辽宁中医药大学学报

研究通过浏览古代相关医籍，考证并阐释黄芩、白术为安胎圣药的理论源流演变，旨在挖掘和传承中医药宝库中的精华部分，以期对妇科临证具有一定的指导意义和参考价值。“黄芩、白术为安胎圣药”最早由朱丹溪提出，其以前之诸多医家及著作虽用黄芩、白术以安胎，但尚未以“圣药”称之。自丹溪以后的明清诸多本草著作如《本草纲目》《本草求真》等，大多将黄芩、白术的安胎功效收录其中。后世医家多宗此法，《女科经纶》《济阴纲目》等妇科专著皆引用其观点，《产鉴》《广嗣纪要》等收录黄芩、白术安胎之临证医案。然亦有医家如张景岳等提出应详辨寒热虚实，不可拘泥于“圣药”二字。黄芩清热泻火，白术健脾燥湿，多适用于脾虚、湿盛、血热型胎动不安，血虚、肾虚等慎用。

This paper studies and explains the theoretical origin and evolution of Huangqin(Scutellariae Radix)and Baizhu(Atractylodis Macrocephalae Rhizoma)as the effective herbs for tocolysis by browsing the relevant ancient medical books. The aim is to excavate and inherit the essence of Chinese medicine treasure house,which is expected to have certain guiding significance and reference value for gynecological clinic.“Huangqin(Scutellariae Radix)and Baizhu(Atractylodis Macrocephalae Rhizoma)are as the effective herbs for tocolysis”,which was first proposed by ZHU Danxi. Although many physicians and writings in the past used Huangqin(Scutellariae Radix)and Baizhu(Atractylodis Macrocephalae Rhizoma)to prevent miscarriage. But they have not been called“sacred medicine”. Since Danxi,many books on materia medica in Ming and Qing Dynasties,mostly included the tocolysis effect of Huangqin(Scutellariae Radix)and Baizhu(Atractylodis Macrocephalae Rhizoma),such as Compendium of Materia Medica and TruthSeeking Herbal Foundation,etc. Many later physicians practiced this method. Some gynecology monographs quoted the viewpoint,such as Women's Classics and Compendium for Promoting Yin. Some recorded clinical medical cases of Huangqin(Scutellariae Radix)and Baizhu(Atractylodis Macrocephalae Rhizoma),such as Production Appraisal and Guangsi Summary,etc. However,there are also some physicians such as ZHANG Jingyue who proposed that it should be identified in detail based on the deficiency or excess,cold or heat. Don't stick to the word“sacred medicine”. Huangqin(Scutellariae Radix)clears heat and purifies fire. Baizhu(Atractylodis Macrocephalae Rhizoma)strengthens the spleen and dries dampness. They are mostly suitable for spleen deficiency,dampness,blood heat type unstable fetal movement,but not for the blood deficiency,kidney deficiency,etc.