从“有故无殒”探究活血化瘀药物在老年出血患者中的应用*

作者：曹云钊1，王 晗2，徐奚如2

单位：1.南京中医药大学，江苏 南京 210029； 2.南京中医药大学附属医院，江苏 南京 210029

引用：引用：曹云钊，王晗，徐奚如.从“有故无殒”探究活血化瘀药物在老年出血患者中的应用[J].中医药导报,2025,31(12):211-215.

DOI：10.13862/j.cn43-1446/r.2025.12.034

PDF： 下载PDF

摘要：本文围绕“有故无殒”理论的内涵与应用展开探讨，旨在为活血化瘀药物在老年出血患者中的安全合理使用提供参考。通过解析该理论的古今核心要义，归纳其三大基本原则：有是病用是方、中病即止勿犯太过及合理把控用药剂量。在此基础上，进一步阐述活血化瘀单药、复方的临床应用及与西药联合使用的实践方案，同时强调了用药过程中量效关系的重要性。研究表明，遵循“有故无殒”原则，活血化瘀类药物可安全适用于老年出血患者。

关键词：出血；有故无殒；活血化瘀；老年人

Abstract：

This article explores the connotation and application of the theory of the "You Gu Wu Yun (Presence of Indication Without Harm)", aiming to provide a reference for the safe and rational use of blood-activating and stasis-resolving drugs in elderly patients with hemorrhage. By analyzing the core essence of this theory from ancient to modern times, three basic principles are summarized: administering corresponding prescriptions for specific diseases, discontinuing medication once the condition improves to avoid excess, and reasonably controlling the dosage of drugs. On this basis, the clinical application of single blood-activating and stasis-resolving drugs, compound prescriptions, and their combination with western medicine is further elaborated, while emphasizing the importance of the dose-effect relationship during medication. The study shows that blood-activating and stasis-resolving drugs can be safely applied to elderly patients with hemorrhage in accordance with the principle of "You Gu Wu Yun (Presence of Indication Without Harm)".

Key words：hemorrhage; You Gu Wu Yun (Presence of Indication Without Harm); blood-activating and stasis-resolving; the elderly

发布时间：2025-12-31

点击量：6