〔摘要〕 张锡纯是清末民初的代表性医家，研究其使用附子的习惯与规律对于指导临证有现实意义。在张锡纯著作《医学衷中参西录》中，含附子方剂共计30首，其中29首为复方汤剂，21首方剂指明使用经过炮制的附子(原文称“乌附子”)，无使用生附子的实际案例，均未对煎煮法作特殊要求，其用量为0.6～24 g，总体使用剂量较小。人参、甘草、干姜、山药、白术是常与附子配伍的药味，旨在发挥益火扶阳(温里寒)、温阳通痹、回阳固脱、引火归元等功效。张锡纯使用附子的用法较为谨慎保守，其用药经验可以为现代中医临床提供思路与启示。

    〔关键词〕 张锡纯；医学衷中参西录；附子；火神派；中西汇通学派

    〔中图分类号〕R28" " " " "〔文献标志码〕A" " " " " 〔文章编号〕doi：10.3969/j.issn.1674-070X.2024.07.026

    Analysis of ZHANG Xichun's use of Fuzi (Aconiti Lateralis Radix Praeparata) in medication

    ZHAN Tao1， LI Jie2*

    1. Department of Integrated Chinese and Western Medicine， The First Hospital of Changsha， Changsha， Hunan 410005， China;

    2. Hunan University of Chinese Medicine， Changsha， Hunan 410208， China

    〔Abstract〕 ZHANG Xichun was an representative Chinese medicine specialist in the late Qing Dynasty and early Republic of China. Studying his habits and rules in using Fuzi (Aconiti Lateralis Radix Praeparata) is of practical significance for guiding clinical practice. In ZHANG Xichun's work Yi Xue Zhong Zhong Can Xi Lu (Records of Chinese Medicine with Reference to Western Medicine) ......