现代医学背景下经方新用的关键问题探讨

随着社会的发展，人类疾病谱已发生了极大的变化，相比于仲景年代，现代社会的老年病、代谢病、慢性病逐渐成为主流。如何运用经方治疗现代医学疾病已成为经方研究的一项主要课题。在现代医学背景下，经方新用面临许多难题，一方面传统经方依赖的辨证体系缺少对慢性病的全程认识，另一方面经方善于调节机体宏观状态，但对现代疾病的理化指标却缺少针对性，此外经方在现代医学疾病诊疗中的药用剂量规律尚不明确。因此，要实现经方新用，一方面需借鉴仲景“病-期-态”诊疗模式，重新对现代疾病进行中医诊疗体系的重构；另一方面需于传统中药理论中引入现代药理研究成果，实现经方的态靶同调，并进一步深化经方量效关系的研究，使经方更好地服务于现代疾病的临床诊疗。

Exploring the Key Issues of the New Application of Jingfang in the Context of Modern Medicine

With the development of society, the human diseases spectrum has changed dramatically. Compared with the Zhang Zhong-jing era (the late Eastern Han dynasty), geriatric, metabolic, and chronic diseases have gradually become the main disease types in modern society. Thus, the application of Jingfang to treat modern diseases has become a major issue of Jingfang research. In the context of modern medicine, the new application of Jingfang is facing many difficulties. On the one hand, the traditional system of Chinese medicine diagnosis and treatment, on which Jingfang was based, lacks a full understanding of chronic diseases. On the other hand, Jingfang is good at regulating the macroscopic state of the body, but lacks specificity for the physical and chemical indicators of modern diseases. Besides, the dosage rules of Jingfang in the modern system of Chinese medicine diagnosis and treatment are still unclear. Therefore, in order to better apply Jingfang, it is necessary to restructure the Chinese medicine diagnosis and treatment system for modern diseases by referring to Zhang Zhong-jing's diagnosis and treatment model (disease-period-state). In addition, it is also necessary to introduce modern pharmacological achievements into traditional Chinese medicine theory to realize the synchronous regulation of the state and target of Jingfang, and further deepen the research on the dosage-effect relationship of Jingfang so that it can better serve the clinical diagnosis and treatment for modern diseases.