从微观到“近”微观辨证:源流、争议及展望  

Syndrome Differentiation from Micro to“Near-micro”:Origins,Controversies and Prospects

作　　者：钟俐芹 盛丹 刘旺华[1,2] 胡志希[1,2] 彭清华[1,2] 简维雄[1,2] 吴莹洁 王妍杰 伏书玥 梁昊[1,3] ZHONG Liqin;SHENG Dan;LIU Wanghua;HU Zhixi;PENG Qinghua;JIAN Weixiong;WU Yingjie;WANG Yanjie;FU Shuyue;LIANG Hao(Institute of TCM Diagnostics,Hunan University of Chinese Medicine,Changsha 410208,China;Hunan Provincial Key Laboratory of TCM Diagnostics,Hunan University of Chinese Medicine,Changsha 410208,China;School of Integrative Medicine,Hunan University of Chinese Medicine,Changsha 410208,China)

机构地区：[1]湖南中医药大学中医诊断研究所,湖南长沙410208 [2]湖南中医药大学中医诊断学湖南省重点实验室,湖南长沙410208 [3]湖南中医药大学中西医结合学院,湖南长沙410208

出　　处：《中国中医药信息杂志》2024年第3期8-12,共5页Chinese Journal of Information on Traditional Chinese Medicine

基　　金：国家自然科学基金面上项目(82274411);湖南省自然科学基金(2022JJ40300);湖南省青年科技创新人才项目(2022RC1021);湖南中医药大学科研基金“揭榜挂帅”专项(2022XJJB002)。

摘　　要：微观辨证学作为一门将传统诊断方法与现代科学技术相结合的新兴学科,具有良好的发展前景,但在研究过程中也存在一定争议。本文结合古今文献梳理微观辨证学研究源流,分别从病种适用、指导思想和微观指标方面总结微观辨证学研究过程中待完善之处。据此进一步从内涵、适用范围、与传统辨证和微观辨证的联系方面提出对“近”微观辨证理论的思考,认为在将现代医学检测依据纳入中医辨证领域的同时,应立足于中医学整体思维模式,为现代中医诊断技术的发展提供新思路。As an emerging discipline that combines traditional diagnostic methods with modern scientific technology,micro syndrome differentiation has good prospects for development,but there are some controversies in the research process.Based on ancient and modern literature,this article reviewed the origin and flow of research on micro syndrome differentiation,and summarized the problems to be improved in the process of research on micro syndrome differentiation from three aspects:application of disease type,guiding ideology and micro indicators.Based on this,the article further expounded the new thinking on“near-micro”syndrome differentiation from three aspects:connotation,scope of application,and links to traditional identification and micro-identification,and pointed out that the modern medical detection basis should be incorporated into the field of TCM syndrome differentiation,and at the same time,it should be based on the overall thinking mode of TCM,which would provide a new idea for the development of modern TCM diagnosis technology.

关 键 词：辨证论治 宏观辨证 微观辨证 微观指标 

分 类 号：R241[医药卫生—中医诊断学]