再从内科疑难重症审视辨病辨证论治  

On treatment determination based on syndrome differentiation and disease differentiation by analyzing intractable and severe disease in internal medicine

作　　者：吴允耀 

机构地区：[1]福建省福鼎市中医院,福鼎355200

出　　处：《中华中医药杂志》2010年第10期1606-1609,共4页China Journal of Traditional Chinese Medicine and Pharmacy

摘　　要：笔者基于长期的临床实践,认为在医学日新月异的今天,中医辨病也应赋予新的内涵,并尽可能在辨病基础上辨证,强化"因病辨证";在辨证论治的同时不忘辨病论治,病证合参。尤其是疑难重症,须注重动态辨病,以明瞭疾病的预后转归,遣方用药务必辨病论证与辨证论治相结合。在辨病十分复杂、预后极为凶险时可以舍病从证,"证"非但因时因地有别,而且因病因人而异。Based on lonr-term clinical practice,the author thought that the application of disease differentiation should be flexible.In clinic,doctor should combine disease differentiation with syndrome differentiation.Especially in the diagnosis and treatment of the intractable and severe disease,disease differentiation can help to identify the prognosis,the integrated disease differentiation and syndrome differentiation will help to use drugs and form prescriptions.It should obey the syndrome differentiation and abandon the disease differentiation when it is difficult to differentiate the disease or the prognosis is bad.And the syndrome will change when the time,area,disease and patients changes.

关 键 词：内科 疑难病症 辨病论治 辨证论治 治则 三因制宜 

分 类 号：R249[医药卫生—中医临床基础]