疾病归经在中医临床中的应用探讨

Discussion on disease tropism application in clinical traditional Chinese medicine

中医辨证、病位和中药归经的关系,是中医临证之"辨证论治"的"辨证"与"论治",通过病位与药物归经紧密地联系在一起的关系。《中医内科学》中治疗心、肝、脾、肺、肾各系疾病的治疗药物中相应的归经药物比例增高,用性味功效相同且归肾经的药物替换经验方中不归肾经的药物,慢性肾功能衰竭患者临床疗效有少许的提高,提示在辨证论治基础上,善用中药归经理论对提高临床疗效大有裨益。

The relationship between syndrome differentiation, disease location and medicine tropism, are the treatment according to syndrome differentiation in clinic, which are closely related to the medicine tropism and disease location in clinic. In the book of Traditional Chinese Medicine Internal Medicine, with the increasing of corresponding therapeutic medicine tropism proportion in heart, liver, spleen, lung and kidney, and with the same character, flavor, effect and the medicine which belongs to kidney meridian replacing not to kidney meridian drugs in chronic kidney failure patients, both can improve curative effect. It suggests that, based on treatment on syndrome differentiation, making the best use of medicine tropism theory will enhance clinical efficacy.