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作 者:熊兴江[1]
机构地区:[1]中国中医科学院广安门医院心内科,北京100053
出 处:《中西医结合学报》2010年第6期581-588,共8页Journal of Chinese Integrative Medicine
基 金:国家重点基础研究发展计划(973计划)资助项目(No.2003CB517103)
摘 要:方证对应是中医学典籍中蕴藏的一种相对成熟完整的疾病诊治方法。其理论形成大致经历了汉代以前的雏形阶段、东汉末年的升华阶段以及后世对之进行发展完善的阶段。在雏形阶段,直录临证所见所闻,积累对病对症的治疗经验;在升华阶段,《伤寒论》将临床运用较为成熟的结构固定的方剂与特定的病证表现之间的特殊对应关系以方证形式固定规范下来;在发展完善阶段,后世在经方方证基础上不断重复验证传统方证对应的科学性,同时多有创新、发展与完善。来源于经验,升华于经典,丰富发展完善于后世诸家为其发展史的重要特征。本文通过系统梳理各时期方证对应理论与实践的源流,为临证诊疗提供参考。The theory of formulas corresponding to syndromes is a relatively mature and integrated method contained in the classics of traditional Chinese medicine (TCM) for diagnosing and treatment of diseases. The development of the theory mainly includes three stages, i.e. prototype stage before Han Dynasty, sublimation stage of late Eastern Han Dynasty and the following improving stage. People recorded what they saw and heard of during their medical activities in prototype stage. In sublimation stage, Treatise on Febrile Diseases written by Zhang Zhong-jing found out the relationship of structure-fixed prescriptions used more often with symptoms and signs. Doctors after Han Dynasty repeated and verified the truth of classical prescriptions and the theory of formulas corresponding to syndromes. They also developed and improved the theory. Based on clinical experience, and classics, it was enriched, advanced and improved by doctors after then. It could provide reference for clinical treatment through systematically hackling the theories.
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