槟榔Areca catechu L.在中国已有1800多年的药用历史，是传统中药材之一，具有杀虫消积、行气利水、截疟的功效，为“四大南药”之首。但是食用槟榔对人体又具有一定的不良反应，故槟榔及其制剂的安全性目前备受争议，综述了食用槟榔和药用槟榔在加工、使用方法及毒性程度等方面的差异，以期在中医药思维下厘清辨明，为公众合理应用槟榔类产品提供参考，消除药用槟榔在中医药理论指导下合理使用的安全性质疑。

Binglang (Areca catechu), one of the traditional Chinese medicines, has been used medicinally in China for more than 1800 years, with potent effects of vermifugal, resolving accumulation, promoting flow of qi and blood circulation, and anti-malaria, which is the top of “the four southern medicine”. However, edible A. catechu has certain adverse reaction to human, and the safety of A. catechu and its preparations are controversial now. The differences between A. catechu for eating and medicinal are summarized in this paper, such as processing technology, usage, toxicity degree, in order to clarify under the thinking of traditional Chinese medicine and provide theoretical basis for their development in the future.

R282.71

2019—2020年国家药品监督管理局课题资助项目；国家自然科学基金资助项目（82073974）；国家自然科学基金资助项目（81603256）；北京市科技新星计划（Z201100006820026）；北京市自然科学基金面上项目（7202116）；中华中医药学会青年人才托举工程项目（CACM-2018-QNRC2-B08）；重点攻关项目（2020-JYB-ZDGG-044）；中央高校基金科研业务项目（杰出青年BUCM-2019-JCRC002，BUCM-2018-2020和岐黄团队2019-JYB-TD005）；北京中药基础与新药研究重点实验室