主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

北京中医药大学学报 ›› 2019, Vol. 42 ›› Issue (6): 455-459.doi: 10.3969/j.issn.1006-2157.2019.06.003

• 理论研究 • 上一篇    下一篇

基于药性理论的中医辨证论治模型构建研究*

黄辛迪1, 丁长松1#, 梁昊2, 邓乐1   

  1. 1 湖南中医药大学信息科学与工程学院 湖南 410208;
    2 湖南中医药大学中医诊断研究所
  • 出版日期:2019-06-05 发布日期:2019-06-05
  • 通讯作者: 丁长松,男,博士,教授,硕士生导师,研究方向:并行计算、中医药信息化及大数据,E-mail: 15208250@qq.com
  • 作者简介:黄辛迪,女,硕士,助教
  • 基金资助:
    国家重点研发计划项目(No.2017YFC1703306),湖南省自然科学基金资助项目(No.2018JJ2301),湖南省重点科技计划项目(No.2017SK2111),湖南省教育厅科学研究项目(No.18A227,No.18C0380)

Research on the construction of TCM pattern differentiation and treatment model on the theory of herbal properties*

Huang Xindi1, Ding Changsong1#, Liang Hao2, Deng Le1   

  1. 1 School of Information Science and Engineering, Hunan University of Chinese Medicine, Hunan 410208, China;
    2 Institute of Traditional Chinese Medicine Diagnosis, Hunan University of Chinese Medicine, Hunan 410208, China
  • Online:2019-06-05 Published:2019-06-05
  • Contact: Prof. Ding Changsong, Ph.D., Master’s Supervisor. School of Information Science and Engineering, Hunan University of Chinese Medicine, Hanpu Industrial Park, Yuelu District, Changsha, Hunan Province, 410208. E-mail: 15208250@qq.com

摘要: “证”作为中医学特有的识病模式,是中医理论的基础和精髓,是中医理法方药一脉相承的桥梁和关键。中医临床通过辨证发现疾病当前的病因、病机、病位、病势等特征,为论治提供依据。从“方因证立,方随证效”出发,分析证-方-药之间内在联系,构建中药属性与辨证论治的关系模型,探析方剂所用药物的性味功效、配伍与辨证的内在联系,并以自汗肺卫不固证的临床用药为例阐述该模型在临床的实际应用,以期为探究中医辨证论治的思维过程及中医临床科学用药提供参考。

关键词: 中药, 药性, 辨证论治, 关系模型

Abstract: Pattern is a unique way to identify disease in traditional Chinese medicine. As the basis and essence of TCM theory, it plays a key role in connecting principles, strategies, formulas and medicinal substances of TCM. Clinically, the etiology, pathogenesis, location, status and other characteristics of disease are discovered through pattern differentiation, which serves as a basis for treatment. Based on the principle of suiting the prescription to the pattern to achieve its efficacy, this paper analyzes the interconnection between patterns, prescriptions and Chinese medicinal substances to construct the Chinese Medicinal Substance Attribute and Pattern Differentiation Correlation Model (CMSA-PD CM). The relationship between the properties, flavors and efficacy of medicinal substances, compatibility of medicinal substances and pattern differentiation is explored with the model. Finally, the model is applied to the analysis of the prescription for hidrosis pattern caused by lung-defence insecurity to illustrate its clinical relevance. It will provide reference for analyzing the thinking process behind pattern differentiation and for rational clinical prescription.

Key words: Chinese medicinal substance, Chinese medicinal substance attribute, pattern differentiation and treatment, correlation model

中图分类号: 

  • R241