从《伤寒杂病论》中探究“无证可辨”的对策

On the Countermeasure When No Syndrome to Differentiate: from the Treatise on Febrile and Miscellaneous Diseases(《伤寒杂病论》)

无证可辨现象对中医临床诊疗形成了挑战,其形成有诸多原因。总结无证可辨的直接原因是缺乏"症群",根本原因是四诊的粗疏,不是症群不存在,而是中医师未能采集到。梳理《伤寒杂病论》中蕴含的关于四诊、体质辨证、以方测证和注重病机转变等方法能够有效解决无证可辨的问题。

The phenomenon of no syndrome to differentiate poses a challenge to the clinical diagnosis and treatment of traditional Chinese medicine(TCM),and there are many reasons for its formation.It is believed that the direct reason is the lack of symptom groups,and the root cause is the careless and inattentive of the four diagnostic methods.It is not that the symptom group does not exist,but that the Chinese medicine practitioners fail to collect it.Studying the four diagnostic methods,the constitution differentiation,testing syndrome by formula and the method of attaching importance to the change of pathogenesis contained in the Treatise on Febrile and Miscellaneous Diseases(《伤寒杂病论》)can effectively solve the problem of undocumented discernment.