鉴于医药关系到人体生命健康的特殊性,作为我国古代度量衡重要组成部分的中药度量衡在演变中呈现出独有的属性,这无疑给我们今天研读与应用古籍方药带来诸多困扰。为此,本文将首先论述汉代至明清以及民国到今天历代中药度量衡变化的情况;进而探讨临床实践中经常使用的一些非规范性计量单位在换算中的几个细节,特别对以具体实物数量来量取中药药量是否可以转换成重量单位的换算方式进行了考究和辨析;最后绘制出《历代中药度量衡古今换算一览表》,以供查阅。 Since medicine is related to the particularity of human life and health, the weight scale of traditional Chinese medicine, as an important part of our country’s ancient metrological scale, has shown unique characteristics in the course of evolution. This undoubtedly caused many troubles for us to study and apply ancient prescriptions today. To this end, this article will first discuss the Han Dynasty to the Ming and Qing Dynasties and the Republic of China to measure the changes in the status of Chinese medicine in the past, and then explore some of the non-normative units of measurement often used in clinical practice in the conversion of several details, especially for the specific physical quantity To measure whether the amount of traditional Chinese medicine can be converted into units of weight conversion method of elegant and discriminate; finally drawn “historical weight scale ancient and modern conversion list” for inspection.