基于病-证-症结合视域对方药配伍的思考  

Thinking on compatibility of prescription and drugs based on perspective of combination of disease,syndrome,and symptom

作　　者：王志斌 唐文 童康 黄玮杰 陈斌斌 乔世杰 韩海瑞 李灿东[1] 王洋[1] WANG Zhibin;TANG Wen;TONG Kang;HUANG Weijie;CHEN Binbin;QIAO Shijie;HAN Hairui;LI Candong;WANG Yang(Traditional Chinese Medicine Syndrome Research Base,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Affiliated People′s Hospital of Fujian University of Traditional Chinese Medicine,Fuzhou 350004,China)

机构地区：[1]福建中医药大学中医证研究基地,福州350122 [2]福建中医药大学附属人民医院

出　　处：《北京中医药大学学报》2024年第7期929-933,共5页Journal of Beijing University of Traditional Chinese Medicine

基　　金：国家中医药管理局第二届全国名中医传承工作室建设项目(国中医药办人教函[2022]245号)。

摘　　要：在当前疾病谱复杂多变的背景下,传统中医的方药配伍已难以全面满足临床诊疗的需要。故本文基于病-证-症结合的诊疗模式,结合西医学的发展成果,对传统方剂君臣佐使的组方原则进行探索性思考。本文提出以辨证用药为君、辨病用药为臣、对症用药为佐及调和用药为使的组方原则,形成以辨证论治、辨病论治、对症治疗与减毒增效为核心环节的治疗方案。本文致力于解决当前疾病谱增多、证候类型与症候群复杂化等临床问题,为中医临床组方用药提供新的思路,以期提高临床疗效。In the context of the complex and ever-changing spectrum of diseases,the traditional Chinese medicine compatibility of prescription and drugs is no longer able to fully meet the needs of clinical diagnosis and treatment.Therefore,this article is based on the diagnosis and treatment model of the combination of disease,syndrome,and symptom,combined with the development achievements of Western medicine,and explores the principles of formulating traditional prescriptions based on the combination of chief,deputy,assistant,and envoy.This article proposes a formulation principle of composing prescriptions with the diagnosis of syndrome as the chief,the diagnosis of disease as the deputy,the treatment of symptoms as the assistant,and the harmonization of medicine as the envoy.This forms a treatment plan with the core link of syndrome differentiation and treatment,disease differentiation and treatment,symptomatic treatment,detoxification,and efficacy enhancement.The purpose of this article is to address the current clinical challenges such as an increasing disease spectrum and the complexity of syndrome patterns and symptom clusters.It aims to provide new insights into traditional Chinese medicine clinical treatment plans and herbal formulation strategies,with the ultimate goal of improving the clinical effectiveness of traditional Chinese medicine.

关 键 词：病-证-症结合 方药配伍 君臣佐使 组方原则 

分 类 号：R289.9[医药卫生—方剂学]