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[生姜及其炮制品的药理作用与临床应用]

[Pharmacological effects and clinical applications of Zingiber officinale and its processed products].

作者信息

Dong Yan, Yao Kui-Wu, Wang Jie

机构信息

Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2018 May;43(10):2020-2024. doi: 10.19540/j.cnki.cjcmm.20180226.002.

DOI:10.19540/j.cnki.cjcmm.20180226.002
PMID:29933665
Abstract

Zingiberis Rhizoma Recens, Zingiberis Rhizoma, ginger juice, Zingiberis Rhizoma Praeparatum and roasted ginger are derived from the rhizome of Zingiber officinale. They are commonly used herbs in clinical application, but their processing methods are completely different, leading to different properties and flavors, meridian distributions, and efficacy characteristics from the perspective of traditional Chinese medicine (TCM). In order to distinguish the clinical applications of different processed gingers, it's advisable to learn from Treatise on Febrile and Miscellaneous Diseases. Almost half of the prescriptions in the book contain Zingiber officinale, involving Zingiberis Rhizoma Recens, Zingiberis Rhizoma, ginger juice, Zingiberis Rhizoma Praeparatum and other species. In addition, many researches have confirmed that the contents of chemical compositions contained in different processed gingers were not exactly the same, and their pharmacological effects were also different, thus their applications could not be confused. However, physicians often encounter drug shortage or improper processing in clinical practice, contributing to the current chaotic use of different processed gingers. Therefore, this paper aims at sorting out the sources, processing methods, and chemical compositions, comparing their properties, flavors, meridian distributions, and pharmacological effects, and summarizing the efficacy characteristics and application rules in TCM theory of different processed products, with the hope to provide theoretical foundations for their reasonable use.

摘要

生姜、干姜、姜汁、炮姜及煨姜均来源于姜科植物姜的根茎。它们是临床常用的中药,但炮制方法完全不同,从中医角度来看,导致了不同的性味、归经及功效特点。为区分不同炮制品生姜的临床应用,有必要借鉴《伤寒杂病论》。该书近半数方剂中都含有姜,涉及生姜、干姜、姜汁、炮姜等品种。此外,诸多研究证实,不同炮制品生姜所含化学成分不完全相同,药理作用也有差异,因此其应用不能混淆。然而,临床医生在实践中常遇到药材短缺或炮制不当的情况,致使当前不同炮制品生姜的使用较为混乱。所以,本文旨在梳理其来源、炮制方法及化学成分,比较其性味、归经及药理作用,总结不同炮制品在中医理论中的功效特点及应用规律,以期为其合理应用提供理论依据。

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