论辨识证候的真假应注重脾胃症状

Importance of spleen and stomach symptoms in discriminating true-false of syndromes

临床对疑似于真假之间病证的辨识,前人有"舍脉从症"和"舍症从脉"等方法,但存在模糊性。辨识病证的真假应当注重于脾胃的反应症状。因为五脏六腑之气禀脾胃之气而生,且中药的性能是经口服,首先通过脾胃反应出的症状而确认的。对疑似证的辨识,脾胃所表现的症状颇具可靠性。临床对于表里证、寒热证、虚实证及燥湿证之间有疑似不清者,着重于脾胃的反应症状分析,常能辨识清楚真假病证的本质。

In order to identify the true-false of syndromes, the predecessors applied methods as ‘precedence of symptoms over pulse manifestation＇ and ‘precedence of pulse manifestation over symptoms＇, but there was still fuzzification. Identification of true-false of syndromes should pay attention to symptoms of spleen and stomach. Because the qi of five zang viscera and six fu viscera are born from the qi of spleen and stomach, and the property of Chinese materia medica taken orally was verified according to symptoms of spleen and stomach primarily. The symptoms of spleen and stomach were also reliable for the identification of suspected syndromes. In clinic, who tent to make errors in the identification of syndromes as superficies-interior syndrome, cold-heat syndrome, deficiency-excess syndrome, and dryness-dampness syndrome should pay attention to the analysis of reaction symptoms of spleen and stomach, and it often can help us to identify the nature of diseases and syndromes.