[1]周 岚,姜德友.姜德友“三维一体”临证用药思维撷菁[J].陕西中医,2023,(4):499-502.[doi:DOI:10.3969/j.issn.1000-7369.2023.04.021]
　ZHOU Lan,JIANG Deyou.Professor Jiang Deyou's thinking of “three-dimensional integration” in clinical medication[J].,2023,(4):499-502.[doi:DOI:10.3969/j.issn.1000-7369.2023.04.021]
点击复制

姜德友“三维一体”临证用药思维撷菁
分享到：

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年4期
页码:
499-502
栏目:
名中医经验
出版日期:
2023-04-05

文章信息/Info

Title:
Professor Jiang Deyou's thinking of “three-dimensional integration” in clinical medication
作者:
周 岚; 姜德友
(黑龙江中医药大学,黑龙江 哈尔滨 150040)
Author(s):
ZHOU Lan; JIANG Deyou
(Heilongjiang University of Chinese Medicine,Harbin 150040,China)
关键词:
姜德友;  三维一体;  用药思维;  药性;  四气五味
Keywords:
Jiang Deyou;  Three-dimensional integration;  Medication thinking;  Drug properties;  Four properties and five tastes
分类号:
R 249
DOI:
DOI:10.3969/j.issn.1000-7369.2023.04.021
文献标志码:
A
摘要:
姜德友临证重视中医临床思维方法,首创“定性-辨位-据味”三维一体用药思维。第一维度为“定性用药”,四诊合参先别阴阳寒热。姜师临证首辨病性,通过药之四气进行纠偏。并且善用药之性味调补,重视甘温扶阳。第二维度为“辨位用药”,脏腑经络理论指导用药。根据脏腑归经论、经络归经论、引经作用论、升降浮沉之性论择药,使药达病位。第三维度为“据味用药”,相伍合化以增药之效用。通过运用“五味合化”,产生新的功效。现将姜师临证经验进行归纳整理,并列举一医案,望对医者临证遣药有所帮助。
Abstract:
Jiang Deyou's clinical approach to Chinese medicine is based on clinical thinking, and he pioneered the three-dimensional approach of “characterization-identification of location-according to taste”.The first dimension is “qualitative medicine”,the four diagnoses together first distinguish between yin and yang,cold and heat.Jiang Deyou's clinical syndrome first identified the nature of the disease,and corrected it through the Siqi of the medicine.And make good use of the nature and taste of drugs,and attach importance to sweet and warm yang.The second dimension is “medication according to location”,and the theory of viscera and meridians guides medication.According to the theory of meridian tropism of zang-fu organs, meridian tropism,meridian-guiding function and the theory of ascending and descending nature,drugs are selected to reach the diseased position.The third dimension is “using drugs according to taste”,which is combined to increase the effectiveness of drugs.Through the use of “five flavors combined”,new effects are produced.Now we will summarize the experience of Jiang Deyou's clinical evidence and list a medical case,hoping to help the doctor's clinical evidence and medicine.

参考文献/References:

[1] 韩鑫萍,姜德友.姜德友临床用药思维精华[J].江苏中医药,2016,48(11):17-19.
[2] 李文兰,张秀丽,隋 峰,等.中药性味理论的现代研究进展[J].中国实验方剂学杂志,2015,21(12):227-230.
[3] 韩柯柯,钱 峻,霍介格,等.叶熙春临证应用膏方特色探析[J].中医杂志,2017,58(12):1008-1009,1027.
[4] 佚 名.黄帝内经素问[M].北京:人民卫生出版社,2012:306.
[5] 郭永胜,黄书婷,李良松.中药四气理论的起源与形成探析[J].中医杂志,2020,61(16):1405-1409.
[6] 袁佳莹,佟智颖,赵家义,等.巴戟天临床应用研究进展[J].陕西中医,2022,43(6):807-810.
[7] 赵 力,张建荣.仲景对虚劳病的辨治特色[J].光明中医,2016,31(10):1375-1376.
[8] 刘 萍,王 平,陈 刚,等.中药归经理论的研究与思考[J].辽宁中医杂志,2010,37(12):2339-2341.
[9] 吴文莉,马 威,管竞环.疾病归经在中医临床中的应用探讨[J].中华中医药杂志,2013,28(9):2630-2631.
[10] 刘成丽,邱仕君,刘小斌.中医脾肾相关理论的内涵探讨[J].广州中医药大学学报,2009,26(5):491-494.
[11] 吴 谦.御纂医宗金鉴[M].北京:人民卫生出版社,2006:868.
[12] 孙广仁.中医基础理论[M].北京:中国中医药出版社,2009:156.
[13] 李渡华,王洪博,于 丽,等.中药归经学说与中医辨证的关系[J].中医杂志,2011,52(3):184-186.
[14] 徐灵胎.医学源流论[M].北京:中国中医药出版社,2008:6.
[15] 李朝妍,闫晓玲,孙 武,等.祁宝玉教授在眼科运用引经药的临床经验[J].中国中医眼科杂志,2021,31(12):887-889,893.
[16] 黄泰康.中药药性理论的发展与研究[J].中草药,1987,18(12):33-38,32.
[17] 刘 瑞,鲍艳举,花宝金.《黄帝内经》中气机升降理论思想的探讨[J].世界中医药,2014,9(3):299-301.
[18] 王津慧.《内经》、《伤寒论》五味化合规律之探析[J].四川中医,2002,21(7):22.
[19] 周鸿云,赵 琼,和媛媛,等.“五味合化”理论的现代研究思路探析[J].中医杂志,2018,59(21):1888-1890.
[20] 张伟健,梁艺钟,李勉力,等.“白芍-甘草”药对在成方制剂中的应用规律[J].陕西中医,2020,41(12):1827-1829.
[21] 佚 名.灵枢经[M].北京:人民卫生出版社,2012:139.

备注/Memo

备注/Memo:
基金项目:国家中医药管理局龙江医学流派传承工作室(LPGZS2012-14); 黑龙江省中医药管理局科研项目(ZHY12-Z095)
更新日期/Last Update: 2023-04-10