从《伤寒杂病论》浅谈半夏的生熟用法  

An analysis of the usage of raw Banxia and processed Banxia based on Shanghan Zabing Lun

作　　者：高歌 艾菲拉·艾克帕尔 黄刚[1] GAO Ge

机构地区：[1]新疆医科大学中医学院,新疆乌鲁木齐830000

出　　处：《中医临床研究》2023年第1期98-101,共4页Clinical Journal Of Chinese Medicine

基　　金：新疆医科大学创新课题(CX2020021)。

摘　　要：半夏是中医常用药物,有镇咳、祛痰、抗溃疡等疗效,在中国传统医书典籍《伤寒杂病论》中多有记载。生半夏有毒,是《神农本草经》中的下品,其主要功效为降逆止呕、蠲饮去水、涤痰散结、消肿利咽,临床效果显著。制半夏是生半夏经过不同方法炮制而成,药性更加温和,毒性更小。有部分专家主张使用生半夏,因其临床效果好;而大多数医生忌惮生半夏的毒性,建议使用制半夏。二者确有区别,但各有利弊。文章从《伤寒杂病论》半夏方治疗咽痛症入手,结合对其他文献的研究,认为“减毒”“增效”缺一不可,以期为半夏炮制的发展提供一点建议。Banxia(Rhizoma Pinelliae)is a commonly used medicine in TCM,which has cough relieving,phlegm eliminating,anti-ulcer and other curative effects.It is mostly recorded in TCM books Shanghan Zabing Lun(《伤寒杂病论》).Raw Banxia is toxic;processed Banxia is more mild and less toxic.Some experts advocate the use of raw Banxia because of its good clinical results;while other doctors fear the toxicity of raw Banxia,and recommend using processed Banxia.There are differences,but each has its advantages and disadvantage.This paper starts with the treatment of sore throatbased on other literature research,and advocates that detoxification and synergia are indispensable,in order to provide a little advice for the development of Banxia processing.

关 键 词：生半夏 炮制 减毒 增效 

分 类 号：R285[医药卫生—中药学]