从古今角度探析半夏附子配伍应用

Simultaneous Use and Application of Pinellia Rhizome and Radix Aconiti Lateralis from Perspective of Ancient and Modern

“半夏反附子”历来是多数医者谨守的一条中药配伍禁忌,但随着临床实践的验证,一些医者对半夏附子不可配伍的态度也逐渐有了改变,历代医家使用半夏附子药对治疗顽疾的医案不胜枚举。中医药学界经过长年累月的研究,改良了附子的品种和改变了附子的品性,使得附子烈性减缓,毒性减弱;此外,饮片炮制技术的改进以及减毒中药的配伍应用,使得半夏附子配伍变得更加具备可能性与安全性。半夏附子配伍时需注意煎煮时间、剂量与比例等用药安全性因素。医者结合众多医家的用药经验,抓住“阳虚”及“湿盛”的核心病机,在脾胃、肾系、癌痛、妇科、心系、肺系等各系病症中配伍半夏附子均有不错的疗效。本文旨在拓宽临床用药思路,提高临床疗效,并为附子半夏药对临床应用及相关法律法规的修订提供理论依据。

“Pinellia Rhizome anti Radix Aconiti Lateralis” has always been a contraindication for most practitioners of traditional Chinese medicine.However,with the verification through clinical practice,some practitioners have gradually changed their attitudes towards the compatibility of Pinellia Rhizome and Radix Aconiti Lateralis.Numerous medical cases from past generations demonstrate the effectiveness of using Pinellia Rhizome and Radix Aconiti Lateralis in treating refractory diseases.Through years of research in the field of traditional Chinese medicine,the varieties of Radix Aconiti Lateralis have been improved and their properties have been changed,which have reduced their intensity and toxicity.In addition,advancements in processing techniques for herbal pieces and the application of detoxifying Chinese medicines make the compatibility of Pinelliae Rhizoma and Aconite more possible and safe.When using this compatibility,attention should be paid to factors such as cooking time,dosage,and proportion to ensure medication safety.By combining the medication experiences of many physicians and targeting the core pathological mechanisms of "Yang deficiency" and "excessive Dampness",the compatibility of Pinelliae Rhizome and Aconiti Lateralis Radix has shown good therapeutic effects in various diseases related to the Spleen,Stomach,Kidney,cancer pain,gynecology,Heart,and Lungs.The purpose of this paper is to broaden the thinking in clinical medication,improve the clinical efficacy,and provide a theoretical basis for clinical application and the revision of relevant regulations of Pinelliae Rhizome Radix Aconiti Lateralis herb pairs.