中药配伍禁忌十八反临床应用启示  

Enlightenment on the clinical application of Eighteen Antagonisms contraindications to the compatibility of Traditional Chinese Medicine

作　　者：潘林平 陈国成 王小艳 王美玲 PAN Linping;CHEN Guocheng;WANG Xiaoyan;WANG Meiling(Guangzhou Yuexiu District Traditional Chinese Medicine Hospital,Guangzhou 510030,China)

机构地区：[1]广州市越秀区中医医院脑病科,广东广州510030

出　　处：《广州医药》2024年第10期1117-1121,共5页Guangzhou Medical Journal

基　　金：陈国成广东省名中医工作室建设项目(粤中医办函〔2023〕108号);广州市中医药特色诊疗技术项目。

摘　　要：前人总结的用药禁忌十八反未必是绝对禁忌,笔者从广东省名中医陈国成主任独创星夏止痛膏外治中得到反药“乌头-半夏”的配伍启示。本文简要叙述反药配伍的源流及应用,重点对陈国成使用乌头配半夏外用的经验及思路进行论述,认为乌头与半夏配伍可通过多种方式减毒增效,为临床安全使用该配伍药物提供新的思路。The eighteen antagonisms summarized by predecessors may not be absolute contraindications.The author obtained the inspiration of the antagonism medicinals“aconite–pinellia”from the external treatment of Xingxia painkiller ointment created by Chen Guocheng.The present paper provides a concise overview of the origin and application of anti-drug compatibility,with a specific focus on Chen Guocheng’s expertise and insights regarding the external use of aconite combined with pinellia.It is postulated that diverse approaches can be employed to modulate the compatibility between aconite and pinellia,thereby offering novel perspectives for ensuring the safe utilization of this drug combination in clinical practice.

关 键 词：十八反 乌头 半夏 临床应用 广东省名中医陈国成 

分 类 号：R289.1[医药卫生—方剂学]