Three use theory can Chinese medicine understanding confusion

Time: 2015-10-28

Source: China's traditional Chinese medicine

Author: Sun Xueda

In learning Chinese medicine theory, the writer deeply in ancient Chinese medicine books and the current research on traditional Chinese medicine (TCM) difference, to the later scholars much confusion. With medicinal herbs, different books recorded in difference in sexual flavour to the more difficult to unity. Salvia miltiorrhiza, for example, to the "compendium of materia medica" records the "hand shaoyin, jue Yin blood medicine". Huang di "hydrophobic" records "of feet shaoyin, foot jue Yin meridians". Is "compendium" is to "blood of heart, spleen, liver and kidney medicine". Recorded on its function is more complicated.

Investigate its reason, the author thinks that the main is the understanding of traditional Chinese medicine (TCM) have their "partial", not standing in a considerable theoretical height and practice on a more objective and more comprehensive understanding, which is caused by the limitation of the development of TCM itself. As latecomers, we certainly have the "standing on the shoulders giants" forward-looking advantages, if can at the same time as the ancient and not old, is a scholar should have the attitude.

I had the privilege of shanxi institute of traditional Chinese medicine professor Wang Shimin contact, listen to the interpretation of traditional Chinese medicine "inherent effect, secondary effect and the compatibility effect" theory, deeply its organized clear, open mind, traditional Chinese medicine is helpful to the study. In this, the author will be the basic theory of traditional Chinese medicine "three action" connotation fellow to share with you, hope to discuss.

The inherent role 】

Wang Shimin believes that the meaning of the work is in traditional Chinese medicine of traditional Chinese medicine medicinal properties of partial, morbidity of Yin and Yang of partial to correct the human body. Each medicinal herbs have its special area, because of the nature of the Chinese medicine itself has a relative stability, and the stability is is formed by the smell of the basic material base of Chinese traditional medicine. Therefore, determined by the constitute the basic ingredients of traditional Chinese medicine of traditional Chinese medicine, is its inherent function, is to determine the basis of traditional Chinese medicine (TCM) other role.

Some traditional Chinese medicine (TCM) play a role is its main ingredients, such as saponins of ginseng, salvia miltiorrhiza in ketone and phenolic acids, etc; And some Chinese medicine itself is relatively single chemical composition, such as sodium sulphate, light powder, etc. To understand, from the perspective of TCM is inherent function by Chinese medicine itself has four gas mixed, lift depends on the features of fugitive dust, acting on the human body after direct response; Like rhizoma coptidis experience can clear heart, cool mint sheen to evacuate the wind heat, etc.

Secondary role 】 【

A secondary role to roughly four meanings, specific as follows:

One is an extension of the inherent role or indirectly. Such as rhizoma coptidis good governance furunculosis is because of its good at heart, and "the little sore, all belong to the heart," furuncle since in addition to the heart.

The second is the body's response secondary role. Such as astragalus can eliminate edema because good fill gas, to awaken the response of the body, make its gasification functional recovery or enhanced, "through the channel, lose bladder", so that the excess water liquefied petroleum gas.

Three is due to produce secondary role. After processing such as ginseng produced secondary glucoside RH2 has obvious antitumor effect; And radix rehmanniae heat cool blood, JiuZhi cultivated land is ziyin yangxue, etc.

Four is the secondary after drug degradation and metabolism in the body. Such as radix bupleuri is heat medicine, modern pharmacological studies have shown that it has anti-inflammatory effects, according to the analysis of bupleurum saponins C itself does not promote the exudation of sterone, saponin and its metabolic intermediates yuan has strong activity, thus presents the anti-inflammatory effect.

【 compatibility effect 】

As the name implies, is the role of drug compatibility with other drugs. Such as Mr Shi this ink "medicine", and Wang Shimin advocated by the experimental formulas of Chinese medicine, is the study and application of the action of the drug compatibility.

In clinical practice, the role of traditional Chinese medicine is more in the formula, whether it is simply make many kinds of traditional Chinese medicine into a pill or powder, or after the decoction made into one, his last ACTS on the human body is a "force". Prescriptions in this whole, each blindly medicine has its unique direction, ultimately affect together.

, for example, in the cold-induced febride about ginseng include the following: "smell sweet, slightly cold, non-toxic. Lord fill five zang-organs, spirit, soul, horrified, in addition to evil, improving eyesight fun puzzle." Mr Chen Xiuyuan wrote in the "huang di read:" the cloud outline the main five zang-organs, with five zang-organs belong to Yin also... and everything back to the Yang side, do not add the taste of the feminine, the slow ginger, attached. So the four inverse inverse soup soup, four unclogged arteries for Yang back the first party, all need not ginseng. And four inverse ginseng soup, and with her, check his blood; also four inverse Shang Yongzhi poria cocos, with its under the khan, after also."

This description, with and without ginseng impact on the overall effect of prescriptions, made from two aspects, one is positive, the accurate analysis, is penetrating.

In addition, Japan has a team of pharmacological do white ginseng soup in the treatment of diabetes research, found the following results: (1) five drugs used separately, and only rhizoma anemarrhenae and ginseng have slight fall blood sugar function; (2) the compatibility of rhizoma anemarrhenae and ginseng up experiment and found that does not improve hypoglycemic effect, and adjust the ratio between them, and when the people to a certain amount, but began to counterproductive; (3) the rhizoma anemarrhenae and ginseng with gypsum respectively, the results of two groups of medicine hypoglycemic effect has rise; (4) put rhizoma anemarrhenae, ginseng, amount of people attending to fall blood sugar function approaching disappear one by one join gypsum, hypoglycemic effect began to ascend, until the gypsum added to the amount is not changed; (5) and then modeled on the previous methods, and gradually in the first three ingredients with japonica rice, hypoglycemic effect, to a certain level to stop, and then by quantity to join the licorice, hypoglycemic effect still rise; 6. Finally, the method of the hypoglycemic effect of no in the treatise on febrile disease records the original party of the original dose effect is good, because in the end the dosage of the ginseng much more than the original party.

So for a good Chinese medicine prescription compatibility in every blindly medicine as the staff, character each are not identical, but the soldiers of the different interaction with different credentials. The best result is synergistic and attenuated, but such as bad cooperation effect is reduced, not only will produce toxic reaction.

In short, the inherent effect, secondary effect and the function of the compatibility of Chinese traditional medicine is just like a big tree, root, stem, branches and leaves, they constitute the tree of life, be short of one cannot. And doctors in the clinical use of traditional Chinese medicine (TCM), must clarify the effect of different levels, only clearly know the three effects of traditional Chinese medicine, can truly understanding of the Chinese traditional medicine, the use of traditional Chinese medicine (TCM).

【 abstract 】

Wang Shimin (1935 ~), male, shijiazhuang yuanshi county, hebei province. Professor, chief physician, herbalists, supervisor of postgraduate, enjoy special government allowances of the state council. Served as deputy director of the institute of traditional Chinese medicine and the affiliated hospital of Shanxi Province, vice dean of shanxi college of traditional Chinese medicine, director of the institute, vice dean and prescription, hospital, director of the academic committee member. Former vice President of trace element professional committee of China association of Chinese medicine, and trace elements in Shanxi Province, honorary President of society.