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论中药方剂配伍的相关性与研究

Discussion on Relevance and Studies of Prescription Compatibility in Chinese Medicine.

机构信息

NTU Chinese Medicine Clinic, Nanyang Technological University, Singapore, 637551, Singapore.

出版信息

Chin J Integr Med. 2021 Oct;27(10):788-793. doi: 10.1007/s11655-020-3217-1. Epub 2020 Jul 27.

Abstract

With Chinese medicine (CM) gaining popularity in recent years, researchers and clinicians have put in much interest and effort into the makings and effects of it, especially after the recent announcement of World Health Orgnitation's incorporation of CM into mainstream medical compendium. Individual herb has complex properties, coming from its pharmacological properties and the Chinese medical principles of organ-directed, taste and dynamic orientational behaviours. The use of individual herb in CM is rare, where various herbs/ingredients are mostly found in a prescribed formula. To fully reveal the effects of CM is a great challenge. The complexity of various herbs in combined effect, the absorption and utility rate by the body, uniqueness of individual physique, sub-types of pathological behaviors and time-line progression of the healing process add on to the complication of understanding the full effect of CM. Various theories such as pathophysiology guidance, pharmacokinetic-pharmacodynamic compatibility method, and Global Systems Biology for Integrative Genomics, Proteomics and Metabolomics, which interactively provide a wider scope, more details, with the consideration of development timeline, may shed more light to revealing the full picture of the effects of compatibility prescription.

摘要

近年来,随着中医药的普及,研究人员和临床医生对其成分和疗效产生了浓厚的兴趣和投入,尤其是世界卫生组织最近宣布将中医药纳入主流医学纲要之后。单味中药具有复杂的特性,来源于其药理学特性和中医的脏腑定向、味性和动态取向行为。中医药中很少使用单味药,大多数情况下都是使用各种草药/成分的方剂。要充分揭示中医药的疗效是一个巨大的挑战。各种草药组合的效果的复杂性、身体的吸收和利用率、个体体质的独特性、病理行为的亚型以及治疗过程的时间线进展都增加了理解中医药全面疗效的复杂性。各种理论,如病理生理学指导、药代动力学-药效学兼容性方法,以及综合基因组学、蛋白质组学和代谢组学的全球系统生物学,相互作用提供了更广泛的范围、更详细的信息,并考虑了发展时间线,可能会更深入地揭示兼容性处方的疗效全貌。

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