汤剂煎煮-剂数-服用频次·时机与疗效  

A Decoction of Chinese Medicine Decoction-Number of Administration-Taking Frequency-Timing and Curative Effect

作　　者：姚杰良[1] 黎忠民[2] 

机构地区：[1]四川蓬安县人民医院 [2]四川省蓬安县锦屏中心卫生院,四川蓬安637800

出　　处：《实用中医内科杂志》2016年第2期70-72,共3页Journal of Practical Traditional Chinese Internal Medicine

摘　　要：汤剂服法是辨证施治重要步骤,对提高服药质量,提升临床疗效,具重要意义和实用价值。因病定剂:依疾病势态发展确定服药剂数,病情轻缓,病势不急,每日一剂;病程较长,不能急攻或药物具有烈性和毒性,易损伤正气,宜两日一剂;病情急重或病势凶猛,须截断扭转,缓和病势,或药剂轻清,不宜久煎,病势又须即时控制,则用同一处方,每日二剂或三剂以截病势;病情复杂,正虚邪实,攻之伤正,补之碍邪,攻补同用,病又难除,可双处方交替使用,既攻邪势,又扶正气。因病定次:病情急、邪势重,需急挫邪势,缓解病情,或药力集中,扭转病势,或轻药不得重用,或峻药慎用,顿服或日一服;病情不急,病势不凶,需药力接续,常日服二、三次;儿科病,起病急,发展快,服药较难,不易达到和维持血药浓度及有效剂量,宜小量多次服;需药物充分接触患处,饮之不及,宜含咽之法。因病定量:平均等量,适用于病情变化小,病势不急;药量渐增,以防不良反应,中病即止;集中服量,急救时立即服用,以求即刻扭转病势;视体质服量,防攻伐太过,损伤正气;试病服量,以防过剂给药;探病服量,以便确定治疗方案,依病严控,以知为度,中病即止,渐增渐减,积累获效。因病定服:病有寒热上下,药有温热寒凉,根据疾病性质、部位,"病在胸膈以上者,先食而后服药,病在胸腹以下者,先服药而后食,病在四肢血脉者,宜空腹而在旦,病在骨髓者,宜饱满而在夜"。Decoction dosage is one of the important steps in the treatment based on differentiation of symptoms and signs,to improve the quality of medication,enhance clinical efficacy,with important significance and practical value.Alternate use of clear light ferocious determine the disease due to illness setting agent：according to developments medication dose,the condition is gende,she is not urgent,daily a agent.The course of disease was longer,not anxious to attack or drugs with potent and toxicity,easy to damage the righteousness,should be two,one agent;acute illness or condition shall be truncation torsional and ease the disease potential,or potions,not for a long time fry,she has to be real-time control,with a prescription,daily 2 agents or three agents to intercept lysis;disease complex,is the virtual real evil,to attack the injury,hinders the evil,the attack with disease and difficult to remove,double prescription,both attacking pathogen,and helped righteousness.Illness set time：acute illness,evil potential heavy,plunge the evil trend,alleviate the condition,concentration or potency,torsion lysis,or light drugs may not be reused,or Jun medicine careful,meal service or a service;condition is anxious,lysis is not fierce,need potency connection,often served on second,three times;pediatric disease,disease is urgent,rapid development,medication is more difficult,is not easy to attain and maintain the blood drug concentration and the effective dose,should be a small number of service;pharmaceutical fully contact with a sore,drink less,should with the pharynx.Quantitative due to illness：a mean equivalent,applicable to the small changes in condition,lysis is not urgent;increasing dosage,to prevent adverse reactions,disease lasts;concentrated dose,emergency immediately taking,in order to immediately reverse the lysis;depending on the constitution service quantity,anti attack too,damage righteousness;try disease service quality,in order to prevent the agent administered;visiting service volume in order to determine th

关 键 词：因病施治 因病定剂 因病定次 因病定量 因病定服 每日一剂 顿服 含咽 双处方交替 试病服量 探病服量 

分 类 号：R283.3[医药卫生—中药学]