辨证论治发展历程的思维演变

发布时间：2018-04-19 13:22

本文选题：辨证论治 + 病机辨证　；参考：《中国中医基础医学杂志》2017年09期

【摘要】：张仲景以《黄帝内经》(以下简称《内经》)为理论基础,因脉证而论治用方,理法方药一线贯穿,称"平脉辨证",以此开辨证论治先河。此后临床辨证论治思维方式又有两次突破,第一次是金元时代刘完素和李东垣把病机发展成病机学说,使辨病机的理念运用于辨证论治,提出病机辨证和气化的升降出入;第二次是近代在引进现代医学病名而同时辨证论治的实践中,引进微观辨证、影像学等临床技术,逐渐蕴发了辨病与辨证相结合,使医者的临床思维方式得到变换提升。
[Abstract]:Zhang Zhongjing, based on the Huangdi Internal Classic (hereinafter referred to as "Internal Classic"), treats the prescription according to the pulse syndrome, and calls it "ping pulse differentiation".Since then, there have been two breakthroughs in the thinking mode of clinical syndrome differentiation and treatment. The first time was that Liu Wan-su and Li Dongyuan developed the pathogenesis into the pathogenesis theory in the Jin and Yuan dynasties, so that the idea of differentiation and pathogenesis was applied to the differentiation of syndrome and treatment, and the difference between the pathogenesis differentiation and gasification was put forward.The second time is the modern practice of introducing modern medical names and syndrome differentiation at the same time, the introduction of microscopic syndrome differentiation, imaging and other clinical techniques, gradually accumulated the combination of disease differentiation and syndrome differentiation, so that the clinical thinking mode of the doctor has been changed and improved.
【作者单位】：山东省淄博市张店区中医院;中国中医科学院中医基础理论研究所;
【分类号】：R22

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