葛根汤在治疗骨伤科疾病中的应用及研究进展

Application and Research Progress of Pueraria mirifica Soup in the Treatment of Orthopedic and Traumatic Diseases

摘要: 葛根汤见于《金匮要略•痉湿暍病脉证治》“太阳病，无汗而小便反少，气上冲胸，口噤不得语，欲作刚痉，葛根汤主之。”葛根汤由葛根四两(12 g)，麻黄(去节)三两(9 g)，桂枝(去皮)二两(6 g)，生姜(切)三两(9 g)，甘草(炙)二两(6 g)，芍药二两(6 g)，大枣(擘)十二枚组成，其主要作用在于缓解外邪(主义以风寒邪气为主)束于肌表，外邪初中人体最先侵袭太阳经脉，在中医经脉中，太阳经所循行的部位正是人体头项背部，从头至足，所以太阳经的痹阻会出现颈肩腰背部僵硬不灵活甚至疼痛等症状。本文就葛根汤在骨科疾病治疗中的临床应用以及其现代基础研究相关进展进行综述。

Abstract: Ge Gen Tang is found in the book “The Metallic Essentials - Spasmodic Dampness and Drinking Dis-eases”, “Sun disease, no sweat but little urine, gas rushes up to the chest, mouth silent and unable to speak, want to make just spasm, Ge Gen Tang is the master.” Ge Gen Tang is composed of four taels (12 g) of Ge Gen, three taels (9 g) of Ephedra, two taels (6 g) of Cinnamomum, three taels (9 g) of ginger, two taels (6 g) of licorice, two taels (6 g) of peony, and twelve jujubes, and its main use is to relieve the external evil (mainly cold gas) on the surface of the body. In Chinese medicine, the Sun meridian follows the head, neck, and back of the human body, from the head to the insufficiency, so paralysis of the Sun meridian can lead to symptoms such as stiffness, inflexibility, and even pain in the neck and back. In this paper, we review the clinical application of Pueraria mirifica soup in the treatment of orthopedic diseases and the progress related to its modern basic research.