运用八纲辨证理论开展中药用药咨询的实践体会  

Practice of Syndrome Differentiation of Eight Principles Theory in TCM Medication Consultation Services

作　　者：徐良辉 江砚[1,2] 马月光 XU Lianghui;JIANG Yan;MA Yueguang(Dept. of Chinese Medicine Pharmacy,the First People’s Hospital of Hangzhou,Hangzhou 310006,China;Hangzhou First Hospital Affiliated to Zhejiang University of Chinese Medicine,Hangzhou 310006,China)

机构地区：[1]杭州市第一人民医院中药房,杭州310006 [2]浙江中医药大学附属杭州第一医院中药房,杭州310006

出　　处：《中国药房》2018年第11期1569-1572,共4页China Pharmacy

基　　金：浙江省中医药科技计划项目(No.2014ZB080)

摘　　要：目的:为临床药师将八纲辨证理论用于中药咨询服务提供参考。方法:从中草药辨证用药、中成药辨证用药、饮食禁忌等方面举例说明笔者运用八纲辨证理论指导患者用药咨询的实践。根据笔者多年工作经验,从被咨询者、咨询者、咨询条件三方面来分析国内各大医院开设的中药用药咨询窗口未能为医护人员、患者提供有效的中药合理用药、适宜膳食的原因。结果与结论:八纲辨证理论是根据四诊搜集患者症状、体征等信息,进行综合、分析,归纳为阴、阳、表、里、寒、热、虚、实八类证候,以确定疾病基本证候的理论。运用八纲辨证理论能给予患者合理用药、适宜饮食等建议。针对临床药师对八纲辨证理论的知识与能力不足、大众对临床药师在中药咨询服务中的服务范围不熟悉、中药用药咨询条件不足等问题,建议加强临床药师对八纲辨证理论的学习,借助电视、微信等媒体指导大众辨证使用中草药、中成药及适宜膳食,通过建立中药咨询室、中药咨询门诊等为中药咨询创造硬件条件,以提高临床药师中药咨询服务水平。OBJECTIVE：To provide reference for the clinical pharmacists to apply syndrome differentiation of eight principles theory for TCM consultation services. METHODS：Several examples were given to illustrate the practice of the theory guiding patients＇ medication consultation in respect of Chinese herbal medicine differential medication,Chinese patent medicine differential medication,dietary taboo,etc. According to the author＇s many years of work experience,from the three aspects of the counselor,the consultant,and the consulting conditions,the reasons that TCM consultation window couldn＇t provide the medical staff and patients with rational TCM use suggestions and appropriate diet were analyzed. RESULTS CONCLUSIONS：The syndrome differentiation of eight principles theory is based on four diagnostic methods to collect and analyze symptoms,signs and other information comprehensively. The information were divided into eight types of syndromes as yin and yang,exterior and interior,cold and heat,deficiency and excess,so as to determine the theory of basic syndromes of disease. The suggestions on rational drug use and appropriate diet were provided for the patients by using syndrome differentiation of eight principles theory. In view of the lack of knowledge and ability of the clinical pharmacists on syndrome differentiation of eight principles theory,the unfamiliar service scope of the clinical pharmacists in TCM consultation service,and the lack of consultation conditions for the use of TCM,it is suggested that the clinical pharmacists should learn more about the syndrome differentiation of eight principles theory;TV,We Chat and other media guide public dialect use of Chinese herbal medicines,Chinese patent medicines and appropriate diet;hardware conditions for TCM consultation by establishing TCM consultation rooms and TCM consultation clinics are establish so as to improve the level of clinical pharmacists＇ TCM consultation services.

关 键 词：临床药师 八纲辨证理论 中药咨询 实践 

分 类 号：R287[医药卫生—中药学]