Wei Guoli, Zheng Xuebao
Guangdong Medical College, Zhanjiang, Guangdong 524023, China.
J Tradit Chin Med. 2008 Sep;28(3):223-7. doi: 10.1016/s0254-6272(08)60051-5.
The law of compatibility of ingredients in Chinese herbal prescriptions is the essence of TCM theory, and it is also a major problem that needs to be solved in the TCM modernization. Generally, the studies should be given on the effective site, the chemical compositions of a single herb, the integral drug effect, tissues and organs, serum pharmacology, and on the levels of cells and molecules, so as to expound the biological effects, material bases, and the mechanism for the actions of the prescription. And the studies should follow the principles of 'combination of the disease with syndrome, prescription-syndrome correspondence, and unification of the treating principle with prescription. Attention should be paid to the qualitative judgment and quantitative calculation, the compatibility of potion-pill and the compatibility of composition, the combination of micro and macro analysis, and the combination of theories of reduction and entirety. And the clinical indications should be clarified on the basis of explanation of the mechanism and the effective substances of the prescription. This is the appropriate thinking for modern researches on the law of compatibility of ingredients in Chinese herbal prescriptions, and it is very important for carrying on and developing the TCM theory of compatibility, gudinging the clinical treatment, and for screening out new effective drugs.
中药方剂配伍规律是中医理论的精华,也是中医现代化需要解决的重大问题。一般应从有效部位、单味中药化学成分、整体药效、组织器官、血清药理学以及细胞和分子水平等方面进行研究,以阐明方剂的生物学效应、物质基础及作用机制。研究应遵循“病证结合、方证对应、治法与方剂统一”的原则,注重定性判断与定量计算、汤丸配伍与组方配伍、微观与宏观分析相结合、还原论与整体论相结合。并在阐释方剂作用机制和有效物质基础上明确临床适应证。这是中药方剂配伍规律现代研究的恰当思路,对于传承和发展中医配伍理论、指导临床治疗以及筛选新的有效药物具有重要意义。