Loading
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。
本平台仅供学术参考，不构成医疗建议。
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.
本部分信息仅供学术参考，不构成医疗建议。
本品与下列西药存在文献记载之相互作用，点击查看详情、机制与临床建议。
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/zh/herbs/fu-zi},
urldate = {2026-04-09},
note = {CC BY-SA 4.0}
}