中医临床遣药组方的思维原则

Thinking Principle for Clinical Herb-Prescribing and Recipe-Constructing in TCM

作者归纳了中医临床遣药组方的七种思维原则 :以法统方、系统功能、主次分明、随机应变、悟性结合实践、病证结合、兼容药理。以法统方是辨证论治的根本要求 ;系统功能、主次分明是组方的法则 ;随机应变是中医作为随机医学的体现 ;悟性结合临床实践是组方的灵感来源与评判标准。随着中医药走向现代化的进程 ,病证结合与兼容药理的遣药组方思维方式正被较多临床医家采用。

In this article the author summarized seven thinking principles of recipe construction, namely, to control a recipe with the therapeutic principle, to conform to systematic function, to differentiate the primary and the secondary, to act according circumstances, to combine comprehension with practice, to combine disease and syndrome and to give consideration to pharmacology. Controlling a recipe with the therapeutic principle is the basic requirement; systematic function and differentiation of the primary and the secondary are two principles; acting according circumstances is the embodiment of one of the characteristics of TCM, while combination of comprehension and practice is the source of inspiration and judging criterion. With TCM development into the modern world, the thinking model of combining disease and syndrome and giving consideration to pharmacology is being adopted by experienced doctors in clinical practice.