Inquiry into the Origins and Formulation Theory of Wendan Decoction in Set of Proven Prescriptions
10.16466/j.issn1005-5509.2025.10.014
- VernacularTitle:《集验方》中温胆汤方源及组方理论考辨
- Author:
Shuyi HE
1
;
Xingyi WANG
1
Author Information
1. 上海中医药大学科技人文研究院 上海 201203
- Publication Type:Journal Article
- Keywords:
Wendan Decoction;
YAO sengyuan;
Set of Proven Prescriptions;
insomnia;
cold due to gallbladder deficiency;
Jue Qi inversion;
literature research;
Zhejiang traditional Chinese medicine
- From:
Journal of Zhejiang Chinese Medical University
2025;49(10):1305-1310
- CountryChina
- Language:Chinese
-
Abstract:
[Objective]To explore the origin and development relationship,core pathogenesis and medication characteristics of Wendan Decoction,and clarify its application indications.[Methods]Taking Wendan Decoction recorded in YAO Sengyuan's Set of Proven Prescriptions as the main research object,this paper adopts the method of literature search to collect and sort out medical literature related to"insomnia"during the Wei,Jin,Southern and Northern Dynasties,and makes a comparative study of the prescriptions contained therein.It traces the historical origin and the evolution of the main indications of Wendan Decoction,examines contemporary literature related to"gallbladder cold"to explore the theoretical basis of insomnia caused by gallbladder cold,and compares the recorded efficacy of the component herbs in classical materia medica to further analyze its pathological state and core pathogenesis.[Results]Wendan Decoction originated from Banxia Shumi Decoction and was related to many classical prescriptions such as Banxia Shumi Decoction,ZHANG Zhongjing's"Xiaobanxia Decoction"and Shenshi's"Dajupi Decoction".The treatment object is the combined disease of gallbladder and stomach,which is caused by the weakness of Zangfu organs after a serious disease,and the core pathogenesis is"deficiency of cold in the middle-Jiao and the inversion of Jue Qi",and the main symptom is emesis.The prescription principle of Wendan Decoction emphasizes"warming the middle and reducing inversion,regulating Qi and relieving vexation,harmonizing Ying and Wei".The medication characteristics reflect"the combination of mild reduction and warming and clearing".The application indications include nausea,dizziness,chest fullness,irritability and other manifestations of syncope and Jue Qi inversion.[Conclusion]Wendan Decoction has multiple sources,and has good clinical effect in the treatment of"insomnia"disease with the core pathogenesis of combined disease of gallbladder and stomach.The medication has the characteristics of warming and descending,which is worth further investigation for the treatment of syndromes marked by Jue Qi inversion as the core manifestation.