祝肇刚基于“临病人问所便”的问诊经验  

ZHU Zhaogang's inquiry experience based on"understanding patients'preferences and aversions"

作　　者：王翚[1] 祝肇刚 WANG Hui;ZHU Zhaogang

机构地区：[1]北京中医药大学东直门医院肾病内分泌科一区,北京100700 [2]北京四惠中医医院中医内科,北京100124

出　　处：《北京中医药》2025年第2期187-190,共4页Beijing Journal of Traditional Chinese Medicine

基　　金：第六批北京市级中医药专家学术经验继承工作项目(京中医科字〔2021〕169号);北京中医药“薪火传承3+3工程”祝肇刚名医传承工作站项目(2021-SZ-C-84)。

摘　　要：“临病人问所便”出自《黄帝内经》,即医生问诊时,要问清患者的喜恶,以全面了解病情,探寻疾病本质,并制定个体化的治疗方案。祝肇刚老师临证擅于问诊,常问患者日常喜恶、饮食偏嗜、生活习惯、性情处事、起居环境等,在关注患者客观症状的同时,更注重患者的主观感受与倾向,从而更为全面准确地体察患者状态,了解致病之因,判断疾病属性,顺患者之“所便”处方用药,因势利导,顺势而为,身心同调,形成了独特的诊疗风格与治疗特色。The phrase"understanding patients'preferences and aversions"comes from the Huangdi's Internal Classic(《黄帝内经》),which states that when doctors consult,they should clarify the patients'preferences and dislikes in order to comprehensively understand the condition,explore the essence of the disease,and develop personalized treatment plans.Teacher ZHU Zhaogang is skilled in clinical diagnosis,often asking patients about their daily likes and dislikes,dietary preferences,lifestyle habits,temperament,living environment,etc.While paying attention to the objective symptoms of patients,he also pays more attention to their subjective feelings and tendencies,so as to comprehensively and accurately observe the patients'condition,understand the cause of the disease,judge the nature of the disease,prescribe medication according to the patients'preferences according to the situation,act in accordance with the trend,and harmonize the body and mind,forming a unique diagnosis and treatment style and characteristics.

关 键 词：问诊 临病人问所便 因人制宜 名医经验 

分 类 号：R47[医药卫生—护理学]