内涵最小的独立症状  被引量:25

Independent symptoms with the least intension

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作  者:张启明[1] 王义国[1] 张磊[2] 于东林[2] 王永炎[1] 

机构地区:[1]中国中医科学院中医临床基础医学研究所,北京100700 [2]山东中医药大学

出  处:《北京中医药大学学报》2010年第1期5-10,共6页Journal of Beijing University of Traditional Chinese Medicine

基  金:国家重点基础研究发展计划(973计划)项目(No.2003CB517101);国家自然科学基金资助项目(No.30772695);中国中医科学院自主选题项目(No.ZZ2006022);"十一五"国家科技支撑计划项目(No.2006BAI08B01-05);国家科技重大专项课题(No.2009ZX10005-019)

摘  要:中医有多少症状?这是一个很难回答的问题,因为中医尚未建立起统一的症状界定标准。基于对历代医案数据库研究,认为生命现象的区分由观察者、观察工具、观察对象、观察角度和观察结果5个要素组成;生命现象能否成为症状在于其能否区分不同的疾病状态;不依赖于其他症状出现于不同疾病状态的症状称为独立症状;症状单元是在部位和性质上内涵最小的独立症状;筛选出的462个症状单元具有内涵单一、数量有限的特点。How many symptoms are there in Chinese medicine? This is a question which is difficult to be answered, because Chinese medicine has not set up a united standard for symptoms definition. On the base of medical record database of the past dynasties, the paper points out that the vital phenomenon consists of 5 basic factors, including observers, and observational tools, objects, angles and results. Whether the vital phenomenon becomes symptom or not depends on the differentiation of different morbid states. A symptom that does not depend on other symptoms and occurs in morbid states is called an independent symptom. A symptomatic unit is an independent symptom with the least location and nature intension. There are 462 symptomatic units screened with the characteristics of single intension and limit amount.

关 键 词:疾病状态 生命现象 症状单元 中医诊断 

分 类 号:R2-03[医药卫生—中医学]

 

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