| 高强,王军.《伤寒论》“方证辨证”思想探讨[J].浙江中医药大学学报,2019,43(11):1217-1220. |
| 《伤寒论》“方证辨证”思想探讨 |
| Discussion on the Idea of“Differentiation of Prescriptions and Syndromes” in Treatise on Febrile Diseases |
| DOI：10.16466/j.issn1005-5509.2019.11.003 |
| 中文关键词: 方证辨证 方证内涵 伤寒论 经方 历史源流 仲景学说 |
| 英文关键词: differentiation of prescriptions and syndromes connotation of prescription and syndrome Treatise on Febrile Diseases classical prescription historical origin Zhongjing theory |
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| 摘要点击次数: 1666 |
| 全文下载次数: 996 |
| 中文摘要: |
| [目的]分析总结“方证辨证”思想的发展趋势以及存在问题。[方法]参考相关古代医籍及当代文献，分析“方证辨证”的历史沿革、内涵、研究方法、应用方法、意义等相关问题并得出结论。[结果]“方证辨证”思想源自仲景，历代医家均有不同程度的论述?“方证辨证”之方主要指经方，亦可指配伍精当、疗效确切的时方，证指方剂主治的较固定的一组症状和体征?研究“方证”有分经审证、以方类证和现代模型等方法?方证辨证应用时应注意不可对号入座、辨证准确、加减有据等问题。方证辨证作为辨证论治的思想具有普遍意义，可有效指导临床和教学。[结论]“方证辨证”思想发展至今，逐渐细化、系统化、理论化，但缺乏系统全面的总结和认识，缺乏准确的、广泛认可的定义和研究方法。 |
| 英文摘要: |
| [Objective]To analyze and summarize the development trend and existing problems of the thought of“dialectical differentiation of prescriptions and syndromes”.[Method]Referring to relevant ancient medical books and contemporary literature, this paper analyses the historical evolution, connotation, research methods, application methods and significance of "syndrome differentiation of prescriptions" and draws a conclusion. [Results]The thought of “syndrome differentiation based on prescription” originated from Zhongjing, and doctors of all dynasties discussed it in varying degrees. The prescriptions in “syndrome differentiation of prescriptions” mainly refer to the classical prescriptions,but also refer to the current prescriptions with proper compatibility and definite curative effect. The prescriptions of syndromes refer to a relatively fixed set of symptoms and signs. There are several methods to study“prescription syndrome” such as examining and verifying, using prescription syndrome and modern model, etc. In the application of “differentiation of prescriptions and syndromes”, attention should be paid to such problems as inaccurate seating, accurate differentiation of symptoms and signs, and evidence for addition or subtraction. As a thought of syndrome differentiation and treatment, it has universal significance and can effectively guide clinical and teaching.[Conclusion] Up to now, it has gradually been refined, systematized and theorization, but it lacks systematic and comprehensive summary and understanding, accurate and widely recognized definition and research methods. |
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