姜德友“三维一体”临证用药思维撷菁  

Professor Jiang Deyou’s thinking of“three-dimensional integration”in clinical medication

作　　者：周岚 姜德友[1] ZHOU Lan;JIANG Deyou(Heilongjiang University of Chinese Medicine,Harbin 150040,China)

机构地区：[1]黑龙江中医药大学,黑龙江哈尔滨150040

出　　处：《陕西中医》2023年第4期499-502,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局龙江医学流派传承工作室(LPGZS2012-14);黑龙江省中医药管理局科研项目(ZHY12-Z095)。

摘　　要：姜德友临证重视中医临床思维方法,首创“定性-辨位-据味”三维一体用药思维。第一维度为“定性用药”,四诊合参先别阴阳寒热。姜师临证首辨病性,通过药之四气进行纠偏。并且善用药之性味调补,重视甘温扶阳。第二维度为“辨位用药”,脏腑经络理论指导用药。根据脏腑归经论、经络归经论、引经作用论、升降浮沉之性论择药,使药达病位。第三维度为“据味用药”,相伍合化以增药之效用。通过运用“五味合化”,产生新的功效。现将姜师临证经验进行归纳整理,并列举一医案,望对医者临证遣药有所帮助。Jiang Deyou’s clinical approach to Chinese medicine is based on clinical thinking,and he pioneered the three-dimensional approach of“characterization-identification of location-according to taste”.The first dimension is“qualitative medicine”,the four diagnoses together first distinguish between yin and yang,cold and heat.Jiang Deyou's clinical syndrome first identified the nature of the disease,and corrected it through the Siqi of the medicine.And make good use of the nature and taste of drugs,and attach importance to sweet and warm yang.The second dimension is“medication according to location”,and the theory of viscera and meridians guides medication.According to the theory of meridian tropism of zang-fu organs,meridian tropism,meridian-guiding function and the theory of ascending and descending nature,drugs are selected to reach the diseased position.The third dimension is“using drugs according to taste”,which is combined to increase the effectiveness of drugs.Through the use of“five flavors combined”,new effects are produced.Now we will summarize the experience of Jiang Deyou’s clinical evidence and list a medical case,hoping to help the doctor’s clinical evidence and medicine.

关 键 词：姜德友 三维一体 用药思维 药性 四气五味 

分 类 号：R249[医药卫生—中医临床基础]