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泽泻功效的方药考辨

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《神农本草经》认为泽泻有补益之功,然而中国药典中并无此记载。通过查阅古籍中相关文献对泽泻的功效进行考证,结果发现宋代之前泽泻功效有补益、利水、泄热,而从宋代开始,部分医家对泽泻补益的观点提出质疑,明代医家则认为泽泻补益之功源自利水之效,并不能直接补益,清代医家认为泽泻的核心功效为利水,补益是对泽泻功效的过度赞美,无实际临床意义,至此,泽泻补益的说法完全退出主流中医理论的历史舞台。此外,还发现泽泻止泄精的功效历代医籍中均有文献佐证,然而中国药典中并无此记载。
Evolvement of Efficacy of Alismatis Rhizoma
According to the Shennong Ben Cao Jing,Alismatis Rhizoma has tonic properties,however,that is not recorded in the Chinese Pharmacopoeia.By reviewing the relevant literature on the efficacy of Alismatis Rhizoma in ancient texts,it was found that before the Song Dynasty,the efficacy of Alismatis Rhizoma included tonic,diuresis,and heat relief.From the Song Dynasty,some medical practitioners questioned the view that Alismatis Rhizoma is a tonic,while the Ming Dynasty medical practitioners believed that the tonic function of Alismatis Rhizoma is derived from its water-relieving effect and that it is not a direct tonic,and the Qing Dynasty medical practitioners believed that the core effect of Alismatis Rhizoma is water-relieving and that tonic is an excessive praise of Alismatis Rhizoma's effect with no practical clinical significance.By this point,the notion that Alismatis Rhizoma is a tonic has completely dropped out of mainstream traditional Chinese medicine theory.In addition,it was also found that the efficacy of Alismatis Rhizoma in stopping seminal discharge has been documented in medical texts for generations,but not in the Chinese Pharmacopoeia.

Alismatis Rhizomaefficacytraditional Chinese medicinetextual research

牛林强、吴丽林、袁振仪

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深圳市中医院,广东深圳 518033

广州中医药大学第一附属医院,广州 510405

湖南中医药大学,长沙 410208

泽泻 功效 中医药 考证

湖南省重点研发计划资助项目

2018SK2111

2024

中国现代应用药学
中国药学会

中国现代应用药学

CSTPCD北大核心
影响因子:0.877
ISSN:1007-7693
年,卷(期):2024.41(12)