基于态靶辨证探讨百灵调肝汤论治肝郁型经断前后诸证

Exploring the Application of the State-Targeted Strategy Approach in Treating pre- and Post-Menopausal Symptoms of Liver Stagnation with the Bailing Tiaogan Tang Decoction

摘要: 随着社会压力增大，经断前后诸证发病率逐年攀升，严重影响女性身心健康。西医多采用激素替代疗法(HRT)缓解症状，但存在潜在副作用风险。中医辨证论治在改善相关症状方面具有显著疗效，且安全性良好。本文结合韩延华教授的临床经验与仝小林院士提出的“态靶辨证”理论，探讨其在肝郁型经断前后诸证中的应用。以经断前后诸证为“病靶”，百灵调肝汤为“靶方”，通过整体“调态”与精准“打靶”相结合，在靶方基础上灵活化裁，实现态靶同调。该治法兼顾整体与局部，有助于缩短疗程，临床实践显示疗效显著。

Abstract: With increasing societal pressures, the incidence of pre- and post-menopausal symptoms has risen annually, significantly impacting women’s physical and mental health. Western medicine often employs hormone replacement therapy to alleviate symptoms, yet this carries potential risks of side effects. Traditional Chinese Medicine’s syndrome differentiation and treatment demonstrates remarkable efficacy in improving related symptoms while offering favourable safety profiles. This paper integrates Professor Han Yanhua’s clinical experience with the “State-targeted Strategy” theory proposed by Academician Tong Xiaolin, exploring its application in treating pre- and post-menopausal symptoms of liver qi stagnation. Using the condition as the “disease target” and Bailing tiao Gan Tang as the “target formula”, it combines holistic “state regulation” with precise “targeted intervention”. Flexible modifications to the base formula achieve simultaneous regulation of both state and target. This therapeutic approach balances holistic and localised considerations, contributing to shorter treatment durations. Clinical practice demonstrates its marked efficacy.