附子“破癥坚积聚”功效探讨  

Discussion on Fuzi(Monkshood)in"Treating Mass in Abdomen"

作　　者：顾国祥 栗昀 王凡 GU Guoxiang;LI Yun;WANG Fan(Jiangsu Medical College,Yancheng Jiangsu China 224005)

机构地区：[1]江苏医药职业学院,江苏盐城224005

出　　处：《中医学报》2024年第11期2376-2380,共5页Acta Chinese Medicine

基　　金：江苏省科技创新智库基地开放课题重点项目(202442002)。

摘　　要：《神农本草经》首次记载附子具有“破癥坚积聚”之功,其具体机制在于温补命门、鼓舞阳气,益火补土、温化水饮,活血化瘀、通络破坚。文章选取仲景经方为研究对象,通过对大黄附子汤、薏苡附子败酱散的组方特点及功效分析,发现附子灵活配伍治疗癥坚积聚,切合肿瘤“阳气不足、阴寒凝聚,痰瘀互结、久病入络”之病机特点。It was first recorded in Shen Nong Ben Cao Jing that Fuzi(Monkshood)has the function to"treat mass in abdomen",the mechanism of which is that Fuzi can warm Life Gate,encourage Yang Qi,benefit Fire and reinforce Earth,resolve Water and Dampness retention,promote blood circulation and remove blood stasis,dredge collateral and break mass.In this paper,the prescriptions created by Zhang Zhongjing were selected as the research object,through the analysis of the composition characteristics and efficacy of Dahuang Fuzi Decoction and Yiyi Fuzi Baijiang Powder,it is found that the flexible combination of Fuzi(Monkshood)and certain other drugs to treat the mass accumulation is in agreement of the pathogenesis of"Yang Qi deficiency,Yin Cold condensation,intermingled Phlegm and blood stasis and prolonged diseases entering collaterals".

关 键 词：附子 “破癥坚积聚” 大黄附子汤 薏苡附子败酱散 《神农本草经》 

分 类 号：R285.1[医药卫生—中药学]