《金匮要略》诊病思路与方法探析-中医临床基础专业论文.docxVIP

成都中医药大学 成都中医药大学 2005 级硕士研究生学位论文 PAGE PAGE 1 中文摘要 《金匮要略》为东汉末年著名医学家张仲景所著《伤寒杂病论》的杂病部分， 该书首创了中医杂病脏腑辨证论治的理论体系，是我国现存最早的一部诊治杂病 的专书。书中有关诊病思路与方法的内容极为丰富，其主要表现在：诊法方面仲 景灵活运用望闻问切四诊，以全面收集较为详尽的病情资料；诊病过程中仲景以 脏腑经络学说为基本论点，注重抓主症，重视阴性症状所提示的意义，细致入微 地进行病证的比较鉴别，最终得出辨病与辨证结论。 本文紧密结合原文，对仲景使用的诊病思路与方法进行了全面地梳理与总 结，并对较典型者予以分析阐述，认为《金匮要略》中的诊病思路与方法对当今 临床仍具有重要的指导意义。 关键词：金匮要略 诊病 思路 方法 Abstract Theme:A Study on the train of Thought and Methods for Disease Diagnosis of Synopsis of Prescriptions of the Golden Chamber Synopsis of Prescriptions of the Golden Chamber，composed by Zhang Zhongjing，one eminent medical scientist in the late Eastern Han Dynasty，is a section of Treatise on Febrile and Miscellaneous Diseases， a section focused on dicussing diagnosis of miscellaneous diseases due to internal injury. Synopsis of Prescriptions of the Golden Chamber，as the fisrt clinical medicine classic in China，it attaches much importance to diagnosing miscellaneous diseases due to internal injury，and initiated the TCM theoretical system of differentiating diseases according to pathological changes of Zang and Fu and their interrelation. The content of the train of thought and methods on disease diagnosis is extremely rich in it. Zhang zhongjing use the four diagnostic methods flexibly，including inspection，listening and smelling，asking and palpation and pulse-taking， so as to collect more detailed illness material comprehensivly. In the course of diagnosis，Zhongjing takes the Visceral Meridian Theory as basic argument，focuses on grasping the main symptoms，attention to negative symptoms，compares and identificates the disease and syndrome carefully.Finally，draws the conclusion of differentiation of disease and syndrome. In close connection with the original text，this paper cards and summarizes the train of thought and methods comprehensivly which Zhongjing used，and analyzes the typical case.All these prove that the train of thought and methods on disease diagnosis of Synopsis of Prescriptions of the Gold