摘要
《易经》三原则为变易、简易与不易。文章旨在论述《伤寒杂病论》中的"三易",从《伤寒杂病论》的恒动观、辨证观、整体观入手,结合实例论述:①变易:既包含六经传变、脏腑相关的整体宏观变化,也包含证候、病情发展、预后、治法、方药加减变化,还包含正局与变局的多样性;②简易:以辨证观为指导,察主证,辨病机,从而拟定治法方药,掌握规律,化繁为简;③不易:观其脉证,知犯何逆,随证治之,以和阴阳,此辨证之定法,从而论述《易经》三原则在《伤寒杂病论》中的体现,为学习者整体把握其整体恒动观及辨证论治提供思路。
The three principles of Yi Jing refer to changeability, simplicity, and invariable. This article intends to illustrate the ‘three changes' in Shanhan Zabing Lun, starting with the the concept of persistent movement, syndrome differentiation and holism of Shanhan Zabing Lun, and combining with examples. Firstly, changeability includes not only the holistic macrography changes of six channels transmission and zang-fu viscera, but also the changes of syndromes, disease development, prognosis, treatment, prescription and drug addition and subtraction. It also includes the diversity of positive and changing situations. Secondly, simplicity is guided by the concept of differentiation of symptoms and signs, distinguishing pathogenesis, so as to formulate prescriptions and drugs for treatment, master the law and simplify the complexity. Thirdly, invariable refers to observe the pulse and syndrome, knowing what is wrong, treating according to syndrome, and balance yin and yang. These are the definition of syndrome differentiation.It provides a way of thinking for learners to grasp their concept of holistic perseverance and to treatment based onsyndrome differentiation.
引文
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