析述泄泻的“同病异治”

Analysis of“treating the same disease with different therapies”in patients with diarrhea

"同病异治"是中医辨证论治思想的具体体现,古今医家广泛临证应用.泄泻作为一种中医常见病,病因复杂多样,在病机上又有表里寒热虚实的差异,虽同为泄泻之病,却存在不同的证型,在临床上形成了"同病异治".本文将从分析泄泻的"同病异治"之"病"、"治"的内涵外延切入,从辨病因、辨病机、辨发病季节、辨病者体质四个方面来论述"同病异治"在泄泻中的具体应用,以期了解"同病异治"的实质,指导泄泻的临证施方.

"Treating the same disease with different therapies"is the specific embodiment of traditional Chinese medicine dialectical treatment.Diarrhea,as a common disease of traditional Chinese medicine,has complex etiology and different pathogeneses in terms of exterior and interior,chills and fever,and deficiency and excess.There are different syndrome types of diarrhea,and the principle"treating the same disease with different therapies"applies to diarrhea clinically.This paper will analyze the"disease"and"therapies"in the principle"treating the same disease with different therapies",and then discuss its specific application in diarrhea with regard to etiology,pathogenesis,season,and constitution,with an aim to help understand the essence of"treating the same disease with different therapies"and guide its clinical prescription.