首页|基于中医十层脉理论探析附子半夏配伍的临床应用要点

基于中医十层脉理论探析附子半夏配伍的临床应用要点

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中医十层脉是熊鸣峰教授根据扁鹊的脉学理论提出的一种脉诊方法,包括肺脉、大肠脉、心脉、小肠脉、脾脉、胃脉、肝脉、胆脉、肾脉、膀胱脉十层.附子半夏配伍为中药配伍中的"十八反"之一,中药相反是指两味药物联合使用可能产生增毒或减效的不良反应,故一般临床不推荐使用相反中药.经考证,我们发现,古代经典医学中有附子半夏配伍使用的方剂,而熊教授也认为,附子与半夏相反,是与生半夏相反,而临床中我们常用的是法半夏、姜半夏等经过炮制的半夏.所以熊教授在辨脉辨病论治的基础上,结合中医十层脉获取信息,将附子、法半夏配伍应用于大多数临床疑难病症的治疗中,该配伍用药有辛开燥降、温阳化痰之功,在临证中疗效显著,无不良反应.文章通过梳理附子半夏配伍的古代经典理论渊源及现代研究,结合熊教授的典型临床验案 2 则病案分析,探索验证附子半夏临床使用的安全可行性及有效性,总结发现附子半夏配伍的临床应用及作用特点,也为"相反""相畏"中药的临床使用提供更有力的证据.
The key points of clinical application of Fuzi and Banxia based on TCM Shiceng Pulse theory
Shiceng Pulse(十层脉)of traditional Chinese Medicine(TCM)is a pulse diagnosis method Proposed by Professor XIONG Mingfeng,which is derived from the theory of pulse science of BIANQUE.The Shiceng Pulses of TCM includes ten layers'pulses of the lung,large intestine,heart,small intestine,spleen,stomach,liver,gallbladder,kidney and bladder.The combination of Fuzi(Radix Aconiti Lateralis Preparata)and Banxia(Rhizoma Pinelliae)is one of the"Eighteen Incompatibility"of TCM,which means that the combination of two kinds of drugs may cause adverse reactions of increasing toxicity or decreasing efficacy;therefore,it is not recommended in clinical practice.After textual research,it is found that from the ancient classical medicine,there is the use of the combination of Fuzi and Banxia,and Professor XIONG also believes that Fuzi is opposite to unprocessed Banxia,but in clinical practice,processed Banxia is often used.So on the basis of the treatment of pulse differentiation and disease differentiation,Professor XIONG uses the information from Shiceng Pulse of TCM,and then puts forward the application of the combination of Fuzi and processed Banxia in the treatment of most of the difficult clinical diseases,which has the function of activating and reducing dryness,warming Yang(阳)and eliminating phlegm.It is effective in clinical diagnosis and has no adverse reactions.In this paper,through sorting out the ancient classical theoretical origin and modern research on the compatibility of Fuzi and Banxia,combined with the analysis of Professor XIONG's two typical clinical test cases,the safety,feasibility and effectiveness of the clinical use of Fuzi and Banxia compatibility is explored and verified,then the clinical application and function characteristics of Fuzi and Banxia compatibility are summarized and found,which also provides more powerful evidence for the clinical use of"Incompatibility"and"Mutual inhibition"of Chinese medicinal materials.

Shiceng Pulse of traditional Chinese medicineFuziBanxiaIncompatibilityClinical application

王利勤、吴春红、王腾宇、俞宏辉、吴慧婷、乔赟、熊鸣峰

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南昌大学第一附属医院,江西 南昌,330006

中日友好医院江西医院,江西 南昌,330200

南昌大学中医十层脉研究所,江西 南昌,330006

中医十层脉 附子 半夏 相反 临床应用

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20203BBE52W0102021A1062022B17181904087202140154202310318202310422赣中医科教字[2020]2号赣中医药综合字[2021]12号

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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