苏合香丸中诃子的药用部位及炮制异同文献研究

Literature research on medicinal parts and processing similarities and differences of Terminalia chebula in Suhexiang Pill

外来药诃子是苏合香丸的重要组成部分,然而不同医书记载的诃子的药用部位多有不同。通过查阅整理古籍、民族医药著作、敦煌遗书等文献资料,并结合历史社会因素进行考证,笔者认为,不同医书苏合香丸中诃子的“取皮”“取肉”应为同一部位,并且随着炮制技术的进步,诃子以煨用居多。我国民族医药对诃子的药性认识及临床应用较为丰富,敦煌遗书中亦有多处记载,随着时代进步,以及历代医家和本草学家在临床实际诊疗过程中对诃子的认识不断深入,诃子药效的总结也在发生变化。诃子的现代临床药理研究,既证实了诃子在古籍文献中所记载的药物效用,又发现了新的药理作用,同时也从药理学角度对诃子不同药用部位做出解释。本文从诃子的本草考证、药用部位及药物效用、炮制异同方面进行论述,对诃子进行深入研究,以期对诃子的临床应用提供指导。

As a foreign medicine,Terminalia chebula is an important part of the Suhexiang Pill.However,the medicinal parts of Terminalia chebula in the Suhexiang Pill recorded in different prescription books are disparate.Combining historical and social factors,this article refers to and sorts ancient books and documents,classics of ethnic medicine,and Dunhuang manuscripts to determine whether the peel and pulp of Terminalia chebula in Suhexiang Pill mentioned in different prescription books should be the same part.Ethnic medicine is very familiar with the understanding and clinical application of Terminalia chebula.With the progress of the times and an in-depth understanding of Terminalia chebula by various ancient doctors and herbalists in clinical practice,its main efficacy is changing.Modern clinical pharmacology research not only confirms the pharmaceutical effects of Terminalia chebula recorded in ancient documents,but also finds new pharmaceutical actions.Meanwhile,it also explains the use of different parts of the Terminalia chebula from a pharmacological perspective.This article discusses herbal textual research,medicinal parts,and analysis of pharmaceutical effects,and similarities and differences in Terminalia chebula processing to carry out this in-depth study and provide clinical guidance for its use.