辨病举案诠真  

Interpretation of Disease/Disorder Differentiation

作　　者：马英明[1] 

机构地区：[1]中国中医科学院望京医院心内科,北京100102

出　　处：《世界中西医结合杂志》2017年第10期1453-1457,共5页World Journal of Integrated Traditional and Western Medicine

摘　　要：通过从中医临证实践中出发,列举若干实际问题,如只知辨证不知辨病、缺乏中医疾病鉴别诊断等,意在指出辨病论治的重要性和病证鉴别之间的关系。从中医理论体系的发生发展和历史沿革中表述不同时期的疾病分类,总结目前存在对中医疾病的认识和辨病的不足,并举医案具体分析辨病、辨证论治的关系和异同,强调二者之间的主次关系以及与治疗效果的关联。以期继承和重振中医辨病的重要地位和建立符合实践需求的新型辨病证体系。The questions encountered in TCM practice were listed in the paper,such as the syndrome differentiation rather than the disease differentiation,the lack of TCM disease identification and diagnosis,aiming to determine the relationship between the importance of disease differentiation and the syndrome identification in the treatment. The disease classification is explained in the evolution of TCM theoretic system at different eras. The recognition of TCM diseases and disease differentiation were insufficient at present. With the concrete medical cases in the paper,the relationship and differences were analyzed on the disease differentiation,syndrome differentiation and treatment. The primary and secondary relationship between them,as well as the major effects in treatment were emphasized. It is expected that the important position of TCM disease differentiation may be inherited and revived and a new system of disease and syndrome differentiation be established in compliance with the practice demand.

关 键 词：辨病论治 辨病为干 辨证为支 病证同鉴 先病后证 

分 类 号：R259[医药卫生—中西医结合]