“西药中药化”思考  

Reflections on"Applying Western Medicine from Perspective of Chinese Medicine"

作　　者：武鸣鸣 王华雨 武香香[1,2] 曾华辉[1,2] 苗明三[1,2] 宋亚刚 WU Mingming;WANG Huayu;WU Xiangxiang;ZENG Huahui;MIAO Mingsan;SONG Yagang(Henan University of Traditional Chinese Medicine,Zhengzhou Henan China 450046;Collaborative Innovation Center of Research and Development on the Whole Industry Chain of Yu Yao,Henan University of Chinese Medicine,Zhengzhou Henan China 450046)

机构地区：[1]河南中医药大学,河南郑州450046 [2]河南中医药大学豫药全产业链研发河南省协同创新中心,河南郑州450046

出　　处：《中医学报》2025年第5期1017-1025,共9页Acta Chinese Medicine

基　　金：国家自然科学基金青年基金项目(82204679);河南省科技研发计划联合基金(优势学科培育类)项目(232301420081);河南省青年人才托举工程项目(2023HYTP037);河南省高等学校重点科研计划项目(22A360013)。

摘　　要：“西药中药化”是指将西药按照中医药学的理论和方法进行研究,赋予其在中医药学中的性质和作用,从而使西药在保持原有化学和物理特性的同时,也能符合中医药学的辨证施治原则,从而更好地实现中西医结合。通过归纳“西药中药化”的方法(口尝法、取象比类法、临床功效反推法、根据西药的药理作用和不良反应推论中药特性等),分析各种认识方法的优势及局限性,总结常用西药的性味、归经等中药特性。进行“西药中药化”时要注意以下问题:(1)医者在进行“西药中药化”实践时,尽量避免经验主义,要进行客观、全面的研究判断。(2)对于一些经由理论推导而非药效来源的药性认识,以及一直存有不同意见的药性认识,要有临床长期实践检验支撑。(3)要充分利用现代技术手段整合已有临床数据,建立标准化数据库,对临床证型、治法、功效与药性各内容间的关联开展大数据研究,促进西药的中药药性研究和药物临床应用。"Applying Western medicine from perspective of Chinese medicine"refers to the study of Western medicines in accordance with the theories and methods of Chinese medicine,giving them the properties and roles they have in Chinese medicine,so that Western medicines,while maintaining their original chemical and physical properties,are also in line with the principle of evidence-based treatment in Chinese medicine,thus better realizing the integration of Chinese and Western medicines.Through summarizing the methods of"applying Western medicine from perspective of Chinese medicine"(oral tasting method,analogy method,clinical efficacy inference method,inferring the characteristics of Chinese medicines based on the pharmacological effects and adverse reactions of western medicines,etc.),analyzing and identifying the strengths and limitations of the various methods of understanding,and summing up the characteristics of commonly used Western medicines such as their tastes and attributes.The following issues should be noted in the practice of"applying Western medicine from perspective of Chinese medicine":(1)In the practice of"applying Western medicine from perspective of Chinese medicine",medical practitioners should avoid empiricism as much as possible,and should conduct objective and comprehensive research and judgment.(2)For some of the theoretically derived rather than the source of efficacy of the medicinal knowledge,as well as the disagreement on the medicinal knowledge,ideas should be supported by long-term clinical practice test.(3)We should make full use of modern technology to integrate the existing clinical data,establish a standardized database,and carry out big data research on the correlation between clinical evidence,treatment,efficacy and medicinal properties,so as to promote the research on the medicinal properties of Western medicines and the clinical application of them.

关 键 词：“西药中药化” 中药药性 法象药理 临床功效 

分 类 号：R285.1[医药卫生—中药学]