摘要
目的借理清“生熟异用”理论源流、整理升麻生熟异用古今用药经验及现代研究进展,为升麻炮制机理研究奠定文献基础。方法通过系统查阅相关本草著作及古今医案,从“生熟异用”临床用药经验、理论形成过程及与中药炮制关系挖掘其源流轨迹;通过本草考证系统梳理升麻炮制方法历史演变、升麻生制饮片临床用药经验;通过查阅文献整理升麻生熟异用的现代研究情况。结果“生熟异用”用药经验始见于东汉,理论形成于金元,明清时期则用于指导中药炮制,这一应用扩大了中药饮片品种,丰富了中药炮制理论。此外,升麻炮制方法多样,包括蜜炙、土炒、酒炙等,且自古就有升麻生品解毒、制品升阳的用药之异。结论升麻生熟异用历史悠久,加快研究升麻生熟异用药效物质基础及炮制机理,有助于加深对中药炮制“生熟异用”理论科学内涵的认识。总之,综述整理了“生熟异用”理论源流轨迹、升麻饮片用药经验及现代研究进展,为中药“生熟异用”理论的精准认识、中药升麻生熟异治的用药特点、不同升麻饮片合理临床应用提供参考。
Objective To lay the literature foundation for the study of the processing mechanism of Shengma(Cimicifugae Rhizoma,CR)by clarifying the origin of the theory of“different use of raw and processing products”and sorting out the experience of ancient and modern use and modern research progress.Methods By systematically consulting related materia medica works and ancient and modern medical records,it excavated the origin track of“different use of raw and processing products”on the clinical experience,the process of theory formation and the relationship with Chinese medicine processing.The historical evolution on the method of processing and the clinical experience of CR were systematically reviewed through the research of materia medica.And the modern research situation of“different use of raw and processing products”of CR was summarized through reviewing the literature.Results The experience of“different use of raw and processing products”first appeared in the Eastern Han Dynasty,and its theory was formed in the Jin and Yuan Dynasty.Furthermore,the theory of“different use of raw and processing products”was used to guide the processing of Chinese medicine in the Ming and Qing Dynasties,which expanded the varieties of Chinese medicine decoction pieces and enriched the processing theory of Chinese medicine.There are various processing methods of CR,including honey-frying,oven earth-frying,yellow rice wine-frying,etc.,and there are differences use among processed products of CR:raw products for detoxification and processing-products for rising Yang.Conclusion CR has a long history of clinical use in the aspect of different use of raw and processing products.It is helpful to deepen the understanding of the scientific connotation of the theory of“different use of raw and processing products”in Chinese medicine processing to accelerate the research of material basis and processing mechanism of CR.This review excavated and sorted out the theoretical origin track of“different use of raw and processing products”and the using experience and modern research progress of CR,which provided references for the accurate understanding of the theory of“different use of raw and processing products”of Chinese medicine,the using characteristics of CR based on“different use of raw and processing products”,and the rational clinical application of different decoction of CR.
作者
祝婧
邓晓霞
吴乙庚
李国康
谌瑞林
易炳学
龚千锋
ZHU Jing;DENG Xiaoxia;WU Yigeng;LI Guokang;CHEN Ruilin;YI Bingxue;GONG Qianfeng(Jiangxi University of Chinese Medicine,Nanchang 330004,Jiangxi,China;Nanchang Medical College,Nanchang 330052,Jiangxi,China;China Resources Jiangzhong Pharmaceutical Group Co.,Ltd.,Nanchang 330006,Jiangxi,China)
出处
《中华中医药学刊》
北大核心
2025年第1期19-23,共5页
Chinese Archives of Traditional Chinese Medicine
基金
国家重点研发计划项目(2023YFC3504204)
江西省自然科学基金项目(20224BAB216102)
江西省主要学科学术和技术带头人青年人才培养项目(20212BCJ23019)
江西省“双千人才”科技创新青年类高端人才项目(S2021GDQN2519)
江西中医药大学校级科技创新团队项目(CXTD22003)。
关键词
升麻
炮制
生熟异用
临床应用
研究进展
Shengma(Cimicifugae Rhizoma)
processing
different use of raw and processing products
clinical application
research progress
