病机十九条“证中有证,证中有机”略论  

Elementary exploration of nineteen pathogenesis about 'syndrome containing syndromes' and 'syndrome containing pathogenesis'

作　　者：潘秋霞[1] 陈家旭[1] 李晓娟[1] 刘玥芸[1] 周岩[1] 王方方[1] 马庆宇[1] 

机构地区：[1]北京中医药大学基础医学院,北京100029

出　　处：《中华中医药杂志》2017年第1期40-42,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家自然科学基金项目(No.81473597);北京市自然科学基金项目(No.7152093)~~

摘　　要：文章以病机十九条为主要研究对象,探讨了"证中有机"和"证中有证"的理论基础。根据患者体质的差异,主、次、兼症的搭配变化,同一证候中的病机也各不相同或是处于一个变化或是相对运动的状态;结合现代科学研究,各项微观指标及病理指标的定性定量检查证明了同一证候中病机的差异性,证候中可包含多个亚病机,即"证中有机"。因主、次、兼症的不同组合,或是证候的内涵之间的多元性和偏倚性,证候可再细分为不同的亚证候,即"证中有证"。证候中出现的宏观亚证候单位分化,或是微观病理上的改变,均可为中医证候与病机的相关研究提供研究思路。To explore the theoretical basis of ＇syndrome containing syndromes＇ and ＇syndrome containing pathogenesis＇,＇the nineteen pathogenesis＇ is being as the study subject.According to the constitution difference,the different combination of the major,minor and accompanying symptoms,therefore,the pathogenesis states are in a change or relative motion condition;combined with modern scientific research,the qualitative or quantitative micro-indexes and pathological characteristics also showed that pathogenesis were in a continuous motion state,that is the same syndrome contains multiple sub-pathogenesis,namely＇syndrome containing pathogenesis＇.Due to the different combination of the major,minor and accompanying symptoms,or the diversity and bias of syndrome connotation,so the syndrome can be divided into several sub-syndromes,namely＇syndrome containing syndromes＇.Both of the differentiation of sub-syndrome differentiation from systematic view,and the pathological mini-changes from microcosmic perspective,can provide research ideas for further study of TCM syndromes and pathogenesis.

关 键 词：证候 病机 证中有证 证中有机 

分 类 号：R228[医药卫生—中医基础理论]