阴火证诊治关键之象症结合

Key to diagnose and treat yin fire syndrome: Combination of imagine and symptom

阴火证在临床诊疗中较为常见,由李东垣首先系统论述并创立了甘温除热的治法。象是中医诊疗中客观的信息来源,不依赖于患者的主观表述及症状表现,而是医师通过客观的诊察及判断所收集到的信息。阴火证的辨证是中医临床的难点之一,在繁杂的症状及体征中如何抓住重点,减少误诊并指导处方用药,关键在于象。王彦晖教授提出象症结合是诊治阴火证的关键,尤其重视舌象与脉象在阴火证辨证论治中的权重。

Yin fire syndrome is common in clinic diagnosis and treatment. It was first officially named and demonstrated in detail by LI Dong-yuan. He founded the method of removing the excessive heat with drugs of sweet and warm. Xiang is an objective source of information in TCM diagnosis and treatment, it doesn’t depend on the patient’s subjective statements or symptoms. Xiang is the information gathered by the physician through objective examination and judgment. The differentiation and treatment of yin fire syndrome is one of the difficulty in TCM clinic. How to grasp the point in the complex symptoms and signs of yin fire syndrome, to reduce misdiagnosis and guide medication, Xiang is the key point. Professor WANG Yanhui proposed the combination of imagine and symptom is the key to diagnose and treat yin fire syndrome. He attaches great importance to the high weight of tongue and pulse manifestation in the syndrome differentiation of yin fire syndrome.