论金匮要略辨证方法的多样性-环球中医药.PDF

·理论探讨 · 论《金匮要略》辨证方法的多样性 刘鑫源摇 王昀摇 赵进喜 揖摘要铱摇 张仲景所著《金匮要略》蕴含了丰富多样的辨证方法,然而一般只提到脏腑经络辨证, 实际上,在《金匮要略》中,亦有三阴三阳辨证、八纲辨证、辨体质—辨病—辨证三位一体辨病模式、 部位辨证、分阶段—分层次—分期辨证、病因辨证、气血津液辨证等多种辨证方法。 揖关键词铱摇 金匮要略;摇 辨证方法;摇 临床思维;摇 多样性 揖中图分类号铱摇 R222.3摇 揖文献标识码铱摇 A摇 doi:10.3969/ j.issn.1674鄄1749.2016.05.013 Variety of syndrome differentiation strategies ofJin Gui YaoLue摇 LIUXin鄄yuan,WANG Yun,ZHAO Jin鄄xi. Beijing University of Chinese Medicine,Beijing 100029,China Corresponding author:ZHAOJin鄄xi,E鄄mail:zhaojinximd@126.com 揖Abstract铱摇 Jin GuiYaoLue (SynopsisGolden Chamber)writtenbyZHANGZhong鄄jing,consistsof the comprehensive schemesof theprinciples,methods,formulasandmedicinals,aswell assyndromediffer鄄 作者单位:100029摇 北京中医药大学[刘鑫源(本科生)、王昀(博士研究生)];北京中医药大学东直门医院中 医内科教研室(赵进喜) 作者简介:刘鑫源(1994- ),2012级在读本硕博连读生。 研究方向:中医治疗肾病、内分泌代谢病。 E鄄mail: 1057613298@ 通讯作者:赵进喜(1965- ),博士,主任医师,教授,博士生导师。 研究方向:中医治疗肾病、内分泌代谢病。 E鄄mail:zhaojinximd@126.com 环球中医药2016年5月第9卷第5期摇 Global Traditional Chinese Medicine,May2016,Vol郾9,No郾5 摇摇575 entiation strategies. However, when referring to Jin Gui Yao Lue (Synopsis Golden Chamber), the practitioners alwaysthink of thevisceral鄄meridian syndrome differentiation. Actually,there areother various syndrome differentiation strategies, such as syndrome differentiations of the six meridians, the eight principal,constitution鄄disease鄄pattern,the location of disease,the different levels or stages,the cause of disease,andtheqi,blood,body鄄fluid. Thesesyndromedifferentiationstrategiesnot only set atypical model for later ages but also enlighten later generations to found the more advanced and practical strategies, including triple鄄jiao syndrome differentiation, wei鄄qi鄄ying鄄xue (defence鄄qi鄄nutrient鄄blood) syndrome differentiation,constitutionsyndromedifferentiationandsoon. Moreover,theymakesignificantcontributions to completethe system of syndrome differentiation in traditional Chines