关于中医证候研究的几点想法-JournalofIntegrativeMedicine.PDF

·86 · 中西 医结 合学报 20 04 年 3 月第 2 卷第 2 期 J Chin In tegr Med , Mar 2 0 04 , Vol . 2 , No. 2 关 于 中医证 候 研 究 的几 点想 法 凌昌全 ( 第二军医大学附属长海医院中医科, 上海 2004 33) [ 摘要] 中医证候学研究是 目前中医药研究工作的前沿领域 。近年来, 虽从 不同的角度取得 了一些进展, 但就本质而 言, 依 旧没有 明显的突破 。虽然证候的传统定义是基本清楚的, 但证候的宏观( 定性) 标准不十分规范, 证候宏观( 定性) 标准量化研 究方法有待统一。这在很大程度上阻碍 了整个 中医药现代化的进程, 因此, 证候的现代研究思路值得进一步探讨 。在证候研 究过程 中, 建议: ( 1) 以现代疾病为切入点, 从基本证候( 单证) 着手, 逐步 向复证研究过渡; ( 2 ) 以人为研 究对象, 取得相当成 果后再进行动物实验才有意义; ( 3) 不仅要与生命科学接轨, 更要与整个的自然科学接轨 。 [ 关键词] 中医学; 证候; 方法学研究 [ 中图分类号] [ 文献标识码] A [ 文章编号] 1672 -1977 ( 2 004 ) 02 - 00 86- 04 P on der in g th e r esear ch on syn dr om e of tr adit ion a l C h in ese m edicin e LING Ch ang-Quan ( Department of Traditional Chinese Medicine, Ch anghai Hospital, Secon d Military Medical Univer sity, Shanghai 200433 , Chin a) AB STRACT Syndrome research is a challenging field in the r esearch on tr adition al Ch inese medicine and there is no breakthrough at all in this field as yet , although some pr ogresses from variou s asp ects have been achieved in recent years. The definition of syndrome b ased on the concep tions of tradition al Ch inese medicine is basically clear, bu t th e qualitative macr o-criteria for syndrome are not stand ardized and the research meth od s for quan tification of such cr iteria are not u nified. These hindered th e p rocessing of the moderni- zation of traditional Ch inese medicin e to a great exten t; ther efore new research m ethod s for syndrome usin g techniques of mod ern sci- ences shou ld be fu rth er investigated . Du rin g the resear ch of syndrome, it is suggested that: ( 1) th e r esearch should be tu rned to com- plex syndrome from the fundamen tal simple syn drome gr adu ally, on th e basis of certain diseases in western medicine ; ( 2 ) animal ex- periment would b e of n o significan ce b efore quite a succ