从《伤寒杂病论》中探究“无证可辨”的对策

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英文篇名：On the Countermeasure When No Syndrome to Differentiate: from the Treatise on Febrile and Miscellaneous Diseases(《伤寒杂病论》) 作者：余涛 ; 邹小娟 ; 许家栋 ; 杨航 ; 陈家旭 英文作者：YU Tao;ZOU Xiaojuan;XU Jiadong;YANG Hang;CHEN Jiaxu;School of Basic Medical Sciences,Hubei University of Chinese Medicine;Wuhan Central Hospital Affiliated to Tongji Medical College,Huazhong University of Science and Technology;Wulian County Dermatology Hospital,Shandong Province;Wuhan First Hospital,Affiliated to Tongji Medical College,Huazhong University of Science and Technology;School of Basic Medical Sciences,Beijing University of Chinese Medicine; 关键词：辨证论治 ; 无证可辨 ; 伤寒杂病论 英文关键词：syndrome differentiation and treatment;;no syndrome to differentiate;;Treatise on Febrile and Miscellaneous Diseases(《伤寒杂病论》) 中文刊名：ZZYZ 英文刊名：Journal of Traditional Chinese Medicine 机构：湖北中医药大学基础医学院;华中科技大学同济医学院附属武汉中心医院;山东省日照市五莲县皮肤病医院;华中科技大学同济医学院附属武汉市第一医院;北京中医药大学基础医学院; 出版日期：2019-02-17 出版单位：中医杂志 年：2019 期：v.60 基金：国家自然科学基金(81473597,81630104,81704023) 语种：中文; 页：ZZYZ201904008 页数：3 CN：04 ISSN：11-2166/R 分类号：34-36

摘要

无证可辨现象对中医临床诊疗形成了挑战,其形成有诸多原因。总结无证可辨的直接原因是缺乏"症群",根本原因是四诊的粗疏,不是症群不存在,而是中医师未能采集到。梳理《伤寒杂病论》中蕴含的关于四诊、体质辨证、以方测证和注重病机转变等方法能够有效解决无证可辨的问题。
        The phenomenon of no syndrome to differentiate poses a challenge to the clinical diagnosis and treatment of traditional Chinese medicine( TCM),and there are many reasons for its formation. It is believed that the direct reason is the lack of symptom groups,and the root cause is the careless and inattentive of the four diagnostic methods. It is not that the symptom group does not exist,but that the Chinese medicine practitioners fail to collect it.Studying the four diagnostic methods,the constitution differentiation,testing syndrome by formula and the method of attaching importance to the change of pathogenesis contained in the Treatise on Febrile and Miscellaneous Diseases( 《伤寒杂病论》) can effectively solve the problem of undocumented discernment.

引文

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