摘要
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.
作者
张祺杰
周小青
ZHANG Qi-jie;ZHOU Xiao-qing(Hunan University of Chinese Medicine,Changsha 410208,China;Chongqing Three Gorges Medical College,Chongqing 404120,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2021年第5期2811-2814,共4页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点研发计划中医药现代化研究专项(No.2017YFC1703306)
湖南中医药大学中医学国内一流建设学科开放基金(No.2018ZXY03)。
关键词
中医诊断
主诉
主症
主诉辨证
Diagnosis of traditional Chinese medicine
Main complaint
Main symptoms
Syndrome differentiation of main complaint