1.山东中医药大学中医文献与文化研究院,山东省济南市长清区大学路4655号,250355
2.山东中医药大学中医学院
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收稿:2024-05-07,
修回:2024-10-17,
纸质出版:2025-01-17
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段展辉,刘桂荣,杨金萍.从量效关系探讨张志远运用大剂量附子经验[J].中医杂志,2025,66(02):119-122.
DUAN Zhanhui,LIU Guirong,YANG Jinping.Discussion on the Experience of ZHANG Zhiyuan in Using Large Doses of Fuzi (Aconiti Lateralis Radix Praeparata) Based on the Quantity-Effect Relationship[J].Journal of Traditional Chinese Medicine,2025,66(02):119-122.
段展辉,刘桂荣,杨金萍.从量效关系探讨张志远运用大剂量附子经验[J].中医杂志,2025,66(02):119-122. DOI: 10.13288/j.11-2166/r.2025.02.003.
DUAN Zhanhui,LIU Guirong,YANG Jinping.Discussion on the Experience of ZHANG Zhiyuan in Using Large Doses of Fuzi (Aconiti Lateralis Radix Praeparata) Based on the Quantity-Effect Relationship[J].Journal of Traditional Chinese Medicine,2025,66(02):119-122. DOI: 10.13288/j.11-2166/r.2025.02.003.
基于量效关系总结张志远教授运用大剂量附子的临证经验。认为附子以大辛大热、温振阳气和走而不守为功效基础,大剂量附子的应用可分为生用和炮制两种,常用剂量范围为生附子30~60 g,炮附子15~30 g、30~60 g。炮附子15~30 g温化水饮、温阳养神,用于治疗虚寒痰饮哮喘、阳虚水肿,阳虚惊恐、胆怯;炮附子30~60 g补火温经通络、助阳祛寒镇痛,用于治疗阳气不足、阴寒内盛所致的四肢逆冷、腹痛、肢体关节疼痛、便溏等;生附子30~60 g回阳救逆,用于治疗大汗吐下后的亡阳证。同时将不同剂量附子分别与他药灵活配伍,常以炮附子15~30 g配伍麻黄、细辛助阳祛寒,炮附子30~60 g配伍白术或吴茱萸温阳祛湿,生附子30~60 g配伍山茱萸阴阳双补,进而扩展其临床应用范围。
To summarize Prof. ZHANG Zhiyuan's clinical experience in using large doses of Fuzi (
Aconiti Lateralis Radix Praeparata
). The effect of Fuzi is based on its acrid and hot propoerties, warming and invigorating
yang qi
and running without guard. The application of large doses of Fuzi can be categorized into raw and processed, with common dosage ranging from 30 g to 60 g of raw Fuzi, and 15 g to 30 g, 30 g to 60 g of processed Fuzi. The quantity-effect relationship of the large dose of Fuzi is summarized as 15 g to 30 g of processed Fuzi could warm wa
ter, warm
yang
and eliminate timidity, as the treatment of asthma with deficiency cold phlegm, edema of
yang
deficiency, and panic and timidity of
yang
deficiency; 30 g to 60 g of processed Fuzi could tonify fire, warm the meridians and collaterals, assist
yang
to dispel cold and relieve pain, as the treatment of coldness in the limbs, abdominal pain, pain in the joints of the limbs, and loose stools due to deficient
yang qi
and exuberant internal
yin
cold; 30 g to 60 g raw Fuzi could restore
yang
to save from collapse, as the treatment of
yang
depletion after profuse sweating and vomiting. At the same time, different dosages of Fuzi were flexibly paired with other medicines, i.e., 15 g to 30 g of processed Fuzi was paired with Mahuang (
Ephedrae Herba
) and Xixin (
Asari Radix et Rhizoma
) to assist
yang
to dispel coldness, 30 g to 60 g of processed Fuzi was paired with Baizhu (
Atractylodis macrocephalae rhizoma
) or Wuzhuyu (
Euodiae Fructus
) to warm
yang
and dispel dampness, and 30 g to 60 g of raw Fuzi was paired with Shanzhuyu (
Corni Fructus
) to tonify both
yin
and
yang
.
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扎西草 , 马成 , 陈玉萍 . 附子白术配伍对大鼠佐剂性关节炎的实验研究 [J]. 新疆中医药 , 2008 , 26 ( 5 ): 6 - 7 .
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