论“识机”  

Discussion on‘pathogenesis identification’

作　　者：林明欣[1] 江丽杰[1] 胡镜清[1] LIN Ming-xin;JIANG Li-jie;HU Jing-qing(Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)

机构地区：[1]中国中医科学院中医基础理论研究所,北京100700

出　　处：《中华中医药杂志》2022年第1期31-34,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划(No.2019YFC1708501);国家重点基础研究计划(973计划)(No.2014CB542903)。

摘　　要：病机是疾病发生、发展、变化之枢机。辨识病机("识机")为临床诊疗之核心环节,上承"辨证",下启"论治"。文章认为有必要将"识机"从"辨证"中分离出来,彰显"识机"的独立性和重要性。"识机"主要包括3个方面:其一是凝练"基本病机",这是疾病发生、发展与变化的一般规律;其二是抓住"主要病机",这是疾病特定阶段病机的主要方面;其三是兼顾"次要病机",这是疾病特定阶段病机的次要方面。在临证中,彰显"识机",旨在让"辨证"更简单,让"论治"更精准。Pathogenesis of traditional Chinese medicine(TCM)is the hub of disease occurrence,development and change.‘Pathogenesis identification’is the core link of clinical diagnosis and treatment,which inherits‘syndrome differentiation’and starts‘treatment’.We believe that it is necessary to separate‘pathogenesis identification’from‘syndrome differentiation’to highlight its independence and importance.‘Pathogenesis identification’mainly includes three aspects:first,concise‘basic pathogenesis’,which is the general law of disease occurrence,development and change.The second is to grasp the‘main pathogenesis’,which is the main aspect of the pathogenesis of the disease at a specific stage.The third is to take into account the‘secondary pathogenesis’,which is the secondary aspect of the pathogenesis of the disease at a specific stage.In clinical practice,highlighting the‘pathogenesis identification’aims to make‘syndrome differentiation’simpler and‘treatment’more precise.

关 键 词：病机 识机 辨证论治 基本病机 主要病机 次要病机 

分 类 号：R228[医药卫生—中医基础理论]