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|本期目录/Table of Contents|

试析附子的临床运用(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2011年01期
页码:
39-42
栏目:
临床研究
出版日期:
2011-02-01

文章信息/Info

Title:
Analysis on Clinical Application of Fuzi
作者:
李旋珠李文军
云南中医学院,云南昆明650500
Author(s):
LI Xuan-zhuLI Wen-jun
Yunnan University of TCM,Kunming Yunnan,650500
关键词:
附子扶阳学派郑钦安吴佩衡
Keywords:
Fuzifuyang schoolZheng Qin-anWu Pei-hen
分类号:
中图分类号:R287文献标志码:A
DOI:
-
文献标识码:
A
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。
Abstract:
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 content of Aconition,further altering toxin and treatment of Fuzi.Therefore,it is necessary to take various factors into consideration before changing the dosage and decocting of Fuzi.

参考文献/References

[1]国家中医药管理局.中华本草[M].上海:上海科技出版社,1998:484-486.
[2]张梅,张艺,陈海红,等.附子抗心律失常有效组分研究[J].时珍国医国药,2000,11(3):193-194.
[3]郑钦安.郑钦安医学三书[M].太原:山西科技出版社,2006:原序,310,189-190.
[4]吴佩衡.吴佩衡医案[M].北京:人民军医出版社,2009:36,97,再版前言,47,120.
[5]陈熠.中医临床家陈苏生[M].北京:中国中医药出版社,2009:118-119.
[6]陈灏珠.实用内科学[M].北京:人民卫生出版社,2003:798.

备注/Memo

备注/Memo:
收稿日期:2010—11—10修回日期:2010—12—31作者简介:李旋珠(1957),男,云南宣威人。主任医师。主要研究方向:糖尿病等重大疾病的中医药防治与新药研发。
更新日期/Last Update: 2011-04-29