黄煌教授“方-病-人”诊疗模式的整体观内涵探微  

A Probe into the Holistic Concept of Professor Huang Huang’s Formula-Disease-Person Diagnosis and Treatment Model

作　　者：顾国祥 殷忠勇 GU Guoxiang;YIN Zhongyong(School of Chinese Medicine,Jiangsu Medical College,Yancheng 224005,China;College of Huang Huang Jingfang,Jiangsu Medical College,Yancheng 224005,China;The Research Center of Chinese Medicine Culture,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]江苏医药职业学院中医药学院,江苏盐城224005 [2]江苏医药职业学院黄煌经方学院,江苏盐城224005 [3]南京中医药大学中医文化研究中心,江苏南京210023

出　　处：《南京中医药大学学报》2024年第9期875-879,共5页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省教育厅哲学社会科学重点研究基地基金资助项目(2021B04)。

摘　　要：从构建过程、思维维度、临床实践等方面探究黄煌教授“方-病-人”诊疗模式的整体观内涵,认为“方-病-人”诊疗模式是建立在“形神合一”整体观的基础上,蕴含了丰富的“形-气-神”一体观的体质认识论,具有立体化、场景化、具身化的特征。该模式从治疗学角度衍生出“方人相应”和“方病相应”两个关键点,蕴含了“辨体-辨病-辨证-辨机”思维的系统性与整体性,强调方人、方病、方证、方机的统一,是病证结合思想的体现。“方-病-人”诊疗模式将整体观贯穿于疾病辨治全程,融合了“诊断-识证”一体的方证观以及“辨体-辨病”一体的治疗观,对辨治慢性病、疑难病尤具指导意义。To explore the connotation of the holistic view of“formula-disease-person”diagnosis and treatment model of Professor Huang Huang from the aspects of construction process,thinking dimension,clinical practice,etc.It’s believed that“formula-disease-person”diagnosis and treatment model is based on the holistic view of“unity of form and spirit”,and contains a wealth of constitution epistemology based on the holism of“form-qi-spirit”,which has the characteristics of three-dimensional,scene character and embodiment.From the perspective of therapeutics,two key points are derived,namely“correspondence between formula and person”and“correspondence between formula and disease”,which embodies the systematic and holistic thinking of“constitution differentiation,disease differentiation,syndrome differentiation,pathogenesis differentiation”,emphasizes the unity of formula-person,formula-disease,formula-syndrome and formula-pathogenesis,and is the embodiment of the idea of combining disease and syndrome.The“formula-disease-person”diagnosis and treatment model combines the formula-syndrome view of“diagnosis-identification”and the treatment view of constitution differentiation-disease differentiation and incorporates a holistic view throughout the entire process of disease diagnosis and treatment,which has guiding significance for the treatment of chronic diseases and difficult diseases.

关 键 词：“方-病-人”诊疗模式 整体观 方人相应 方病相应 黄煌 

分 类 号：R241[医药卫生—中医诊断学]