关于中医病机辨证体系中若干问题的探讨
Exploration of Several Issues about TCM Pathogenesis Differentiation System
-
摘要: 论述了周仲瑛教授病机辨证体系的构建过程、创新性及其意义，并讨论了病机的概念及其与证之间的关系。认为中医辨证论治追求的最高境界是机圆法活，抓住了病机，就抓住了病变的实质。病机是对疾病本质所下的结论，而证是对病机的概括，两者都具有可变性与规律性两个特点。病机辨证体系不仅体现了证随机转的临床特点，亦体现了辨证的活化。提出以后可从不同角度、不同层次对病机进行研究，以指导临床实践。Abstract: This paper expounds the construction process， innovation and significance of Professor Zhou Zhong-ying's pathogenesis differentiation system， and discusses the concept of pathogenesis and its relationship with syndrome. It is believed that the highest realm of TCM syndrome differentiation is applying the theory flexibly， and understanding the pathogenesis is the understanding of the essence of the disease. Pathogenesis is the definition of the nature of disease， while syndrome is the summarization of pathogenesis. Both of them are characterized by variability and regularity. The pathogenesis differentiation system not only embodies the clinical characteristics of pathogenesis changing in accordance with syndrome， but also presents the flexibility of syndrome differentiation. It also puts forward that future pathogenesis research can be designed from different aspects and levels， in order to guide clinical practice.
-
[1] 神农本草经[M].孙星衍，辑.太原：山西科学技术出版社，1991：124. [2] 〖JP2〗Shen Nong's Classic of the Materia Medica[M]. Complied by SUN XY. Taiyuan: Shanxi science and technology press， 1991:124.〖JP〗 [3] 张介宾.类经:上册[M].北京：中医古籍出版社，2016：338. [4] ZHANG JB. The Classified Classic: the First Volume[M]. Beijing: traditional Chinese medicine classics press， 2016:338. [5] 刘纯.医经小学[M].上海：上海科学技术出版社，1985：3. [6] LIU C. Medical Enlightenment Classics[M]. Shanghai: Shanghai science and technology press， 1985: 3. [7] 王永炎，王燕平，于智敏.欲疗病，先察其原，先候病机[J].天津中医药，2013，30(5):257-258. [8] WANG YY， WANG YP， YU ZM. Inspecting its origin and pathogenesis first before treating disease[J]. Tianjin J Tradit Chin Med， 2013， 30(5):257-258. [9] 周仲瑛，周学平.中医病机辨证学[M].北京：中国中医药出版社，2015：1，4. [10] ZHOU ZY， ZHOU XP. Theory of Pathogenesis Differentiation in Chinese Medicine[M]. Beijing: China press of traditional Chinese medicine， 2015: 1， 4. [11] 黄帝内经素问校释[M].北京: 人民卫生出版社，2010:978. [12] Correction and Explanation of the Yellow Emperor's Inner Classic: Basic Questions[M]. Beijing: people's medical publishing house， 2010:978. [13] 仝小林，何莉莎，赵林华.论“态靶因果”中医临床辨治方略[J].中医杂志.2015，56(17):1441-1444. [14] TONG XL， HE LS， ZHAO LH. Discussion on strategy of clinical syndrome differentiation and treatment based on status-target-cause-result in TCM[J]. J Tradit Chin Med， 2015， 56(17):1441-1444. [15] 孟景春，周仲瑛.中医学概论[M].北京：人民卫生出版社，1983:126. [16] MENG JC， ZHOU ZY. Introduction to Chinese Medicine[M]. Beijing: people's medical publishing house， 1983:126. -
点击查看大图
计量
- 文章访问数: 1363
- HTML全文浏览量: 23
- PDF下载量: 1221
- 被引次数: 0
下载:
