地榆治痢效用及临证炮制应用特色辨析  

Analysis on the efficacy of Diyu (Radix Sanguisorbae) in treating dysentery and its clinical application in processing and usage

作　　者：郭文煊 程锴 马文昊 屈会化 赵琰 GUO Wenxuan;CHENG Kai;MA Wenhao;QU Huihua;ZHAO Yan(The Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029;School of Traditional Chinese Medicine,Beijing University of Chinese Medicine)

机构地区：[1]北京中医药大学第三附属医院,北京100029 [2]北京中医药大学中医学院

出　　处：《现代中医临床》2025年第2期65-69,共5页Modern Chinese Clinical Medicine

基　　金：国家中医药管理局科研基金(No.90010763320013)。

摘　　要：地榆是临床治疗痢疾的常用药、有效药,通过挖掘梳理地榆治痢的相关古籍文献,从主治功效、临证炮制应用特色等方面进行辨析,总结出地榆治痢擅愈疡生肌,清肠腑热邪、收敛止血;生地榆适用于热痢或肠中余邪未除者;炙炒地榆适用于脏气未充之小儿;地榆炭敛涩之性更甚,敛毒镇痛,兼可清利湿热,更适用于脓血杂出、痢疾经久不愈、脾虚体弱并有湿热者。文章旨在明析地榆治痢功用特色,为临床更精准选方遣药、提高疗效提供参考。Diyu(Radix Sanguisorbae) is a common and effective herb for the clinical treatment of dysentery. This paper explores and analyzes the relevant ancient texts regarding Diyu's role in treating dysentery, focusing on its therapeutic effects and clinical applications, as well as its processing characteristics. We conclude that Diyu promotes ulcer healing and tissue regeneration, clearing intestinal heat and pathogenic factors, and has hemostatic properties. Raw Diyu is suitable for febrile dysentery or the remaining pathogens in the intestine. Fried Diyu is appropriate for children with insufficient organ qi. The charred form of the herb has an even stronger astringent property, helping to stop bleeding, relieve pain, and clear damp-heat. This makes it especially useful for conditions with pus and blood discharge, chronic dysentery, and those with spleen deficiency, weakness, and damp-heat. The paper aims to clarify the unique therapeutic characteristics of Diyu in treating dysentery, providing clinical guidance for more precise herb selection and improving therapeutic efficacy.

关 键 词：地榆 痢疾 溃疡性结肠炎 炮制 临证应用 

分 类 号：R256.3[医药卫生—中医内科学] R283[医药卫生—中医学]