病证结合方证相关临床应用研究  

Clinical Application of Disease-syndrome Combination and Formula-syndrome Relation

作　　者：王阶[1] 熊兴江[1] 廖江铨[1] 姜文睿[1] 董艳[1] 陈光[1] 

机构地区：[1]中国中医科学院广安门医院,北京100053

出　　处：《世界科学技术-中医药现代化》2017年第3期387-391,共5页Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology

基　　金：国家自然科学基金委面上项目(81473561):冠心病血瘀证相关miRNA表达的甲基化调控机制研究;负责人:王阶;国家中医药局公益性行业科研专项项目(201207009):证候类中药新药疗效评价方法研究;负责人:王阶

摘　　要：传统意义的病证结合是指中医辨病与中医辨证的结合,滥觞于《黄帝内经》,至《伤寒杂病论》得以进一步发展;中西医结合体系下的病证结合是指在西医辨病的基础上中医辨证论治,为目前临床所常用。基于"症征—病机—病理—药理"的病证结合的诊疗模式可以多层次、全面、综合的把握疾病,从而实现两种医学优势的结合与互补。而方证相关是指方剂与其适应症之间存在契合的固定的对应关系,伤寒派诸家多有发挥,目前引申为方从证出,证即证据,包括证候、症状体征、疾病、体质等多个方面,与辨证论治相辅相成。而《伤寒杂病论》中的经方与其适应症之间的关系最为固定,是方证相关的典型代表。故典型的经方类方的临证法则,是传统中医理论中方证相关的具体应用,也为现代临床方证相关应用提供范例。The traditional conotation of ＂combination of disease and syndrome＂ means the combination of disease differentiation in traditional Chinese medicine （TCM） diseases and TCM syndrome differentiation, which was derived from the Yellow Emperor＇s Inner Classic. And the Treatise on Cold Damage and Miscellaneous Diseases describes the clinical application of this theory. Under the background of integrative medicine, the modern conotation of ＂combination of disease and syndrome＂ means TCM syndrome differentiation and treatment based on modem medicine disease differentiation, which is commonly used in the current clinical practice. The disease and syndrome combination diagnosis mode based on ＂syndrome, etiology, pathology and pharmacology＂ can understand the disease from a multiple and comprehensive level, in Order to realize the combination and complementation of advantages from both medicines. In addition, ＂formula-syndrome relation＂ means the relationship general, indications often involve syndromes, symptoms, diseases between the formula and its relevant indications. In and body constitutions. And the application of formula in the Treatise on Cold Damage and Miscellaneous Diseases is the representative of this theory. Hence, the application of associated classical formula gives example to the clinical formula-syndrome relation application in modem times.

关 键 词：病证结合 方证相关 临床应用 中西医结合 

分 类 号：R2-031[医药卫生—中西医结合]