李发枝临证辨证思维特色简析  

Analysis of the Characteristics of LI Fazhi's Syndrome Differentiation Thinking

作　　者：张佩江[1] 贾玉聪[2] 吴明阳[1] ZHANG Peijiang;JIA Yucong;WU Mingyang(l.Henan University of Chinese Medicine,Zhengzhou 45004;Henan Provincial Hospital of Traditional Chinese Medicine)

机构地区：[1]河南中医药大学 [2]河南省中医院

出　　处：《中医杂志》2018年第22期1910-1914,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局全国名老中医传承工作室建设项目(国中医药人教函[2012]149号);河南省高等教育教学改革研究与实践项目(2017SJGLX330)

摘　　要：从辨病与辨证相结合,方证辨证、据证以选方,运用特异性症状指导辨证三个方面介绍李发枝临证辨证思维。强调准确辨证和精确用方是中医辨证论治取得疗效的关键,主张方证辨证中抓准特异性症状,进而寻求方证的高度一致,使病证和方药快速、有效结合,进而准确地辨证施治。并通过总结复发性口腔溃疡,失眠、心悸,咳嗽、平卧加重,无名病因双下肢水肿等特异性症状的具体治疗,体现特异性症状辨证所具有的实用性强、简捷、高效的特点。This paper introduced LI Fazhi＇ s thinking of syndrome differentiation from three aspects： combining disease differentiation with syndrome differentiation,syndrome differentiation and selecting prescriptions according to syndrome,and guiding syndrome differentiation with specific symptoms. Accurate syndrome differentiation and accurate prescription are emphasized to achieve curative effect of traditional Chinese medicine syndrome differentiation and treatment. It is advocated that specific symptoms should be grasped accurately in syndrome differentiation,so as to seek a high degree of consistency between the prescriptions and syndromes,and to quickly and effectively combine the disease with the prescription,and then to accurately treat the disease according to syndrome differentiation. Through summarizing the specific treatment of recurrent oral ulcer,insomnia,palpitations,cough that aggravated when lying down,edema of double lower limbs with anonymous causes and other specific symptoms,the characteristic features of specific syndrome differentiation are reflected,such as strong practicality,simplicity and high efficiency.

关 键 词：方证辨证 特异性症状 主症 名医经验 李发枝 

分 类 号：R249[医药卫生—中医临床基础]