以主诉为切入点的辨证诊断思路

Dialectical diagnosis thinking with the main complaint as the breakthrough point

以主诉为切入点的辨证诊断思路被临床医生有意无意所使用,文章由此出发,进一步解析该思路,深化对主诉的思考,有利于揭示辨证原理与规律。阐述主症与主诉的内涵,以及两者的异同,阐明二者的关系,从而为分离出主诉中的要素奠定基础,进而从主诉相关的病位、病性、程度、时间及病因5个要素出发,总结出主诉辨证的公式,优化诊断思路并反哺临床。

Naturally or half unconsciously,the idea of syndrome differentiation based on the main complaint is used by clinicians.From this point of view,this article further analyzes the train of thought.Deepening the thinking of the main complaint is conducive to revealing the principle and law of syndrome differentiation.This paper expounds the connotation of the main symptom and the main complaint,as well as their similarities and differences,and expounds the relationship between them,so as to lay the foundation for separating the elements of the complaint.Based on the five factors of disease location,disease nature,degree,time and etiology,this paper sums up the formula of syndrome differentiation of main complaint,optimizes the diagnosis thinking and feeds back the clinic.