基于《黄帝内经》的四维辨治思想探讨
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摘要
四维辨治的提出,对于提高中医辨治水平、拓展辨治思路具有重要意义。目前总在一味强调辨证论治,事实上《黄帝内经》不仅重视辨证论治,也同样重视辨病论治、审因论治与对症治疗,开辨病、审因、对症、辨证四维辨治之宗。辨病论治、审因论治、对症治疗、辨证论治都是中医学的重要辨治模式,各自的作用也是不可替代的。亟须突破多年形成的单一的辨证论治惯性思维,全面继承、弘扬与发展四维辨治思想,让经典与临床对接,让现代科技与中医诊疗对接,拓宽一条立体的中医诊疗发展之路。
The treatment based on syndrome differentiation in four dimensions is of great significance for improving the level and expanding the thought of TCM treatment based on syndrome differentiation. At present, it always emphasizes treatment based on syndrome differentiation. In fact, the Huangdi Neijing not only emphasizes treatment based on syndrome differentiation,but also emphasizes treatment based on disease differentiation, treatment based on cause of disease and symptomatic treatment.It first proposed the treatment based on syndrome differentiation in four dimensions including disease differentiation, cause of disease, symptomatic treatment and syndrome differentiation. Treatment based on disease differentiation, treatment based on cause of disease, treatment based on syndrome differentiation and symptomatic treatment are all important patterns of differentiation and treatment of TCM, and their respective roles are irreplaceable. It is imperative to break through the single inertia thinking of treatment based on syndrome differentiation formed over the years, inherit, carry forward and develop the treatment based on syndrome differentiation in four dimensions in an all-round way, make classics and clinical docking, make modern science and technology docking with TCM, and broaden a three-dimensional academic development road.
The treatment based on syndrome differentiation in four dimensions is of great significance for improving the level and expanding the thought of TCM treatment based on syndrome differentiation. At present, it always emphasizes treatment based on syndrome differentiation. In fact, the Huangdi Neijing not only emphasizes treatment based on syndrome differentiation,but also emphasizes treatment based on disease differentiation, treatment based on cause of disease and symptomatic treatment.It first proposed the treatment based on syndrome differentiation in four dimensions including disease differentiation, cause of disease, symptomatic treatment and syndrome differentiation. Treatment based on disease differentiation, treatment based on cause of disease, treatment based on syndrome differentiation and symptomatic treatment are all important patterns of differentiation and treatment of TCM, and their respective roles are irreplaceable. It is imperative to break through the single inertia thinking of treatment based on syndrome differentiation formed over the years, inherit, carry forward and develop the treatment based on syndrome differentiation in four dimensions in an all-round way, make classics and clinical docking, make modern science and technology docking with TCM, and broaden a three-dimensional academic development road.
引文
[1]程士德,孟景春.内经讲义.上海:上海科学技术出版社,1984:13
[2]马冠军.由《内经》腹泻病辨治谈中医四维论治体系的构建.北京中医药,2017,36(9):818-819
[3]马冠军.卸下“辨证论治”的负担.中华中医药杂志,2016,31(1):55-57
[4]马冠军.试论中医学的辨治模式.中医临床研究,2017,9(5):18-19
[5]黄帝内经素问.田代华,整理.北京:人民卫生出版社,2005:5
[6]马冠军.关于辨病论治的认识.中医杂志,2014,55(7):626-627
[7]灵枢经.田代华,刘更生,整理.北京:人民卫生出版社,2005:5
[8]马冠军.关于审因论治的认识.中国中医基础医学杂志,2015,21(6):637-641
[9]马冠军.关于对症治疗的认识.上海中医药杂志,2014,48(10):72-73
[10]方药中,许家松.论《伤寒论》中的辨病辨证及其相互关系问题.中医杂志,1986,27(5):53-55
[2]马冠军.由《内经》腹泻病辨治谈中医四维论治体系的构建.北京中医药,2017,36(9):818-819
[3]马冠军.卸下“辨证论治”的负担.中华中医药杂志,2016,31(1):55-57
[4]马冠军.试论中医学的辨治模式.中医临床研究,2017,9(5):18-19
[5]黄帝内经素问.田代华,整理.北京:人民卫生出版社,2005:5
[6]马冠军.关于辨病论治的认识.中医杂志,2014,55(7):626-627
[7]灵枢经.田代华,刘更生,整理.北京:人民卫生出版社,2005:5
[8]马冠军.关于审因论治的认识.中国中医基础医学杂志,2015,21(6):637-641
[9]马冠军.关于对症治疗的认识.上海中医药杂志,2014,48(10):72-73
[10]方药中,许家松.论《伤寒论》中的辨病辨证及其相互关系问题.中医杂志,1986,27(5):53-55