方证对应在中医辨证体系构建中的思考  

Thinking of prescriptions corresponding to syndromes in construction of syndrome differentiation system

作　　者：王阶[1] 汤艳莉[1] 何庆勇[1] 熊兴江[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《中华中医药杂志》2009年第7期837-839,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点基础研究发展(973计划)项目(No.2003CB517103)

摘　　要：证候要素及其应证组合是完善辨证方法体系的重要环节,方证对应理论实践在此体系构建中起重要作用。以"证候要素"作为方证对应中"证"的基本内涵,保持有效经典方配伍,并深入细化方剂主治,重视证候动态演变,提高方证对应契合度是方证对应取得临床疗效的基本要求,也是完善辨证体系的基础。在临床科研设计中需借鉴循证医学思维,重视以方测证的逆向思维对辨证体系构建的指导。Syndrome factors and their combinations based on syndromes are the important links of construction of syndrome differentiation system, in which the theory of prescriptions corresponding to syndromes plays a key role. The basic requirements of good clinical efficacy are ＇ syndrome factors＇ seen as the basic connotation of ＇ syndromes＇ in prescriptions corresponding to syndromes, keeping the compatibility of effect classical prescriptions, emphasizing further detailed formula indication and dynamic evolution, and increasing the conformity of prescription and syndrome. These are also the basis of construction of syndrome differentiation system. Method of evidence-based medicine should be used for reference in clinical research design, and reverse thinking of conjecturing syndrome based on prescription be used for guidance in the constructing process.

关 键 词：方证对应 证候要素 应证组合 辨证体系 

分 类 号：R289[医药卫生—方剂学]