王琦“辨体-辨病-辨证诊疗模式”的理论要素与临床应用  

Essential factors and clinical application of Professor WANG Qi's model of differentiation of physique,disease and syndrome

作　　者：靳琦[1] 

机构地区：[1]北京中医药大学,北京100029

出　　处：《北京中医药大学学报》2006年第1期41-45,55,共6页Journal of Beijing University of Traditional Chinese Medicine

摘　　要：“辨体-辨病-辨证诊疗模式”是以辨体论治为切入点,将辨体、辨病、辨证相结合,进行综合运用的一种临床诊疗模式,是基于体质理论构建、科学实验和临床实践的总结和升华。其以辨体论治为基础和根本,以“体病相关”和“体质可调”学说为依据,沟通疾病、证候和体质的内在联系,拓展临床思维空间,适应多元复杂的临床要求。在具体应用上,或防病重调体,或治病先调体,或治病兼调体,尤其当无证可辨时,辨体可补偏救弊。诊疗方法有辨体质状态论治、辨体质类型论治、辨体质差异用药等。通过列举临床案例,以资说明问题。The model of differentiation of physique, disease and syndrome was a clinical diagnostic and treatment model which took the physique differentiation and treatment as a key point to combine physique, disease and syndrome differentiations. The model summarized and distillated the constitution theory, scientific experiment and clinical practice. In this model the physique differentiation and treatment, the theory of ＂physique relating to disease＂ and ＂physique being recuperable＂ were the basis, the internal relationship between disease, syndrome manifestations and physique was promoted, the clinical thinking was opened and multiple clinical demands were satisfied. In clinical practice the emphasis was lain in prevention more than in recuperation, or treatment more than recuperation, or treatment and recuperation were given consideration together. If there was no any syndrome for differentiation the physique differentiation could be taken as a remedial measure. The diagnostic and therapeutic methods in this model included giving treatment after differentiation of physique condition, or giving treatment after differentiation of physique type, or administrating drugs after differentiation of phfsique difference. The questions were answered through clinical cases.

关 键 词：辨体-辨病-辨证诊疗模式 辨体论治 体病相关论 体质可调论 

分 类 号：R24[医药卫生—中医临床基础] R241[医药卫生—中医学]