[1]杨征征,王海隆,高扬,等.基于《伤寒杂病论》探究张仲景应用乌头治疗痹证的减毒增效方法[J].西部中医药,2024,37(03):108-111.[doi:10.12174/j.issn.2096-9600.2024.03.21]
　YANG Zhengzheng,WANG Hailong,GAO Yang,et al.Methods of Reducing Toxicity and Synergistic Effects of Wutou in Zhongjing's Treatment of Arthralgia Syndrome Based on Shanghan Zabinglun[J].Western Journal of Traditional Chinese Medicine,2024,37(03):108-111.[doi:10.12174/j.issn.2096-9600.2024.03.21]
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基于《伤寒杂病论》探究张仲景应用乌头治疗痹证的减毒增效方法
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
37
期数:
2024年03期
页码:
108-111
栏目:
临床研究
出版日期:
2024-03-15

文章信息/Info

Title:
Methods of Reducing Toxicity and Synergistic Effects of Wutou in Zhongjing's Treatment of Arthralgia Syndrome Based on Shanghan Zabinglun
作者:
杨征征1, 王海隆1, 高扬1, 李书娇2, 王西西3
1.中国中医科学院广安门医院，北京 100000
2.中国中医科学院眼科医院，北京 100040
3.贵州中医药大学，贵州 贵阳 550025
Author(s):
YANG Zhengzheng1, WANG Hailong1, GAO Yang1, LI Shujiao2, WANG Xixi3
1.Guang'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100000, China
2.Eye Hospital, China Academy of Chinese Medical Sciences, Beijing 100040, China
3.Guizhou University of Traditional Chinese Medicine, Guiyang 550025, China
关键词:
痹证; 乌头; 减毒增效; 《伤寒杂病论》
Keywords:
arthralgia syndrome; reducing toxicity and synergistic effects
分类号:
R243
DOI:
10.12174/j.issn.2096-9600.2024.03.21
文献标志码:
B
摘要:
结合张仲景《伤寒杂病论》中应用乌头的规律及现代研究，得出张仲景通过以下方法实现乌头减毒增效：1）加蜂蜜先煎以去其毒：之后乌头再与蜂蜜按照1∶2～3（g∶mL）的比例混合后煎，煎煮时间是乌头用量总和的2～3倍；2）注重比例，佐制以减其毒：乌头与白芍按照2∶3比例配伍使用，毒性最小，疗效最佳，同时应根据体质差异适当增加或减少白芍用量；3）临床应用乌头应法遵仲景，有方有守。
Abstract:
Combined with Zhang Zhongjing's application of Wutou (Aconitum carmichaelii Debeaux) and the modern researches in Shanghan Zabinglun (Treatise on Cold Pathogenic and Miscellaneous Diseases), it is found that Zhang Zhongjing could reduce the toxicity and enhance its efficacy of Wutou through these following methods: 1) decocting with honey, decocting firstly to reduce the toxicity: Wutou and honey in a ratio of 1:2～3 (g:mL) were boiled together after measuring and adding honey in a disposable paper cup with a volume of 80 mL, honey and Wutou should add an appropriate amount of plain boild water, which should be first boiled, but it should not last for a long time, the decoction time of Wutou is two to three times of the total amount; 2) we should pay attention to the ratio, and the compatibility with the medicine could help reduce the toxicity: When Wutou and Baishao are applied in a ratio of 2:3, Wutou presents the minimal toxicity and the best efficacy, meanwhile, the dose of Baishao could be added or reduced in a suitable manner in light of the constitution; 3) clinical application of Wutou should obey Zhongjing's law, it means that the treatment should adopt a reasonable prescription and keep taking the medicine.

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备注/Memo

备注/Memo:
杨征征（1994—），男，在读博士研究生。研究方向：风湿病的中医药治疗。全国中医临床特色技术传承骨干人才培训项目（国中医药〔2019〕36号）。
更新日期/Last Update: 2024-03-15