国医大师周仲瑛融贯古今创建病机理论新体系学术思想述要  

Summary of the Academic Thought of TCM Master Zhou Zhongying on Integrating the Ancient and Modern to Create a New System of Pathogenesis Theory

作　　者：叶放[1] 吴勉华[1] 周学平[1] 程海波[1] 李柳[1] 冯哲[1] 金路[1] 朱垚[1] 郭立中[1] 赵智强[1] 王志英[1] 金妙文[1] YE Fang;WU Mianhua;ZHOU Xueping;CHENG Haibo;LI Liu;FENG Zhe;JIN Lu;ZHU Yao;GUO Lizhong;ZHAO Zhiqiang;WANG Zhiying;JIN Miaowen(The First Clinical Medical College,Nanjing University of Chinese Medicine,Nanjing 210023,China)

机构地区：[1]南京中医药大学第一临床医学院,江苏南京210023

出　　处：《南京中医药大学学报》2024年第10期1071-1079,共9页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：国家中医药管理局“国医大师周仲瑛传承工作室”建设项目;江苏省(社会发展)重点研发计划(BE2019723);中国中医科学院学部委员学术传承与传播专项项目(CI2022E028XB)。

摘　　要：概述了国医大师周仲瑛教授以创建中医病机理论新体系为核心学术思想的探索历程、学术意义,对其理论内涵进行解读。作为中医高等教育教材建设的开拓者,周仲瑛教授创建了中医内科脏腑辨证纲要,坚持不懈开展病机理论创新研究,取得丰硕的学术成果,充实、发展了中医理论学术体系。在对外感热病和内伤急难症临床诊疗过程中,系统创建了瘀热论、癌毒论等病机新理论,据此立法用药能够提高临床疗效,感悟出辨识病机是辨证论治的关键环节。周仲瑛教授晚年以整体观为指引,提出“病机十三条”,构建了中医病机辨证新体系,突出复合病机、病机要素因果链对临床复杂性病证的指导价值,形成以“审证求机,活化辨证”思想为灵魂的理论。该理论突破了从单一病机或固定证型辨证论治的僵化思维,以整体观思想重构了中医理论框架,是现代中医学的一次重大学术创新。This paper summarizes the exploration process and academic significance of the academic thought of Zhou Zhongying,a master of traditional Chinese medicine,who took the creation of a new system of TCM pathogenesis theory as the core,and interprets its theoretical connotation.As a pioneer in the construction of higher education textbooks for traditional Chinese medicine,Professor Zhou Zhongying created the outline of TCM internal medicine viscera differentiation,persisted in carrying out innovative research on pathogenesis theory,achieved fruitful academic results,and enriched and developed the academic system of TCM theory.In the clinical diagnosis and treatment of exogenous febrile diseases and acute and difficult internal injuries,he systematically created new pathogenesis theories such as stasis-heat theory and cancer toxicity theory.Based on this,the legislation of medication can improve the clinical efficacy,and it is realized that identifying the pathogenesis is the key link in syndrome differentiation and treatment.In his later years,Professor Zhou Zhongying,guided by the holistic view,proposed the“thirteen pathogenesis”and constructed a new system of TCM pathogenesis differentiation,highlighting the guiding value of complex pathogenesis and the causal chain of pathogenesis elements to complex clinical diseases and syndromes,forming a theory with the idea of“examining syndromes and seeking pathogenesis,activating syndrome differentiation”as its soul.This theory breaks through the rigid thinking of syndrome differentiation and treatment based on a single pathogenesis or fixed syndrome type,reconstructs the theoretical framework of TCM with the idea of holistic view,and is a major academic innovation in modern TCM.

关 键 词：中医理论 辨证论治 病机 病机十三条 学术思想 周仲瑛 

分 类 号：R228[医药卫生—中医基础理论]