薛伯寿教授“和合”思想的临证体现

Evidence Base of Prof. Xue Bo-shou's Harmonization and Unification Thought

和合思想在中国哲学及文化中都具有非常悠久的历史,也是中医学基础理论及临床应用的重要体现。"和"有和谐、包容、合而为一之意,"合"为统一,把握大道之意。著名中医学家薛伯寿教授认为中医学大道至简,因此执简驭繁是临证关键。薛老在临床过程中,处处体现谨守和合思想。在遣方用药中,善于针对不同疾病多运用调和阴阳、表里分消、补泻同用、寒热并用、调畅气血、升降互用等治则综合运用。在方剂配伍以及用药剂量方面,认为中药配伍本身就是和合增效减毒思想的具体反映。药物配伍是通过有效整合药物的偏性,来纠正人体阴阳气血的偏盛偏衰。临床用药或从七情配伍,或遵脏腑配伍,或依性味配伍,随证而变,灵活组方施治。其他如待人谦和、与人为善,药物治疗与心理调节相辅相成等亦体现和合思想。

The thought of harmonization and unification has a very long history in Chinese philoso- phy and culture and it is the important embodiment in the basic theory of traditional Chinese medicine （TCM）. Prof. Xue Bo - shou believes that the evidence is the key in TCM. He applies the thought of harmo- nization and unification in his clinical practice. In the herbal medication, he is good at the comprehensive ap- plication by harmonizing yin and yang, separately treating the exterior and the interior, coordinating the rein- forcing and the reducing, unifying the cold and the heat, regulating qi and blood and adjusting the ascending and the descending. Concerning to the formula combination and herb dosage, the thought of harmonization and unification is applied specifically on enhancing the efficacy and reducing the toxicity. The herbal combination can effectively integrate the properties of medicine and rectify the strength of yin,yang, qi and blood in human body. The clinical medication relies on the emotions, zangfu theory, property and flavor of herbs, as well as the syndromes. Additionally. the medication is integrated with nsvchological regulation.