中國醫學與日本漢方醫學合方思維之比較研究;
A Comparative Study on Thinking of Combined Formula between Traditional Chinese Medicine and Kampo Medicine

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Title:	中國醫學與日本漢方醫學合方思維之比較研究;A Comparative Study on Thinking of Combined Formula between Traditional Chinese Medicine and Kampo Medicine
Authors:	陳瑩陵;Ying-Ling Chen
Contributors:	中國醫藥大學：中國醫學研究所
Keywords:	中國醫學;漢方醫學;合方;複方多法;方證;traditional Chinese medicine;Kampo medicine;combined formulas;complex formulas embodying multiple methods of treatment;formula for syndrome
Date:	2008-07-16
Issue Date:	2009-08-06 15:45:14 (UTC+8)
Abstract:	本論文以合方研究為主軸，探究以方為單位、作相合配伍時的思維與發展。旨在研究比較中國醫學與日本漢方醫學合方的思維與處方特點，並借鑑日本漢醫使用中藥濃縮製劑的經驗，以期作為現代中醫師運用科學中藥合方時的理論根據及參考。結果顯示，中醫合方多針對治療病機複雜的疾病，且對原方用藥與劑量有所調整，呈現出「複方多法」的思維。日本漢醫重視「方證相對」—辨別具針對性的症候與腹證，合方運用以複數方證並存為主要目標，對於用藥劑量與比例有較嚴格的規範，須謹守新的「合方證」。然而，日本「方證相對」論的內容過於簡化傳統中醫理論，缺乏完整的中醫辨證論治思維。中醫合方以病機為辨證思維，則具有多樣化與多層次的特色。 The present study investigates the Traditional Oriental Medical practice of prescribing combined formulas and the notion underlying it that formulas, rather than individual medicinal agents, are the basis for treatment. The study compares the thinking and prescription characteristics of combined formulas of Chinese medicine on the one hand and Japanese Kampo medicine on the other, taking account of the modern Japanese experience in the use of concentrated preparations. We hope that this study can serve as a theoretical basis and practical reference for the use of combined formulas in the modern practice of prescribing ready-prepared formulas. The results reveal that Chinese medical clinicians mostly use combined formulas to treat diseases with complex pathomechanisms and often modify the formula composition and dosage to reflect thinking on complex formulas embodying multiple methods of treatment. Kampo medical clinicians emphasize a “formula for syndrome” approach that focuses on the differentiating syndromes and abdominal signs to be treated with certain formula. They use combined formulas to target complex syndromes and keep the set formula composition and dosage closely related to the new targeted syndrome of combined formula. However, the “formula for syndrome” theory in Kampo medicine oversimplifies the traditional concept of “pattern identification as the basis for determining treatment.” Combined formula composition in Chinese medicine is ultimately based on the thinking of pattern identification according to pathomechanisms that are characterized by various systems and multiple levels.
Appears in Collections:	[Graduate Institute of Chinese Medical Science] Theses & dissertations

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