关于“病证与症状”“辨证与辨病”的思考

On “patterns and symptoms ”and “pattern differentiation and disease identification”

本文主要讨论"病证与症状的关系""临床上如何确立病证""辨证与辨病相结合的必要性"三大议题;得出了依标本辨病机、遵缓急立先后,在此基础上参照西医诊断的结论;旨在说明在现代中医临床中,确立病名、辨析病证、把握病机三者应在中医理论的指导下有机结合,不可偏废。在关于"辨病"的讨论中,本文着重论述了作为现代中医,如何看待相关辅助检查结果及西医诊断等问题,指出了应在灵活借鉴、为我所用原则下衷中参西,以减少误诊、漏诊;在中医理论指导下参照西医诊断进而扩展临床思路以提高疗效。

Three issues, relationship between TCM patterns and symptoms, methods for identifying TCM patterns in clinic, and necessity of integrating pattern differentiation with disease identification, are discussed in the paper. Then it comes to conclusions that pathogenesis differentiation depends on the tip and the root, priority is confirmed according to disease urgency, and furthermore, diagnosis by Western medicine is referenced. The purpose is to explain disease name identification, TCM pattern differentiation and pathogenesis seizing under the guide of TCM theory in modem TCM clinical practice. In the discussion of disease identification, the article emphasizes on how to regard the results of relevant examinations and diagnosis by Westem medicine as a modem TCM practitioner. An opinion is presented that Westem medicine is referenced flexibly based on TCM theory for reducing misdiagnosis and missed diagnosis, and clinical thinking is extended based on integrating TCM and Westem medicine for improving clinical efficacy.