针药结合的科学基础及基本原则  

Basic Principles of the Scientific Basis of Combination of Acupuncture and Medicines

作　　者：徐斌[1] XU Bin(Key Laboratory of Integrated Acupuncture and Medicine Research of Ministry of Education,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学针药结合教育部重点实验室,南京210023

出　　处：《世界中医药》2020年第21期3179-3183,3187,共6页World Chinese Medicine

基　　金：国家自然科学基金项目(81873238,81673883,81373749);国家重点基础研究发展计划(973计划)项目(2011CB505206);江苏省第二批中医药领军人才项目(SLJ0225);江苏省中医学优势学科三期项目立项开放课题(ZYX03KF012)。

摘　　要：本文分析了最近10多年来国内外针药结合临床循证证据和作用机制研究新进展,认为证据表明针药结合在重大疾病、药源性疾病方面的实践及研究产生的高质量证据进一步证明了其潜在的重要临床价值;针药结合的机制研究已经从关注针灸对药物作用过程的影响向针药不同机制协同作用方向发展。论文针对针药结合规律研究的内容及存在问题分析,提出了针药结合及其研究的四项基本原则,即针药结合增效原则、协同原则、量效原则、时空原则,以期为本领域的发展提供思路。This paper reviews the clinical evidence-based researches and the development of the mechanisms of the combination of acupuncture and medicine.The high-quality evidences generated by the practice and research of combining acupuncture and medicine in major diseases and drug-induced diseases further proves its potential important clinical value.It suggests that the research on the mechanism of the combination of acupuncture and medicine has shifted from focusing on the influence of acupuncture on the process of medicine to the synergistic effect of different mechanisms of acupuncture and medicine.This paper analyzes the content and existing problems of the law of combination of acupuncture and medicines,and raises four basic principles of its research,namely,the principle of enhancement,co-ordination,dose-effect,and time-space,in order to inspire the development of this field.

关 键 词：针药结合 临床证据 作用机制 基本原则 增效 减毒 协同 规律 

分 类 号：R245-0[医药卫生—针灸推拿学]