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. 