基于信念修正的“观其脉证,知犯何逆,随证治之”的逻辑刻画
详细信息    本馆镜像全文|  推荐本文 |  |   获取CNKI官网全文
摘要
逻辑学是一门研究人类思维规律的学科,动态认知逻辑是现代逻辑学研究的热门领域,研究者们已经把一个人的独立思考看成是一个动态的过程,并且认为是一个多主体的信息交换过程,通过信息的动态交换,改变了多主体各自的认知状态;中医辨证论治的过程也就是一个信息交换的问题解决过程,通过“观其脉证、知犯何逆、随证治之”的具体步骤,来解决临床医疗活动过程中遇到的问题。《伤寒论》、《金匮要略》体现了张仲景辨证论治思想的精髓,本文将选取《伤寒论》、《金匮要略》两本著作中的桂枝汤及其类方作为研究内容,使用动态认知逻辑的相关理论,对中医“观其脉证、知犯何逆、随证治之”的过程进行刻画,以期为研究张仲景辨证论治思路提供一个新的手段。
     本文主要分为以下四个部分:
     第一部分主要介绍的是动态认知逻辑的相关内容作为我们的预备知识,其中包括认知逻辑、动态逻辑、动态认知逻辑和AGM理论(理性信念的修正理论),简要的介绍了各种逻辑的定义,公理系统以及假设,以便使用这些工具对下文提及的信息变化进行刻画。
     第二部分使用AGM理论对桂枝汤证及其类方进行了重新的分析和总结,文中首先分析了桂枝汤证的证候特点,然后把所增加的不同症状作为信息交换的基本途径,进行探讨,认为桂枝汤及其类方是以桂枝汤证为核心内容,由于新的信息的加入,对原有桂枝汤信念集进行了扩充、收缩和修正,而形成了整个桂枝汤及其类方的大家族,加深了对桂枝汤的认识。
     第三部分仍以桂枝汤及其类方为研究重点,使用了动态认知逻辑的方法,系统分析了当医生接受到一个信息后其信念的变化,由于新信息和原有信念集的不同关系,将对原有信念集进行修正,即是完成了一次信念修正的过程。但医生和患者之间的信息交流不是一次完成的,通过每次这样动态的信息交流,都可以对信念产生影响。对于是否对原信念集产生影响,医生将根据自身的评价体系进行分析、检验,进而促进医疗技术的提高。通过这样的研究,可以明确医生的“观其脉证、知犯何逆、随证治之”的过程不单是一个静态的过程,更是一个动态过程,同时可以发现,医生的信念在这样的变化过程中出现的变化。
     最后给出总结,由于症状的变化而导致医生处方用药的变化正是逻辑学中信念修正的具体体现,对于这样的过程,使用动态认知逻辑的方法进行研究将是一种有益的探索。
The logic is the study of human beings law of thinking disciplines, and dynamic epistemic logic is the hot field of modern logic research, The researchers have put a person's independent thinking as a dynamic and a multiagent information exchange process. Through the dynamic information exchange, informations change the multiagent their own Cognitive States; syndrome differentiation and treatment process is also a problem solving process of information exchange. Through the "Observe symptoms to know how it committed against, and then follow the legislation to treat syndromes" of the specific steps, doctors solve the clinical medical treatment problems."Treatise on Febrile Diseases" and "Synopsis of Golden Chamber" reflect the quintessence of the syndrome differentiation and treatment, This paper will select cassia twig decoction and the likes as the research content, Use dynamic epistemic logic theory, Characterize " Observe symptoms to know how it committed against, and then follow the legislation to treat syndromes " process, in order to study the syndrome differentiation and treatment of Zhang Zhongjing and provides a new means thinking.
     This paper is divided into four parts:
     Part1:mainly introduce the dynamic epistemic logic and the relevant contents as prepare knowledge, including cognitive logic, dynamic logic, dynamic cognitive logic and AGM theory, this paper briefly introduces the definition of these logic, justice system and assuming that in order to use these tools describe information change.
     Part2:use of AGM theory to study cassia twig decoction and the likes, this paper first analyzes the cassia twig decoction's syndromes characteristics, and then to analysis new information, lead to the conclusion that cassia twig decoction is the core content of cassia twig decoction and the likes, follow the new infoemation cassia twig decoction is expanded, shrinked and corrected, and form a family of cassia twig decoction and the likes, deepen the understanding of guizhi decoction.
     Part3:still make cassia twig decoction and the likes as the research focus, use the dynamic epistemic logic method, analysis a doctor'belief and change when accept new information, because the different relations of new information and original set of beliefs, the belief set will corrected. At this dynamic process, each information exchange will influence the doctor's faith, and doctor will according to their own evaluation system to decide whether to make change. Through the research, we can define the doctor's " Observe symptoms to know how it committed against, and then follow the legislation to treat syndromes" is not only a static process, but also a dynamic process, at the same time, it can be found that the doctor's belief in such changes appeared in the process.
     Finally:the change of the symptoms led to doctor's prescribe different medicine change is embodiment of faith correction in the logic, for such process, use the method of dynamic epistemic logic research will is a useful exploration.
引文
[1]Carlos E.Alchourron, Peter Gardenfors and David Makinson:On the Logic of Theory Change:Partial Meet Contraction and Revision Functions[J]. Journal of Symbolic Logic 50(2):510-530.
    [2]熊立文.信念修正的AGM理论[J].现代哲学,2005,1:127—131.
    [3]J A Plaza. Logics of Public Communications[C]//M L Emrich,M S Pfeifer,MHadzikadic, Z W Ras. Proceeding of the 4th International Symposium on Met hodologies for Intelligent Systems.1989:201-216.
    [4]周琳琳,贾春华,刘奋荣.一种基于认知心理逻辑的“观其脉证,知犯何逆,随证治之”研究方案[J].世界科学技术-中医药现代化,200l,13(5):904-909.
    [5]J van Bent hem. Cognition as Interaction [Z]. Cognitive Foundation of Interpretation, Royal Net herlands Academy of Art and Sciences,2007.
    [6]Fenrong Liu. Diversity of Agents [M]. CLL I Publications, Stanford,2006.
    [7]刘壮虎,李小五.对动作的认知[J].湖南科技大学学报(社会科学版),2005,8(6):33—38.
    [8]廖德明.动态认知逻辑视域下的知识与信念[J].毕节学院学报.2010,1(28):42—48.
    [9]王景周,崔建英.主体认知正则活动的逻辑刻画西南大学学报(社会科学版),2010,(36)4:59-65.
    [10]刘奋荣.从动态认知逻辑的观点看中医方证思想[J].重庆理工大学学报(社会科学),2010,24(10):75-78.
    [11]刘奋荣.中医诊疗过程的逻辑—一个信念修正理论的阐释[J].世界科学技术.中医药现代化,2011,13(6):1095—1098
    [12]方药中.辨证论治研究七讲[M].北京:人民卫生出版社,1987.
    [13]朱文锋.对辨证规律与方法的研究[J].河南中医学院学报,2002,22(2):1.
    [14]颜德馨.中医辨证思维与临床诊疗决策之优化[J].上海中医药杂志,2000,(5):4.7.
    [13]李宇铭.辨证论治的思维过程.时珍国医国药,2008,19(10):2550-2551.
    [16]章增加.论“医者,意也”—关于中医思维模式的探讨[J].中国中医基础医学杂志,2010,16(5):360-363.
    [17]邢玉瑞.中医思维研究与建构中医思维方法学[J].中医药学刊,2003,l(11):1832.
    [18]白春清.辨证论治数理模型[J]数理医药学杂志,2006,19(5):451—453.
    [19]何明.关于中医辨证论治思维方法的认识论思考[J].贵阳中医学院学报,2005,27(1):14—17.
    [20]王乐,孟庆刚.基于特定的认知方法剖析中医诊疗思维过程[J].中国中医药信息志,2009,16(5):8-9.
    [21]邢玉瑞.开展中医思维方法研究势在必行[J].江西中医学院学报,2009,21(3):1—4.
    [22]贾春华.《伤寒论》中负概念在辨证论治中的意义[J].辽宁中医杂志,2005(32)8;770-771.
    [23]贾春华.《伤寒论》临床诊疗“实质公理”集[J].江苏中医药,2006,27(10):75-77.
    [24]苏愉仁,贾春华.《金匮要略》中的假言命题与假言推理[J].辽宁中医杂志,2009,(36)12:2071.2073.
    [25]贾春华.中医理论思辨录[J1.北京中医药大学学报,2010,(33)7:441-443.
    [26]曹永兴,孟静岩,阚湘芩.中医药基础研究发展战略和方向[J].天津中医药,2010,27(4):265—266.
    1.李培生,刘渡舟.伤寒论讲义[M].上海:上海科学技术出版社,1985.
    2.李克光,杨百茀.金匮要略讲义[M].上海:上海科学技术出版社,1985.
    3.贾春华.张仲景方证理论体系研究[M].北京:人民卫生出版社,2011.
    4.刘奋荣.动态偏好逻辑[M].北京:科学技术出版社,2010.
    5.人民大学哲学院逻辑学教研室.逻辑学[M].北京:中国人民大学出版社,2002
    6. Alchourron, C. E., P. Gardenfors and D. Markinson:On the logic of theory change: Partial meet contraction and revision functions, The Journal of Symbolic 50,1985.
    7.王路.逻辑基础[M].北京:人民出版社,2004.
    8.(清)尤在泾.伤寒贯珠集[M].北京:中国中医药出版社,2008.
    9.(清)尤在泾.金匮要略心典[M].北京:中国中医药出版社,2001.
    10.(清)顾观光辑,杨鹏举校注.神农本草经[M].北京:学苑出版社,2007.
    11.(日)吉益东洞,邨井杶编著,徐长卿,伍悦点校.类聚方、药征及药征续编[M].北京:学苑出版社,2008.
    12.(英)路德维希·维特根斯坦.哲学研究[M].上海:世纪出版集团,上海人民出版社,