基于古籍文献的中医药浴疗法应用研究

Research on the application of traditional Chinese medicine bath therapy based on ancient literature

关键词:  古籍文献  中医药浴疗法  文献研究

Key words:  ancient literature  traditional Chinese medicine bath therapy  literature research

摘要:

[目的]基于古籍文献研究对中医药浴疗法的应用进行整理，为中医药浴疗法的临床应用提供新思路。[方法]以《中华医典》第5版、《中国基本古籍库》与《瀚堂典藏》为载体，检索“药浴” “坐浴” “浴” “浴洗” “淋洗” “水淋”等，对其出处、朝代、作者、操作方式、方药、适应症等内容进行整理。[结果]研究共纳入词条534条，涉及古籍88部，应用方药487首，其中复方393首、单方74首。主治病证93种，累计频数483次，其中频数较高的为皮肤及性传播疾病（98次）、疮疡（70次）、肛肠疾病（69次）。药物处理方式包括水煎、烧灰、酒煎、捣汁、浸泡，频数最高为水煎（499次）。操作部位包括全身及局部（肛门、前阴、眼部等），频数最高的为肛门（80次）。操作方式包括淋洗、浴洗、浸浴、熏蒸、坐浴，频数最高的为淋洗（414次）。[结论]中医药浴疗法不断发展为一种独具特色的治疗方法，操作简便且适应证广泛，尤其善治外科疾病，古籍中记载的丰富方药可以为现代临床应用提供宝贵参考依据。

Abstract:

[Objective] Drawing upon ancient literature research，this study reviews the application of traditional Chinese medicine bath therapy，offering new insights for its clinical application. [Methods] Utilizing the 5th edition of the Chinese Medical Code，Chinese Basic Ancient Books Library and Hantang Collection as sources，searched for relevant terms such as “medicinal bath” “sitz bath” “bath” “bath wash” “rinse” “water rinse”，and organized information on the source，dynasty，author，method of operation，prescriptions，and indications. [Results] This study encompassed 534 articles，involving 88 ancient texts and 487 prescriptions，of which 393 were compound and 74 were single. There were 93 types of primary conditions，recorded 483 times in total，with skin and sexually transmitted diseases （98 times），sores（70 times） and anorectal diseases（69 times） being most frequent. Treatment methods included decoction in water，ash burning，decoction in wine，juice extraction，and immersion，with decoction in water being the most frequent（499 times）. Operating areas covered the whole body and specific parts such as the anus，genitalia，and eyes，with the anus being the most frequently treated（80 times）. Techniques included rinsing，bathing，immersion， steaming，and sitz baths，with rinsing being the most common（414 times）. [Conclusion] Over historical epochs， traditional Chinese medicine bath therapy has evolved into a distinctive treatment approach，characterized by its simplicity and broad applicability，particularly in surgical conditions. The extensive prescriptions documented in ancient texts offer invaluable guidance for modern clinical practice.