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Exploring the reasons for the high dose of prescriptions in the Taiping Huimin Heji Jufang
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DOI   10.11656/j.issn.1672-1519.2024.09.14
Key Words   Taiping Huimin Heji Jufang;Heji Ju;Song Dynasty;dose;over-the-counter drugs
Author NameAffiliationE-mail
GAO Yuxun Beijing University of Chinese Medicine, Beijing 100029, China  
ZHANG Lin Beijing University of Chinese Medicine, Beijing 100029, China  
XIE Xipu Beijing University of Chinese Medicine, Beijing 100029, China  
WANG He Beijing University of Chinese Medicine, Beijing 100029, China  
ZHAO Xiaoqing Beijing University of Chinese Medicine, Beijing 100029, China  
LI Chengwei Beijing University of Chinese Medicine, Beijing 100029, China lichengw@126.com 
Abstract
    Against the backdrop of a shortage of drugs in the Song Dynasty,the amount of drugs taken per dose decreased compared to the previous generation,and many scholars have conducted extensive and in-depth research on this. However,as a model prescription for traditional Chinese medicine in the Song Dynasty,the Taiping Huimin Heji Jufang contains a large total dose of many traditional Chinese medicine prescriptions,which is in stark contrast to the smaller doses taken each time. Many traditional Chinese medicines can be used by patients for more than a hundred days. If patients recover before taking them all,it will result in drug waste,which seems to be inconsistent with the shortage of medicine in the Song Dynasty. This article analyzes the rationality of the Song government’s setting of prescription dosage in the context of a shortage of medicinal materials from three perspectives:social environment,functions of the Chinese herbal medicine bureau,and drug characteristics of the official pharmaceutical bureau. The author believes that the dosage setting of traditional Chinese medicine in the prescription cannot be understood solely from a clinical perspective,as it not only ensures clinical efficacy,but also takes into account factors such as traffic conditions,the functions of the official drug bureau,the quality of traditional Chinese medicine,and the needs of the public. Therefore,when using the prescription in the prescription in clinical practice, the dosage should be flexibly adjusted. Moreover,as the first dynasty to implement universal medical insurance,the Song Dynasty’s spirit of “convenience and benefit the people” is worth learning from,and its dosage setting of traditional Chinese medicine,which is “small for each dose,large for the whole prescription”,also has certain reference significance.

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