木通及川木通流通使用情况调查分析

CJI (Traditional Chinese Medicine) - - News -

黄得栋1,晋玲 1,2,林丽 1,2,杨燕梅 1,卢有媛 1,马晓辉 1,朱田田 1,2

1.甘肃中医药大学,甘肃 兰州 730000;2.中(藏)药资源研究所,甘肃 兰州 730000摘要:目的 调查木通、川木通的流通使用情况,为临床安全用药提供参考。方法 采用文献综述、实地调查和电话访问相结合的形式进行调查。结果 ①木通、川木通的市场流通情况混乱,且市场流通的药材以川木通为主。②木通、川木通的使用以川木通为主,木通使用很少。③《中华人民共和国药典》虽然将木通和川木通分开收录,但在使用过程中有川木通代替木通使用的现象。结论 木通市场萎缩;临床以川木通代替木通使用现象普遍存在,二者功效存在差异,应加以区分,不可混用或代用。关键词:木通;川木通;资源调查

DOI:10.3969/j.issn.1005-5304.2017.03.001

中图分类号:R282.1 文献标识码:A 文章编号:1005-5304(2017)03-0001-04

HUANG De-dong1, JIN Ling1,2, LIN Li1,2, YANG Yan-mei1, LU You-yuan1, MA Xiao-hui1, ZHU Tian-tian1,2 (1. Gansu University of Chinese Medicine, Lanzhou 730000, China; 2. Research Institute of Chinese (Tibetan) Medicinal Resources, Lanzhou 730000, China)

Abstract: Objective To investigate the circulation and use of Akebiae Caulis and Clematidis Armandii Caulis; To provide references for clinical safe medication. Methods Literature review, field survey and telephone interview were used to conduct the investigation. Results ① The market currency of the Akebiae Caulis and Clematidis Armandii Caulis was very confused, and the mainly medicinal materials on the market were Clematidis Armandii Caulis. ② The majority used medicinal materials were Clematidis Armandii Caulis, and Akebiae Caulis was rarely used. ③ The Chinese Pharmacopoeia collected Akebiae Caulis and Clematidis Armandii Caulis separately, but there was phenomenon of using Clematidis Armandii Caulis replacing of Akebiae Caulis. Conclusion Market of Akebiae Caulis is shrinking; the phenomenon of using Clematidis Armandii Caulis to replace Akebiae Caulis widespread in clinic. There are differences in the efficacy of Akebiae Caulis and Clematidis Armandii Caulis, so they should be distinguished and cannot be used to mix or substitute.

Key words: Akebiae Caulis; Clematidis Armandii Caulis; resource investigation

Investigation of Akebiae Caulis and Clematidis Armandii Caulis

木通来源于木通科植物木通 Akebia quinata (Thunb.)Decne.、三叶木通 Akebia trifoliata(Thunb.) Koidz.或白木通 Akebia trifoliata(Thunb.)Koidz. var. australis(Diels)Rehd.的干燥藤茎;川木通来源于毛茛科铁线莲属植物小木通 Clematis armandii Franch.或绣球藤 Clematis montana Buch.-Ham.的干燥藤茎。

[1]此二者为 2015年版《中华人民共和国药典》 (以下简称《中国药典》)收载的 2 种不同药材,且应用比较广泛。由于药材名相似、性状特征相近,加之地方

基金项目:中央本级重大增减支项目(2060302)

通讯作者:晋玲,E-mail:zyxyjl@163.com 使用习惯的差异,使两者的运用极为混乱。中医药快速发展使得中药材的需求日渐剧增,本就使用混乱的药材无疑是发展所面临的首要问题。因此,笔者对木通和川木通的市场流通及医院使用情况进行调查和分析,为临床安全用药提供参考。

1 本草考证

木通始载于《神农本草经》,列为上品,名“通草”。文中没有形态描述,不能判断其所指为哪个种。《本草经集注》载:“通草,今出近道。绕树藤生,汁白。茎有细孔,两头皆通。含一头吹之,则气出彼头者良。”据此推断,此处所说的通草即为现在的木通。《新修本草》载:“通草,此物大者径三寸,每节

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