《伤寒论》中的方证辨证体系

The Prescription and Syndrome Differentiation System in Treatise on Cold Pathogenic Diseases (《伤寒论》)

张仲景传承发展《汉书·艺文志》中记载的医经七家和经方十一家,并论广汤液,合为《伤寒杂病论》十六卷,后世分为《伤寒论》和《金匮要略》两部分。认为《伤寒论》中的方证辨证体系包括主方辨证、类方辨证、合方辨证、药证辨证、类证辨证和随证辨证(坏病、或然证、若然证)六类并对其进行了总结和梳理,从系统思维出发以促进对张仲景思维模式的认识与理解。

ZHANG Zhongjing inherited and developed 7 medical classics and 11 classical prescriptions recorded in Record of Art and Culture, History of Han Dynasty, and discussed Guangtang Liquid(广汤液), which was combined into 16 volumes of Treatise on Cold Pathogenic and Miscellaneous Diseases(《伤寒杂病论》), which was divided into 2 parts by the later generation,i.e. Treatise on Cold Pathogenic Diseases(《伤寒论》) and Synopsis of Golden Chamber(《金匮要略》). It is believed that the syndrome differentiation system in Treatise on Cold Pathogenic Diseases includes 6 types of syndrome differentiation including the main prescription-syndrome differentiation, quasi prescription-syndrome differentiation, combined prescription-syndrome differentiation, medicine-syndrome differentiation, analogous syndrome differentiation and accompany syndrome differentiation(mistreated disease, probabal syndrome, assuming syndrome). The authors summarized and combed from systematic thinking to promote the understanding of ZHANG Zhongjing′s thinking mode.