摘要
虚劳的病因病机,虽然各地医家有不同的偏重,但基本认可其病因不外乎先天与后天两方面因素,病机多以"气""血""阴""阳"为主。虚劳发病是多方面因素造成的,中医药对虚劳的辨证分型虽各不相同,但证型相对集中,治疗用药多以补益脾肾,滋阴养血等方法为主。在药物归经上入脾、胃经的药物最多,其次是入肺、大肠经的药物。在药性上使用最多的是性寒之品,其次是性平、温的药物。传统医学具有治未病的系统理论,在现代医学对虚劳缺乏行之有效的干预方法的情况下,中医中药在预防虚劳发病方面具有明显的优势,并且是未来临床治疗虚劳的方向和趋势。但是,在整体上中医药对于虚劳的发病和治疗作用机理尚无重大突破。各地区的中医药学者对虚劳的认识也不尽相同,缺乏共识且各有侧重,因此还缺乏一定的科学性和说服力。临床上用药缺少以药物作用机理为指导,大多数药物仅限于临床疗效观察,动物实验研究较少。中药复方发挥疗效的有效成分、作用方式、途径和靶点等机理尚不清楚。同时在综合治疗如针药结合等方面缺乏研究,临床上对于未病先防及饮食、情志、运动等调护缺乏重视,故今后仍需要进一步加强中医药学与现代科学的融合,不断提高中医药治疗虚劳的临床疗效。
Despite of different emphasis by the doctors in various regions,the etiology and pathogenesis of consumptive disease can be generally due to congenital factors and acquired factors,which takes qi,blood,yin and yang as the main pathogenesis.The occurrence of consumptive disease is due to various factors. The syndrome of it is relatively concentrated and the treatment method is mainly to tonify the spleen and kidney,nourish yin and blood. The meridian tropisms of the drugs are mainly the spleen meridian and stomach meridian,then the lung meridian and the large intestine meridian. The drugs are firstly cold in nature and secondly neutral and warm in nature. Traditional medicine has systematic theory on preventive medicine. Under the condition of lacking effective intervention by modern medicine,TCM has obvious advantage in the prevention and is the orientation and trend of future clinical treatment of consumptive disease. However,TCM hasn＇t made great breakthrough in the mechanism of the occurrence and treatment of this disease. TCM doctors in various regions have different understanding of consumptive disease and lack consensus,which leads to lack of scientificity and persuasion. The clinical drug use lacks guidance of the action mechanism of the drugs,most drugs are only limited to the clinical efficacy observation and animal experimental researches are few. It is not clear in the effective ingredients,action mode and approach,and the targets of the Chinese medicine compound formula. Meanwhile,there＇re few studies on the comprehensive therapies like combination of acupuncture and drugs. Clinically,little attention is attached to the prevention and regulatory nursing of diet,emotion and physical exercise. Therefore,further integration of the Chinese medicine and modern science should be strengthened in the futher in order to constantly improve the clinical effects of Chinese medicine on consumptive disease.
出处
《河南中医》
2016年第8期1312-1314,共3页
Henan Traditional Chinese Medicine
基金
江苏省2013年度普通高校研究生科研创新计划项目(编号:CXZZ13_0610)
关键词
虚劳
用药分析
补益脾肾
滋阴养血
consumptive disease
drug use analysis
tonify the spleen and the kidney
nourish yin and blood
