中医学“证”内涵重建的可行性探讨  

Feasibility discussion on reconstruction of'Zheng'connotation of traditional Chinese medicine

作　　者：张帅 徐浩[1,2] ZHANG Shuai;XU Hao(Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing 100091,China;National Clinical Research Center for Chinese Medicine Cardiology,Beijing 100091,China)

机构地区：[1]中国中医科学院西苑医院,北京100091 [2]国家中医心血管病临床医学研究中心,北京100091

出　　处：《中华中医药杂志》2020年第5期2425-2427,共3页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划项目(No.2018YFC2002500);首都卫生发展科研专项重点攻关项目(No.首发2018-1-4171)。

摘　　要：“证”在中医学术理论体系和中医临床诊疗实践中具有十分重要的地位和作用,然而对“证”的认识却存在严重分歧,直接影响着临床、科研、教学等,有必要对其内涵进行重构。文章明确提出“证”包含现象与本质两层含义,证的实质是疾病或人体某一阶段性本质(证机)与现象(证象)的统一体。“证”内涵的重建有利于完善和规范辨证论治体系,可使辨证思维过程更加清晰,从而更有效地指导临床诊疗、科研和教学。'Zheng'plays a crucial role in the theoretical system and clinical practice of traditional Chinese medicine.However,there are serious differences in the understanding of'Zheng',which directly affects the clinical,scientific research,teaching,and so on.It is necessary to reconstruct its connotation.This article clearly proposed that'Zheng'included two meanings:phenomenon and essence;the essence of Zheng was the unity of nature(the pathogenesis of Zheng,pattern)and phenomenon(the symptom of Zheng,syndrome)of a certain stage of disease or human body.The reconstruction of the connotation of'Zheng'is conducive to improving and standardizing the system of syndrome differentiation treatment,and can make the thinking process of syndrome differentiation clearer,and thus guides clinical diagnosis and treatment,scientific research and teaching more effectively.

关 键 词：证 症 辨证论治 病证结合 审症求因(机) 对症治疗 对因治疗 

分 类 号：R2-0[医药卫生—中医学]