摘要
目的梳理本草及方书文献中赭石的功效及应用演变过程。方法查阅汉唐时期至当代的本草及方书文献,探析赭石的效用演变过程。结果汉唐时期赭石的效用已基本确定,为祛邪解毒、降逆止惊、凉血止血、止带下胎、养血气。宋元时期,明确降逆止呕作用;止血的范畴,由下焦出血证扩展到上焦之鼻衄、中焦之吐血、下焦之崩漏和肠风下血;补虚由养气血分为健脾、固精止遗;明确外用可生肌敛疮。明清时期效用分列,并重释理,阐明其主病证型多与热、虚、逆有关。当代中药学教材载其主要功效为平肝潜阳、重镇降逆、凉血止血。结论从汉唐至当代,赭石的功效用语从混乱到精炼而规范,但其间药物的效用既有增补也有遗漏,值得进一步整理发掘并充分加以利用。
Objective To sort out the efficacy and application evolution of Haematitum(Zheshi)in the literature of materia medica and prescription books.Methods The evolution process of the efficacy of Haematitum was analyzed by referring to materia medica and prescription books from the Han and Tang dynasties to the present.Results In the Han and Tang dynasties,the efficacy and applications of Haematitum had been basically determined,which had the action of dispelling pathogenic factors and detoxification,lowering adverse flow of qi and checking fright,cooling blood and stopping bleeding,reducing leucorrhea and promoting embryo discharge,and nourishing blood and tonifying qi.During the Song and Yuan dynasties,it was definite about Haematitum’s antiemetic effect.The category of its stopping bleeding effect was extended from the bleeding syndrome of lower energizer to the epistaxis of the upper energizer,the hematemesis of the middle energizer,and the profuse uterine bleeding and hematochezia of the lower energizer;its efficacy of reinforcing deficiency was divided into strengthening the spleen and securing essence.Moreover,It was also clear that it can promote granulation to astringe ulcer by external usage.In the Ming and Qing dynasties,the utility of Haematitum was divided.More attention was paid to mechanisms in that period,and the illness treated with Haematitum mostly related to fever,deficiency and reverse syndrome.The main efficiency of Haematitum in contemporary Chinese pharmacy textbooks was simplified to repressing hyperactive liver yang,descending the adverse flow of qi with heavy drugs,cooling blood and hemostasis.Conclusion From the Han and Tang dynasties to the contemporary era,the efficacy’parlance of Haematitum has changed from confusion to refinement and standardization,but there are both additions and omissions in the efficacy of the drug,which are worth further sorting out and making full use of.
作者
夏荣双
张芯
胡霖霖
XIA Rongshuang;ZHANG Xin;HU Linlin(College of Pharmaceutical Sciences,Zhejiang Chinese Medical University,Hangzhou 310053,China;Clinical Psychology,Guangxing Hospital Affiliated to Zhejiang Chinese Medical University,Hangzhou 310007,China)
出处
《上海中医药杂志》
2020年第8期49-52,共4页
Shanghai Journal of Traditional Chinese Medicine
基金
国家自然科学基金项目(81904100)
浙江省中医药科技计划项目(2019ZA100)。
关键词
赭石
功效
应用
演变
Haematitum(Zheshi)
efficacy
application
evolution
