摘要
《伤寒杂病论》总结了东汉时期之前的中医学成就,为中医的辨证论治奠定了基础,开创了中医辨证论治的先河,从《伤寒杂病论》开始,证的观念深入人心,从不同的证入手,用不同的方药来治疗不同疾病,方证相应,故疗效确切。但临床中在使用同一个方剂时,药物的不同剂量可能改变方子的功效。而中药用量作为方剂的基本构成要素,与方药的疗效和安全性息息相关。中药用量一直是传统中医代代传承的临床经验之一,也在现代中医科学研究中扮演着重要的角色。近些年来,中药的剂量受多种因素的影响逐渐增大,但不能忽视历代有影响力的医学大家应用小剂量中药的经验。方在于精,量在于少,效在于奇。文章旨在通过探讨临床用药“轻、灵”的安全、有效性,引起临床中医师对小剂量中药处方的重视,从而提高临床治疗效果。虽然中药与西药联合应用在现代临床中已司空见惯,但我们不能忽视药物对患者肝肾功能的损害,故在安全有效的基础上应用小剂量的中药对于减轻对患者肝肾的损伤、减少不必要的中药材浪费、最大限度降低患者的经济负担具有重要意义。文章从经方、时方入手,浅析医学史上代表性医家用药剂量的规律,以期给现代中药用量提供新的思路。
Shanghan Zabing Lun(《伤寒杂病论》)summarized the achievements of traditional Chinese medicine before the Eastern Han Dynasty,laid the foundation for TCM syndrome differentiation and treatment,and created the precedent of TCM syndrome differentiation and treatment.Since the advent of Shanghan Zabing Lun,the concept of syndrome has deeply rooted in people’s hearts.Doctors start from different syndromes,and use different prescriptions to treat different diseases.The prescriptions and syndromes are corresponding,resulting in precise therapeutic effects.However,in clinical application,different doses of drugs may change the efficacy of the same prescription.The dosages of Chinese medicinal materials,as the fundamental component of a prescription,is closely related to the efficacy and safety of the prescription.The dosage of Chinese medicinal material has always been one of the clinical experiences in TCM passed down from generation to generation,and also plays an important role in TCM scientific research in contemporary times.In recent years,the dosage of Chinese medicinal materials in prescriptions has gradually increased due to various factors,but we cannot ignore the experience of influential medical experts in the past in applying small doses of Chinese medicinal materials.The prescription should be precise,the dosage should be small,and the efficacy should be extraordinary.The purpose of this article is to explore the safety and effectiveness of“light and flexible”medication in clinical practice to attract the attention of clinical TCM practitioners to small dose TCM prescriptions,thereby improving the clinical treatment effect.The combination of Chinese medicinal materials and Western medicine has become commonplace in modern clinical practice,but the damage of drugs to patients’liver and kidney function is can’t be ignored.Therefore,the application of small doses of Chinese medicinal materials on a safe and effective basis is of great significance to reduce liver and kidney damage in patients,and reduce unnecessary waste of Chinese medicinal materials to minimize the economic burden on patients.In this article,starting with classical prescriptions and current prescriptions,the rules of dosage patterns of representative physicians in medical history were briefly analyzed to provide new ideas for the dosage of Chinese medicinal materials in contemporary times.
出处
《中医临床研究》
2024年第13期73-77,共5页
Clinical Journal Of Chinese Medicine
基金
国家中医优势专科建设项目(甘卫中医函[2023]63号)
甘肃省名中医芦少敏传承工作室建设项目(甘财社[2022]105号)。
关键词
中医
经方
时方
小剂量
Traditional Chinese medicine
Classical prescription
Current prescription
Small dosage
