【摘要】 目的：分析小陷胸汤的方名方源、组成、剂量、煎服方法、主治病证、功效方义以及现代疾病谱，为其现代临床应用及制剂研发提供依据。方法：古代文献检索基于湖南中医药大学图书馆馆藏资料、读秀数据库、博览医书中医古籍库等，以“小陷胸汤”,或以“陷胸”二字为关键词进行检索，同时查阅影印版古籍进行内容审校。现代临床研究以中国知网为检索数据库，以“小陷胸汤”为主题词进行检索。结果：小陷胸汤首载于东汉张仲景《伤寒论》,组成包括黄连、半夏、瓜蒌实，后世医书多有记载，方名有“仲景小陷胸汤”“古小陷胸汤”“半夏黄连瓜蒌汤”等，异名同方，煎服法大多遵守仲景“先煮瓜蒌，去滓，后纳诸药，续煎”的方法，主治病证广，包括呼吸系统疾病、心血管系统疾病、消化系统疾病、内分泌系统疾病等，尤以循环系统疾病、呼吸系统疾病、消化系统疾病为多。结论：小陷胸汤证病机为痰热互结，小陷胸汤功效为清热化痰，通痹止痛。更多还原

【Abstract】 Objective: To analyze the origin, composition, dosage, decocting methods, indications, efficacy, and theoretical foundation of Minor Chest-Draining Decoction as well as its modern disease spectrum so as to provide a basis for its contemporary clinical applications and pharmaceutical formulation development.Methods: Ancient literature was retrieved from the library collections of Hunan University of Chinese Medicine, Duxiu Database, and BOL Medical Classics Database using the keywords " Minor Chest-Draining Decoction " or "Draining Chest".Photocopies of ancient texts were also consulted for content verification.For modern clinical research, the CNKI Database was used, with " Minor Chest-Draining Decoction" as the main search term.Results: Minor Chest-Draining Decoction was first recorded in Treatise on Cold Damage by Zhang Zhongjing of the Eastern Han Dynasty.The formula includes Huanglian(Rhizoma Coptidis),Banxia(Rhizoma Pinelliae),and Gualoushi(Semen Trichosanthis).Subsequent physicians have frequently documented the formula under names such as "Zhang Zhongjing′s Minor Chest-Draining Decoction " or "Ancient Minor Chest-Draining Decoction, " or "Pinellia and Coptis and Trichosanthes Decoction." The decoction method mostly follows Zhang Zhongjing′s instruction: "Boil the Gualou first, remove the dregs, then add other drugs and continue boiling." The indications of this formula are extensive, covering diseases in various internal medicine fields, including respiratory, cardiovascular, digestive, and endocrine systems, with a particular focus on circulatory, respiratory, and digestive disorders.Conclusion: The pathogenesis of Minor Chest-Draining Decoction syndrome is the combined phlegm and heat.Its therapeutic effects include clearing heat, resolving phlegm, unblocking obstructions, and relieving pain.更多还原