从组方原则探讨单兆伟治疗便秘经验

Analysis of SHAN Zhaowei’s Experience in Treating Constipation from Prescription Principles

单兆伟治疗便秘时将“组方原则”贯穿始终,严格遵循病证症与药物配伍相结合的组方思路,灵活制定君臣佐使的方剂结构,在治疗过程中首先强调辨证的重要性,从因病选药、因证配伍、对症选药三个方面拟定治疗大法,紧扣患者便秘发生机制,以调和脾胃升降为重要拟方思路,重视药证相符;其次是药物与药物之间的配伍关系,遵循而又不拘泥于君臣佐使的方剂结构,善于根据疾病之虚实标本进行药物配伍,处方常简洁明了,思路值得借鉴。

When SHAN Zhaowei treating constipation, ＂prescription principles＂ will be followed throughout the treatment,strictly following the combination of pathological syndrome and herbal compatibility,and formulate the prescription structure of chief,ministers,assistants and guiders. First,the importance of syndrome differentiation should be emphasized in the process of treatment. Herbal selection according to disease ,compatibility based on syndrome,herbal selection based on symptoms should be used to build up the treatment methods ,closely linked with constipation mechanism to regulate the lifting and descending of the spleen and stomach as an important thought ,paying attention to the correspondence of medicine and syndromes ,medicinal compatibility,following but not rigidly adhere to the prescription structure of chief, ministers,assistants and guiders. Herbal compatibility based on deficiency,excess,branch and root is concise and treatment ideas are worthy of clinical promotion.