| 中医学与汉方医学的合方源流诠解及其临证思维比较 |
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| 引用本文： | 王进.中医学与汉方医学的合方源流诠解及其临证思维比较[J].北京中医药大学学报,2017,40(10):813-816. |
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| 作者姓名： | 王进 |
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| 作者单位： | 南京中医药大学中医药文献研究所 江苏210023;南京中医药大学中医文化研究中心 |
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| 基金项目： | 江苏省中医药局科技项目，江苏省教育厅高等学校哲学社会科学基金项目，中国工程院咨询研究项目，江苏高校优势学科建设工程项目;江苏省高校哲学社会科学重点研究基地基金项目，南京中医药大学教师教学发展研究项目，Jiangsu Province TCM Sci&Tech Project，Project of Philosophy and Social Science Research in Colleges and Universities of Jiangsu Province，Project sponsored by Chinese Academy of Engineering Consulting Research，Project Funded by the Priority Academic Program Development of Jiangsu Higher Education Institutions |
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| 摘 要： | 以中医学的"气血津液"理论与汉方医学的"气血水"说的异同为出发点,比较中医学与汉方医学合方的思维与处方特点。中医学合方多针对病机复杂的疾病,且对原方用药与剂量有所调整,呈现出"复方多法"的思维;日本汉方医学重视"方证相对",以此辨别具有针对性的证候与腹证,合方运用以数个方证并存为主要依据,对用药剂量与比例有严格规范。
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| 关 键 词： | 中医学 汉方医学 合方 复方多法 临证思维 |
Combined formulas in traditional Chinese medicine and Kampo medicine: origin and comparison of clinical thinking |
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| Abstract: | This paper compares the difference of combined formulas between traditional Chinese and Kampo medicine by contrasting" qi,blood,fluid and humor" theory of TCM and "qi,blood and water" theory of kampo medicine.In traditional Chinese medicine (TCM),combined formulas target at diseases of complicated pathogenesis with modified ingredients and dosage,which is featured by "multiple compound formula".Whereas in Kampo medicine of Japan,"correspondence between formula and pattern" is emphasized for typical primary and secondary pattern.The combined formulas are used at the presence of multiple patterns with strictly standardized dosage and proportion.This emphasis on "correspondence between formula and pattern" tends to oversimplify the theory of Traditional Chinese Medicine and compromise its approach of treatment based on pattern identification.Combined formulas in TCM with multiple forms and layers are based on analysis of pathogenesis. |
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| Keywords: | TCM Kampo medicine combined formulas multiple compound formula clinical thinking |
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