Aconitum is what we often say.
Aconitum, also known as Aconitum or Aconitum, is also known as Aconitum, Aconitum, Goose Flower, Iron Flower and Linden. It is processed into salt aconite, black aconite (black-shun tablet), white aconite, light aconite and prepared aconite. It belongs to a medicine for warming the interior. In traditional Chinese medicine, "the first product of restoring yang and saving inverse". Indications: Returning yang to rescue adverse events, reinforcing fire to help yang, dispelling cold and relieving pain. Can be used for treating yin hyperactivity, hyperhidrosis, emesis, syncope, chills and pains, diarrhea due to spleen cold, beriberi edema, infantile fright, arthralgia due to wind-cold and dampness, impotence, palace cold, gangrene, sores and leakage, and various cold stagnation symptoms.
Many Chinese medicine practitioners lament that the best Chinese medicine is aconite, and the most difficult Chinese medicine is aconite!
Aconitum carmichaeli is an important, heavy and powerful medicine in TCM clinic, which is highly praised by many famous doctors in ancient and modern times.
For example, Zhang Jingyue, a famous doctor in Ming Dynasty, listed aconite as one of the "four dimensions of medicine". He said, "Mrs. Shen, Radix Rehmanniae Preparata, Radix Aconiti Lateralis Preparata and Radix et Rhizoma Rhei are actually the four dimensions of medicine? Ginseng, cultivated land, a good way to rule the world; Master and rhubarb are good generals in troubled times.
Lu Maoxiu, a famous doctor in Qing Dynasty, said, "Only gypsum, rhubarb, aconite and ginseng can bring drugs back to life. One dose of these four drugs can rejuvenate the body. Besides, you can't. "
Wu, a modern famous doctor, listed aconite, dried ginger, cinnamon, ephedra, cassia twig, asarum, gypsum, rhubarb, mirabilite and coptis root as the top ten famous doctors in traditional Chinese medicine, pointing out that "these ten medicines are temporarily named after the top ten famous doctors, which shows their great role."
From the above statement, we can see the position of aconite in the eyes of famous doctors.
On the other hand, many doctors "regard aconite as a snake and scorpion for life" and dare not use it. In the Ming Dynasty, Zhang Zhicong's "Materia Medica Chongyuan" described such doctors and recorded their advice: "If aconite can't be taken, it will be crazy and bleed from nine orifices; Eating it will get angry, but carbuncle will happen suddenly; Eating it will rot the five internal organs. If you eat it this year, it will be toxic next year. " The reason why these doctors are so afraid of Aconitum is nothing more than fear of medical accidents. There are also doctors who cause medical accidents. For example, according to Mr. Li, Zeng Youyou used to be a lawyer, but after 1949, he changed to Chinese medicine. The dosage of Radix Aconiti and Radix Aconiti Lateralis Preparata is 60g, reaching 65438 0 20g, which has remarkable curative effect on wind-cold-dampness arthralgia. However, he was sentenced to "murder" several times for insulting Wu and Fu.
First of all, because aconite is very toxic, it will be poisoned or even die if it is not used well. There must be many such examples in ancient times, and the cases of aconite poisoning reported in modern clinic are often seen. Secondly, Chinese medicine treats diseases by correcting the deviation of human body with the deviation of drugs. The pungent-hot bias of aconite is very dramatic. If it is not differentiated, it will cause the side effects of dryness and heat, even aggravate the condition and even cause death. Although the identification is accurate, improper compatibility or dosage will also cause side effects of dryness and heat.
I first came into contact with Aconitum when I was following my teacher Wu. I saw the teacher open a black film. At first, I didn't know that the black film was the famous aconite. Later, after listening to the introduction of teachers and brothers, I realized that the black film is aconite, but we should also pay attention to it and fry it first. Generally, fry for 1~2 hours first, and then the patient will try the medicine again. If you feel that your tongue is not numb, you should put it into other Chinese medicines and decoct it together. However, the effect of aconite is very strong, which can restore yang to save the adverse, replenish fire and help yang, dispel cold and relieve pain. Clinical use of this medicine in patients with severe yang deficiency has obvious effect.
Our teacher has a patient whose medical record is as follows:
Our teacher is really kind, patiently answering patients' questions and helping patients adjust their prescriptions in time. The dose of aconite is to prescribe a small dose first, depending on the patient's acceptance of the drug, and then gradually increase the dose. The patient is very grateful for his excellent medical skills!
The patient's constitution is very sensitive and changeable. When the patient has constipation, help the patient adjust the prescription and solve the problem in time.
I helped the patient change clothes several times from sweating at night, until the sweating was obviously reduced, the stool was normal without changing clothes, and the abdomen was not so afraid of cold, which really helped the patient to reduce a lot of pain and slowly return to normal. The case that the teacher shared with us made us learn a lot. Let us children envy and be glad to have a good doctor and teacher!