周易哲学观对中医辨证论治原则和方法影响刍议-环球中医药.PDF

摇摇摇22 环球中医药2017年1月第10卷第1期摇 Global Traditional Chinese Medicine,January2017,Vol郾10,No郾1 ·理论探讨 · 《周易》哲学观对中医辨证论治原则和方法 影响刍议 许伟明摇 胡镜清摇 江丽杰 揖摘要铱摇 该文从整体观、运动(变易)观、阴阳平衡观三个方面阐释《周易》哲学观对辨证论治 原则和方法的影响:第一,在天地人三才统一的整体观影响下,证反映整体功能反应状态的失调;辨 证论治时强调三因治宜,具体的方药也渗透天地人三才统一的思想。 第二,中医学对病证的认识几 乎处处体现了运动(变易)思维的指导,总结疾病的演变规律构建了六经辨证、卫气营血辨证、三焦 辨证等辨证方法体系;《周易》运动的“圜道冶特性也在中医辨证有所体现。 第三,《周易》学的阴阳 平衡论,对中医疾病诊治起着重要的启示和决定作用。 总之,《周易》哲学观对中医辨证论治原则和 方法的影响是全方位、深刻的。 揖关键词铱摇 《周易》;摇 辨证论治;摇 哲学观;摇 理论探讨 揖中图分类号铱摇 R鄄02摇 揖文献标识码铱摇 A摇 doi:10郾3969/ j郾issn郾1674鄄1749郾2017郾01郾005 Influence of Changes爷 philosophy on the principles and methodology of treatment based on syndrome differentiation in traditional Chinese medicine摇 Xu Weiming,Hu Jingqing,Jiang Lijie.摇 Institute of Basic Theory of Traditional Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700,China Corresponding author:HUJingqing,E鄄mail:gcp306@126.com 揖Abstract铱摇 Thepaperdiscussedtheinfluenceof Bookof Changes爷philosophyontheprinciplesand methodology of treatment based on syndrome differentiation in traditional Chinese medicine from three aspects:Firstly,in the influence of the View of Holism,the syndrome reflected the disorder of the whole functional. Treatment basedonsyndromedifferentiationaccordingtothreecategoriesofetiologicfactorsand the treatment should according to the principle. Secondly, the knowledge of disease and syndrome of traditional ChinesemedicineincludingSyndromeDifferentiationof Six Meridians,wei鄄qi鄄ying鄄xue syndrome differentiation,Triple Energizer syndrome differentiation were almost always under the guidance of View of Motion. The Circularity Character of Motion was illustrated in the syndrome differentiation. Thirdly,the View of Balance betweenyin andyang influenced the treatment principles and prescription medications of traditional Chinese medicine. In all, the philosop