以《四部医典》配伍为示例探讨藏药药物警戒思想

Study on the pharmacovigilance thoughts of Tibetan medical formulas taking the Four Tantras as an example

藏医学主要以方剂配伍的形式用药,配伍环节的警戒思想研究是藏药药物警戒研究的切入点。为梳理藏药配伍环节中的警戒理论体系,提高用药安全性,本文通过文献整理研究,以藏药药性理论为基础,提炼了《四部医典》配伍警戒思想。将《四部医典》配伍警戒思想概括为“六过六反”理论,“十要素”组方理念,君臣庶民配伍理论,同效多药联用配伍法,以及引经药与“调和”药的配伍法。《四部医典》配伍警戒思想为藏药配伍和用药安全奠定了理论基础,对目前的合理用药依然发挥着指导作用。

Formulas are mainly used in Tibetan medicine. Therefore, studying pharmacovigilance of formulas is the key point for researching pharmacovigilance of Tibetan medicine. To improve the theoretical system of pharmacovigilance of Tibetan medicine, and the safety of Tibetan medicine, this article based on literature review research and the theory of the property of Tibetan medicine, summarized the pharmacovigilance thoughts of Tibetan formulas in the Four Tantras as "six over and six opposite" "ten key points" concept for compositing, the rgyal-blon-vbangs theory for controlling efficacy, the thoughts of compositing guiding and harmonizing drugs. The pharmacovigilance system of Tibetan formulas in the Four Tantras has laid a theoretical foundation for pharmacovigilance of Tibetan medicine, and still plays a guiding role in the current clinical practice.