Textual Research on Lianggesan from Ancient Literature and Its Modern Clinical Application
10.13422/j.cnki.syfjx.20250869
- VernacularTitle:经典名方凉膈散的古籍文献考证与现代临床应用
- Author:
Weilu NIU
1
;
Chengqi LYU
2
;
Mengjie YANG
2
;
Shunxi WANG
2
;
Jingkang QIAO
2
;
Huangchao JIA
1
;
Liyun WANG
1
;
Xuewei LIU
1
;
Mingsan MIAO
3
;
Jianwei LI
1
;
Gang WANG
1
Author Information
1. The First Affiliated Hospital of Henan University of Chinese Medicine,Zhengzhou 450000,China
2. The First Clinical Medical College of Henan University of Chinese Medicine,Zhengzhou 450046,China
3. Henan University of Chinese Medicine,Zhengzhou 450046,China
- Publication Type:Journal Article
- Keywords:
Lianggesan;
textual research;
modern application;
function and indication;
origin;
processing;
decoction method;
famous classical formulas
- From:
Chinese Journal of Experimental Traditional Medical Formulae
2025;31(22):223-234
- CountryChina
- Language:Chinese
-
Abstract:
Lianggesan was first recorded in Taiping Huimin Heji Jufang, which was composed of Rhei Radix et Rhizoma, Natrii Sulfas, Gardeniae Fructus, Forsythiae Fructus, Scutellariae Radix, Glycyrrhizae Radix et Rhizoma(GRR), Menthae Haplocalycis Herba, Lophatheri Herba and Mel. It was clinically applied to treat fire-heat syndrome in the upper and middle Jiao, and the curative effect was positive. In this study, the bibliometric method was used to conduct a detailed textual research on the formula name, medicinal composition, dosage evolution, origin and processing, functional indications and other aspects of Lianggesan. Research revealed that Lianggesan has six other names, such as Lianqiao Yinzi, Lianqiao Jiedusan, Jufang Lianggesan, Jiegu Lianggesan, Hejian Lianggesan and Qingji Lianggesan. Based on the edition of Taiping Huimin Heji Jufang, an analysis of the evolution of its formula composition revealed that the missing Chinese medicines were predominantly bamboo leaves and honey, while the added Chinese medicines were primarily supplements introduced to address changes in disease manifestations. After textual research, the dosage for one dose of Lianggesan from Taiping Huimin Heji Jufang was as follows:826 g of Rhei Radix et Rhizoma, 826 g of Natrii Sulfas, 826 g of GRR, 413 g of Gardeniae Fructus, 413 g of Menthae Haplocalycis Herba, 413 g of Scutellariae Radix, and 1652 g of Forsythiae Fructus. Decocting method was as following:Grinding the Chinese medicines into coarse powder(2-4 mm), taking 8.16 g per dose, adding 300 mL of water, along with 2 g of Lophatheri Herba and 5 g of Mel, and decocting to 140 mL. The residue was removed and taken warmly 30 min after meals. It was recommended to take it three times daily until improvement was achieved. The origins of the 9 Chinese medicines were consistent with the 2020 edition of Pharmacopoeia of the People's Republic of China. Except for GRR, which required single frying(stir-frying), the remaining medicines were all raw products. The description of the function of this formula in ancient books was summarized as purging fire and promoting bowel movements, clearing heat from the upper body and purging the lower body, and the main syndromes included facial redness, tongue swelling, red eyes, etc. In modern applications, the formula is primarily used for respiratory and digestive system diseases, including acute lung injury, chronic obstructive pulmonary disease, herpetic angina and aphthous stomatitis, covering 142 types of diseases. In summary, this paper can provide a basis for further research and development of Lianggesan through the literature review and key information combing.