熊继柏论中医临证常见误区  

Discussion on Common Misunderstandings in Traditional Chinese Medicine Clinical Treatment by XIONG Jibai

作　　者：刘扬 何清湖[1] 易法银[1] 蒋学余[2] 杜亮亮[2] 余绍清[2] LIU Yang;HE Qinghu;YI Fayin;JIANG Xueyu;DU Liangliang;YU Shaoqing(Hunan University of Chinese Medicine,Changsha 410208;Yueyang City Hospital of Traditional Chinese Medicine,Hunan Province)

机构地区：[1]湖南中医药大学 [2]湖南省岳阳市中医院

出　　处：《中医杂志》2018年第22期1906-1909,共4页Journal of Traditional Chinese Medicine

摘　　要：熊继柏教授认为,中医临证的常见误区主要包括:诊断误区,如四诊不全、问诊缺乏技巧、排斥西医的诊断方法、单纯依据西医诊断;辨证误区,如不辨病直接辨证、忽视相似证型的鉴别、未辨病势遣方用药、理论理解片面、忽视整体观念;施治误区,如据西医的诊断结论或中药药理选方用药、不开方只开药、对照书本机械用方。内容涉及脉诊、问诊、辨病、辨证、辨病势、用方、用药等,利于塑造正确的临证思路。Professor XIONG Jibai believes that the common misunderstandings of traditional Chinese medicine（TCM） clinical treatment include three aspects： first,the diagnosis misunderstandings,such as incomplete four diagnosis,lack of skills in consultation,rejection of western medicine diagnosis methods and diagnosis based solely on western medicine; second,the syndrome differentiation misunderstandings,such as syndromes differentiation without disease differentiation,neglect of identification of similar syndrome types,prescription and medication without disease condition differentiation,theoretical understanding of one-sided,neglect of the overall concept; third,the treatment misunderstanding,such as giving prescription only according to western medicine diagnosis conclusion or TCM pharmacology,giving drugs without prescription,and copying the prescriptions from the books automatically. The content of this paper includes meridian diagnosis,consultation,disease differentiation,syndrome differentiation,disease condition differentiation,prescription,medication,etc.,which is conducive to shaping the correct clinical evidence.

关 键 词：诊断误区 辨证误区 施治误区 名医经验 熊继柏 

分 类 号：R249[医药卫生—中医临床基础]