藏药达尔强散文献考证与研发转化研究

    Literature Textual Research and R&D Transformation of Tibetan Medicine Da’erqiang Powder

    • 摘要:
      目的 系统梳理藏药经典名方达尔强散处方源流、药材基原、炮制工艺、配比用量、功能主治及现代临床应用等核心关键信息,依据中药注册审评“中医药理论、人用经验、临床试验三结合”证据体系要求,为该方剂临床规范用药、制剂开发及产业化研发转化提供文献依据与数据支撑。
      方法 以藏医药历代古籍、权威方书及国家经典名方相关政策文件为依据,采用文献梳理与史料考证方法,对达尔强散处方起源、传承脉络、药材基原、炮制规范、组方配比及用法用量开展系统考证,结合临床人用应用经验,厘清该方传承应用过程中的记载差异与关键共性技术问题。
      结果 达尔强散最早源于13世纪邬坚巴仁钦拜大师,早期以耳传师承方式传承,其形成年代早于古代经典名方目录(第二批)收录的《迷旁医著》;该方基础组方为沙棘1份、碱花3份,临床主要用于高原性红细胞增多症、消化不良、妇科血瘀诸证及疼痛相关病症,临床应用经验充足。针对不同文献记载的药用部位、配比用量等差异,经文献系统考证及专家咨询核验,明确了该方统一规范的关键技术参数。
      结论 本研究明确了达尔强散处方沿革、药材基原、炮制工艺、组方配比及用法用量等核心基准信息,符合经典名方三结合审评研发要求,可为该藏药经典名方临床规范化使用、质量标准提升、现代制剂研发及创新转化提供基础支撑,亦为藏药经典名方现代化开发提供参考。

       

      Abstract:
      OBJECTIVE To systematically sort out the core key information of the Tibetan medicine classical prescription Da’erqiang Powder, including its prescription origin, medicinal material base origin, processing technology, dosage ratio, functions and indications and modern clinical application. In accordance with the three-in-one evidence system of traditional Chinese medicine theory, human medication experience and clinical trials for registration and review of traditional Chinese medicine, this study provides literature basis and data support for standardized clinical medication, preparation development and industrial R&D transformation of Da’erqiang powder.
      METHODS Based on ancient Tibetan medical classics, authoritative prescription books and national policy documents related to classical prescriptions, literature sorting and historical textual research methods were adopted to systematically verify the prescription origin, inheritance context, medicinal material origin, processing specifications, compatibility ratio, usage and dosage of Da’erqiang powder. Combined with clinical medication experience, the recorded differences and key common technical problems in the inheritance and application of the prescription were clarified.
      RESULTS Da’erqiang powder was first originated from Master Wujianbarenqinbai in the 13th century and inherited by oral teaching in the early stage, which was formed earlier than Mipang Medical Works included in the Second Batch of Catalogue of Tibetan Medicine Classical Prescriptions. The basic prescription consisted of 1 part Hippophae Fructus and 3 parts Natron. It had abundant clinical application experience and exact curative effects on altitude polycythemia, dyspepsia, gynecological blood stasis and various pain-related diseases. In view of the differences in medicinal parts and dosage ratios recorded in different literatures, the unified and standardized key technical parameters of the prescription were clarified through systematic literature textual research and expert consultation and verification.
      CONCLUSION This study clarifies the basic core information of Da’erqiang powder, including prescription evolution, medicinal material base origin, processing technology, compatibility ratio, usage and dosage, which meets the R&D requirements of the three-in-one evaluation system for classical prescriptions. It can provide basic support for the standardized clinical application, quality standard improvement, modern preparation research and innovative transformation of this Tibetan medicine classical prescription, and also offer a reference for the modern development and research of Tibetan medicine classical prescriptions.

       

    /

    返回文章
    返回