Analysis on Application of"Attacking the Combination"
XIE Qinqin
LYU Cuixia
SHAO Zhuang
LI Yansong
LIU Peng
Abstract：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.
Keywords：attacking the combinationSynopsis of Golden Chambertreatment based on cause differentiationunderlying disease mechanismcomplex disease mechanism
Publication Date：2024-11-05
Online Publishing Date：2026-05-22(First online date of this platform, not the publication date of the document)
Pages：6( 1213-1218 )