《黄帝内经》“异法方宜、杂合以治”临床治疗思想探析

Clinical Treatment Ideas of“Treatment with Combination of Diverse Methods and Prescriptions”in The Inner Canon of Yellow Emperor(《黄帝内经》)

《黄帝内经》作为中医学理论体系之渊薮,其所蕴含的“异法方宜、杂合以治”思想是中医治疗疾病的特色之一。分别从因时、因人、因地、因病、因治制宜角度探讨“异法方宜”治疗的内涵,并提出“杂合以治”是体现“异法方宜”治疗思想的有效措施,即以整体观念与辨证论治相结合为出发点,将药物疗法与非药物疗法联合起来,多途径、多手段内外兼治,以达到治病求本、阴平阳秘的目的。以“异法方宜、杂合以治”指导临床实践,可为临床诊疗提供新思路。

As a basic source for the theoretical system of traditonal Chinese medicine(TCM),the Inner Canon of Yellow Emperor(《黄帝内经》)made the point of“treatment with combination of diverse methods and prescriptions”,which is one of the characteristics of TCM in treating diseases.This paper discussed the therapeutic idea of“diverse methods and prescriptions”from five dimensions,including time,population,regions,diseases,and treatments,and proposed that“combined treatment”is an effective measure to embody the idea of“diverse methods and prescrip⁃tions”.That is to say,by taking the combination of the concept of holism and syndrome differentiation and treatment as the starting point,combining pharmacological and non-pharmacological therapies,and treating both internal and external diseases through multiple ways and methods,the goal to treat the disease at the root,and keep yin at peace and yang compact can be achieved.Finally,it is suggested to guide the clinical practice with“treatment with combination of diverse methods and prescriptions”,providing new ideas for clinical diagnosis and treatment.