中医药研究论丛

221.4 中医药物归经理论发展与现代研究
TJ TCM.22(1) : 33-44, 2019
中医药物归经理论发展与现代研究
The Development and Modern Research of Channel Tropism Theory in Traditional Chinese Medicine
林蓓华1 许棠闵2* 吴龙源2,3*
1 中国医药大学学士後中医学系,台中,台湾
2 义守大学学士後中医学系,高雄,台湾
3 吴龙源中医诊所,台北,台湾
【摘要】
目的:归经为发挥药物选择性疗效的一种概念,即某一中药对特定脏腑经络有明显的治疗作用。本文主要探讨中医药物归经理论之源流、进展、应用、现代研究与未来展望。
方法:本研究收集中国医学期刊网与PubMed 近十年内关於药物归经理论发展与现代研究相关文献进行归纳整合。
结果:归经理论是中药药性组成的重要一部分,依据文献学者多认同归经发轫於《黄帝内经》中五味、五行与脏腑的论述,以及《神农本草经》对中药药性的阐述;东汉医家张仲景创建六经辨证和脏腑辨证,对中药归经理论的形成有深远影响;唐代医家孙思邈将脏腑辨证与论治系统性整理,显示当时的归经理论雏形及概念;金元时期张元素正式把归经作为药性论述,形成一个有系统的理论体系;清代汪昂对药物归经作更详细的发挥,并提出方剂归经理论,进一步发扬药物归经的重要。而现代学者分析药物活性成分、微量元素、及提出受体学说等观点来验证归经理论。
结论:归经理论累积各代医家临床经验发展而成,视为中医的精准医学,不仅是医家临床用方叁考依据,更是中医珍贵的文化资产。如何应用现代的科技将归经的原理与临床方剂应用联结起来将中医辨证治疗更精准,这是所有中医药界共同努力的目标。
【关键词】归经源流、药性、精准医学
Pui-Wah Lynn1 Tang-Min Hsu2* Lung-Yuan Wu2,3*
1The School of Chinese Medicine for Post-Baccalaureate of China Medical University, Taichung, Taiwan
2The School of Chinese Medicine for Post-Baccalaureate of I-Shou University, Kaohsiung, Taiwan
3WU LUNG-YUAN Traditional Chinese Medicine Clinic, Taipei, Taiwan
【Summary】
Objective: Channel tropism which is an important component of the property of Chinese Medicine is considered the selective therapeutic effects of a single medication on specific zang-fu organs. This article is mainly discussed about the origin, evolution, application, modern research, and future development of channel tropism theory.
Method: This study was collected the literatures related the ten-year database of channel tropism development and modern research in the Chinese Medical Journal Network and PubMed.
Results: According to the literatures of channel tropism, most academics approve channel tropism originated from the description of five flavors, five phases and zang-fu organs in Huangdi Neijing and the statement of the property of Chinese Medicine in Shennongs Classic of Materia Medica. Zhang Zhongjing in Eastern Han Dynasty created syndrome differentiation of six meridians and syndrome differentiation of zang-fu which had far-reaching influence on the formation of channel tropism. Sun Simiao systematically integrated the syndrome differentiation of zang-fu and treatments, revealing the model and concept of channel tropism in Tan Dynasty. In Jin Dynasty, Zhang Yuansu officially used channel tropism theory to describe the property of the medication in Chinese medicine. Wang Ang in Qing Dynasty fully developed the channel tropism theory and proposed channel tropism theory of Chinese medicinal formulae, enhancing the importance of channel tropism theory. Modern academics analyzed the active compound, trace element and proposed receptor theory to verify channel tropism theory.
Conclusion: Channel tropism theory, as a precision medicine in Chinese medicine, developing from accumulating clinical practices of ancient physicians, is not only the reference criteria for clinical application, but also precious culture of Traditional Chinese medicine. How to use modern technology to connect channel tropism theory to clinical Chinese medicinal formulae application providing more precision medicine of the Traditional Chinese medicine is the goal of Chinese medicine profession.
Keywordsthe origin of channel tropism, property of Chinese Medicine, precision medicine