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. 2025 Mar 28;55(2):102-107.
doi: 10.3760/cma.j.cn112155-20240914-00126.

[ölmei-7: the Mongolian classic prescription]

[Article in Chinese]
Affiliations

[ölmei-7: the Mongolian classic prescription]

[Article in Chinese]
Tong Nala et al. Zhonghua Yi Shi Za Zhi. .

Abstract

ölmei-7 is a medicinal formula in classic Mongolian medicine, renowned for its diuretic efficacy. Clinically, it is widely used in the treatment of visceral-origin edema associated with disorders of the heart, kidney, liver, and other internal organs. This study reviewed the ancient texts of Mongolian and Tibetan medicine across various historical periods with traditional philological methods, drawing on the standards of Mongolian medicine. The study examined the origin, name, composition, indications, modifications, and dosage ratios of ölmei-7. It was found that ölmei-7 had been skillfully applied in clinical practice up to the 16th century. Its basic or fixed composition was constructed with seven herbs - safflower, fragrant green orchid, scabiosa flos, Cochinchina Momordica Seed (processed), maitake, quomai, and gardenia. It was also associated with another 17 herbs as it medically evolved, such as clove, sedum, and gentiana. Clinically, ölmei-7 can be used for internal organs alternatively according to etiology, pathogenesis, nature of disease, predilection sites, and simultaneous phenomenon of the condition of dropsy. The main medicinal flavor and dosage of ölmei-7 is also believed relatively stable clinically. It has the value of further development and application.

乌乐美- 7散是利尿效果绝佳的蒙医经典方,临床上常用于心、肾、肝等脏腑源性水肿,其加减配伍法繁多,为了对该经典方更好的开发利用,有必要对其进行文献探究。运用传统文献学方法,系统梳理历代蒙藏医药古籍文献,结合现代蒙药规范标准,对乌乐美-7散的方名、组成、主治、加减配伍以及剂量配比等方面进行了考证。该方最迟在16世纪便已广泛运用于临床,在历史衍变过程中,除红花、香青兰、蓝盆花、木鳖子(制)、麦冬、瞿麦、栀子等固定的7味组成外,另有丁香、沉香、秦艽花等17种药材的配伍。临床上可依据水臌病的病因、病性、病机、发病部位、水臌发生类型以及伴随症状等,将该方与脏腑专用方药搭配或交替使用。该方主要药味和剂量相对稳定,具有进一步开发应用的价值。.

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