摘要
中医药在古代口腔疾病治疗中曾经发挥过重要作用,但随着现代医学进入我国并快速发展,中医药在口腔疾病治疗中的应用日渐式微,大量有价值的中医药方剂和治法渐被遗忘,亟待整理挖掘并发扬光大。为此,文章以矿物药硝石为例,以《中华医典》为主要数据源,对硝石在口齿咽喉疾病的古代应用进行整理调研,以期呈现硝石在口腔医学的潜在优势病种和应用价值。调研发现,硝石最晚于北宋开宝年间开始被用于口齿咽喉科,其后广泛用于口疮、牙痛、喉痹、牙疳、重舌等疾病的治疗,显示出良好的疗效和价值。进一步检索现代文献表明,硝石所含的硝酸盐(NO-3阴离子)是健康口腔唾液中富含的一类有益因子,对于维持口腔健康具有重要作用;通过补充硝酸盐,可以预防和治疗牙周炎、放射性口干等口腔疾病。综合硝石在口腔疾病的古代应用和硝酸盐在口腔医学的现代研究,说明传统中医药在口腔疾病的治疗具有重要的科学价值,值得深入挖掘研究并发扬光大。然而,硝石因以硝酸钾为主要成分被列为管制类化学品,目前已从中医临床上基本消失,亟待通过科学研究后加以恢复应用。
Traditional Chinese medicine once played an important role in the treatment of oral diseases in ancient times.However,with the entry and rapid development of modern medicine into China,the application of traditional Chinese medicine in the treatment of oral diseases is declining day by day,and a large number of valuable traditional Chinese medicine prescriptions and treatment methods are gradually forgotten.It is urgent to sort out,excavate and carry forward.Therefore,taking mineral medicine saltpeter as an example and Chinese medical code as the main data source,this paper arranged and investigated the ancient application of saltpeter in oral and pharyngeal diseases,in order to present the potential advantageous diseases and application value of saltpeter in stomatology.It is found that nitrate was used in the department of stomatology and laryngology at the latest Kaibao period of the Northern Song Dynasty,and then widely used in the treatment of aphthous ulcer,toothache,laryngeal arthralgia,chancre,heavy tongue and other diseases,showing good curative effect and value.Further search of modern literature shows that nitrate(NO-3)contained in nitrate is a kind of beneficial factor rich in healthy oral saliva,and plays an important role in maintaining oral health.By supplementing nitrate,oral diseases such as periodontitis and radioactive dry mouth can be prevented and treated.The ancient application of nitrate in oral diseases and the modern research of nitrate in stomatology show that traditional Chinese medicine has important scientific value in the treatment of oral diseases,worthy of in-depth research and development.However,because nitrate is listed as a controlled chemical with potassium nitrate as the main component,it is basically disappeared from the clinical practice of traditional Chinese medicine.It is urgent to restore its application after scientific research.
作者
迟莉
周建
王伽伯
陈婷
孙超
韦良玉
CHI Li;ZHOU Jian;WANG Jiabo;CHEN Ting;SUN Chao;WEI Liangyu(School of Traditional Chinese Medicine,Capital Medical University,Beijing 100069,China;School of Stomatology,Capital Medical University,Beijing 100050,China)
出处
《辽宁中医杂志》
CAS
2023年第10期52-58,共7页
Liaoning Journal of Traditional Chinese Medicine
基金
国家自然科学基金联合基金重点支持项目(U21A20412)
北京市自然科学基金面上项目(7172030)。
关键词
硝石
口腔疾病
古代医籍
硝酸盐
nitrate
oral diseases
ancient medical books
nitrates
