辨病思维在《伤寒杂病论》中的运用探析  

Analysis of Application of Disease Differentiation Thinking in Treatise on Cold Pathogenic and Miscellaneous Diseases

作　　者：袁卓杰 郑明岚 吴芳汀[1] YUAN Zhuojie;ZHENG Minglan;WU Fangting(Shantou Central Hospital,Shantou 515031,China)

机构地区：[1]汕头市中心医院,广东汕头515031

出　　处：《山东中医药大学学报》2024年第5期573-577,共5页Journal of Shandong University of Traditional Chinese Medicine

基　　金：广东省名中医传承工作室建设项目(编号:粤中医办函〔2020〕1号)。

摘　　要：辨病思维是指准确认识疾病全过程的总体属性、特征和规律,施以相应治法的临床思维,在诊疗中运用辨病思维,能规避辨证论治机械化,避免陷入强调片面临床表现而忽略整体病机的误区。运用辨病思维剖析《伤寒杂病论》,能明确经典中诊疗手段的现代临床意义,更好地剖析条文涵义,并运用现代医学认识来扩展方剂适用病证,强调辨病论治并非否定辨证论治,而是强调两者应有机结合,不应轻辨病重辨证,而应在整体观念基础上以辨病思维主导施行辨证论治,提倡辨病为先、病证结合的临床思维模式。Disease differentiation thinking refers to the clinical thinking that accurately understands the overall attributes,characteristics and regularities of the whole process of disease,and applies corresponding treatment methods.The application of disease differentiation thinking in diagnosis and treatment can avoid the mechanization of syndrome differentiation and treatment,and avoid falling into the misunderstanding of emphasizing one-sided clinical manifestations and ignoring the overall pathogenesis.By analyzing Treatise on Cold Pathogenic and Miscellaneous Diseases with disease differentiation thinking,we can clarify the modern clinical significance of diagnosis and treatment methods in the classics,better analyze the meaning of the provisions,and apply modern medical understanding to expand the indications of formulas.The emphasis on disease differentiation and treatment is not to deny syndrome differentiation and treatment,but to emphasize the organic combination of both.We should not focus merely on syndrome differentiation and ignore disease differentiation.Syndrome differentiation and treatment should be based on holism led by disease differentiation thinking.We advocate the clinical thinking mode of disease differentiation first and combination of disease and syndrome.

关 键 词：《伤寒杂病论》 辨病思维 经方方证 辨证论治 思维模式 

分 类 号：R222.19[医药卫生—中医基础理论]