谈《金匮要略》酸枣汤之酸枣的用法

Usage of wild jujube Suanzao Decoction in Jingui Yaolue

《金匮要略》治疗虚烦不眠的酸枣汤,一般认为其酸枣是酸枣的干燥成熟种子,然笔者通过细致的文献研究,认为应该为酸枣的干燥成熟果实,即酸枣的果肉连同种子一同入药。一般认为酸枣仁“生者治多睡,熟者治不寐”,然笔者的研究结果显示,酸枣仁生熟皆能增强人体睡眠功能。故建议今后可以考虑将处方用酸枣仁改为酸枣,在采收、加工时保留果肉;临床应用无需强分生熟。

Suanzao Decoction in jingui Yaolue is for treating deficiency and insomnia.It is generally believed that Suanzao is the dried ripe seeds of wildjujube.However,through careful literature research,the author believes that it should be the dried ripe fruit of wild jujube,that is,the pulp and seeds of wild jujube are used as medicine.It is generally believed that Suanzao seed‘prevent more sleep in the living,and insomnia when the mature ones’.However,the author’s research results show that both the raw and ripe wild jujube kernels can enhance the sleep function of the human body.Therefore,it is recommended to change the prescription of Suanzao seed to wild jujube,and retain the pulp during harvesting and processing;clinical application does not require strong separation of raw and ripe.