CAJ | 학술논문

槟榔十三味丸源于19世纪著作《蒙医金匮》，在该书中名为高尤-13，首载槟榔十三味丸方名者为1977年版《吉林省药品标准》。本方曾用名为泰德乎然古鲁格其乃然塔、色么吉德吉德等，《通瓦嘠吉德》虽载色么吉德吉德，但为同名异方，与今之用槟榔十三味丸无渊源关系。槟榔十三味丸在不同时期药物组成有13、14、15味不同，至少出现5个不同药物组成的高尤-13，方药演变集中在19-20世纪上半叶，自1971年以后方药组成和配比均无发生大的变化。其中，槟榔、广枣、木香、丁香、肉豆蔻、紫硇砂、干姜、荜拔、胡椒、沉香等10味药物是固定不变的，单味药物配比变化较大的属制草乌，其次有木香、丁香、沉香。《吉林省药品标准》、《中华人民共和国卫生部药品标准·蒙药分册》所载槟榔十三味丸虽未标注其来源，但根据方药组成及配比认为来源于《蒙医金匮》，《内蒙古蒙成药标准》注其来源于《蒙医金匮》。3部标准与《蒙医金匮》载高尤-13药物组成除野牦牛心外均一致，唯独制草乌配比有所不同，其余药物配比均相同。只有《内蒙古蒙成药标准》在附录中标注了与原方的区别，其余两部标准也应与原方异同进行标注为妥。
빈랑십삼미환원우19세기저작《몽의금궤》，재해서중명위고우-13，수재빈랑십삼미환방명자위1977년판《길림성약품표준》。본방증용명위태덕호연고로격기내연탑、색요길덕길덕등，《통와굴길덕》수재색요길덕길덕，단위동명이방，여금지용빈랑십삼미환무연원관계。빈랑십삼미환재불동시기약물조성유13、14、15미불동，지소출현5개불동약물조성적고우-13，방약연변집중재19-20세기상반협，자1971년이후방약조성화배비균무발생대적변화。기중，빈랑、엄조、목향、정향、육두구、자뇨사、간강、필발、호초、침향등10미약물시고정불변적，단미약물배비변화교대적속제초오，기차유목향、정향、침향。《길림성약품표준》、《중화인민공화국위생부약품표준·몽약분책》소재빈랑십삼미환수미표주기래원，단근거방약조성급배비인위래원우《몽의금궤》，《내몽고몽성약표준》주기래원우《몽의금궤》。3부표준여《몽의금궤》재고우-13약물조성제야모우심외균일치，유독제초오배비유소불동，기여약물배비균상동。지유《내몽고몽성약표준》재부록중표주료여원방적구별，기여량부표준야응여원방이동진행표주위타。
Betel Shi-San-Wei Ingredients Pill(BSSWIP) was first recorded in the 19th century writings "Meng-Yi Jin-Gui" with the name of Gao-Y ou-13. The name of BSSWIP was first recorded in the book of the 1977 edition of the "Drug Standard of the Jilin Province", which was formerly known as Tai De Hu Ran Gu Lu Ge Qi Nai Ran Ta, Se Me Ji De Ji De, and etc. Although in the book of "Tong-Wa-Ga-Ji-De", Se Me Ji De Ji De was documented, it was the same name of different compositions. It had no original relation with BSSWIP. In different periods, the BSSWIP was consisted of 13, 14 or 15 kinds of herbs. There were at least five different types of herbs appeared in the Gao-Y ou-13. The evolution of prescription was mainly from the 19th century to the first half of the 20th century. There was no major change on prescription composition and proportion since 1971. Among them, 10 kinds of herbs, which were Bing-Lang, Guang-Zao, Mu-Xiang, Ding-Xiang, Rou-Dou-Kou, Zi-Nao-Sha, Gan-Jiang, Bi-Ba, Hu-Jiao, and Chen-Xiang were fixed. The ratio of single herbal medicine changed the most was Zhi-Cao-W u, which was followed by Mu-Xiang, Ding-Xiang and Chen-Xiang. There were no marked sources of BSSWIP in the recording of the "Drug Standard of the Jilin Province" and the "Mongolian Medicine V olume·Ministry of Health of the People's Republic of China". The composition and proportion were considered to be from the book "Meng-Y i Jin-Gui" according to notes of "Standards on Mongolian Patent Medicine in Inner Mongolia". Recordings of three standards are in consistence with the "Meng-Y i Jin-Gui" on Gao-Y ou-13 except for Y e-Mao-Niu Xin and the different ratio of Zhi-Cao-W u. In the appendix of the "Standards on Mongolian Patent Medicine in Inner Mongolia", it marked the differences from the original prescription. Therefore, the other two criteria should also mark the similarities and differences compared with the original prescription properly.