论精准医学视角下的“精准中药”  

Precision traditional Chinese herbal medicines from the perspective of precision medicine

作　　者：苗明三[1] 谢逸轩 MIAO Mingsan;XIE Yixuan(Henan University of Chinese Medicine,Zhengzhou,Henan 450046,China)

机构地区：[1]河南中医药大学药学院,河南郑州450046

出　　处：《上海中医药杂志》2023年第5期31-36,共6页Shanghai Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金项目(82074038,82274119);国家中医药管理局中医药传承与创新“百千万”人才工程(岐黄工程)岐黄学者项目(国中医药人教函〔2022-6〕);国家中医药管理局中医药标准化项目(GZY-KJS-2022-034);河南省重大公益专项(201300310100)。

摘　　要：中医药学在诊疗疾病过程中蕴涵和体现了精准医学的基本内涵,其基本思想和精准医学理念在许多方面高度契合,如“三因制宜”“辨证论治”及中医对患者症状的计量诊断等,均体现出“精准”之处。中医药与现代科学技术的融合,使中医药诊疗体系实现精准化和个性化,有利于推动中医药向精准医学发展。中药在产地来源、炮制规范、应用形式及药性、功效、临床应用等方面的精准化,也更有利于中药精准疗效的发挥。通过阐述精准医学与中医药的关系、大健康前提下“精准中药”的特点以及“精准中药”的代表性临床应用情况,以期为“精准中药”的创新发展提供思路。Traditional Chinese medicine(TCM)embodies and reflects the basic connotation of precision medicine in the process of disease diagnosis and treatment.The basic ideas of TCM and the concept of precision medicine are highly compatible in many aspects,such as the“three-factor concerned treatment”,“syndrome differentiation-based treatment”and TCM quantitative diagnosis of patients’symptoms,all reflecting the“precision concept”.The integration of TCM and modern science and technology has made the precision and personalization of TCM diagnosis and treatment system possible,which facilitates the development of TCM towards precision medicine.The precision of traditional Chinese herbal medicines(TCHMs)in terms of origin,preparation specifications,application forms,medicinal properties,efficacy and clinical applications can also contribute to the precise use of TCHMs’therapeutic effects.This paper explains the relationship between precision medicine and TCM,the characteristics of“precision TCHMs”and the representative clinical applications of“precision TCHMs”under the premise of big health for the purpose of providing ideas for the innovative development of“precision TCHMs”.

关 键 词：精准医学 精准中药 肿瘤 糖尿病 心血管疾病 大健康 治未病 

分 类 号：R2-03[医药卫生—中医学]