As a significant therapeutic guideline,"Attacking the combination"originates from the Synopsis of the Golden Chamber:Early and Later Diseases of Zang-Fu Organs and Meridians,where ZHANG Zhongjing states:"For all diseases located in the viscera,if one wishes to attack them,the treatment should be directed at the combination".Through an analysis of the original text,combined with relevant passages from both the Treatise on Cold Damage Diseases and the Synopsis of the Golden Chamber,this study suggests that"attacking the combination"represents a treatment approach distinct from conventional methods,which addresses complex disease mechanisms.By eliminating the combined evil qi,not only can one dispel intangible evil qi such as cold,heat,summer heat,wind,and malaria,but also tangible evil qi like phlegm-dampness and blood stasis.Furthermore,this approach can achieve the goal of replenishing deficiencies,falling within the scope of treatment based on cause differentiation.The application of the"attacking the combination"is determined by the predominant role of the combined evil qi within the disease mecha-nism.This method not only involves discerning the primary and secondary aspects of treatment but also provides control over the sequence of interven-tions,offering profound insights for the diagnosis and management of complex and refractory diseases in clinical practice.
关键词
攻所得/《金匮要略》/审因论治/潜在病机/复合病机
Key words
attacking the combination/Synopsis of Golden Chamber/treatment based on cause differentiation/underlying disease mechanism/complex disease mechanism
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