泽泻"养五脏"功用及变迁考OA
Textual research on efficacy of Alismatis Rhizoma"nourishing five zang‑organs"and its evolution
通过梳理本草方书及非医文献,对泽泻补益功用的真实性与变迁情况进行考证,发现泽泻确有补益调养之功,能补肾、止虚损泄精,治疗虚损、虚劳疾病.汉唐时期,补虚损为泽泻的核心功效之一,临床广泛用治五劳七伤、脏腑虚损;宋以降,或受法象药理影响,泽泻的功效认知转向"重利水、轻补益";及至明清,对于泽泻补益一说,学界或解为间接补养,或全盘否定,致使古意湮没.重新发掘泽泻的补养功用,既有助于明晰其历史演变脉络,也为中药的现代临床拓展应用提供启示.
By systematically sorting out herbal works,formularies and non-medical literature,the authenticity and evolutionary trajectory of the tonic effect of Alismatis Rhizoma were verified.The results showed that Alismatis Rhizoma indeed possesses the effect of tonifying and nourishing the body.It can reinforce the kidney,relieve seminal emission caused by deficiency,and treat deficiency and consumptive diseases.During the Han and Tang Dynasties,tonifying consumptive damage was one of the core effects of Alismatis Rhizoma,which was widely applied for five labors and seven injuries as well as visceral consumptive damage.Since the Song Dynasty,possibly influenced by Faxiang pharmacology,the efficacy cognition of Alismatis Rhizoma has shifted towards"valuing diuresis over tonification".By the Ming and Qing Dynasties,academics either interpreted it as indirect nourishment or completely denied it,leading to the gradual vanishing of its ancient meaning.Re-exploring the tonic function of Alismatis Rhizoma can not only clarify its historical evolution,but also provide enlightenment for the modern clinical application and development.
张慧;李玮;闫淑鑫;李宸林;钟相根
北京中医药大学(北京 100029)北京中医药大学(北京 100029)北京中医药大学(北京 100029)北京中医药大学(北京 100029)北京中医药大学(北京 100029)||道地药材品质保障与资源持续利用全国重点实验室(北京 100700)
泽泻养五脏补益中药功效
Alismatis Rhizomanourishing five zang-organstonificationChinese materia medicaefficacy
《上海中医药杂志》 2026 (10)
28-32,5
国家中医药管理局第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]239号)中国中医科学院中央本级重大增减支项目(2060302-2301-16)
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