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[桔梗对桔梗临床应用的影响及其历史变迁]

[The effect of Platycodon grandiflorum and its historical change in the clinical application of Platycodonis radix].

作者信息

Xunyan X Y, Fang X M

机构信息

Graduate School,Anhui University of traditional Chinese Medicine,Hefei 230038,China.

Library,Anhui University of traditional Chinese Medicine,Hefei 230038,China.

出版信息

Zhonghua Yi Shi Za Zhi. 2021 May 28;51(3):167-176. doi: 10.3760/cma.j.cn112155-20201222-00201.

Abstract

Platycodon grandiflorum is currently mainly used in the treatment of lung issues such as ventilating the lung, resolving phlegm, benefiting pharynx and discharging pus in modern clinical practice. However, in Shennong Materia Medica Classic, the main applications of Platycodon grandiflora were for chest and hypocholic pain, abdominal fullness, intestinal ringing and anxiety palpitations. The considered efficacy of platycodon grandiflorum had changed dramatically since the Han Dynasty. Combing the records of platycodon grandiflorum in the literature of traditional Chinese herbs and comparing it with the clinical application of platycodon grandiflorum in the past dynasties, this paper found that the clinical application is the main factor affecting the effect change of platycodon grandiflorum and that the description of the efficacy of platycodon grandiflorum in the literature of Herbology is different from the actual application because of the complex interaction between the efficacy of prescription and drug efficacy. Therefore, there is a necessity to carry out a comparative study between one single traditional Chinese medicine and efficacy of medicine compatibility, so as to provide a theoretical basis for precise clinical application.

摘要

桔梗目前在现代临床实践中主要用于治疗肺部疾病,如宣肺、祛痰、利咽、排脓等。然而,在《神农本草经》中,桔梗的主要应用是治疗胸胁疼痛、腹胀、肠鸣、惊悸等。自汉代以来,桔梗的功效认知发生了巨大变化。通过梳理历代本草文献中桔梗的记载,并将其与桔梗在历代临床应用进行比较,发现临床应用是影响桔梗功效变化的主要因素,且由于方剂功效与药物功效之间复杂的相互作用,本草文献中对桔梗功效的描述与实际应用存在差异。因此,有必要对单味中药与药物配伍功效进行对比研究,为精准临床应用提供理论依据。

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