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Base de connaissancesPlantes

Zhi Fu Zi制附子

Radix Aconiti Lateralis PreparataPrepared Aconite

  • Toxique

Autres nomsPrepared Sichuan Aconite Root

Catégorie
Plantes qui réchauffent l’Intérieur
Saveur
piquant
Tropisme
Cœur, Rein, Rate
Posologie
1.5–15 g

Cette entrée n’est pas encore traduite — le texte ci-dessous est en anglais.

Doses usuelles

Posologie
1.5–15 g
Tincture
2–4 ml
Posologie
20 g

Actions & indications

Restores Devastated *Yang and rescues from rebellion*
Devastated Yang with diarrhea containing undigested food, chills, cold extremities and a faint almost imperceptible pulse (often as a result of severe vomiting, diarrhea or sweating)
Warms Ming Men Fire and assists Heart, Kidney and Spleen *Yang*
  • Heart Yang Deficiency
  • Spleen Yang Deficiency
  • Kidney Yang Deficiency
Disperses Cold and Dampness, warms the channels and stops pain
  • Wind-Damp-Cold Bi
  • Cold blocking the organs, channels, bones and Blood vessels
  • Yin flat abscesses

Contre-indications

  • Contraindicated in Yin Deficiency with abundant Yang.
  • Contraindicated in true Heat with false Cold.
  • Contraindicated during pregnancy.
  • Avoid alcohol while taking this herb.

Incompatibilités

  • Should not be combined with Bul. Fritillariae Chuan Bei Mu or Zhe Bei Mu.
  • Should not be combined with Fr. Trichosanthis Gua Lou.
  • Should not be combined with Rz. Bletillae Bai Ji.
  • Should not be combined with Rz. Pinelliae Zhi Ban Xia.
  • Should not be combined with Rx. Cynanchi Bai Wei.
  • Should not be combined with Rx. Ampelopsis Bai Lian.
  • Antagonistic with Scolopendra Wu Gong.
  • This herb counteracts Cornu Rhinoceri Xi Jiao.
  • This herb counteracts Sm. Phaseoli Radiati Lu Dou.

Interactions

Patients with cardiovascular disorders, or those taking antiarrhythmic drugs such as quinidine, procainamide (Pronestyl), disopyramide (Norpace), flecainide (Tambocor), propafenone (Rythmol), or amiodarone (Cordarone), should use this herb with extreme caution.

Associations

    • Gan Jiang

    Offsets the Internal effects of an External Wind-Cold attack; addresses excess Yin fluids from Deficiency Cold and Cold-Damp Bi; warms the Spleen and Kidneys, benefits Yang, and disperses Cold; and lowers the toxicity of Zhi Fu Zi (more so when Gan Cao is added).

  • Enhances the effects of fortifying Qi and benefiting Yang for cold extremities and diarrhea containing undigested food, caused by Collapse of Spleen and Kidney Yang.

    • Ren Shen

    For severe Source Qi Deficiency and Collapse of Yang presenting with cold extremities, sweating, weak breathing, dizziness, and an extremely pale complexion.

  • For Kidney Yang Deficiency with waning Ming Men Fire, showing aversion to Cold, a weak, sore back and legs, impotence, and frequent urination.

    • Bai Zhu

    For Spleen Yang Deficiency with a cold, painful abdomen, vomiting, and watery diarrhea; also for Wind-Damp Bi.

  • For Kidney and Spleen Yang Deficiency with pathogenic water retention — abdominal pain that worsens with Cold, urinary difficulty, and a deep aching heaviness in the extremities.

    • Bai Zhu
    • Gan Jiang

    For Internal Yin Cold rising and failing to arouse Spleen Yang, presenting as abdominal pain, Cold, and watery diarrhea.

  • For weak Heart Yang with palpitations, shortness of breath, and chest pain.

  • For spontaneous sweating and chills caused by Yang Deficiency.

  • For a Wind-Cold attack occurring against a background of preexisting Yang Deficiency.

  • Powerfully tonifies Kidney Yang — for Kidney Yang Deficiency with lower back pain and weak legs and knees; for Ming Men Fire Deficiency with impotence or infertility; for excess Yin forcing Yang to float outward (separation of Yin and Yang); for Damp-Cold Bi in the channels with generalized aches and difficulty turning the trunk; and, in a small dose of each herb (1-2g) combined with Yin tonics, to lead Fire back to its source in Kidney Yin Deficiency with Fire Blazing Upward.

  • Disperses Cold and relieves pain — for combined Internal and External Cold damage with aversion to Cold, headache, and generalized body and joint aches, and for Wind-Damp-Cold Bi with joint spasms and severe pain.

    • Chuan Jiao

    Reinforces the Spleen-warming effect for Spleen Yang Deficiency with Cold-Dampness causing epigastric Cold pain, nausea, vomiting, and diarrhea, and for Kidney Yang Deficiency with Ming Men Fire Deficiency letting Cold-Damp accumulate in the Lower Jiao, producing frequent urination, cold sweats, or spermatorrhea.

  • For lower-body edema and painful urination.

  • For infertility.

  • For impotence.

    • Ren Shen
    • Bai Zhu
    • Gan Jiang

    For Spleen Yang Deficiency.

  • For Cold-Damp Bi.

    • Gan Jiang
    • Zhi Gan Cao
    • Ren Shen

    For Heart Yang collapse with vomiting, a fading pulse, icy extremities, and profuse sweating.

  • Given as a decoction through the nose for shock.

  • For joint and muscle pain, numbness, and difficulty moving.

Notes

  • This herb sees wide use, particularly for patterns of Interior Cold arising from Yang Deficiency.
  • Devastated Yang commonly follows episodes of vomiting, diarrhea, or sweating.
  • It is administered by injection for shock or heart failure.
  • It is essential here because it assists Heart Yang in unblocking the vessels and improving circulation while also tonifying Kidney Yang to augment Fire and prevent loss of source Yang.
  • Its nature is descending, and it can dispel pathogenic factors situated between the Exterior and Interior.
  • According to one major source, it performs six functions: removing Cold, relieving epigastric masses, warming and nourishing the viscera, treating various Wind conditions, alleviating Qi Stagnation, and stopping Cold-type abdominal pain.
  • It is reputed to resolve carbuncles and pyogenic infections.
  • For polyps, five pieces are soaked in wine for three days, and the resulting liquid is used to wash the polyp three to four times daily.
  • It has been found to inhibit the growth of living, proliferating Stomach cancer cells.
  • Effectiveness has been demonstrated against cancers of the Stomach, esophagus, Liver, Colon, and rectum.
  • Unprocessed, this herb is highly toxic; a toxic dose typically lies well above the normal range (roughly 15-60 gm.), and overdose can be effectively treated with atropine and lidocaine.
  • Toxicity has been a persistent concern throughout this herb's history of use, and it is typically processed with salt, brown sugar, or bleached in water or sulfur to lower it. One processing method yields a black product, 'black aconite' Hei Fu Zi, which concentrates the action on the Kidneys; another yields a white product, 'white aconite' Bai Fu Zi, used for Bi pain. Where the herb's full strength is needed — emergencies or topical use — the untreated 'fresh' form Sheng Fu Zi is called for, though this form is rarely seen today.
  • Its toxicity can be reduced with Cornu Rhinoceri Xi Jiao, Sm. Phaseoli Lu Dou, and Flos Lonicerae Jin Yin Hua.
  • Overdose signs include drooling, nausea, vomiting, diarrhea, light-headedness, blurred vision, and numbness of the mouth and extremities; more advanced cases can present premature atrial contractions, dyspnea, tremors, incontinence, stupor, and drops in temperature and blood pressure.
  • The mother root is Wu Tou, covered under the analgesics; the daughter root is Fu Zi; and when no daughter root forms, leaving only a solitary root, it is called Tian Xiong, which is milder than Fu Zi.
  • Fu Zi moves through all 12 meridians and revives lost Yang Qi, guiding other medicinals into the blood vessels where they can nourish the Blood.
  • Above it nourishes the Heart, in the Middle it nourishes the Stomach, and below it strengthens Kidney Yang.
  • Aconite is described as 'awakening the Yang' — stimulating metabolism, generating Heat, clearing stagnant water, tonifying the cardiac muscle, and strengthening the Urinary Bladder.
  • Its Hot nature is sometimes overemphasized; the actual effect depends on how the formula is built. Because it is usually paired with other herbs that move moisture, the resulting formula tends to warm the patient — if the patient reports feeling too hot afterward, Fu Zi should be removed.
  • Raw Fu Zi is considerably toxic, though cooking it for a couple of hours renders it usable; the processed form is often labeled toxic as well but actually carries quite low toxicity. Even so, it is contraindicated in pregnancy, and in robust individuals the daily dose should not exceed 10 gm — only the processed form should ever be taken internally.
  • Both this herb and Rz. Zingiberis Gan Jiang address Devastated Yang: this herb warms and tonifies Kidney and Spleen Yang with a less localized but more immediate action, whereas Gan Jiang is directed more at Spleen and Stomach Deficiency Cold and acts over a comparatively longer duration.
  • This herb and Cx. Cinnamomi Cassiae Rou Gui both warm and tonify Ming Men Fire and treat Yang Deficiency Cold in the Lower Jiao, but this herb is the stronger of the two.
  • Radix Aconiti Preparata Zhi Chuan Wu resembles Zhi Fu Zi, but Fu Zi excels at treating Cold and pairs well with tonifying herbs, while Chuan Wu excels at treating Wind and is too excessively drying to combine with tonics. Radix Aconiti Kusnezoffii Preparata Zhi Cao Wu, gathered from the wild, treats severe Wind and stubborn Bi.
  • Zhi Fu Zi and Cx. Cinnamomi Rou Gui are both acrid and warm, entering the Lower Jiao to tonify Kidney Yang, augment Ming Men Fire, disperse Cold, and treat Cold-Damp Bi. Fu Zi enters all twelve channels and supports the Du channel, and is used for Devastated Yang; Rou Gui instead focuses on the Heart, Spleen, Liver, and Kidney channels and is not used for Devastated Yang.
  • Zhi Fu Zi, Cervi Cornu Pantotrichum Lu Rong, and Cx. Cinnamomi Rou Gui all warm the Kidneys and fortify Yang. Zhi Fu Zi and Rou Gui share an acrid, harsh, hot, and drying quality with a strong, rapid action that warms the Interior, expels Cold, and helps tonify Yang, whereas Lu Rong is sweet, warm, soft, and moistening, acting gradually to tonify Yang while moistening Jing and Blood. All three treat Kidney Yang Deficiency, but Fu Zi and Rou Gui suit only Kidney Yang Deficiency with Excess Internal Cold and are unsuitable when Jing or Blood is deficient; Lu Rong does not expel Internal Cold but is best suited for Yang Deficiency accompanied by Jing, Blood, and marrow insufficiency.
  • Baked Aconite Accessory Root Bao Fu Zi is somewhat less toxic and primarily warms the Spleen and Kidneys, used for Cold pain in the epigastrium and abdomen and for nausea and diarrhea due to Deficiency Cold.
  • Bland Aconite Accessory Root Dan Fu Zi no longer causes tongue numbness, is far less toxic, and serves as the standard form for rescuing Yang, dispersing Cold, warming and unblocking the channels and collaterals, and tonifying Ming Men Fire; its safe dosage range is 3-15g.

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