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荆芥与荆芥穗的考证

[Textual research of Schizonepetae Herba and Schizonepetae Spica].

作者信息

Liu Xin-Dan, Zhang Ying, Wu Meng-Hua, Ma Zhi-Guo, Cao Hui

机构信息

Lingnan Research Centre of Traditional Materia Medica, Jinan University Guangzhou 510632, China.

Lingnan Research Centre of Traditional Materia Medica, Jinan University Guangzhou 510632, China College of Pharmacy, Jinan University Guangzhou 510632, China.

出版信息

Zhongguo Zhong Yao Za Zhi. 2021 Oct;46(19):5144-5151. doi: 10.19540/j.cnki.cjcmm.20210707.102.

Abstract

Schizonepetae Herba and Schizonepetae Spica are well-known Chinese herbal medicines for wind dispersing and exterior releasing. Through textual research on Schizonepetae Herba and Schizonepetae Spica, the discrimination of their medicinal parts in history was clarified, and the processing, the property(nature and flavor), meridian tropism, functions, indications, usage, dosage, and the selection of decoction pieces were compared to provide the basis for clinical application. As a result, the whole herb of Schizonepeta tenuifolia was used as medicine in the early records. The aerial part and the dried spike of S. tenuifolia were used as medicines separately in the Song Dynasty, which was recorded in the Atlas of Materia Medica(Ben Cao Tu Jing). Some ancient classics emphasized that only the dried spike could be used as medicine. The separation of Schizonepetae Herba and Schizonepetae Spica meets the different needs of clinical medication and supports the concept of rational development and utilization of Chinese medicine resources. About ten processing methods for Schizonepetae Herba and Schizonepetae Spica have been recorded since ancient times, and raw and charred drugs were the major products. Raw Schizonepetae Herba is required to be used in sections, whereas raw Schizonepetae Spica in clean preparation. Both charred products should avoid scorching. Schizonepetae Herba and Schizonepetae Spica are similar in the property(pungent, bitter, and warm), meridian tropism(lung and liver meridians, as well as qi and blood aspects), and functions(releasing exterior, dispersing wind, regulating and stopping blood, promoting eruption, dispelling sores, promoting digestion, eliminating alcohol effect, etc.), but Schizonepetae Spica is superior in efficacy. For Schizonepetae Herba and Schizonepetae Spica in traditional Chinese medicinal prescriptions, the raw and charred products are similar in usage and dosage, while their focuses in clinical compatibility vary. The raw and charred products of Schizonepetae Herba and Schizonepetae Spica are widely applied clinically. Decoction pieces of different specifications can result in different efficacies and clinical applications, so medication should be performed with caution.

摘要

荆芥和荆芥穗是著名的祛风解表中药材。通过对荆芥和荆芥穗的考证,厘清了其历史上药用部位的辨别,并对其炮制方法、性味、归经、功效、主治、用法、用量及饮片选择进行了比较,为临床应用提供依据。结果表明,早期记载以荆芥全草入药。宋代《本草图经》记载荆芥地上部分和干燥花穗分别入药,一些古籍强调只用干燥花穗入药。荆芥与荆芥穗的区分满足了临床用药的不同需求,支持了中药资源合理开发利用的理念。荆芥和荆芥穗自古以来记载约十种炮制方法,主要产品为生品和炭品。荆芥生品要求切段入药,荆芥穗生品要求净制入药。二者炭品均应避免焦糊。荆芥和荆芥穗在性味(辛、苦、温)、归经(肺、肝二经及气血方面)、功效(解表、散风、理血、透疹、消肿、消食、解酒等)方面相似,但荆芥穗功效更优。在中药方剂中,荆芥和荆芥穗生品与炭品用法用量相近,但临床配伍侧重点不同。荆芥和荆芥穗生品与炭品在临床应用广泛。不同规格饮片药效和临床应用不同,用药时应谨慎。

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