天然产物研究与开发 ›› 2025, Vol. 37 ›› Issue (9): 1765-1774.doi: 10.16333/j.1001-6880.2025.9.019 cstr: 32307.14.1001-6880.2025.9.019

• 综述 • 上一篇    下一篇

半夏“同源异效”用药历史沿革及现代研究进展

周世欢,乐  意,贺福元,周  晋*   

  1. 湖南中医药大学药学院 中药成药性与制剂制备湖南省重点实验室,长沙 410208
  • 出版日期:2025-09-24 发布日期:2025-09-24
  • 基金资助:
    湖南省自然科学基金(2025JJ80125);湖南省中医药科研课题(A2023037);全国中医药研究生教育研究课题(YJS-YB-2023-47);湖南中医药大学研究生创新课题(2024CX169)

Historical evolution and modern research progress on “homologous and heterogeneous effect” of Pinelliae Rhizoma

ZHOU Shi-huan,LE Yi,HE Fu-yuan,ZHOU Jin*   

  1. Hunan Key Laboratory of Druggability and Preparation Modification for Traditional Chinese Medicine,School of Pharmacy,Hunan University of Chinese Medicine,Changsha 410208,China
  • Online:2025-09-24 Published:2025-09-24

摘要:

半夏的陈药及半夏炮制饮片清半夏、法半夏、姜半夏,在疾病治疗方面均能发挥不同药效,为“同源异效”中药。历代本草均记载了半夏用药“陈久者良”的现象,以达到缓和药性、增强药效的作用,现代研究热点聚焦于炮制减毒机制、质量控制、炮制饮片化学成分及功效差异等,研究表明经炮制前后饮片的活性成分和药理药效存在差异,但当前研究缺乏将微观机制与宏观理论相结合来全面诠释该现象。本文梳理了半夏陈化用药、毒性、炮制的历史沿革及现代研究热点,从中药超分子化学角度,试图运用超分子“印迹模板”自主作用规律阐明半夏陈化药效变迁、炮制减毒及半夏“同源异效”的超分子机制,旨在为饮片的深入研究和临床合理用药提供参考。

关键词: 半夏, 陈药, 毒性, 炮制, 同源异效, 超分子, 印迹模板

Abstract:

The aging drugs of Pinelliae Rhizoma and the processed drugs of Pinelliae Rhizoma,such as Pinelliae Rhizoma Praeparatum cum Alumine,Pinelliae Rhizoma Praeparatum and Pinelliae Rhizoma Praeparatum cum Zingibere et Alumine,can exert different effects in the treatment of diseases,which are “homologous and heterogeneous effect” of traditional Chinese medicine.In order to achieve the effect of alleviating drug properties and enhancing drug efficacy,the phenomenon of “the longer,the better” has been recorded in the past dynasties.Modern research focuses on the mechanism of processing attenuation,quality control,chemical composition and efficacy differences of processed decoction pieces.Studies have shown that there are differences in the active components and pharmacological effects of decoction pieces before and after processing,but the current research lacks the combination of micro-mechanism and macro-theory to fully explain this phenomenon.In this paper,the historical evolution and modern research hotspots of aging,toxicity and processing of Pinelliae Rhizoma were reviewed.From the perspective of supramolecular chemistry of traditional Chinese medicine,this paper attempts to clarify the supramolecular mechanism of the change of the aging efficacy of Pinelliae Rhizoma,the attenuation of processing and the “homologous and heterogeneous effect” of Pinelliae Rhizoma by using the autonomous action law of supramolecular “imprinting template”,aiming to provide reference for the in-depth study of decoction pieces and clinical rational drug use.

Key words:

中图分类号:  R284