目的:研究刘完素用药性味偏主寒凉还是温补,其处方功效的寒温偏性,以方剂计量学指标分析刘完素医学流派思想。方法:运用传统文献与方剂计量学研究相结合的方法,并选取与刘完素时代相近的金元其他3家作对比,从中显示其处方方剂计量学特点。结果:平均每方所用温补药次,李东垣(1.10)最高,朱丹溪(0.78)、刘完素(0.77)次之,张子和(0.65)最低。平均每方所用寒凉药次排序为李东垣(1.34),张子和(1.00),刘完素(0.94),朱丹溪(0.80);金元四家温凉用药比,朱丹溪最高(0.97),李东垣(0.83)、刘完素(0.82)次之,张子和(0.58)最低。金元四家寒温处方率比较,张子和(1.50)寒温处方比值最高,刘完素(0.87),李东垣(0.76),朱丹溪(0.50)。结论:刘完素是"火热论"的倡导者,但用药不宥于寒凉,称其为"河间学派"更为恰当。单以用药频次评论医家是偏寒凉还是温补有失偏颇,如何识证更为重要。
Objective: To study the nature and flavour of LIU Wan-su’ drug application and the tendency of cold or warm in his prescription; analyze LIU Wan-su’s medical sect by the index of prescription metrology. Methods: Combining the traditional documents with prescription metrology, selecting three doctors before or after LIU Wan-su in Jin and Yuan Dynasty as comparison to expose the characteristic of prescription metrology in his prescription. Results: Wen tonic frequency of each prescription on average, LI Dong- yuan (1.34),ZHANG Zi-he (1.00), LIU Wan-su (0.94), ZHU Dan-xi(0.80); Cool and warm drug ratio of four sects in Jin and Yuan Dyanstay, ZHU Dan-xi (0.97),LI Dong-yuan ( 0.83 ) , LIU Wan-su (0.82), ZHNAG Zi-he ( 0.58 ) .Cool and warm prescription ratio, ZHANG Zi-he ( 1.50 ) , LIU Wan-su (0.87), LI Dong-yuan ( 0.76 ) , ZHU Dan-xi (0.50).Conclusion: As the exponent of "theory of fire and hot", it will be better to classify LIU Wan-su as " Hejian sect" since his drug application was not limited within cold and cool. To some extent, it is more important to judge a Chinese traditional doctor by syndrome identification rather than only by his drug frequency.