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中医诊断的思维原理
李灿东1,2,3, 翁慧1,2,3, 魏佳1,2, 夏淑洁1,2, 靖媛1,2, 陈谦峰1,2, 王洋1,2,3
1.福建中医药大学中医学院, 福州 350122;2.福建中医药大学福建省中医健康状态辨识重点实验室, 福州 350122;3.福建中医药大学李灿东岐黄学者工作室, 福州 350122
摘要:
整体观念是中医思维的核心,贯穿于中医诊治的全过程,其主要包含有机整体、天人合一、时空统一3个方面。中医诊断思维是中医思维在诊断疾病上的应用体现,也是认识疾病的必然过程,其原理来自整体观念的指导,体现在司外揣内、见微知著、以常衡变、因发知受4个方面。掌握中医诊断的思维原理,将有助于医者提高诊断的准确性,为中医立法治疗提供可靠的依据。
关键词:  中医  诊断  思维  原理
DOI:10.11656/j.issn.1672-1519.2020.01.04
分类号:
基金项目:国家自然科学基金联合基金(U1705286);国家自然科学基金重点项目(81230087)。
Thinking principle of traditional Chinese medicine diagnosis
LI Candong1,2,3, WENG Hui1,2,3, WEI Jia1,2, XIA Shujie1,2, JING Yuan1,2, CHEN Qianfeng1,2, WANG Yang1,2,3
1.College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China;2.Key Laboratory of Traditional Chinese Medicine Health Status Identification in Fujian Province, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China;3.LI Candong Qihuang Scholar Studio, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
Abstract:
The holistic concept is the core of traditional Chinese medicine(TCM) thinking and runs through the whole process of TCM diagnosis and treatment,it mainly includes three aspects:organic whole,the unity of man and nature,and the unity of time and space. TCM diagnostic thinking is the application of TCM thinking in the diagnosis of diseases,and it is also the inevitable process of understanding diseases. Its principle comes from the guidance of the overall concept,which is reflected in four aspects,namely,governing exterior to infer interior,seeing a small beginning,that may have significant changes. Mastering the thinking principle of TCM diagnosis will help doctors improve the accuracy of diagnosis and provide reliable basis for TCM legislative treatment.
Key words:  traditional Chinese medicine  diagnosis  thinking  principle
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