中医药研究论丛

291-3 历代《金匮要略》注本当中胶姜汤的 组成分析

TJ TCM.29(1) : 37-49, 2026

DOI : 10.6516/TJTCM.202603_29(1).0003

历代《金匮要略》注本当中胶姜汤的组成分析

Analysis of the Composition of Jiao Jiang Decoction in the Synopsis of the Golden Chamber from the Past Dynasties

陈琬琦1,2

张馨慧2

苏珊玉2,3,*

1中国医药大学中医学系,台中,台湾

2中国医药大学附设医院中医部,台中,台湾

3中国医药大学学士後中医学系,台中,台湾

【摘要】
背景:胶姜汤为《金匮要略·妇人杂病脉证并治》的重要妇科方剂,然而,原文仅有「妇人陷经,漏下黑不解,胶姜汤主之」的病症叙述,并无记载其中药物组成,历代注家对胶姜汤的组成有不同见解。方法:透过实体书籍与网路书籍蒐集历代《金匮要略》注本的全文共32本,分析注本当中对胶姜汤组成与应用的见解,包含组成的药物及炮制形式,组成药物的单味药作用与整帖胶姜汤的应用病机与证型。结果:研究结果发现,从元代至近代医家的《金匮要略》注本共32本,其中有记载胶姜汤的典籍有30本,「阿胶+姜」为最常见的胶姜汤组成形式,其中又以「乾姜」为姜的最常见炮制类型。胶姜汤的应用症状为「妇人出血」及「妊娠胞阻」,胶姜汤最适用的证型为「寒」。结论:按照历代注家对胶姜汤的临床应用分析,临床上使用胶姜汤时可采用「阿胶配伍乾姜」之组成,且胶姜汤适合用於证型为「寒、瘀、血虚」的妇科子宫出血性疾患。
【关键词】胶姜汤;金匮要略;阿胶;姜;异常子宫出血
【Summary】
Jiao Jiang Decoction is an important gynecological prescription from chapter XXII, Miscellaneous Gynecological Diseases of the《Synopsis of the Golden Chamber》. However, the original text only describes the symptoms "For women with leaky continuous dark vaginal bleeding, Jiao Jiang Decoction is the main remedy." There is no record of the composition of the prescriptions. Commentators of the past dynasties also have different opinions on this provision. Therefore, we collected a total of 32 annotated volumes of Synopsis of the Golden Chamber through hard and online electronic copies. We analyzed whether the annotated editions recorded the composition of the Jiao Jiang Decoction, which of the most common components of the Jiao Jiang Decoction were recorded, the most common preparation form of "ginger" in Jiao Jiang Decoction, the application pathogenesis of Jiao Jiang Decoction, the syndrome analysis of Jiao Jiang Decoction, and the effects of single herbs in Jiao Jiang Decoction. The research found that " ass-hide gelatin + ginger" is the most common form of gelatin and ginger soup, and "dried ginger" is the most common preparation type. According to the analysis of the clinical application of Jiao Jiang Decoction by annotators in the past dynasties, it can be seen that Jiao Jiang Decoction is suitable for gynecological uterine bleeding disorders of cold, stasis and blood-deficiency patterns.
【Keywords】
Jiao Jiang Decoction ; Synopsis of the Golden hamber ; Ejiao ; Jiang ; abnormal uterine bleeding