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去火毒法源流及当代价值

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去火毒法为减轻药物火毒之性的方法,秦汉时期,炼丹家逐渐认识到金石矿物药和丹方的毒性,并在实践基础上通过一定方法去火毒,为后世去火毒理论的形成奠定了基础.魏晋隋唐时期,炼丹家提出,炼丹必先去火毒,丹方的药物比例与功效发生了较大变化,增加了非金石药物的"小丹",丹方在向医方转变,去火毒法的临床应用得到初步拓展.宋金元时期,去火毒法开始标准化.明清时期,丹药开始应用于外科,去火毒法也开始应用于煎膏、软膏、硬膏等外用制剂.近现代,去火毒法主要用于降低膏药毒性及药物炮制减毒方面.去火毒法主要有土地去火毒法、清水去火毒法、煅淬去火毒法、辅料去火毒法、综合去火毒法等,具有一定实用价值.
The Historical Development and Contemporary Value of the Fire-Toxin Removal Methods
The fire-toxin removal methods refer to techniques used to reduce the toxic heat properties of medicines.During the Qin and Han dynasties,alchemists gradually recognized the toxicity of mineral and metallic medicines as well as alchemical formulas.Based on practical experiences,they developed methods to remove fire-toxin,laying the foundation for future theories on this process.In the Wei,Jin,Sui,and Tang dynasties,alchemists emphasized the necessity of removing fire-toxin before alchemical preparations,leading to signif-icant changes in the proportions and efficacy of medicinal formulas.The use of"small elixirs"(non-metallic and non-mineral medi-cines)increased,and alchemical formulas began transitioning into medical formulas,thereby expanding the clinical application of fire-toxin removal methods.During the Song,Jin,and Yuan dynasties,these methods became standardized.In the Ming and Qing dynasties,elixirs began to be used in surgical applications,and the fire-toxin removal methods were also applied to external preparations such as decoctions,ointments,and plasters.In modern times,the fire-toxin removal methods are mainly used to reduce the toxicity of plasters and to detoxify medicines through specific processing techniques.The main methods include the earth-fire toxin removal method,water-fire toxin removal method,calcining and quenching fire toxin removal method;adjuvant-fire toxin removal method;comprehensive fire toxin removal method.These methods can enhance efficacy,alter medicinal effects,and reduce toxicity,having a profound impact on the processing of Chinese medicinals.

fire-toxin removal methodearth-fire toxin removal methodwater-fire toxin removal methodcalcining and quenching fire toxin removal methodadjuvant-fire toxin removal methodcomprehensive fire toxin removal method

李修齐、李和伟

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黑龙江中医药大学,黑龙江 哈尔滨 150040

去火毒法 土地去火毒法 清水去火毒法 煅淬去火毒法 辅料去火毒法 综合去火毒法

2024

河南中医
河南省中医药学会 河南中医学院

河南中医

影响因子:0.968
ISSN:1003-5028
年,卷(期):2024.44(9)