张晓天教授基于“辨体-辨病-辨证”的膏方经验

Professor Zhang Xiaotian’s experience in Herbal Paste based on “constitution differentiation-disease differentiation-syndrome differentiation”

体质是决定病程变化的内在因素,体质对疾病的发生和证型的形成具有重要的影响。张晓天教授临床上常以“辨体-辨病-辨证”的三辨诊疗模式为遣方用药的依据,认为辨体是根,辨证是本,辨病是标。中药膏方滋补作用温和持久,是良好的补虚疗疾剂型。张晓天教授强调膏方立方需“辨体-辨病-辨证”三者相结合,以体为主,以证为辅,以病次之。本文介绍张晓天教授运用中药膏方调理体质的临床经验,并附验案一则进行分析,为临床膏方运用提供思路。

As the internal factor that determines the course of disease,constitution has an important influence on the occurrence of disease and the formation of syndrome.In clinical practice,Professor Zhang Xiaotian often takes the three-differentiation diagnosis and treatment model of“constitution differentiation-disease differentiation-syndrome differentiation”as the basis of dispensing medicine.He believes that constitution differentiation is the source,syndrome differentiation is the root and disease differentiation is the manifestation.Chinese Herbal Paste has a mild yet lasting nourishing effect and is a good preparation formulation to tonify deficiency and treat the disease.Professor Zhang Xiaotian stresses that the formula of Herbal Paste needs the combination of“constitution differentiation-disease differentiation-syndrome differentiation”,with constitution as the priority,syndrome as the secondary and disease as the last.This paper introduces professor Zhang Xiaotian’s clinical experience in using Chinese Herbal Paste to improve constitution,and analyzes a case to provide ideas for the application of Herbal Paste in clinical practice.