中醫藥研究論叢

291-3 歷代《金匱要略》注本當中膠薑湯的 組成分析

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

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

歷代《金匱要略》注本當中膠薑湯的組成分析

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

陳琬琦1,2

張馨慧2

蘇珊玉2,3,*

1中國醫藥大學中醫學系,台中,台灣

2中國醫藥大學附設醫院中醫部,台中,台灣

3中國醫藥大學學士後中醫學系,台中,台灣

【摘要】
背景:膠薑湯為《金匱要略.婦人雜病脈證并治》的重要婦科方劑,然而,原文僅有「婦人陷經,漏下黑不解,膠薑湯主之」的病症敘述,並無記載其中藥物組成,歷代注家對膠薑湯的組成有不同見解。方法:透過實體書籍與網路書籍蒐集歷代《金匱要略》注本的全文共32本,分析注本當中對膠薑湯組成與應用的見解,包含組成的藥物及炮製形式,組成藥物的單味藥作用與整帖膠薑湯的應用病機與證型。結果:研究結果發現,從元代至近代醫家的《金匱要略》注本共32本,其中有記載膠薑湯的典籍有30本,「阿膠+薑」為最常見的膠薑湯組成形式,其中又以「乾薑」為薑的最常見炮製類型。膠薑湯的應用症狀為「婦人出血」及「妊娠胞阻」,膠薑湯最適用的證型為「寒」。結論:按照歷代注家對膠薑湯的臨床應用分析,臨床上使用膠薑湯時可採用「阿膠配伍乾薑」之組成,且膠薑湯適合用於證型為「寒、瘀、血虛」的婦科子宮出血性疾患。
【關鍵詞】膠薑湯;金匱要略;阿膠;薑;異常子宮出血
【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