针灸与中医内科辨证论治思维模式的差异

Differences in thinking model of treatment based syndrome differentiation between acu-moxibustion and internal medicine of TCM

针灸临床辨证论治问题已成为制约针灸临床发展的关键问题,引起国内外学者的广泛关注。目前针灸临床上辨证论治体系僵化地套用了中医内科辨证论治体系,以脏腑辨证代替经络辨证,难以体现针灸学科的特色与优势。虽然针灸与中药的治疗目标相同,但是治疗方法与治疗途径不同,故辨证论治体系不同。针灸在其发展过程中逐步形成了理、法、方、穴、术为一体的独特辨证论治思维模式,不同于中医内科的理、法、方、药。

The founding of clinical syndrome differentiation treatment system for acu-moxibustion is an important issue for the development of clinical acupuncture practices, and it has attracted extensive attention in the domestic and overseas circles in acu-moxibustion field. At present, the syndrome differentiation treatment system of internal medicine of TCM is literally carried out in clinical acu moxibustion practices, syndrome differentiation according to zang-fu is used instead of syndrome differentiation according to meridian, hence, it is difficuIt to reflect the features and advantages of acupuncture and moxibustion. Although the goals of acu-moxibustion and Chinese herbal medicine treatments are consistent, but the methods and approaches of the treatment are different. Therefore, the syndrome differentiation treatment system are not in concordance. Acu moxibustion has gradually established unique thinking model of treatment based syndrome differentiation including principle, methods, prescription, points and technique which are different from principle, methods, prescription and drugs of internal medicine of TCM.