汪昂"山茱萸核能滑精"学说考辨OA
An Inquiry into Wang Ang's Doctrine of"Slippery Essence Caused by the Kernel"in Cornus Officinalis
山茱萸为中国传统名贵中药材,自古应用于临床,具有补益肝肾、收敛固涩之功效.在历代本草典籍中,关于山茱萸使用须去核的记载屡见不鲜,其中以清代著名新安医家汪昂在《本草备要》中提出的"核能滑精,故去之"之说影响最为深远.这一观点不仅体现了中药炮制学中"去非药用部位"的理论思想,也反映了古代医家对药物不同部位药性差异的深刻认识.然而,随着现代药物资源日益紧张及研究方法不断进步,山茱萸去核的传统是否合理已成为学界争论的焦点.文章通过系统梳理历代本草文献并结合现代研究成果,对汪昂所提出的山茱萸"核能滑精"一说进行深入的源流考证与内涵辨析,旨在深入理解这一传统炮制理论的历史渊源、科学内涵及临床指导价值.
Cornus officinalis(Shanzhuyu)is a renowned traditional Chinese medicinal material,which has been used clinically since ancient times for its effects in tonifying the liver and kidneys,and inducing astringency.In classi-cal herbal,records frequently mention that the kernel of Cornus officinalis must be removed before use.The statement by the renowned Qing Dynasty physician Wang Ang in his Ben Cao Bei Yaothat"the kernel may cause spermatorrhea(hua jing),hence it is removed"has been particularly influential.This viewpoint not only embodies the theoretical principle in Chinese medicine processing of"removing non-medicinal parts"but also reflects the deep understand-ing ancient physicians had regarding the differential properties of various parts of a medicinal substance.However,with the increasing scarcity of modern medicinal resources and the continuous advancement of research methods,the rationality of the traditional practice of removing the kernel from Cornus officinalis has become a focus of academic debate.This paper systematically examines the historical origins,scientific connotation,and clinical guiding value of Wang Ang's theory regarding the kernel of Cornus officinalis by reviewing historical literature and integrating modern research findings.
高婷;汪节
安徽中医药大学第二附属医院 安徽 合肥 230061安徽中医药大学第二附属医院 安徽 合肥 230061
医药卫生
山茱萸核能滑精汪昂临床应用
Cornus officinalis(Shanzhuyu)Slippery Essence(Hua Jing)caused by the kernelWang AngClinical Application
《中医药临床杂志》 2026 (4)
664-668,5
安徽省高等学校科学研究项目(2024AH051021)安徽中医药大学临床科研项目(2024LC093)国家优势专科老年病科(国中医药医政函[2024]90号)专科资助项目(2024lnbkzk18)
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