李娟 周德生

    [摘要] 复方药物的组成复杂、配伍关系复杂、功效复杂，适应复杂病证。复方配伍方法：理法方药一贯，方证对应;病-证-症的药物对应;脉证症状的取舍，增减对应药物。复方的遣药方法：复方大方理论指导，配伍用药;药证类从，重复用药;主从有序，重点用药;合方为一，重叠用方。复方的药物精简方法：寻找治病主药;精选小方组方;应用组方结构;应用药物的固定结构;活用药物的多重配伍关系;借鉴中药药理研究成果。医者需要有丰富的理论知识和临床经验，才能做到复方的合理用药。

    [关键词] 复方;合理用药;配伍方法;遣药方法;药物精简方法

    [中图分类号] R289? ? ? ? ? [文献标识码] A? ? ? ? ? [文章编号] 1673-7210(2019)02(a)-0132-05

    [Abstract] The compound decoction is complex， the compatibility and function is complex， to fit complex disease syndrome. The compatibility methods of the compound decoction are as followed： principle-method-recipe-medicines is conformable and prescription is corresponding to the syndrome; disease-syndrome-manifestation is conformable in drug use; according to choice of pulse， syndrome and manifestation to increase or decrease the corresponding drug. The compound decoction dispensing methods are as followed： medicine according to the compound generous theory guidance; the medicine corresponding to the syndrome and repeating drug use; focused drug use; combining the decoctions to one and overlapping the decoctions. Compound drug simplification methods are as followed： finding the main medicine for treatment; selecting small decoctions to form new prescription; application of decoction structure; application of fixed structure of drugs; flexible use of multiple compatibility; in reference of pharmacological research results of traditional Chinese medicine. The doctor needs wealthy theoretical knowledge and clinical experience so that can achieve a rational use of the compound decoction. ......