从《伤寒论》探讨方证辨证的思路

Discussion on thoughts of formula and syndrome differentiation from Shanghan Lun

方证辨证继承和发扬了《伤寒论》中辨证论治的思维,丰富和完善了中医辨证方法理论体系。方证辨证的基础是对证候病机的准确把握。《伤寒论》条文中的病机可通过直接阐明、脉象、变证以及症状区别等方式表现出来。医者临证之时又要圆机活法,不拘经方,学伤寒之理而不固守其方。《伤寒论》中紧扣病机、灵活加减、大胆假设和合理试探等思维方法为方证辨证提供了思路,并对方证辨证的运用提供了参考。

Formula and syndrome differentiation inherited and carried forward the thinking of the treatment based on syndrome differentiation in Shanghan Lun. It also enriched the content of the TCM syndrome differentiation method system. It was based on an accurate grasp of the syndrome pathogenesis. The pathogenesis in the articles of Shanghan Lun were expressed by means of directly clarification, pulse manifestation, deteriorated cases, and the difference of symptoms. Flexibility was needed in clinical practice. Meanwhile, it was not limited to only use the classical prescriptions. The thoughts of formula and syndrome differentiation from Shanghan Lun were closely related to the pathogenesis, flexible, supposed daringly, and explored reasonably, which provided a reference for the application of syndrome differentiation.