摘要
依据乔安娜·布里格斯研究所(the Joanna Briggs Institute,JBI)研发的基于文本和专家意见的系统综述(systematic review of text and opinion,SrTO),对中医肾病领域各名家、学派论治慢性肾衰竭的医案医话、论著、医家经验等相关研究进行证据整合,并从理、法、方、药4个方面分析其学术特点及影响因素,探讨中医肾病领域传承与创新的内在逻辑和规律。共纳入36名中医名家和4个学派。工作地域集中在华北和华南地区,94.4%的中医名家经历过师承学习,27.8%的中医名家曾以家传方式学习中医,38.9%的中医名家曾师从于多位名师,5.6%的中医名家未曾接受过师承教育。在理、法、方、药方面进行诸多创新,30.6%的中医名家提出新理论、新学说,11.1%的中医名家主张对慢性肾衰竭进行分期论治,47.2%的中医名家对治法进行了总结归纳。当代中医名家、学派论治慢性肾衰竭的学术思想的形成与学习方式、所处的时代背景、工作地域息息相关,具有经典与临床并重,衷中参西的学术特点。中医肾病领域继承与创新并举,在秉承中医经典理论的基础上,吸纳现代医学理论,临证结合当代疾病的诊治规律,理、法、方、药皆有创新,治疗慢性肾衰竭临床疗效显著。
According to the systematic review of text and opinion(SrTO)developed by the Joanna Briggs Institute(JBI),this study integrated the evidence of the medical cases,papers,medical experience,and other related research of famous experts and schools on the treatment of chronic renal failure in the field of traditional Chinese medicine(TCM)nephropathy,analyzed the academic characteristics and influencing factors from the aspects of the principle,method,recipe,and medicines,and explored the internal logic and law of inheritance and innovation in TCM nephropathy.A total of 36 famous TCM experts and 4 schools were included.The work areas are concentrated in North and South China.94.0%of the famous TCM experts have experienced masterdisciple teaching.27.8%have studied TCM through family succession.38.9%have been taught by multiple famous teachers.And 5.6%have not experienced master-disciple teaching.In terms of principle,method,recipe,and medicines,many innovations have been made,with 30.6%of famous TCM experts proposing new theories,11.1%advocating staged treatment of chronic renal failure,and 47.2%summarizing the treatment methods.The formation of the academic thoughts of contemporary famous TCM experts and schools on the treatment of chronic renal failure is closely related to the learning mode,era,and work area.Contemporary famous TCM experts and schools have the academic characteristics of combining classical and clinical theories and paying more attention to TCM with western medicine supplemented.The field of TCM nephropathy has the characteristics of simultaneous inheritance and innovation.On the basis of inheriting the classical theories of TCM,it absorbs modern medical theories,combines clinical diagnosis with the syndrome and treatment law of contemporary diseases,and makes innovations in principle,method,recipe,and medicines,which has significant clinical efficacy in the treatment of chronic renal failure.
作者
王小丹
常天瀛
崔英子
张乐
王文雅
张守琳
廖星
WANG Xiao-dan;CHANG Tian-ying;CUI Ying-zi;ZHANG Le;WANG Wen-ya;ZHANG Shou-lin;LIAO Xing(Changchun University of Chinese Medicine,Changchun 130117,China;Affiliated Hospital of Changchun University of Chinese Medicine,Changchun 130021,China;Center for Evidence-based Chinese Medicine,Institute of Basic Research in Clinical Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中国中药杂志》
CSCD
北大核心
2023年第23期6257-6268,共12页
China Journal of Chinese Materia Medica
基金
中国中医科学院科技创新工程项目(CI2021A00701-3,CI2021A05503,CI2021A05501)
中国中医药循证医学中心“业务研究室主任专项”(2020YJSZX-2)
国家重点研发计划项目(2019YFC1709903)
长春中医药大学附属医院中医药循证能力提升项目(2023年)。
关键词
中医学派
中医名家
慢性肾衰竭
学术特点
理、法、方、药
traditional Chinese medicine school
famous traditional Chinese medicine expert
chronic renal failure
academic characteristics
principle,method,recipe,and medicines