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类比思维在中医临床诊疗过程中的应用

Application of Analogical Thinking in TCM Clinical Diagnosis and Treatment Process
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摘要 类比思维在中医理论体系构建过程中的充分运用,使得原本抽象的理论知识具象化、意象化。临床中利用类比思维将患者的临床症状与某一病因病机进行类比分析,若绝大多数症状均可由该病因引起并符合病机转化规律,那么便于抓住此病因病机施以诊疗。在临床诊疗中,利用类比思维将患者的临床表现与某一常见的证进行比较,若两者的主要特征吻合,便可以诊断。类比思维在辨证论治中是通过类归和类比已悉对象的形和性进行抽象意义上的分析,为辨证分析治疗打下由形到意的根基。同时,类比思维在临床辨证论治中的运用推动了中医新理论、新思路的发展,具有重要的指导意义。 The full application of analogical thinking in the construction of the theoretical system of traditional Chinese medicine makes the original abstract theoretical knowledge concrete and imagery.In clinical practice, using analogical thinking to analyze the clinical symptoms of patients by analogy with a certain etiology and pathogenesis, if most of the symptoms can be caused by this etiology and conform to the law of pathogenesis transformation, then it is easy to grasp the etiology and pathogenesis for diagnosis and treatment.In clinical diagnosis and treatment, analogical thinking is used to compare the clinical manifestations of patients with a common syndrome.If the main features of the two are consistent, the diagnosis can be established.Analogical thinking in syndrome differentiation and treatment is an abstract analysis through categorization and analogy with the shape and nature of known objects, which lays the foundation for the diagnosis and treatment of syndromes from form to meaning.At the same time, the application of analogical thinking in clinical syndrome differentiation and treatment has promoted the development of new theories and ideas of traditional Chinese medicine, and has important guiding significance.
作者 崔志林 张玉昆 李秋实 郭宏伟 CUI Zhilin;ZHANG Yukun;LI Qiushi;GUO Hongwei(Heilongjiang University of Chinese Medicine,Haerbin Heilongjiang China 150040)
出处 《中医学报》 CAS 2022年第10期2051-2055,共5页 Acta Chinese Medicine
基金 国家社会科学基金项目(21BKS058) 黑龙江2021年度博士后面上资助项目(LBH-Z21222) 黑龙江2021年度高等教育教学改革研究项目(SJGY20210818)。
关键词 类比思维 临床诊疗 辨证论治 中医哲学 analogical thinking clinical diagnosis and treatment syndrome differentiation and treatment TCM philosophy
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