以证统病——中医临床思维的回归与创新

Syndrome Dominating Disease-Return and Innovation of Clinical Thinking in Traditional Chinese Medicine

病证结合、以病统证是目前主要的中医研究模式,而以证统病传承了方证辨证、病机辨证、病因辨证等辨证思想,体现了中医学在动态时空下的诊治特点,实质是据象辨证、据证言病、病证结合思路的凝练和总结,体现了中医学认知和实践特点。以证统病思路为中医临床研究设计、中医辨治复杂疾病、建立中医特色的临床管理模式提供了一种并行的思路与方法。

Combination of disease and syndrome,as well as disease dominating syndrome are mainstream research models in traditional Chinese medicine(TCM).However,syndrome dominating disease inherits syndrome differentiation thoughts like syndrome differentiation based on prescription,pathogenesis and etiology,which embodies characteristics of diagnosis and treatment in TCM under dynamic time and space.In essence,it is a concise summary of the thought on syndrome differentiation based on manifestation,disease differentiation based on syndrome,and the combination of syndrome and disease,therefore verifies cognitive and practical characteristics in TCM.The idea of syndrome dominating disease provides a parallel way of thinking for clinical research design in TCM,differentiation and treatment of complex diseases in TCM,as well as establishment of clinical management model with TCM characteristics.