《素圃医案》阴证似阳证辨识
发布时间：2018-11-05 08:58
【摘要】：郑重光认为三阳证的诊治显明易见,而对于亢害危殆的三阴证,在他看来,其似是而非的临床表现决定了诊断是关键的一环。在各类疾病中,阴证似阳证的阴阳病机最不易判断,常常表现出表、里、寒、热、虚、实错杂繁复的特点,向来最易造成误诊误治。郑重光认为的阴证似阳证的脉象普遍特点是脉必沉细而疾,或沉迟无力,脉沉紧或散大。在表象都是热症的情况下,郑重光注重病人的脉诊结果,在脉证不吻合时,郑重光进一步指出要"凭脉不凭证",以脉象来揭开繁杂的表象,探求疾病的本质,达拨乱反正之功,可见这种脉辨病机的思想是郑重光辨识阴证的重要特点。郑重光独尊脉诊,强调凭脉不凭证,但并不是说他忽视了其他诊断方式,脉证合参是其临证的基础。郑重光辨识错综复杂的阴证似阳证疾病有丰富的经验,他以脉证合参为辨证基础,同时又以脉诊为直接判识病机的依据,为后世医家提供了可靠详尽的参考,堪为后世所珍。
[Abstract]:Zheng Zhongguang thinks that the diagnosis and treatment of the three yang syndrome is obvious and easy to see, but for the three yin syndrome of hyperactivity, its specious clinical manifestation determines the diagnosis is a key link. Among all kinds of diseases, the pathogenesis of Yin and Yang syndrome is the most difficult to judge, often showing the characteristics of surface, cold, heat, vacuity and complexity, which is always the most likely to cause misdiagnosis and mistreatment. Zheng Chongguang thinks that the pulse of Yin syndrome like Yang syndrome is generally characterized by the pulse must be fine and disease, or late powerless, the pulse is tight or scattered. Under the condition that the appearance is fever, Zheng Chongguang pays attention to the result of pulse diagnosis of the patient. When the pulse syndrome does not match, Zheng Chongguang further points out that it is necessary to "rely on the pulse to uncover the complicated appearance and explore the essence of the disease by using the pulse sign." It can be seen that the thought of differentiating the pathogenesis of pulse is an important feature of Zheng Zhongguang's identification of Yin syndrome. Zheng Chongguang emphasizes that pulse is not proof, but does not mean that he neglects other diagnostic methods, pulse syndromes and ginseng are the basis of his clinical diagnosis. Zheng Zhongguang has rich experience in identifying the complex diseases of Yin syndrome like Yang syndrome. He takes pulse syndromes and ginseng as the basis of syndrome differentiation, and at the same time, he takes pulse diagnosis as the basis for the direct identification of pathogenesis, which provides reliable and detailed reference for the doctors of later generations.
【作者单位】： 天津中医药大学;
【分类号】：R22
本文编号：2311576
[Abstract]:Zheng Zhongguang thinks that the diagnosis and treatment of the three yang syndrome is obvious and easy to see, but for the three yin syndrome of hyperactivity, its specious clinical manifestation determines the diagnosis is a key link. Among all kinds of diseases, the pathogenesis of Yin and Yang syndrome is the most difficult to judge, often showing the characteristics of surface, cold, heat, vacuity and complexity, which is always the most likely to cause misdiagnosis and mistreatment. Zheng Chongguang thinks that the pulse of Yin syndrome like Yang syndrome is generally characterized by the pulse must be fine and disease, or late powerless, the pulse is tight or scattered. Under the condition that the appearance is fever, Zheng Chongguang pays attention to the result of pulse diagnosis of the patient. When the pulse syndrome does not match, Zheng Chongguang further points out that it is necessary to "rely on the pulse to uncover the complicated appearance and explore the essence of the disease by using the pulse sign." It can be seen that the thought of differentiating the pathogenesis of pulse is an important feature of Zheng Zhongguang's identification of Yin syndrome. Zheng Chongguang emphasizes that pulse is not proof, but does not mean that he neglects other diagnostic methods, pulse syndromes and ginseng are the basis of his clinical diagnosis. Zheng Zhongguang has rich experience in identifying the complex diseases of Yin syndrome like Yang syndrome. He takes pulse syndromes and ginseng as the basis of syndrome differentiation, and at the same time, he takes pulse diagnosis as the basis for the direct identification of pathogenesis, which provides reliable and detailed reference for the doctors of later generations.
【作者单位】： 天津中医药大学;
【分类号】：R22
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