从“证”的四维属性探讨疫病的防治

Discussion on the Prevention and Treatment of Epidemics Based on the Four-Dimensional Attributes of“Syndrome”

“证”是中医理论体系中重要的概念,基于临床实践提出“证”的四维属性,即物质性、规律性、复杂性、整体性。“证”的物质性是可以感知、看得见的客观存在,利用现代科学技术可从更多层面感知获得,探索实现“证”的可视化、客观化、数字化,构建疫病的证候特征;“证”的规律性是分层次的、可掌握的,在疫病初起时,病原体不明的情况下,抓住证的规律性可以在疫病的救治中做出快速反应;“证”的复杂性不仅体现在地域、季节及个体差异等方面,还体现在某一时段动态演变规律,特别是疫病具有发病急、变化快的特点,变证、坏证随时可能出现,客观全面掌握“证”的复杂性有助于提高疫病的诊治效果;“证”的整体性不仅体现在人是一个整体,形神一体,更强调人与自然是一个整体,疫病的发生多因非其时有其气,天人合一的整体观是预防和控制疫病的有效方法。以证为核心,探索疫病病证结合的有效治疗策略,以期为疫病防治提供思路。

Syndrome is an important concept in the theoretical system of tradtional Chinese medicine(TCM),and the four-dimensional attributes of syndrome are proposed based on clinical practice,namely materiality,regularity,complexity and holism.The materiality of syndrome is an objective existence that can be perceived and seen,and it can be perceived from more levels by using modern science and technology to explore the visualisation,objectification and digitisation of syndrome;the regularity of syndrome is hierarchical,can be grasped,for example in the beginning of the epidemic the pathogen is unknown,and grasping the regularity of syndrome can make a rapid response in the treatment of the epidemic;the complexity of syndrome is not only reflected in the geographical,seasonal and individual differences,but also reflected in the development of the dynamics of a certain period of law,especially for the epidemic disease with characteristics of rapid onset,rapid change,so changeable syndrome,bad syndrome can appear at any time,and an objective and comprehensive grasp of the complexity of the syndrome can help improve the diagnosis and treatment of epidemic disease;the holism of syndrome not only embodied in the human body is a whole,the form of God as a whole,but also emphasised that man and nature are a whole,so more emphasis on man and nature as a whole.The occurrence of epidemics usually due to the unexpected qi appeared not the time,and the holism view of man and nature is an effective way to prevent and control epidemics.With the syndromes as the core,we explored the effective treatment strategy of epidemic disease combined with syndromes to provide ideas for the prevention and control of the epidemics.