摘要
“有故无殒,亦无殒”最初为妇人妊娠用药的原则,后来逐渐演变为临床用药指导原则。其规范了有毒药物的用药法度,体现了中医学治疗用药的基本原则和指导思想,涵盖了“急则治标”“中病即止”“顾护正气”“以毒攻毒”“以平为期”“因人制宜”“辨证论治”等中医治则和理念。该理论实质是对药物的“毒”“效”“证”“量”“时”关系的调控平衡,要求医者掌握药物毒性与效用之间的转化与联系,强调病证关系和用药时机。时下,“有故无殒”的临床应用已不局限于妊娠疾病,其在肿瘤、儿科等疾病中亦具广泛指导意义。但需明确的是,“有故无殒”并非简单打破用药局限,而是强调辨证论治,尽可能降低药物不良反应,提高临床治疗效果。
"The principle that if there is enough reason,a toxic medicine can also be used without harm"is initially the principle of medication for women′s pregnancy,and then gradually has evolved into the guiding principle of clinical medication.It standardizes the medication of toxic medicines,embodies the basic principles and guiding ideology of TCM treatment and medication,and covers the principles and concepts of TCM,such as"treating the incidental for emergency","stopping taking medicine for effective formula","protecting the healthy qi","combating poison with poison","taking normal as standard","taking measures suited to each individual","treatment based on syndrome differentiation."The essence of this theory is to regulate and balance the relationship between"toxicity","effect","syndrome","quantity"and"time",which requires doctors to master the transformation and connection between medicine toxicity and efficacy,and emphasize the relationship between disease and syndrome and the timing of medicine use.Nowadays,the clinical application of"the principle that if there is enough reason,a toxic medicine can also be used without harm"is not limited to pregnancy diseases,but also has extensive guiding significance in tumor,pediatrics and other diseases.But it needs to be clear that this principle is not simply to break the limitations of medication,but to emphasize syndrome differentiation and treatment,reduce adverse medicine reactions as much as possible,and improve the clinical efficacy.
作者
张惜燕
李翠娟
胡勇
孙理军
ZHANG Xi-yan;LI Cui-juan;HU Yong;SUNLi-jun(Shaanxi University of Chinese Medicine,Xianyang,Shaanxi,China,712046)
出处
《河南中医》
2021年第8期1142-1146,共5页
Henan Traditional Chinese Medicine
基金
陕西中医药大学中医经典理论研究创新团队建设项目(2019-YL01)。
关键词
“有故无殒
亦无殒”
“毒”药
妊娠疾病
肿瘤疾病
儿科疾病
量时相关
病证相关
生物因子相关
"the principle that if there is enough reason,a toxic medicine can also be used without harm"
"toxic"medicine
pregnancy diseases
tumor diseases
pediatric diseases
quantity-time correlation
disease-syndrome correlation
biological factor correlation
