无症可辨视域下中医诊断思维应用策略述要  

Summary of Application Strategies for Traditional Chinese Medical Diagnostic Thinking in the Absence of Symptoms for Differentiation

作　　者：陈斌斌 王洋[1] 唐文 王志斌 赖长沙 李灿东[1] CHEN Binbin;WANG Yang;TANG Wen;WANG Zhibin;LAI Changsha;LI Candong(Research Base of Traditional Chinese Medicine Syndrome,Fujian University of Traditional Chinese Medicine,Fuzhou,350122;People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine)

机构地区：[1]福建中医药大学中医证研究基地,福建省福州市350122 [2]福建中医药大学附属人民医院

出　　处：《中医杂志》2024年第7期669-673,共5页Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局第二届全国名中医传承工作室建设项目(国中医药办人教函〔2022〕245号);2023年本科高校教育教学研究项目(FBJY20230026)。

摘　　要：无症可辨的实质是疾病处于特殊阶段、特殊状态,无症可辨时如何进行中医诊断是当前中医诊疗的关键科学问题。造成无症可辨的原因包括医患行为与医患关系的局限以及思维认知的局限。为应对此类情况,可以从思维层面采取以下策略:基于整体观念把握疾病的发生发展及内在机制、运用辩证思维总结疾病规律、临床实践与经验思维相结合、多学科交叉引入新思维模式。这些策略有助于中医医师在无明显症状的情况下进行准确诊断,为患者提供更好的医疗服务。The essence of asymptomatic syndrome differenciation is that the disease is in a special stage or state.To perform traditional Chinese medicine(TCM)diagnosis when there was no symptoms for differentiation is a key sci⁃entific issue in current TCM diagnosis and treatment.The reasons include limitations in doctor-patient behaviors and relationships,as well as limitations in cognitive thinking.To address such situations,the following strategies can be adopted from a thinking perspective,i.e.grasping the occurrence and development of diseases based on a holistic con⁃cept,using dialectical thinking to summarize the laws of diseases,integrating clinical practice with experiential think⁃ing,and introducing new thinking modes through interdisciplinary collaboration.These strategies help TCM practitio⁃ners make accurate diagnoses in the absence of obvious symptoms,thereby providing better medical services for patients.

关 键 词：中医诊断 辨证 中医思维 无症状 

分 类 号：R241[医药卫生—中医诊断学]