从《名医类案》误诊病案谈中医定势思维对临床的影响  

Analysis on the influence of the fixed thinking modes of traditional Chinese medicine on clinical practice from misdiagnosed cases in Mingyi Leian

作　　者：孟之舟 刘果[1] MENG Zhizhou;LIU Guo(Beijing University of Chinese Medicine,Beijing 100029,China)

机构地区：[1]北京中医药大学,北京100029

出　　处：《中华中医药杂志》2023年第10期4607-4610,共4页China Journal of Traditional Chinese Medicine and Pharmacy

基　　金：全国第五批优秀中医临床人才研修项目(No.国中医药人教函[2022]239号);国家自然科学基金面上项目(No.81873214);国家中医药管理局中医药创新团队及人才支持计划项目(No.ZYYCXTD-C-202006)。

摘　　要：定势思维作为普遍存在于人类活动中的思维方式之一,对中医临床同样具有不可忽视的作用。文章通过举例论证中医定势思维形成受到历史惯性与经验直觉两方面影响,并择取《名医类案》误诊病案,分析说明定势思维在中医临床中起到的作用具有必要性与矛盾性两方面特点,提出“博集医源”“实证求真”的方法使定势思维消极影响最小化,启发现代中医临床,克服诊疗过程中形成的惰性心理,精细辨证,使中医临床更具严谨性,以达到提高疗效的目的。As one of the modes of thinking existing in human activities,the fixed thinking modes is important to the clinical practice of traditional Chinese medicine(TCM).The fixed thinking modes of TCM is formed by historical inertia and empirical intuition is verified through example.Taking misdiagnosed cases in as Mingyi Leian an example,this paper elaborated the role of the fixed thinking modes in clinical practice,which has the characteristics of necessity and contradiction,proposed methods of‘widely gathering medical resources’‘empirical truth seeking’to minimize the negative impact of the fixed thinking modes,enlighten modern TCM clinical practice,overcome the inert psychology formed in the diagnosis and treatment process,realize fine syndrome differentiation and make the clinical practice of TCM more rigorous,so as to improve the curativeeffect.

关 键 词：中医学 定势思维 《名医类案》 误诊 辨证论治 

分 类 号：R24[医药卫生—中医临床基础]