从补肾益气法的理论研究及临床应用浅释中医“异病同治”

Analysis of 'Treating Different Diseases by the Same Method' from Aspect of Theoretical Research and Clinical Application of 'Replenishing Qi and Strengthening Shen'

"异病同治"是中医学最重要的特色之一,其作为一个主要的治则、治法被广泛应用于中医临床,疗效确切。而"辨病"与"辨证"相结合应该是"异病同治"的前提和基础,只有"异病同证"才能"同治"。补肾益气法是运用较为广泛的"异病同治"之法,研究表明,补肾益气之法对多种疾病和状态均具有较好疗效,其部分机制可能与从整体上改善了机体神经—内分泌—免疫网络功能等有关,从而对局部病变产生了"调节整体,改善局部"的治疗效果。哮喘、慢性阻塞性肺疾病、青春期崩漏、无排卵不孕症、肾病综合征和衰老,尽管分属不同的疾病和状态,但只要同属肾气虚证型,皆可"异病同治"用补肾益气之法取效。

Treating different diseases by the same method is one of the most important characteristics in Chinese medicine, and as the main principle of treatment it has been widely applied in Chinese clinics. Its clinical effect is clear. The integration of ＇differentiation of diseases＇ and ＇differentiation of syndrome＇ should be the prerequisite and basis of ＇treating different diseases by the same method＇. Only if different diseases have the same syndrome, the same treatment can be used on them. Replenishing qi and strengthening Shen is a widely used method that carries out ＇treating different diseases by the same method＇. It is indicated that the method of ＇replenishing qi and strengthening Shen＇ has preferable effects on many diseases. Part of its mechanism is associated with the improvement of function of neuro-endocrine-immune network, and therefore, it has the clinical effect of ＇adjustment of the whole and improvement of the part＇ on partial disorders. Asthma, chronic obstructive pulmonary disease （COPD）, uterine bleeding in puberty, anovulatory infertility, Kidney syndrome and aging, although they are attributed to different diseases and states, only if they have the syndrome of Shen deficiency, the principle of ＇treating different diseases by the same method＇ and the method of ＇replenishing qi and strengthening Shen＇ can be used effectively.