在规范化辨证基础上构建量化辨病论治体系

Measurement study of disease differentiation treatment based on standard syndrome differentiation

证型的规范化研究是证本质研究的前提与基础,但规范化辨证标准不一的混乱状况依旧存在,无法真正指导临床治疗,这主要是因为研究的思路与方法不恰当。在辨病分型的基础上进行基本证候研究是证型规范化研究的主要方法,准确定量症状是证型规范化研究结论真实性和可靠性的有力保证,正确选择统计学方法是确定辨证阈值强有力的技术支持。采用统一量表,开展专家研讨,用复杂性科学理论,对证候进行处理是当前证型规范化研究的最好方法。证型与理化指标的相关性研究无法反映证的全面情况,应在规范化辨证的基础上,针对疾病的主要病理变化进行辨病论治,确立治疗原则。

The basic premise of syndrome essence d medicine （TCM） syndrome type. However, there still scussion is the standardization of traditional Chinese exists confusion regarding the standardization of TCM syndrome differentiation treatment, and the guidelines for TCM syndrome differentiation could not really be used for guiding clinical treatment. This is mainly due to the inappropriate use of research ideas and methods. The fundamental research of TCM syndrome based on the differentiation and classification of diseases is the main method for studying the standardization of TCM syndrome type. The accuracy quantification of symptoms is the powerful guarantee for authenticity and reliability of the results from standardization study of syndrome type. The correct choice for statistical methods gives powerful technical support to determine the differentiation threshold. The unified scales, expert discussions and complex scientific theories are the best methods for current research on standardization of syndrome type. The correlation study of syndrome type and physicochemical indexes cannot reflect the syndrome type completely. It is supposed to establish the treatment principles according to the main pathological changes of diseases on the basis of the standardization of TCM syndrome differentiation.