further enriched than that of the previous generation, with 31 types, of which the most used were pills and powder. The variety of dosage forms provides the possibility of refining the dosage of prescriptions for children. In line with the dosage form, the unit of measurement of prescription dosage also shows the characteristics of visualization and diversification. In addition to metric units, many analog quantity units were also used, including 19 kinds for pills. The study of the dosage of prescriptions in the Pediatric chapter is beneficial to the study of the dose-effect relationship of prescriptions for children, which is of certain significance to the modern clinical use and dosage of prescriptions for children, and also has certain value to enrich the literature of prescription studies.
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表 1 《圣济总录》内服汤剂小儿与成人单次服方用量
《圣济总录》 汤方、饮方数量(首) 单次服方用量(首) 《圣济总录·小儿门》 364 半钱匕94 一钱匕172 《圣济总录》(不含小儿门) 4 994 三钱匕2 239 五钱匕1 787 
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