基于中医思维特征谈辨证研究的问题与路向  

Exploration of the problems and direction on syndrome differentiation based on the characteristics of traditional Chinese medicine thinking methods

作　　者：沈姗怡 甘慧娟[1,2] 赖新梅 李灿东[1,2] SHEN Shan-yi;GAN Hui-juan;LAI Xin-mei;LI Can-dong(Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Collaborative Innovation of Health Management of Traditional Chinese Medicine of Fujian Province in 2011,Fuzhou 350122,China)

机构地区：[1]福建中医药大学,福州350122 [2]福建省2011中医健康管理协同创新中心,福州350122

出　　处：《中华中医药杂志》2023年第2期459-462,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：福建省科技计划高校产学合作项目(No.2020Y4017)。

摘　　要：思维特征反映人类文化现象的深层本质。中医学是中国古代传统文化的有机组成部分,中医思维作为中医文化的核心,与中国传统思维方式一脉相承,如强调关系与整体性等多种思维特征在中医理念、临床诊疗以及学术研究方面均有体现。中医学的独特优势源于以整体思维为主的综合型思维模式,文章从其派生的模糊性、复杂性思维特点窥探中医“证”研究领域的问题,提出“证”相关的规范化工作是提高辨证准确性的基础,统一辨证方法体系、形成公认的辨证标准是解决辨证复杂性的必要途径,应着力夯实规范化和标准化研究以实现辨证研究的发展。Thinking characteristics reflect the deep nature of human cultural phenomena. Traditional Chinese medicine(TCM) is an organic part of ancient Chinese traditional culture. As the core of TCM culture,TCM thinking is consistent with traditional Chinese thinking mode. Many thinking characteristics,such as emphasizing relationship and integrity,are reflected in the concept of TCM,clinical diagnosis and treatment,and academic research. The unique advantage of TCM comes from the comprehensive thinking mode based on holistic thinking. This paper explores the problems in the field of TCM syndrome research from its derived characteristics of ambiguity and complexity thinking,and proposes that the standardization of ’syndrome’ is the basis for improving the accuracy of syndrome differentiation,and the unification of syndrome differentiation method system and the formation of recognized syndrome differentiation standard are the necessary ways to solve the complexity of syndrome differentiation. The two researches of normalization and standardization should be strengthened to realize the development of syndrome differentiation research.

关 键 词：中医思维 思维方式 整体观念 辨证研究 规范化 标准化 证素 精准医学 

分 类 号：R22[医药卫生—中医基础理论]