中医学“辨证论治”原则并非源于《伤寒杂病论》  

Therapeutic Principle of"Treatment Based on Syndrome Differentiation"in Traditional Chinese Medicine Does not Originate from Treatise on Cold Damage and Miscellaneous Diseases

作　　者：钟玮泽 郭华 ZHONG Wei-ze;GUO hua(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029

出　　处：《医学与哲学》2020年第15期25-28,共4页Medicine and Philosophy

摘　　要：辨证论治原则由《伤寒杂病论》所创立已成为中医界的主流观点。然而,《伤寒杂病论》中“证”的含义是指除脉象以外的临床表现,与现代中医界认为“证”是疾病的本质完全不同。因此,辨证论治源于《伤寒杂病论》的观点缺乏合理性。古代医者在无法接触《伤寒杂病论》或不具备“辨证论治”概念的情况下以“治病求本”为最高临床原则,该原则促使医者准确把握疾病的本质,而医者凭借疗效即可判断治法是否切合本质。《伤寒杂病论》应被视为“治病求本”原则的细致化与严谨化体现,现代的辨证论治原则实际上源于中医诊治体系规范化的需要。It is a mainstream opinion that the principle of"bian zheng lun zhi"(treatment based on syndrome differentiation)originate from"Treatise on Cold Damage and Miscellaneous Diseases".However,the word"zheng"in the treatise refers to clinical manifestation with pulse excluded,which is completely different from the modern definition of"zheng",as the essence of diseases.Therefore,the opinion that"bian zheng lun zhi"principle originate from the treatise lacks rationality.Physicians in ancient China had no access to"bian zheng lun zhi"or the treatise,but still successfully cured diseases following the ancient clinical principle of"treating disease based on its root".This principle guaranteed physicians stick to the essence of diseases,and assess their treatments based on efficacy.The modern concept of"bian zheng lun zhi"was created for normalization of the diagnostic and treatment system of Traditional Chinese Medicine.Although the treatise is not the stem of the principle of"bian zheng lun zhi"or"treating disease based on its root",the understanding of diseases in the treatise is in fact a detailed representation of"treating disease based on its root"principle.

关 键 词：辨证论治 《伤寒杂病论》 治病求本 疗效 疾病分类 

分 类 号：R-02[医药卫生]