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“辨体-辨病-辨证”诊疗模式在失眠中的应用
周瑶瑶1,2, 杨正3, 白明华3, 邵冬梅1, 王济3
1.北京中医药大学第三附属医院, 北京 100029;2.浙江中医药大学基础医学院, 杭州 310053;3.北京中医药大学国家中医体质与治未病研究院, 北京 100029
摘要:
王琦教授在传统中医学辨病、辨证基础上,提出以辨体为核心的“辨体-辨病-辨证”诊疗模式,从体-病-证多维角度来反映疾病的本质、阐释人与病证之间的关系、指导疾病的临床诊疗。文章以失眠为例,从辨体、辨病、辨证3个维度和层次,对以辨体为核心的思维贯穿疾病的预防、诊断、治疗的诊疗模式进行论述,以期为中医临床诊疗提供借鉴意义。
关键词:  辨体-辨病-辨证  诊疗模式  失眠
DOI:10.11656/j.issn.1672-1519.2023.07.05
分类号:R256.23
基金项目:国家自然科学基金面上项目(82174243,81973715);国家中医药管理局中医药创新团队及人才支持计划项目(ZYYCXTD-C-202001)。
Application of diagnosis and treatment mode “differentiation-constitution,differentiation-disease, differentiation-syndrome” in insomnia
ZHOU Yaoyao1,2, YANG Zheng3, BAI Minghua3, SHAO Dongmei1, WANG Ji3
1.Beijing University of Chinese Medicine Third Affiliated Hospital, Beijing 100029, China;2.College of Basic Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China;3.National Institute of Traditional Chinese Medicine Constitution and Preventive Medicine, Beijing University of Chinese Medicine, Beijing 100029, China
Abstract:
Traditional Chinese medicine is a medical theoretical system with the overall concept as the leading idea and syndrome differentiation and treatment as the diagnosis and treatment characteristics. Professor WANG Qi puts forward the diagnosis and treatment mode of “differentiation-constitution,differentiation-disease,differentiation-syndrome” on the basis of differentiation-disease and differentiation-syndrome. He explains the complex relationship between people and diseases and reflects the essence of diseases from constitution,disease and syndrome,which is mainly reflected in the mode of thinking centered on differentiation-constitution,which runs through the whole process of diagnosis,treatment and prognosis of disease. Therefore,this paper to discuss the application of diagnosis and treatment mode “differentiation-constitution,differentiation-disease,differentiation-syndrome” in insomnia,hoping to provide guiding ideas for clinical practice.
Key words:  differentiation-constitution  differentiation-disease  differentiation-syndrome  the mode of diagnosis and treatment  insomnia
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