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便于贮存，减毒
临床最常用，回阳补火散寒
毒性较减，功效同黑顺片
适宜浮肿及高血压患者
温阳散寒力强，多用于寒痹
煎服3–15g，回阳救逆可用至15–30g；本品有毒，宜先煎30–60分钟至口尝无麻辣感为度。
For educational reference only — not medical advice.
附子（乌头子根加工品）含双酯型二萜生物碱（乌头碱、新乌头碱、次乌头碱）与强心成分去甲乌药碱；炮制可使双酯型碱水解为毒性较低的单酯型与胺醇型，药理示强心、抗休克、镇痛与抗炎作用，但治疗窗窄。
Fuzi (processed daughter root of Aconitum) contains highly toxic diester diterpene alkaloids (aconitine, mesaconitine, hypaconitine) plus the cardiotonic higenamine; processing hydrolyzes diester alkaloids to less toxic monoester and amine-alcohol forms. Pharmacology shows cardiotonic, anti-shock, analgesic and anti-inflammatory effects within a narrow therapeutic window.
《中国药典》严格限定乌头碱、次乌头碱、新乌头碱总量，并规定炮制品（黑顺片、白附片、炮附片）的使用，必须先煎久煎。
Chinese Pharmacopoeia enforces strict upper limits on total diester alkaloid content; only processed forms (heishunpian, baifupian, paofupian) are permitted and must be decocted first and long.
中毒表现为口舌麻木、心律失常（室性心动过速、室颤）、低血压甚至死亡；治疗窗窄，孕妇禁用。
Toxicity presents as perioral numbness, ventricular arrhythmias (VT/VF), hypotension and death; narrow therapeutic window; contraindicated in pregnancy.
不可与半夏、瓜蒌、贝母、白蔹、白及同用（十八反）；与降压、抗心律失常药需谨慎配合。
Classical eighteen-antagonism: avoid with banxia, gualou, beimu, bailian, baiji; caution with antihypertensives and antiarrhythmics.
WHO 专论确认其严重心脏毒性与全球多起中毒案例。
WHO monograph documents serious cardiotoxicity and numerous global poisoning case reports.
This section is provided for academic reference only and does not constitute medical advice.
Documented interactions exist with the following Western drug classes. Click to view mechanism, severity, and clinical recommendations.
不宜与半夏、瓜蒌、贝母、白蔹、白及同用（十八反）。孕妇忌用。阴虚阳亢、真热假寒证禁用。
本品含乌头碱类生物碱，有大毒。必须炮制后入药，且需先煎久煎(30–60分钟以上)以水解乌头碱为毒性较低的苯甲酰乌头原碱及乌头原碱。生附子毒性极强，禁止内服。中毒症状包括口舌麻木、恶心呕吐、心悸、心律失常、肢体麻木，严重者可致心源性猝死。与半夏、瓜蒌、贝母、白蔹、白及相反。孕妇禁用。服后忌酒及茶。
味辛，温。主风寒咳逆邪气，温中，金疮，破癥坚积聚，血瘕，寒湿踒躄，拘挛膝痛，不能行步。
下品
@misc{bencaodian-fu-zi,
author = {{Bencaodian Editorial}},
title = {Fù Zǐ 附子 (Prepared Aconite Lateral Root) — Aconiti Lateralis Radix Praeparata},
year = {2026},
howpublished = {Bencao Dian: A Bilingual Knowledge Graph of Traditional Chinese Medicine},
url = {https://bencaodian.org/en/herbs/fu-zi},
urldate = {2026-04-09},
note = {CC BY-SA 4.0}
}