浅谈“辨证论治”与“方证相应”

Discussion on ‘TCM syndrome differentiation and treatment' and ‘formula corresponding to syndrome'

"辨证论治"与"方证相应"是两种中医临床思维模式。相比之下,前者以病机为核心,注重分析疾病的主要矛盾,从整体上把握疾病的全过程;后者更侧重在细节上把握当前证候特点,通过"方""证"间的对应关系,完成方药的优选过程,因而能够弥补"辨证论治"之不足,但初学者易流于"头痛医头,脚痛医脚"的"对号入座"。因而在临床实践中,应当捐弃门户之争,结合运用两种思维模式,以助提高临床疗效。

There are two thought patterns in traditional Chinese medicine clinic： ＇Treatment based on syndrome differentiation＇ and ＇formula corresponding to syndrome＇. The former regards pathogenesis as the core of treating disease, analyzing the main contradiction and grasping the whole process of diseases, while the latter places particular emphasises on details to grasp syndrome characteristics. It accomplishes optimal selection procedure by means of analyzing the corresponding relation between formula and syndrome. Both bring out the best in each other. Beginners tend to stop-gap myths. We should combine the two thought patterns rather than debating in order to improve clinical efficacy in practice.