关于方剂学理诠释规则的探讨
首发时间:2013-04-03
摘要:方解是基于方剂的结构理论,根据病证、治法及药味的性用,从制方的角度上阐述诸药味之间的"辅反成制"的配伍关系及剂型、用法特点以揭示制方原理的一种理论形式。作为方剂学理论的核心,方解历经发展已形成为学界所认同的以"君臣佐使"为基本结构的诠释模式。但目前方解中还存在如君臣佐使的确认、药物性能作用的选定、一方多证的述理等多方面的问题,其根源在于方解尚缺乏统一的述理规则。本文基于方剂的基本属性、学科特性以及方解发展的内在规律,提出了"方证相关"作为方剂学理诠释规则的主张,即认为方解时不仅要考虑到被论方中药物的性能效用,还要考虑到其所主方证的病机。方解具体实施中具有一定的原则性和灵活性,体现了基于中医辨证论治内涵的学科特性与临床经验的统一。文中基于方证相关的规则,结合一些实例对方解所存在的问题进行了分析讨论。?
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On the rules of the formula interpretation
Abstract:Formula interpretation is a theoretical form for expounding the principle of composing formulary. It is to elaborate the rationality about the drug compatibility, dosage form, and method of taking medicine of a formula in the light the formula structure theory, based on the syndrome of formula, treatment method and the nature of drugs. As the core of the formula theory in Chinese medicine, formula interpretation after years of development has been formed into the interpretation model recognized by academia presently, which is marked by "assistant and guide", as a basic structure. But at present there are still some problems such as how to affirm assistant and guide of drugs and select performance-function of drugs in a formula, and understand a formula indicated more syndromes. The reason is that any uniform rule has not yet been established for interpreting formula. Based on the essential attribute of formulary, subject characteristics and inherent low of formula interpretation development, It is put forward that the "formula matched with syndrome " could be used for the rule of formula interpretation that we should not only consider the performance of the utility of drugs,but also consider the disease mechanism of its main syndrome. But it has certain principle and flexibility in implement of the rule that reflects the unity of subject characteristics and clinic experience based on syndrome differentiation and treatment. The use of rule is to be discussed combined with some examples aimed at the main problems in formula interpretation in this article.
Keywords: formulae principle of composing formula interpretation rules formula matched with syndrome
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