俞长荣临证思维特色  被引量:1

Thought Characteristics of Clinical Syndrome Differentiation of Yu Changrong

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作  者:许仕纳[1] 

机构地区:[1]福建中医学院,福州350003

出  处:《中华中医药杂志》2007年第3期171-173,共3页China Journal of Traditional Chinese Medicine and Pharmacy

摘  要:文章介绍了俞长荣教授临证思维特色。俞长荣教授认为,医者临证思维必须十分重视调理气化,只有把气化学说纳入整体观中才能提高疗效。恒动观离不开整体观指导,“随证治之”必须是病理起了变化,是在恒动观指导下的施治方法之一;治病求本之“本”,就临证诊治讲,主要指病机、病位、病性,应据病理机制,析病理、求本质;积累临床经验,探索隐性辨证方法,久治不愈者寻求体质;方,贵在善用,明确仲景治方精神,即使不用仲景方,也算仲景法。药,贵在领悟,吃透药性并在中医药理论指导下运用才能获效。To explore the characteristics of thought of clinical syndrome differentiation and promote the curative effects in TCM. When treating the patients, doctors must attach great importance to the activities of qi. Only the functional activity of qi theory is studied with the combination of the holistic concept can the curative effects be improved. Perpetual motion theory can not work well without the guidance of holism and visceral theory. The theory of "treatments are determined by the variations of symptoms" which bases itself on the precondition that pathology changes in advance, constitutes one of the treatment methods under the guidance of perpetual motion theory. The word ' root' in the theory of "treatment aiming at the root cause of disease" mainly refers to pathogenesis, nature and location of disease, and disease should be analyzed with pathological changes of human body to seek out the root cause of the disease. To accumulate and explore into the treatment by differentiation of syndromes will be conducive to the treatment of the patients who spend long time to cure. The essence of prescription lies in its differentiation in treatment. With the Zhongjing' s spirit of prescriptiom in mind, though not prescribing in the name of Zhongjing, we can call this kind of prescription is Zhongjing style. Medicine is valued in its quality and character, and also in its wise use under the guidance of TCM theories.

关 键 词:临证思维 治病求本 俞长荣 气化 病理机制 

分 类 号:R249[医药卫生—中医临床基础]

 

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