| 黄兆涵,杨凤,钱会南,等.基于名老中医访谈与扎根理论的中医原创思维“形神一体”观的临床应用[J].浙江中医药大学学报,2022,46(12):1354-1358. |
| 基于名老中医访谈与扎根理论的中医原创思维“形神一体”观的临床应用 |
| Clinical Application of TCM Original Thinking Concept of “Body and Spirit Integrated” Based on Interviews with Eminent TCM Doctors and Grounded Theory |
| DOI：10.16466/j.issn1005-5509.2022.12.010 |
| 中文关键词: 中医原创思维 形神一体 名老中医 扎根理论 临床 应用 |
| 英文关键词: traditional Chinese medicine original thinking body and spirit integrated eminent TCM doctors grounded theory clinic application |
| 基金项目:国家社会科学基金重大项目(17ZDA331)；北京中医药大学教学名师工作坊项目(MSGZF202203) |
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| 中文摘要: |
| [目的] 探究名老中医群体基于中医原创思维“形神一体”观的临床认知和应用方法。[方法] 利用半结构式访谈和扎根理论研究方法，收集14位名老中医有关“形神一体”的认识应用资料，进行三级编码分析。[结果] 围绕主题，共归纳出“中医思维方法”“生理病理阐释”“疾病治疗原则”“临证应用”四个核心类别。名老中医认为，“形神一体”以“五神脏”为中医思维方法，并基于“形”“神”互为因果的病理机制，提出了“形神同调、补虚逐邪”的治疗原则和“药食针灸”与“疏导乐动”相结合的临证方法。[结论] 老中医群体将“形神一体”观视为中医原创思维的重要组成部分，通过结合不同疾病类型特点，为临床诊疗提供了新的理论阐释和应用角度。 |
| 英文摘要: |
| [Objective] To explore the knowledge and clinical application methods of the concept of“body and spirit integrated” in eminent traditional Chinese medicine(TCM) doctors. [Methods] Using semi-structured interview and grounded theory research method， the data of cognition and application of “body and spirit integrated” in 14 eminent TCM doctors were collected and analyzed by three-level coding. [Results] Four core categories of “TCM thinking method” “physiological and pathological interpretation” “principles of disease treatment” and “clinical application” were concluded. The eminent TCM doctors believed that “body and spirit as a whole” takes “five Zang-organs spirit” as the TCM thinking method， and based on the pathological mechanism of “body” and “spirit” as the cause and effect of each other， put forward the treatment principle of “body and spirit in harmony， supplement deficiency and drive away evil” and the clinical method of “medicine， food and acupuncture” combined with “dreading， music and movement”. [Conclusion] The eminent TCM doctors regard the concept of “body and spirit integrated” as an important part of TCM original thinking， which provides a new theoretical interpretation and application perspective combined with the characteristics of different clinical diseases. |
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