附子临床应用及其用量

Clinical Application and Dosage of Aconite

根据经典名方、名老中医及现代医家临证经验,总结附子具有以下特点。1)附子临床常用量范围为3~30 g,最大用量可至400 g(大剂量使用时配伍干姜、肉桂,且开水久煎3 h以上,不麻口为止)。2)根据疾病、证型、症状寻求最佳用量:如温阳补肾,治疗慢性肾功能衰竭、肾病综合征、心力衰竭等属脾肾阳虚、水湿内停者,为6~60 g;回阳救逆,治疗危重疾病所导致的心肾阳衰欲脱之四肢厥逆、汗出湿冷、脉微欲绝者及阴盛格阳、元阳将脱危证者,为11.1~400 g。3)根据疾病、证型及症状配伍相应中药,如温阳补肾常配伍干姜、茯苓、白术,扶阳固表常配伍麻黄、桂枝、细辛等,回阳救逆常配伍干姜、人参、炙甘草。

According to the clinical experience of classic prescription, famous old Chinese medicine and modern doctors, the characteristics of aconite are summarized as follows: 1) The range clinical dosage of aconite is 3-30 g, the maximum dosage can be 400 g(Large dose of use with dried ginger, cinnamon, and boiled water for 3 hours or more, not numb mouth until). 2) Seek the optimal dosage according to the disease, syndrome and symptoms, such as warming yang and tonifying the kidney in the treatment of Chronic renal failure, nephrotic syndrome, heart failure and other spleen-kidney Yang deficiency with water dampness stopping within 6-60 g. Restore yang to save from collapse to treat Severe disease caused by heart, kidney and Yang failure of limbs jue inverse, Sweat out of the cold, Pulse almost stopped and Yinsheng Geyang and Yuanyang will disappear within 11.1-400 g. 3) According to diseases, syndrome and symptoms, it is compatible with the corresponding traditional Chinese medicine, such as warming yang and tonifying the kidney often compatible with dry ginger, poria cocos, atraxis, reinforcing yang to consolidate the exterior often compatible ephedra, cassia twig, asarum, etc, restoring yang and rescuing patient from collapse often compatible with dried ginger, ginseng, broiled liquorice.