The prescriptions of traditional Chinese medicine (TCM) can be
defined as a preparation which, on the basis of the
differentiation of syndromes and the establishment of
therapeutic methods, organically combines various drugs for the
prevention and treatment of diseases in accordance with a
certain principle of formulating a prescription. Pharmacology of
traditional Chinese medicinal formulae is a science that studies
and interprets the theories of prescriptions and their
administrations.
The formation and development
of prescriptions have undergone a very long historical period.
As far back as in the early period of slavery society, man began
to use a single drug to prevent and treat diseases. In the Shang
Dynasty, because of the increased variety of drugs and the
enrichment of knowledge about diseases, more drugs were selected
according to the different symptoms of illness to formulate
compound prescriptions for clinical uses. People began to use
compound drugs instead of a single one, thus greatly improving
the curative effect. This is the embryonic form of prescriptions
of TCM. A prescription book entitled "The Prescriptions for
Fifty-two Kinds of Disease" was unearthed in 1979 from the No. 3
Han Tomb at Ma Wang Dui, Changsha, Hunan Province. It is the
earliest extant medical formulary in China.
With the development of
traditional Chinese medicine, the prescription itself has also
become perfected and enriched. Around the Warring States period
and in the Qin and Han Dynasties, a classical writing of TCM
entitled "The Yellow Emperor's Canon of Internal Medicine" came
out. This is the earliest book dealing with the basic theories
of the science of TCM formulae, such as the principle of
formulating a prescription, incompatibility of drugs in a
prescription, some dosage forms and their usages. The book
consisting of 13 prescriptions has laid a solid foundation for
the formation and the development of the science of TCM
formulae. Zhang Zhongjing, an outstanding physician in the
Eastern Han Dynasty, after diligently seeking the ancient
experience and book knowledge and extensively collecting
numerous prescriptions, compiled "Treatise on Febrile and
Miscellaneous Diseases" which contains 269 prescriptions. This
book gives interpretations in detail to the modification of the
prescriptions and their administrations. The dosage forms are
also quite excellent. Therefore, the book has been honored as
the "forerunner of prescription books" by all the later
physicians. In the prosperous period of the Tang Dynasty, more
voluminous prescription writing came out one after another and
promoted the development of science of TCM formulae, such as
"The Prescriptions Worth a Thousand Gold for Emergencies" and "A
Supplement to the Essential Prescriptions Worth a Thousand Gold
for Emergencies", compiled by Sun Simiao, and "The Medical
Secrets of an Official" compiled by Wang Tao consisting of more
than six thousand prescriptions. The three medical formularies
representing the major achievements made before the Tang Dynasty
collected famous earlier prescriptions in the previous
historical periods and some foreign prescriptions used in the
Tang Dynasty and preserved the materials on prescriptions. In
the Song Dynasty, the government once organized outstanding
physicians to compile "Peaceful Holy Benevolent Prescriptions"
(with 16834 prescriptions), "General Collection for Holy Relief"
(with approximately 20000 prescriptions), and "Prescription of
Peaceful Benevolent Dispensary" (with 788 prescriptions). The
last one was compiled on the basis of the revision and
supplement to the formularies collected by the Official
Pharmaceutical Bureau. It is one of the earliest formulary in
the world compiled by the National Pharmaceutical Bureau. Each
prescription gives interpretations in detail to its indications,
ingredients and preparation of drugs. This prescription book--a
"legal" formulary of Chinese patent medicines in the Song
Dynasty and also the first pharmacopoeia of the Chinese patent
medicines is a big step towards the standardization of
prescription.
'Expounding on the Treatise on Febrile Diseases" compiled by
Cheng Wuji, a physician in the Jin Dynasty, selected 20
prescriptions from the book "Treatise on Febrile Diseases" and
analyzed them in detail, especially clearly described the
different roles of the principal, assistant, adjuvant and
guiding drugs. It is the first theoretical book on the
interpretations of prescriptions and contributes a great deal to
the development of theoretical prescription treatises of later
periods. Dr. Zhu Su of the Ming Dynasty and others collected
almost all the medical formularies having been used before the
fifteenth century and compiled the most voluminous medical book
"Prescriptions for Universal Relief" with as many as 61739
prescriptions in it. In the Qing Dynasty, with the emergence and
development of the schools of epidemic febrile diseases came
into being, enriching and perfecting the contents of
pharmacology of TCM formulae. In addition, in the Ming and Qing
Dynasties a lot of monographs on prescriptions were published
such as "Textual Criticism on Prescriptions" and "Collection of
Prescriptions with Notes," thus further promoting the
development of the theoretical research of the science of TCM
formulae.
Since the founding of the
People's Republic of China, a great number of prescription books
have come out. Many ancient prescriptions, secret prescriptions,
proved prescriptions have been collected, systematized,
researched and widely applied to different clinical departments;
their therapeutic mechanism researches. Meanwhile a lot of new
effective prescriptions have been created and the reformation in
the dosage forms of prescriptions have been carried out. As a
result, a new prospect in the development of science of TCM
formulae has been opened up.
To sum up, the formation and
development of pharmacology of TCM formulae have undergone a
very long historical process from the elementary stage to the
advanced one, with forms simple to complex and has gradually
become an independent science with a relatively perfect
theoretical system.