國醫大師顏正華：破禁創新，病機導向下的用藥智慧
在中醫的浩瀚星空中，總有一些名字如同璀璨的星辰，引領着後學探索未知的領域。國醫大師顏正華，便是這樣一位在中醫藥領域深耕細作、獨樹一幟的大家。他提出的“用藥遵古而不泥古，充分了解藥性和藥物功效，靈活用藥”的理念，如同一股清流，爲中醫臨牀用藥注入了新的活力。今天，就讓我們一起走進顏正華大師的用藥世界，感受那份病機導向下的智慧與魅力。
遵古不泥古：中醫用藥的哲學
“遵古而不泥古”，這是顏正華大師用藥的核心理念。在他看來，中醫經典是前人智慧的結晶，是中醫藥學的根基所在。然而，時代在變，疾病也在變，如果一味拘泥於古方古法，而不考慮現代人的體質、環境等因素，往往難以取得理想的治療效果。因此，顏大師強調，要在充分理解和尊重古方的基礎上，結合現代醫學研究成果和臨牀實踐，靈活運用藥物，以達到最佳的治療效果。
附子與瓜蔞的奇妙邂逅
顏正華大師的用藥智慧，不僅體現在對古方的深刻理解上，更體現在他敢於突破禁忌、創新配伍的勇氣上。曾有一名冠心病患者，多方求治無果，病情日益加重。面對這樣的難題，顏大師幾番思量，最終決定應用附子與瓜蔞這一在理論上屬於配伍禁忌的藥對。這一決定，無疑在中醫界引起了不小的轟動。
然而，顏大師並非盲目行事。他深知，中醫強調“辨證論治”，禁忌的突破必須以辨證爲前提。經過仔細分析，他發現這位患者素體陽虛，心陽不振，痰溼內阻，正是附子溫振心陽、瓜蔞滌痰寬胸的絕佳適應症。於是，他果斷地將這兩味藥配伍使用，結果竟收奇效，患者的病情得到了顯著改善。
病機導向：打開辨證用藥的新思路
顏正華大師的這一配伍思路，不僅體現了他的用藥智慧，更打破了“凡反必禁”的僵化認知，爲我們打開了辨證用藥的新思路。他強調，中醫用藥的關鍵在於把握病機，即疾病的本質和變化規律。只有深入瞭解患者的體質、病情、環境等多方面因素，才能準確地把握病機，從而制定出切實可行的治療方案。
這種“病機導向”的配伍思維，不僅要求醫者具備深厚的中醫理論基礎和豐富的臨牀經驗，更要求醫者具備敢於創新、勇於突破的精神。只有這樣，才能在中醫的道路上不斷前行，爲患者帶來更多的希望和福音。
統計數據與情感共鳴：中醫用藥的科學性與人文性
當然，中醫用藥並非僅憑經驗或直覺。現代科學研究表明，許多中藥的有效成分和藥理作用已經得到了科學驗證。例如，附子中的烏頭鹼具有強心作用，而瓜蔞則能祛痰寬胸。這些研究成果爲中醫用藥提供了科學依據，也進一步證明了顏正華大師用藥理念的正確性。
同時，中醫用藥還蘊含着深厚的人文關懷。顏正華大師在治療過程中，始終將患者的感受放在首位，注重與患者的溝通和交流。他深知，疾病不僅影響患者的身體健康，更影響患者的心理健康。因此，他在用藥時總是力求溫和、安全、有效，讓患者在治療過程中感受到溫暖和關懷。
結語：傳承與創新並重的中醫之路
顏正華大師的用藥智慧，不僅是對中醫經典的深刻領悟，更是對中醫臨牀實踐的深刻總結。他提出的“用藥遵古而不泥古”的理念和“病機導向”的配伍思維，爲我們指明瞭中醫用藥的方向和道路。在未來的日子裏，讓我們攜手共進，傳承中醫精髓，創新用藥思路，爲人類的健康事業貢獻更多的智慧和力量！
作者簡介：梁世傑 中醫高年資主治醫師，本科學歷，從事中醫臨牀工作24年，積累了較豐富的臨牀經驗。師從首都醫科大學附屬北京中醫院肝病科主任醫師、著名老中醫陳勇，侍診多載，深得器重，盡得真傳！擅用“商湯經方分類療法”、專病專方結合“焦樹德學術思想”“關幼波十綱辨證”學術思想治療疑難雜症爲特色。現任北京樹德堂中醫研究院研究員，北京中醫藥薪火傳承新3+3工程—焦樹德門人（陳勇）傳承工作站研究員，國際易聯易學與養生專委會常務理事，中國中醫藥研究促進會焦樹德學術傳承專業委員會委員，中國藥文化研究會中醫藥慢病防治分會首批癌症領域入庫專家。榮獲2020年中國中醫藥研究促進會仲景醫學分會舉辦的第八屆醫聖仲景南陽論壇“經方名醫”榮譽稱號。2023年首屆京津冀“扁鵲杯”燕趙醫學研究主題徵文優秀獎獲得者。事蹟入選《當代科學家》雜誌、《中華英才》雜誌。
National Medical Master Yan Zhenghua: Breakthrough Innovation, Pharmaceutical Wisdom Based on Disease Conditions
In the vast sky of traditional Chinese medicine, there are always some names like bright stars that lead the learners to explore unknown areas. Yan Zhenghua, the master of Chinese medicine, is one such person who has deeply cultivated and distinguished himself in the field of traditional Chinese medicine. His concept of "using medicine according to the ancients instead of the ancient, fully understand medicinal and medicinal efficacy, and use medicine flexibly" has injected new vitality into the clinical use of traditional Chinese medicine. Today, let us walk into the world of medicine by Master Yan Zhenghua and feel the wisdom and charm of the pathological approach.
Follow the ancients and not the ancient: The philosophy of traditional Chinese medicine
"Following the ancients instead of mud ancients" is the core concept of Master Yan Zhenghua''s medicine. In his view, the classics of Chinese medicine are the crystallization of the wisdom of the predecessors and are the foundation of Chinese medicine. However, times are changing, and diseases are also changing, so if we are stuck with ancient prescriptions without considering factors such as modern human body and environment, it is often difficult to achieve the desired treatment effect. Therefore, Master Yan emphasized the flexibility to use drugs on the basis of full understanding and respect for ancient recipes, in combination with modern medical research achievements and clinical practice, to achieve the best therapeutic effect.
The wonderful encounter between a herd and a melon
Master Yan Zhenghua''s medicinal wisdom is not only reflected in his profound understanding of ancient medicine, but also in his courage to break through taboos and innovate combinations. There was a coronary heart disease, multi-treatment to no avail, the condition is getting worse. In the face of such a problem, Master Yan thought several times, and finally decided to apply aconite and fructus trichosanthis theoretically belong to the incompatibility of drugs in prescription. This decision has undoubtedly caused a lot of sensation in the Chinese medicine community.
However, Master Yan did not act blindly. He is well aware that traditional Chinese medicine emphasizes "dialectical healing," and the breakthrough of taboos must be predicated on dialectical understanding. After careful analysis, he found that the patient Su body Yang, heart Yang depression, phlegm and dampness resistance, it is the perfect Monkshood Wen Zhen heart Yang, Trichosanthes Tutan wide chest indications. So he decisively combined the two drugs with one another, and the result was amazing, and the patient''s condition improved significantly.
Pathological orientation: opening new ways to diagnose medicine
Master Yan Zhenghua''s combination approach not only reflects his wisdom in medicinal use, but also breaks the rigid understanding that "everything that is counterproductive must be prohibited," and opens up new ideas for dialectical medicinal use. He emphasized that the key to traditional Chinese medicine is to grasp the disease mechanism, i.e. the nature of the disease and the laws of change. Only by deepening the understanding of the patient''s physical condition, condition, environment and other factors can we accurately grasp the disease mechanism and formulate a practical treatment plan.
This "pathological-oriented" combination thinking not only requires the practitioner to have a deep theoretical foundation of traditional Chinese medicine and rich clinical experience, but also requires the patient to have the spirit of innovation and breakthrough. Only in this way can we continue to move forward on the road of traditional Chinese medicine and bring more hope and gospel to patients.
Statistics and Emotional Empathy: The Science and Humanities of TCM Medicine
Of course, traditional Chinese medicine is not based solely on experience or intuition. Modern scientific research shows that the effective ingredients and pharmacological effects of many Chinese medicines have been scientifically validated. For example, the uranium in the appendix has a heart-strengthening effect, while the scrotum can clear the spleen and widen the breast. These research results provide a scientific basis for traditional Chinese medicine and further prove the correctness of Master Yan Zhenghua''s philosophy of medicine.
At the same time, traditional Chinese medicine also contains deep human concern. In the course of treatment, Master Yan Zhenghua always puts the patient''s feelings first and pays attention to communication and communication with the patient. He is well aware that illness not only affects the physical health of patients, but also affects the mental health of patients. Therefore, he always strives to be gentle, safe and effective when using medication, so that patients feel warm and caring during treatment.
Conclusion: The Way of Traditional Chinese Medicine, which places a heavy importance on heritage and innovation
Master Yan Zhenghua''s medicinal wisdom is not only a profound understanding of the classics of traditional Chinese medicine, but also a pronounced summary of the clinical practice of traditional medicine. His concept of "using medicine according to the ancient rather than the ancient" and "pathologically oriented" combination thinking have pointed out the direction and path of traditional Chinese medicine. In the days ahead, let us work together to carry forward the essence of traditional Chinese medicine, innovate medicinal ideas, and contribute more wisdom and strength to the cause of human health!
Author Bio: Liang Shijie is a senior medical practitioner in traditional Chinese medicine with an undergraduate degree. He has been engaged in traditional medicine clinical work for 24 years and has accumulated a wealth of clinical experience. Following Chen Yong, chief physician of liver disease at Beijing Traditional Medicine Hospital, affiliated with Capital Medical University, and renowned old Chinese medicine, he has been treated for many years and received great attention. He specializes in the treatment of difficult diseases using "conversational traditional therapy" and special treatments combined with the academic ideas of Jiao Shude and Guan Yubo''s ten-level diagnosis.He is currently a researcher at the Shude Tang TCM Research Institute in Beijing, a fellow at the new 3 + 3 project of traditional Chinese medicine flame inheritance in Beijing - a scholar at the inheritance workstation of Jiao Shude''s protégés (Chen Yong),He is a standing committee member of the International Expert Committee on E-learning and Health Care, a member of the Jiao Shude Academic Heritage Special Committee of the Chinese Association for the Advancement of Chinese Medicine Research, and the first cancer specialist to be included in the chapter of the Chinese Pharmaceutical Culture Research Association. Won the 2020 China Association for the Promotion of Traditional Chinese Medicine Zhongjing Medical Branch held the eighth session of the Medical Saint Zhongjing Nanyang Forum "Classic Prescription Famous Doctor" honorary title. The winner of the first Beijing-Tianjin-Hebei "Pingui Cup" Yanzhao Medical Research Essay Award in 2023. His work was featured in the journal Current Scientist and the journal Chinese Talent.
