摘要
预判疾病传变对中医临床遣方用药有重要指导价值,然而当前中医临证多以经验为主,对于疾病是否传、如何传尚无明确准则。证素辨证可将复杂的证拆解出病位和病性证素,笔者通过对证素间关系的梳理,认为两两证素之间主要存在"易""已"两个层次,"嗜""夹""致"3种关系,且分别代表了疾病的起因、过程和趋势,故而尝试从证素角度预测证素的发展演变趋势。同时,将阐释证素预测与六经传变、卫气营血传变间关联,并选取内伤和外感各1例医案,解析说明如何通过证素预测实现对疾病传变的预判,以更好指导临床"既病防变"。
Predicting the transmission of disease has an important guiding value for the clinical prescription and medication of traditional Chinese medicine(TCM). However, the current TCM clinical treatment is mainly based on experience. There is no clear criterion for whether the disease is transmitted or not. Syndrome elements differentiation can decompose complex syndrome into disease location and disease nature. Through the analysis of the relationship between the syndrome elements, authors believe that there are mainly two levels of ’easy’ and ’already’and three relationships of ’invasion’, ’cause’ and ’clamp’, which respectively represent the disease of causes, processes and trends. Therefore, we try to predict the development trend of the syndrome elements from the perspective of elements in order to anticipate the opportunity. At the same time, we will explain the relationship between the prediction of syndrome elements and the transmission of the six meridians, the Weiqi Yingxue, and select one case of internal injury and exogenous infection, and explain how to predict the disease transmission through syndrome elements prediction, so as to better guide the clinical ’disease prevention’.
作者
徐佳君
罗志明
赵文
雷黄伟
周常恩
李绍滋
李灿东
XU Jia-jun;LUO Zhi-ming;ZHAO Wen;LEI Huang-wei;ZHOU Chang-en;LI Shao-zi;LI Can-dong(Research Base of Traditional Chinese Medicine Syndrome,Fujian University of Traditional Chinese Medicine,Fuzhou 350122,China;Fujian Province Key Laboratory of Health Status Identification of Traditional Chinese Medicine,Fuzhou 350122,China;Department of Artificial Intelligence,Xiamen University,Xiamen 361005,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第3期1507-1512,共6页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家自然科学基金促进海峡两岸科技合作联合基金项目(No.U1705286)。
关键词
证素
证素辨证
预测
既病防变
计算机可视化
中医药现代化
Syndrome elements
Syndrome elements differentiation
Prediction
Disease prevention
Computer visualization
Modernization of TCM