《伤寒杂病论》“病脉证并治”诊疗思维模式探析  

Analysis on the diagnosis and treatment thinking mode of ‘disease-pulse-syndrome combined treatment’ in Shanghan Zabing Lun

作　　者：杨凤 李芊芊 侯鉴宸 李冉 李伊然 周冉冉 陶晓华 YANG Feng;LI Qian-qian;HOU Jian-chen;LI Ran;LI Yi-ran;ZHOU Ran-ran;TAO Xiao-hua(School of Traditional Chinese Medicine,Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学中医学院,北京100029

出　　处：《中华中医药杂志》2022年第9期5076-5079,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：国家重点研发计划项目(No.2019YFC1709200,No.2019YFC1709201)。

摘　　要：《伤寒杂病论》作为中医学第一部临床专著,被无数医家奉为临证圭臬,其中蕴含的临床思维与辨治理论对临床诊疗活动具有非常重要的指导意义。该书创立了“病脉证并治”的诊疗思维模式,以辨病为首要环节,区分外感与内伤,强调辨脉与平脉的诊断方法,注重辨证与析证的过程,最终制定详细周全的治疗方案。同时,“病→脉→证→治”4个环节体现了《伤寒杂病论》诊疗思维模式所具备的程式化与逻辑性、整体性与系统性、动态性与复杂性的特点。As the first clinical monograph of TCM, Shanghan Zabing Lun is regarded as the most important clinical guideline by numerous TCM doctors, in which the clinical thinking and the theory of differentiation and treatment have very important guiding significance for clinical diagnosis and treatment. The diagnosis and treatment thinking mode of ‘disease-pulsesyndrome combined treatment’ in this book takes disease differentiation as the primary link to distinguish between exogenous diseases and internal injuries, emphasizes the diagnostic method of pulse, pays attention to the process of syndrome differentiation and analysis, and finally formulates a detailed and comprehensive treatment plan. At the same time, the four links of ‘disease→pulse→syndrome→treatment’ reflect the characteristics of the diagnosis and treatment thinking mode in Shanghan Zabing Lun,which are stylized and logical, holistic and systematic, dynamic and complex.

关 键 词：伤寒杂病论 张仲景 病脉证并治 诊疗模式 中医临床思维 

分 类 号：R222[医药卫生—中医基础理论]