试析附子的临床运用  

Analysis on Clinical Application of Fuzi

作　　者：李旋珠[1] 李文军[1] 

机构地区：[1]云南中医学院,云南昆明650500

出　　处：《云南中医学院学报》2011年第1期39-42,共4页Journal of Yunnan University of Traditional Chinese Medicine

摘　　要：就附子的临床运用,从性味功效、适应证、配伍、用量、煎服法、毒性反应及处理、禁忌等7个方面进行分析探讨。认为附子的治疗靶向是阴证、寒证,且治疗作用和毒副作用都很明显,因而善用、广用附子前提是精辨阴阳,洞察寒热,深层次的学术思想则是养生疗疾推崇阳气的重要作用。附子所含乌头硷,就其致心律失常作用而言,是有毒成分;就其镇痛等作用而言,则是有效成分。人体生理和病理上的差异(体质和证候),可影响对乌头硷的耐受性,而不同的剂量和煎煮法,可影响乌头硷的含量,进而改变附子的毒性和治疗作用。因而附子的用量、煎煮法应综合考虑多种因素而定。Analyze and discuss the clinical application of Fuzi from 7 aspects ： properties, tastes, functions and usage; indication; compatibility; dosage; methods of decocting and taking; adverse reaction and treatment; contraindication. Regard the application of Fuzi targeting at Yinzheng and hanzheng, and its functions of treatment and adverse effects are obvious, so the rational and general application of Fuzi is based on differentiating Yin and Yang, discerning cold and heat. And the rule of deeper academic thought is health preserving, therapy and raising Yangq, Aconition in Fuzi can be toxic, resulting in cardiac arrhythmias; while it also can be effective component, for it can ease pain. The difference in physiology and pathology （ physique and Zhenghou） can affect tolerance against Aconition. And diversity in dosage and decocting can affect toxin and treatment of Fuzi. Therefore, it is necessary to take various factors content of Aconition, further altering into consideration before changing the dosage and decocting of Fuzi.

关 键 词：附子 扶阳学派 郑钦安 吴佩衡 

分 类 号：R287[医药卫生—中药学]