| Objective:To explore the application law of ginseng in Shang Han Za Bing Lun(伤寒杂病论,Treatise on Exogenous Febrile and Miscellaneous Diseases),including its effect,source,processing,commonly used dose,involved syndromes,and laws of combination,addition and subtraction,as well as the making and taking characteristics and laws of ginseng formulas,so as to improve the understanding of ginseng in the formulas and guide clinical medication and scientific research and development.Methods:1.Through the collation of ancient and modern literature,discuss ginseng’s source,property,taste,meridian entering,effect,etc.2.Summarize and analyze the original text of the formulas,discuss the effect,usage and dosage of ginseng,the involved symptoms and combination laws.3.Carry out the collation and statistical analysis of the notes after the ginseng formulas to analyze its preparation,taking and other characteristics.Results:1.According to the summary of disputable ancient and modern collation,processing and effect,and to the analysis of historical relevant issues,it is found that the ginseng used in the formulas is the combined use of ginseng in Campanulaceae and Acanthopanax family.2.Ginseng used in the formulas has four major effects,which are replenishing qi,regulating the middle,tranquilizing the mind and protecting healthy qi.Ginseng is a very commonly used medicinal,with a commonly used dose of 31.2-46.8g.3.Ginseng mainly functions in the middle energizer,spleen and stomach to treat nausea,stuffiness and fullness,fever,pain,dysphoria,diarrhea,thirst and other syndromes.4.Ginseng is often combined with GLYCYRRHIZAE RADIX ET RHIZOMA,ZINGIBERIS RHIZOMA RECENS,JUJUBAE FRUCTUS,PINELLIAE RHIZOMA,ZINGIBERIS RHIZOMA and other medicinals to invigorate the spleen and harmonize the stomach,descend adverse-rising qi and resolve phlegm,thus to treat spleen and stomach diseases.Combined with blast-fried aconite,it can warm yang,dissipate cold and replenish qi,thus to treat syndromes of yang deficiency and cold visiting.Combined with raw aconite,it can restore yang,replenish yin and free the vessels,thus it can be used for first aid treatment of collapse of liquid and yang exhaustion.Combined with bupleurum,it is mainly used to treat lesser yang syndrome and vitalize yang qi.Combined with rhubarb and officinal magnolia bark,it can achieve the result of tonification and elimination,which is opposite and complementary to each other.Conclusion:1.Widely used in the classical formulas,Ginseng is not only for exogenous febrile diseases,but also for internal injuries and miscellaneous diseases;not only is it for cold diseases,but also for heat diseases;not only is it for deficiency syndrome,but also for excess syndrome.2.Clinically different types of ginseng can be used according to the specific situation.3.The preparation and taking methods of ginseng formulas have their own characteristics,reflecting Zhang Zhongjing’s(张仲景)flexible treatment methods,which can provide reference for modern clinical practice. |