现代“辨证论治”与张仲景“辨病脉证并治”的思辨模式

Speculative Mode of Modern“Syndrome Differentiation and Treatment”and Zhang Zhongjing's“Distinguishing the Disease,Pulse,Syndrome and Treatment”

本文论述了"辨病脉证并治"是仲景对疾病"逐级分类"的治病模式;指出"病"的等级高于"证","辨病脉证并治"的高明之处在于重视疾病分类中的等级概念,是仲景智慧的体现;论述了"辨证施治""辨证论治"提法的由来和本意;强调现代的"辨证论治"已远离仲景"辨病脉证并治"的诊疗模式;分析了中医脉学的现代发展受到严重影响与过度强调"辨证论治"有关,并介绍了作者在脉学研究方面的工作;最后论述重提"辨病脉证并治"是中医学健康发展的拐点。

The discussion of this paper is on the mode of Zhang Zhongjing＇ s treatment that ＂Distinguishing the Disease, Pulse, Syndrome and Treatment＂ is to classify the disease step by step, which points out that the level of the disease is higher than the syndrome. His hrilliantness lies in his paying more attention to the concept of the level of the disease classification. This is an embodiment of Zhang Zhongjing＇ s wisdom. This paper discusses the original formulation and idea of ＂Syndrome Differentiation and Treatment＂. The author＇ s emphasis on the Modern ＂Syndrome Differentiation and Treatment＂ has been away from Zhang Zhongjin＇ s medical mode. The author also analyzes the modem development of TCM sphygmology which has been affected by the excessive emphasis on ＂the syndrome differ- entiation and treatment＂. The paper also introduces the process of the author＇ s sphygmology research work. The final part of the paper restates that ＂ Distinguishing the Disease, Pulse, Syndrome and Treatment ＂ is the turning point of the health development of the traditional Chinese medicine.