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中医辨证的原则
詹杰1,2, 邓丽金1,2, 翁慧1,2,3, 陈启亮1,2, 雷黄伟1,2, 夏淑洁1,2, 王洋1,2,3, 李灿东1,2,3
1.福建中医药大学中医学院, 福州 350122;2.福建省中医健康状态辨识重点实验室, 福建中医药大学, 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:
辨证论治是中医学的两大基本特点之一,辨证应当遵循一定的原则,方能进行合理的施治。文章在阐明辨证内涵及其与状态辨识关系的同时,进一步指出中医证具有动态性、稳定性、缓急性、模糊性、兼杂性、隐匿性、整体性与人体性8大特点,因而辨证应遵循整体合参、动静统一、因人制宜、辨证求本、病证结合的原则,如此方能全面、准确、客观地进行诊断,从而为立法处方提供可靠的依据。
关键词:  辨证    原则  中医诊断  辨证论治
DOI:10.11656/j.issn.1672-1519.2020.04.10
分类号:
基金项目:国家自然科学基金联合基金项目(U1705286);国家自然科学基金重点项目(81230087)。
Principles of traditional Chinese medicine syndrome differentiation
ZHAN Jie1,2, DENG Lijin1,2, WENG Hui1,2,3, CHEN Qiliang1,2, LEI Huangwei1,2, XIA Shujie1,2, WANG Yang1,2,3, LI Candong1,2,3
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:
It is known to us all that reatment based on syndrome differentiation is one of the major features in traditional Chinese medicine(TCM). This paper is clarified that we should follow certain principles of syndrome differentiation in order to point out reasonable treatment, This paper is clarified the connotation of syndrome differentiation and its relationship with state identification, and that the characteristics of TCM syndrome are dynamic,stability,urgency,fuzziness,complication,concealment,holism and human nature. Therefore,syndrome differentiation should follow the principle of holism,dynamic,individuation,looking for the basic causes,combination of disease and syndrome to make a comprehensive,accurate and objective diagnosis and provide a reliable basis for the establishment of prescription.
Key words:  syndrome differentiation  syndrome  principle  diagnosis of traditional Chinese medicine  syndrome differentiation and treatment
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