程循江诊治腹胀同症异治医案3则

Three cases of abdominal distension diagnosed and treated using six meridians by Dr.Cheng

吴雄志教授强调“病证症有机结合,形气神一体同调”,临证首先要区分形质病、气化病、神志病,否则极易造成误诊误治。形气神概括临床疾病分类,临证还要辨病、证、症。“病”可以是中医病,也可以是西医病,也可以是六经病,“证”可以是症状,也可以是体征,也可以是六经证(太湖《重订伤寒杂病论》细化了三阳三阴证),而“症”即是症状,是我们临证加减的主要依据。现通过程循江医师临床诊治腹胀三则,看太湖学堂理论如何指导中医临床诊断辨治疾病,如何使临床疗效精准化。

In clinical practice,functional diseases,organic diseases,and mental diseases are distinguished first;otherwise,it will lead to misdiagnosis and mistreatment.Professor Wu Xiongzhi emphasizes that in the diagnosis and treatment of diseases,the disease should produce symptoms and syndromes.Furthermore,functional,psychological,and organic diseases should be treated together.A disease can be tackled by traditional Chinese medicine,western medicine,or the six meridians.A syndrome can be a symptom,a physical examination sign,or a syndrome of six meridians.Syndromes are symptoms,which are the primary basis for our clinical addition and subtraction.The diagnosis and experience level of a doctor can reflect on the diagnosis and treatment given by the doctor for abdominal distension.We sorted out three cases of abdominal distension diagnosed and treated by Dr.Cheng Xunjiang.These three cases by Dr.Cheng Xunjiang were summarized to analyze how the theory developed by Taihu School Online guides the clinical diagnosis and treatment of diseases,and how to generate accurate clinical curative effect.