附子的功过论OA

A Discussion on the Therapeutic Benefits and Toxicity of Aconite(Fuzi)

中文摘要英文摘要

附子作为中医"回阳救逆第一品",在治疗危急重症中具有不可替代性,但其毒性剧烈,用之不当可致严重不良反应,可谓"功"与"过"并存.如何调和附子的"功""过"矛盾,须从历史文献、药理机制、临床实践3个维度,系统剖析附子"功"与"过"的辩证关系,从而揭示附子合理且安全使用的原则.

As the"premier herb for restoring yang and reversing collapse"in traditional Chinese medicine,Aconite(Fuzi)plays an irreplaceable role in the treatment of critical and life-threatening conditions.However,its potent toxicity means that improper use may result in severe adverse reactions,reflecting the coexistence of therapeutic benefits and risks.To reconcile this inherent duality,it is necessary to systematically examine the dialectical relationship between the benefits and risks of Aconite from three perspectives:historical literature,pharmacological mechanisms,and clinical practice.Such an analysis helps to elucidate the principles for its rational and safe clinical use.

陈仁寿

南京中医药大学中医药文献研究院

医药卫生

附子毒性回阳救逆辨证用药炮附子剂量

Aconite(Fuzi)toxicityrestoring yang and rescuing collapsesyndrome differentiationprocessed Aconitedosage

《中国食品药品监管》 2026 (4)

156-160,5

国家社会科学基金冷门绝学研究专项(21VJXG038)

10.3969/j.issn.1673-5390.2026.04.019

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