从仝小林三味小方谈现代临床遣方用药思路

Clinical Prescription Thinking of Three Prescription by Professor TONG Xiaolin

在临床诊疗过程中,在准确诊断、合理辨证的基础上,处方用药便成为治疗的关键环节。仝小林院士提倡选方用药宜精宜纯,并且需要结合现代医学先进手段,关注临床客观指标,以选取有效靶方靶药。本栏特以仝小林院士该临证理念为基础,选取其临床常用三味小方,围绕其配伍特点,针对疾病或证候进行阐释,结合现代药理学研究成果及态靶因果辨证组方思路,以"病靶""症靶""标靶"三个治疗层面为导向,全面分析小方的组成、功效、配伍、剂量、安全性及作用之"靶"。通过这些简单易记,疗效显著,便于传承的精简小方,总结仝小林院士临证精华,守正创新,为现代临床遣方用药提供全新的思路。

In the clinical diagnosis and treatment process,on the basis of accurate diagnosis and reasonable syndrome differentiation,prescription becomes the key link of treatment.Academician TONG Xiaolin advocated that the selection of drugs should be refined and simplicity,and should pay attention to clinical objective indicators in combination with the advanced means of modern medicine to select effective target drugs.This column is based on academician TONG Xiaolin’s thought,selects the commonly used minor prescriptions,explains the diseases or syndromes according to their compatibility characteristics,and combines the research results of modern pharmacology and the prescription strategy of"condition-target-cause-result",guided by three therapeutic levels of"disease target","symptom target"and"index target",comprehensive analysis of the composition,efficacy,compatibility,dosage,safety and target of the minor prescription.Through these simple and easy to remember,effective and easy to inherit prescriptions,to sum up the essence of clinical syndrome of academician TONG Xiaolin,conservative innovation,and to provide a new idea for modern clinical prescription.