循岐黄以进民生福祉
2013-06-05杨超,叶笑欣
循岐黄以进民生福祉
Carrying on the Traditional Chinese Medicine for the Well-being of Mankind
中医药标准化standardizationoftraditional Chinesemedicine(TCM)医疗实践和医药管理medicalpracticeandmedicinemanagement大药典thegreatpharmacopeia
——《本草纲目序》王世贞(明)
"It is comprehensive but uncomplicated and detailed but well-arranged.Being all-inclusive and thorough and reaching the core of herbal medicine,how could it be called a medical book?Instead,it should be called a classic revealing the truth of life and the law of all things."
从神农尝百草到别阴阳、辨五行,从论述七情、四气、五味,到望闻问切四诊合参,在祖国传统医学发展史长河中,无论实践积累或是哲学思辨,中华民族从未停止过对于天人和一、阴阳平衡等人生境界的追求,而其间不断涌现灿若群星的知名医家、持续编撰浩如烟海的经典书籍,也写就着人们对中医药标准化有意无意的探索。
From Shennong's tasting of hundreds of herbs to the division of yin and yang and the five elements, and from the concepts of the seven human emotions,four kinds of qi,and five flavors to the four diagnosticmethods(inspection,listeningand smelling,inquiry,and palpation),traditional Chinese medicine(TCM)has been developing for thousands of years.It has witnessed the Chinese people's persistent pursuit for their ultimate goals of achieving unity of man and nature,balance between yin and yang,etc.Large numbers of TCM classic books and outstanding physicians have emerged,which is a testimony to the Chinese people's exploration of the standardization of traditional Chinese medicine both consciously and unconsciously.
太极八卦图
诊脉寸关尺部位图
作为古代医疗实践和医药管理的重要主体,自秦迄清,中国历代王朝先后设立了太医令丞、太医局卖药所、太平惠民局、太医院等专门机构。这些机构在统一药方、制售药品、开展日常诊疗的同时,不断对本草进行了收集、整理和修订,实际发挥着制订、贯彻中药标准的作用,与民间医家一道,推进了中医药事业的进步。
From the Qin Dynasty to the Qing Dynasty,the Chinese Dynasties had established specialized agencies,including senior imperial physicians, the Pharmacy of the Imperial Medical Bureau, the Taiping People's Welfare Dispensary,and the Imperial Academy of Medicine.These agencies became majorgoverning bodies for medical practice and medicine management at that time.These governing bodies had constantly collected,sorted out and revised the Chinese materia medica when they were performing their medical functions,and had played an important role in developing and implementing the TCM standards,thus promoting the TCM science,together with the nongovernmental physicians.
神农尝百草
春秋战国时期《黄帝内经》提出五味入五脏的见解,成为了分析中药药理作用的重要标准;晋朝诏令改今而从古,统一了医药权衡标准;南北朝《雷公炮炙论》意味着中药制药的工艺标准初具形态;唐代《新修本草》成为世界上首部政府颁行药典,揭开了官方主导药品标准化活动的序幕;宋代《太平惠民和剂局方》最早规范了中药制剂;明代李时珍耗时卅年撰成的鸿篇巨著《本草纲目》,是我国古代关于药物分类、药物特性、制备方法和方剂的标准化文本,被后人誉为“大药典”、“本草学著作的顶峰”,其影响延至今日……
During the Warring States Period,the Inner Canon of Huangdi proposed the concepts of five flavors going to the five internal organs,which became an important standard in pharmacological analysis of TCM.In the Jin Dynasty,medicine measurement standards were unified and adapted to earlier practices.During the Northern and Southern Dynasties,the Lei Gong Drug Processing Methodology laid a foundation for standardized drug processing.In the Tang Dynasty,the government published the world’s first pharmacopeia,Newly Revised Materia Medica,which unveiled the prelude to the government-led campaign of TCM standardization.Later,during the Song Dynasty,the Prescriptions of Taiping People’s Welfare Dispensary specified the standardized Chinese materia medica preparations for the first time in history.In the Ming Dynasty,Li Shizhen spent 30 years completing the monumental Compendium of Materia Medica.It is a standardized pharmaceutical text for medicine classification,medicine properties,materia medica preparations and prescriptions,and is regarded as the great pharmacopeia and the most complete and comprehensive medical book ever written in the history of TCM.The profound influence of the Compendium of Materia Medica has lasted to the present day.
尽管古代中国医药不分家,既无“标准”、“标准化”概念,亦无相关系统研究,但事实上在“悬壶济世”的过程中,“岐黄之术”早已蕴含了其赖以生存和发展的标准化之精要,这些积累已经为现代人类发展中医药科学奠定了坚固的基础。在促进民生福祉的过程中,在标准化支撑的持续提升下,中医药——中华文化之瑰宝,更将在国际舞台上绽放出其独有的绚烂华彩!
Despite the absence of such concepts as standards or standardization and related systematic research of the traditional Chinese medicine (TCM),the TCM theory had its standardization essence,which had laid a solid foundation for both the existence and vitality of TCM in ancient times and the development of TCM science by modern people.As one of the treasures of traditional Chinese culture,the traditional Chinese medicine,whenpromotingthewell-beingof mankind,would uniquely rejuvenate on the international stage with continuous improvement under the support of standardization.
(支持单位:上海市标准化研究院 整理:杨超 叶笑欣)
黄帝内经
本草纲目