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中醫診斷的思維原理
李燦東1,2,3, 翁慧1,2,3, 魏佳1,2, 夏淑潔1,2, 靖媛1,2, 陳謙峰1,2, 王洋1,2,3
1.福建中醫藥大學中醫學院, 福州 350122;2.福建中醫藥大學福建省中醫健康狀態辨識重點實驗室, 福州 350122;3.福建中醫藥大學李燦東岐黃學者工作室, 福州 350122
摘要:
整體觀念是中醫思維的核心,貫穿于中醫診治的全過程,其主要包含有機整體、天人合一、時空統一3個方面。中醫診斷思維是中醫思維在診斷疾病上的應用體現,也是認識疾病的必然過程,其原理來自整體觀念的指導,體現在司外揣內、見微知著、以常衡變、因發知受4個方面。掌握中醫診斷的思維原理,將有助于醫者提高診斷的準確性,為中醫立法治療提供可靠的依據。
關鍵詞:  中醫  診斷  思維  原理
DOI:10.11656/j.issn.1672-1519.2020.01.04
分類號:
基金項目:國家自然科學基金聯合基金(U1705286);國家自然科學基金重點項目(81230087)。
Thinking principle of traditional Chinese medicine diagnosis
LI Candong1,2,3, WENG Hui1,2,3, WEI Jia1,2, XIA Shujie1,2, JING Yuan1,2, CHEN Qianfeng1,2, WANG Yang1,2,3
1.College of Traditional Chinese Medicine, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China;2.Key Laboratory of Traditional Chinese Medicine Health Status Identification in Fujian Province, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China;3.LI Candong Qihuang Scholar Studio, Fujian University of Traditional Chinese Medicine, Fuzhou 350122, China
Abstract:
The holistic concept is the core of traditional Chinese medicine(TCM) thinking and runs through the whole process of TCM diagnosis and treatment,it mainly includes three aspects:organic whole,the unity of man and nature,and the unity of time and space. TCM diagnostic thinking is the application of TCM thinking in the diagnosis of diseases,and it is also the inevitable process of understanding diseases. Its principle comes from the guidance of the overall concept,which is reflected in four aspects,namely,governing exterior to infer interior,seeing a small beginning,that may have significant changes. Mastering the thinking principle of TCM diagnosis will help doctors improve the accuracy of diagnosis and provide reliable basis for TCM legislative treatment.
Key words:  traditional Chinese medicine  diagnosis  thinking  principle
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