基于“不确定性思维”下的《金匮要略》主证分层分析

Hierarchical analysis of the master card in Synopsis of the Golden Chamber based on “uncertainty thinking”

关键词:  《金匮要略》  证  主证

Key words:  Synopsis of the Golden Chamber  syndrome  main certificate

摘要:

文章以传统文献分析法和话语分析法在"不确定性思维"指导下探讨《金匮要略》主证的内涵。根据分析传统文献阐明秦汉时期证的含义，根据对原文话语分析将主证的识别划分为三层含义。研究发现秦汉时期证即症为表现，现象之意，并非含有"病机"之意。主证等于主症；辨别主证可分别从"主诉-鉴别-决策"3个角度入手，将主证进行分层研究对张仲景杂病临床诊疗思维研究具有重大意义。

Abstract:

Based on the Synopsis of the Golden Chamber, the connotation of the master card is discussed under the guidance of "uncertainty thinking". Traditional literature analysis and discourse analysis. According to the analysis of the traditional documents, the meaning of the syndrome in Qin and Han Dynasties was expounded. According to the analysis of the original discourse, the identification of the master card was divided into three meanings. Syndromes in the Qin and Han Dynasties are manifestations, and the meaning of phenomena does not contain "pathogenesis". The master card is equal to the main symptom, and the identification of the principal card can be started from the following three aspects:"the main compaint, the identification and the decision". Stratification of the master card is of great significance to the study of ZHANG Zhongjing's clinical diagnosis and treatment.