基于白虎加人参汤探讨一证多因的内涵与意义  

Discussion on the Connotation and Significance of the Phenomenon of A Syndrome Caused by Multiple Causes Based on Baihu Jia Renshen Tang

作　　者：陈关征 郑志攀[2] CHEN Guanzheng;ZHENG Zhipan

机构地区：[1]洛阳市第一中医院,河南洛阳471000 [2]南京中医药大学第一临床医学院,江苏南京210029

出　　处：《新中医》2018年第12期255-257,共3页New Chinese Medicine

摘　　要：一证多因是指同一种证可以由不同的病因或病理因素通过某些相同的病理环节转变所引起的临床现象。一证多因在临床上并不少见,有其深刻的内涵和意义。笔者基于白虎加人参汤进行探讨,指出一证多因的本质仍然是病机的转变和演进。认为对一证多因作深入分析,可以提高中医理论和辨治水平,同时有助于揭开证的本质,对临床辨治思路也有一定的启发意义。The phenomenon of a syndrome caused by multiple causes is a clinical phenomenon that the same syndrome can be triggered by different etiologies or pathological factors through changes of some identical pathological links. It is uncommon in clinical practice,and it has profound connotation and significance. Based on the further discussion of Baihu Jia Renshen tang,the authors pointed out that the essence of the phenomenon of a syndrome caused by multiple causes still lies in the transformation and evolution of the etiology,and believed that the in-depth analysis of this phenomenon can improve the theory of Chinese medicine and the level of differentiation and treatment and that it can at the same time help to uncover the essence of the syndrome,thus providing certain enlightening significance for clinical differentiation.

关 键 词：一证多因 一因多证 病因 病机 病机辨证 白虎加人参汤 

分 类 号：R228[医药卫生—中医基础理论]