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基于整體觀念的五辨論治思維探析
夏淑潔, 李燦東
福建中醫藥大學中醫證研究基地, 福州 350108
摘要:
整體觀念作為中醫思維的靈魂,貫穿于中醫思維的全過程,無論中醫如何傳承與發展都離不開以整體視角考量生命、健康與疾病的宗旨。目前,中醫既迎來發展機遇也面臨著發展瓶頸,而只有立足于整體觀念,凝練出中醫思維的特質才能真正發揮中醫優勢。"辨"是中醫臨床思維的核心特征,也是中醫診斷最基本的過程,五辨是在中醫整體觀念的基礎上,凝練中醫診治疾病的特點與精髓而提升出的中醫臨床思維,其包括辨癥論治、辨證論治、辨病論治、辨人論治、辨機論治,熟練掌握五辨是中醫有效治療的前提。
關鍵詞:  整體觀念  五辨論治  中醫思維  辨證論治  辨病論治  辨癥論治
DOI:10.11656/j.issn.1672-1519.2020.02.09
分類號:
基金項目:國家自然科學基金聯合基金項目(U1705286);國家中醫藥管理局中醫師資格認證中心委托項目(2018年第8號)。
Analysis of the five differentiation and treatment based on holistic concept
XIA Shujie, LI Candong
Research Base of Traditional Chinese Medicine Syndrome, Fujian University of Traditional Chinese Medicine, Fuzhou 350108, China
Abstract:
As the soul of traditional Chinese medicine (TCM) thinking,holistic concept runs through the whole process of TCM thinking. No matter how TCM inherits and develops,it cannot be separated from the purpose of considering life,health and disease from an overall perspective. At present,TCM is facing both development opportunities and development bottlenecks. Only based on holistic concept and the essence of TCM thinking,can TCM use full its advantages. Differentiation is the core characteristics of clinical thinking in TCM and is the most basic process of TCM diagnosis. Five differentiation and treatment is on the basis of holistic concept and condensing essence of TCM in diagnosis and treatment,which includes symptom differentiation,syndrome differentiation,disease differentiation,and differentiation of patient and pathogenesis. Mastering the skills to five distinguishing is the precondition of effective treatment of TCM.
Key words:  holistic concept  five differentiation and treatment  thinking in Chinese medicine  syndrome differentiation and treatment  disease differentiation and treatment  symptom differentiation and treatment
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