四诊合参古之论  

Discussion on four diagnosis integration from ancient thinking

作　　者：赵文 李思汉 詹杰 婧媛 徐云浩 王洋[1,2,3] 李灿东 ZHAO Wen;LI Sihan;ZHAN Jie;JING Yuan;XU Yunhao;WANG Yang;LI Candong(College of Traditional Chinese Medicine,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Key Laboratory of Traditional Chinese Medicine Health Status Identification in Fujian Province,Fuzhou 350122,China;LI Candong Qihuang Scholar Studio,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China)

机构地区：[1]福建中医药大学中医学院,福州350122 [2]福建省中医健康状态辨识重点实验室,福州350122 [3]福建中医药大学李灿东岐黄学者工作室,福州350122

出　　处：《天津中医药》2020年第11期1237-1240,共4页Tianjin Journal of Traditional Chinese Medicine

基　　金：国家自然科学基金联合基金项目(U1705286);国家自然科学基金重点项目(81230087)。

摘　　要：中医四诊根植于中国传统文化,在中医诊疗体系中具有不可替代的重要作用。关于“四诊合参”,古代医籍多有记载,文章将溯本求源,梳理古代医家对其的认知,认为四诊合参不仅彰显中医特色,是临床准确辨证的前提,而且蕴含整体性、动态性以及个性化等中医思维,若要准确把握中医诊法合参的应用技巧,掌握单个诊断的特点与临床意义是基础,理解多诊相参是关键,灵活运用四诊合参是目的。Rooted in Chinese traditional culture,the four traditional Chinese medicine diagnosis and treatment system plays an irreplaceable role.There are many records in ancient medical books on the“four diagnosis integration”.This article will trace back to the origin and summarize the ancient doctors’cognition of the“four diagnosis integration”.It holds that the four diagnosis integration not only shows the characteristics of traditional Chinese medicine and serves for clinical syndrome differentiation,but also contains the holistic,dynamic and personalized thinking of traditional Chinese medicine.If we want to accurately grasp the application skills of Chinese medicine diagnosis method,it is the basis to master the characteristics and clinical significance of each diagnosis,the key is to understand the multiple diagnosis integration,and the purpose is to flexibly use the four diagnosis integration.

关 键 词：四诊合参 中医思维 守正 应用技巧 

分 类 号：R241[医药卫生—中医诊断学]