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作 者:胡凤林[1,2] 尚东[1,2] 李吉彦[3] 于睿[4] 柳偲 娄妮 白长川 HU Fenglin;SHANG Dong;LI Jiyan;YU Rui;LIU Cai;LOU Ni;BAI Changchuan(Department of Integrated Traditional and Western Medicine,The First Affiliated Hospital of Dalian Medical University,Dalian 116000,Liaoning,China;Institute(College)of Integrative Medicine,Dalian Medical University,Dalian 116000,Liaoning,China;Dalian Hospital of Traditional Chinese Medicine,Dalian 116000,Liaoning,China;Liaoning University of Traditional Chinese Medicine,Shenyang 110847,Liaoning,China)
机构地区:[1]大连医科大学附属第一医院中西医结合普外科,辽宁大连116000 [2]大连医科大学中西医结合研究院(学院),辽宁大连116000 [3]大连市中医医院,辽宁大连116000 [4]辽宁中医药大学,辽宁沈阳110847
出 处:《中华中医药学刊》2020年第8期125-127,共3页Chinese Archives of Traditional Chinese Medicine
基 金:国家自然科学基金(81873156);白长川全国名老中医药专家传承工作室建设项目(国中医药人教发[2014]20);辽宁省中医药临床学(专)科能力建设项目([2018]125)。
摘 要:方证辨证是通过辨析方剂主治之方证而进行辨证的方法,为遴选合适方剂治疗疾病的必经之路和决定临床疗效的关键点。梳理中医方证辨证体系的形成与发展脉络,对于认识方证辨证的内涵与外延,提高临床应用能力十分重要。中医方证辨证体系最初起源于一药对一症,一病用一药的药证学,其后发展形成了多药治一症及一病需多药的组合方证,张仲景首次提出平脉辨证及辨病脉证并治的辨病与辨证相结合的方证辨证体系。后世医家发展形成了叶天士、吴鞠通等各家方证辨证体系,构建了现代方剂学的雏形,并逐步形成了现代方剂学独立学科,由方证对应单靶点,发展为方剂辨证一证多方的多靶点复合方。整合数万首方剂和中医证候的数字证候诊断体系,突破了传统单人辨证的局限性及片面性。纵向深入研究方证内在量化实质的中医方证代谢组学,将为中医方证辨证提供更多的证据。Formula-syndrome differentiation is one of the methods of TCM syndrome differentiation and treatment,which is the only way to select the appropriate prescription for diseases and the key to determining the clinical efficacy.Combing the formation and development of TCM formula-syndrome differentiation system is very important for understanding the connotation and extension of syndrome differentiation and improving the clinical application ability.Formula-syndrome differentiation system initially originated from a herbal symptomatic system that treated one symptom with one prescription and one disease cured by one prescription.Thereafter,it developed into multiple Chinese medicine prescriptions to treat one symptom and one Chinese medicine prescription can treat a variety of diseases.ZHANG Zhongjing put forward the formula-syndrome differentiation system based on pulse differentiation and syndrome differentiation system by combining with disease differentiation and syndrome differentiation.On this basis,doctors of later generations developed and formed the syndrome differentiation system of YE Tianshi and WU Jutong,and constructed the embryonic form of modern prescription science.Combined with the syndrome differentiation system of later generations,a modern independent discipline of prescription science has been formed,which has developed from single target corresponding to prescription syndrome to multi-target compound prescription syndrome differentiation.Integrating tens of thousands of prescriptions and the digital syndrome diagnosis system of TCM syndrome breaks through the limitation and one-sidedness of traditional single syndrome differentiation,providing more evidence for the differentiation of TCM prescriptions and syndromes.
分 类 号:R241[医药卫生—中医诊断学]
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