《醉花窗医案》中的鉴别诊断方法

Differential Diagnosis in "Medical Record of ZuiHuaChuang"

[目的]分析清代名医王堉所著《醉花窗医案》中的各种鉴别诊断方法及其特色之处,期以提高临床辨治水平。[方法]对全书明确涉及鉴别诊断的58案进行分析提练,总结《醉花窗医案》的鉴别诊断特点。[结果]《醉花窗医案》全书共有101案,其中58案明确涉及鉴别诊断,其鉴别方法,多从主症、兼症、脉诊三方面入手,而又尤重脉诊,是为特色。[结论]抓住主症,参以兼症,注重脉诊,脉证相合,是《醉花窗医案》中鉴别诊断的最重要特点。

[Objective] To analyze the characteristics of differential diagnosis in ＂medical record of ZuiHuaChuang＂, so that to improve level of medical diagnosis and treatment in clinical work. [Methods] Analyze and research 58 cases of medical records which involved in differential diagnosis in the book,to summarize the characteristic of differential diagnosis in ＂medical record of ZuiHuaChuang＂. [Results] There are 58 cases in 101 cases medical records in the whole book written by WangYu in Qing Dynasty. The differential diagnosis methods base on perimal symptoms, concomitant symptoms and pulse diagnosis, and the pulse diagnosis is attributed to the most importantly. The differential diagnosis based on pulse diagnosis is the key charcteristic of ＂medical record of ZuiHuaChuang＂.