{"id":9306,"date":"2024-06-06T01:52:56","date_gmt":"2024-06-06T01:52:56","guid":{"rendered":"https:\/\/tcmdrma.com\/%e4%b8%ad%e5%8c%bb%e4%b8%8d%e6%98%af%e4%b8%80%e7%97%85%e4%b8%80%e6%96%b9%ef%bc%8c%e8%80%8c%e6%98%af%e4%b8%80%e4%ba%ba%e4%b8%80%e6%96%b9-2\/"},"modified":"2025-05-09T09:57:27","modified_gmt":"2025-05-08T23:57:27","slug":"%e4%b8%ad%e5%8c%bb%e4%b8%8d%e6%98%af%e4%b8%80%e7%97%85%e4%b8%80%e6%96%b9%ef%bc%8c%e8%80%8c%e6%98%af%e4%b8%80%e4%ba%ba%e4%b8%80%e6%96%b9-2","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e4%b8%ad%e5%8c%bb%e4%b8%8d%e6%98%af%e4%b8%80%e7%97%85%e4%b8%80%e6%96%b9%ef%bc%8c%e8%80%8c%e6%98%af%e4%b8%80%e4%ba%ba%e4%b8%80%e6%96%b9-2\/","title":{"rendered":"\u4e2d\u533b\u4e0d\u662f\u201c\u4e00\u75c5\u4e00\u65b9\u201d\uff0c\u800c\u662f\u201c\u4e00\u4eba\u4e00\u65b9\u201d"},"content":{"rendered":"

国人普遍是以西医的方式来认识中医，所以每当我的医案中提及一个西医的病名时，常常会被问：我也有一样的病，我该吃什么药？所以，普遍的思维逻辑是“我要找到治疗某个病的特效药（方）<\/strong>”。<\/p>\n

我不能武断地说中医没有特效药。但对于中医来讲，中医所有切中病机的用药都是特效药。再换一个角度说，任何所谓的特效药只要没用切中病机照样无效。<\/p>\n

我们看中药的两大类经典《伤寒杂病论》和《温病学》，狭义来看其中几百张方子都是用来治疗感冒（一个治普通感冒，一个治流感）的，而广义来讲这些方子又可以通治百病。所以，就算一个小小的感冒，如果你直接问我感冒用什么药，我该如何回答你？<\/p>\n

在中医的世界里，一切西医的病名都只是表象，中医会根据患者的不同病机，产生成千上万的不同方组以切合其具体病机。举个例子，如果患者只是说我感冒了，我们要经过详细辩证才能选方。除非患者可以说：医生，我得的是太阳中风病且没有兼证没有合病没有病理产物。那我才会说：这种情况你用桂枝汤就可以了。但事实上，有这样水平的患者，他自己就知道用什么方了，何须再找医生。<\/p>\n

这就是为什么我的医案里只讲辩证思路，很少写具体用方，以免误导患者。中医的方是跟着人的病机变化走的，不是跟着某个机械的病名走的。<\/p>\n

作为普通患者来讲，一定要避免四处打听特效方，然后自己就以身试药，大概率是效果不好的，甚至会有反作用。一定要在医生指导下正确用方用药。<\/p>\n

我也给学习中医的爱好者一点建议，中医还是重在明理。我们看不少流传下来的中医古籍，其实也有按病出方的弊端。这类方子必须明白背后的道理临床才能起效。中医学习如果追求特效方，对于提升临床治疗水平而言几乎是死路一条。<\/p>\n","protected":false},"excerpt":{"rendered":"

国人普遍是以西医的方 […]<\/p>\n","protected":false},"author":1,"featured_media":9307,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[74],"tags":[],"class_list":["post-9306","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-74"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs.jpg",1371,874,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-300x191.jpg",300,191,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-768x490.jpg",768,490,true],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-1024x653.jpg",1024,653,true],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs.jpg",1371,874,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs.jpg",1371,874,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-669x426.jpg",427,272,true],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-320x204.jpg",317,202,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-700x446.jpg",692,441,true],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-66x42.jpg",66,42,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-200x127.jpg",200,127,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-400x255.jpg",400,255,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-600x382.jpg",600,382,true],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-800x510.jpg",800,510,true],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-1200x765.jpg",1200,765,true],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-940x599.jpg",628,400,true],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-540x344.jpg",427,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-460x293.jpg",460,293,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-300x191.jpg",300,191,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-177x113.jpg",177,113,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-500x319.jpg",500,319,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-700x446.jpg",700,446,true],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/herbs-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"国人普遍是以西…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9306","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9306"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9306\/revisions"}],"predecessor-version":[{"id":13835,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9306\/revisions\/13835"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9307"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9306"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9306"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}