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机构地区:[1]河南中医药大学,河南 郑州
出 处:《中医学》2022年第5期748-755,共8页Traditional Chinese Medicine
摘 要:三七被誉为“伤科第一要药”,《本草纲目拾遗》记载“人参补气第一,三七补血第一”,民间亦有广泛流传的三七生打熟补理论,云贵地区更是早已将三七用于滋补药膳;但从古至今,三七补血的作用一直没有得到明确的应用和重视。本文通过三七的古代医籍记载考证其药用历史、应用经验、功效认识变迁,明确历代医家对三七补血作用的认识;并根据近代对三七活血补血作用的药效学研究、生熟三七药效作用变化与有效物质变化关系,梳理归纳了三七补血作用的成分基础,从文献的角度明确三七确有补血作用。为后续开展实验研究奠定基础,为扩大三七临床应用提供依据。Sanqi (Notoginseng Radix et Rhizoma) is known as “the first essential medicine for traumatology”. “Supplements to Compendim of Materia Medica” records that “Renshen (Panax Ginseng Radix et Rhizoma) is the first to invigorate Qi, and Sanqi (Notoginseng Radix et Rhizoma) is the first to enrich blood”. There is also a widely spread theory that Shengda Shubu of Sanqi, and steamed Sanqi has long been used in the nourishing medicinal diet in Yunnan and Guizhou regions. But throughout history, the role of Sanqiin enriching blood has not been clearly applied and valued. Based on the ancient herbal records of Sanqi, this paper verificate the history of its medicinal use, application experience, and changes in its understanding of efficacy, and clarifies the understanding of the physicians of the past dynasties on the enriching blood activities of Sanqi;and according to the modern pharmacodynamics research on the effect of Sanqi in promoting blood circulation and enriching blood, the relationship between the changes in the pharmacodynamics of raw and steamed Sanqi and the changes in available substances. The composition basis of the blood-enriching effect of Sanqi was sorted out and summarized, and from the perspective of literature, it was clear that Sanqi had the blood-enriching effect. It lays the foundation for subsequent experimental research and provides a basis for expanding the clinical application of Sanqi.
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