南京中医药大学中医学院·中西医结合学院 南京 210046
Prof. TANG Decai, Ph.D., Doctoral Supervisor. School of Chinese Medicine· School of Integrated Chinese and Western Medicine, Nanjing University of Chinese Medicine. No.138, Xianlin Avenue, Qixia District, Nanjing 210046. E-mail: talknow@163.com
纸质出版日期:2023-06-30,
网络出版日期:2023-04-17,
收稿日期:2023-02-20,
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唐德才, 宋莹莹, 赵凡. 中药功效界定古今变化及再衡定思考[J]. 北京中医药大学学报, 2023,46(6):741-746.
TANG Decai, SONG Yingying, ZHAO Fan. Philosophy of the change from ancient time to the present and reevaluation of traditional Chinese drug effect definitions[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(6):741-746.
唐德才, 宋莹莹, 赵凡. 中药功效界定古今变化及再衡定思考[J]. 北京中医药大学学报, 2023,46(6):741-746. DOI: 10.3969/j.issn.1006-2157.2023.06.001.
TANG Decai, SONG Yingying, ZHAO Fan. Philosophy of the change from ancient time to the present and reevaluation of traditional Chinese drug effect definitions[J]. Journal of Beijing University of Traditional Chinese Medicine, 2023,46(6):741-746. DOI: 10.3969/j.issn.1006-2157.2023.06.001.
中药功效是在中医药理论指导下对药物治疗和保健作用的高度概括。每味药物功效的认定都经历了漫长的历史演变,纵观古今本草中的记载,均存在不同程度的表述差异,分析其原因,可能与地理空间、医家认识、学术流派、配伍环境等差异有关。中药功效的再衡定值得深度探讨,厘清功效的“源”与“流”、正视基础功效与方药离合、斟酌药物剂量等可作为探讨研究的主要原则。基于传承与创新,提出以重视古今文献中药功效的整理、加强名老中医临床用药经验的传承、引入现代临床和药理研究、利用药用植物亲缘学推演功效等作为中药功效研究的主要路径,对中药功效的统一规范化、中药临床疗效的提高及临床应用范围的拓宽有着深远的意义。
Traditional Chinese drug effects are a highly generalized function of drug treatment and health care under the guidance of traditional Chinese medicine theory. The identification of each drug effect has experienced a long historical evolution. Throughout the records in ancient and modern herbal literature
there are different degrees of expression
which may be attributed to the differences in geographical space
the understanding of doctors
the academic schools
and the compatible environments. The redefinition of traditional Chinese drug effects merits an in-depth discussion. Clarifying the "source" and "flow" of the drug effects
considering the basic effects and division and connection of formulas and drugs
and evaluating the dosage of drugs should be the main principles of the research. On the basis of inheritance and innovation
it is proposed that we attach importance to the collation of traditional Chinese drug effects in ancient and modern literature
strengthen the inheritance of the clinical medication experiences of national senior Chinese medicine doctors
introduce modern clinical and pharmacological research
and use the phylogenetic theory of medicinal plants as the main approaches to study traditional Chinese drug effects. This has far-reaching significance for unifying and standardizing traditional Chinese drug effects
improving clinical efficacy
and broadening the clinical application scope of traditional Chinese drugs.
中药功效古今变化再衡定原则研究路径
traditional Chinese drug effectschanges from ancient times to the presentprinciple of redefinitionresearch approach
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