“中医状态”纵向视域下方证相应理论内涵新释

New interpretation of the theoretical connotation of the correspondence between prescription and syndrome from the longitudinal perspective of"traditional Chinese medicine state"

方证相应是中医治病的优势和特色,但临床疾病病机复杂、病情多变,在现有方证相应的认知下,临床具体运用难以达到疗效的最大化。本文引入“中医状态”纵向分类的生理特点、病理特点、体质、证、病5种范畴于方证相应中,在“中医状态”纵向视域下,将方证相应理论内涵诠释为“方态相应”,即“方-生理特点”相应、“方-病理特点”相应、“方-体质”相应、“方-证”相应、“方-病”相应,以期准确把握方证相应的内涵,深化中医临床思维模式。

The correspondence between prescription and syndrome is the advantage and characteristic of traditional Chinese medicine(TCM)treatment.However,the pathogenesis of clinical diseases is complex and the condition is changeable,and the clinical application is difficult to achieve the maximum effect under the existing cognition of the correspondence between prescription and syndrome.In this paper,the five categories of physiological characteristics,pathological characteristics,constitution,syndrome,and disease of the longitudinal classification of"TCM state"are introduced into the correspondence of prescription and syndrome.Under the vertical perspective of"TCM state",the theoretical connotation of the correspondence between prescription and syndrome is interpreted as"correspondence between prescription and state",namely correspondence of"prescription-physiological characteristics",correspondence of"prescription-pathological characteristics",correspondence of"prescription-constitution",correspondence of"prescription-syndrome",and correspondence of"prescription-disease".It is hoped to accurately grasp the corresponding connotation of the correspondence between prescription and syndrome,in order to deepen the clinical thinking mode of TCM.