从《伤寒论》探析仲景辨证运用经方思维方法.pdfVIP

从《伤寒论》探析仲景辨证运用经方思维方法

顾哲元

【摘要】[目的]探析仲景辨证运用经方的思维方法.[方法]列举相关文献,引述历代

名家对《伤寒论》经方的见解,理论联系实践,条文对应临床,对仲景辨证运用经方的

思维方法进行论述及总结提炼.[结果]《伤寒论》充分体现出仲景的辨证思想,可从

中提炼出方证对应、抓主证及辨证论治法.抓主证指在面对有特异性的证时可以采

用抓主要特征的方法;方证对应指方药与疾病病机和症状体征相契合,是辨证论治的

前提;辨证论治指在疾病某一阶段,根据患者症状体征总结得出证型,再根据证型病机

特点立法处方,选择相应方药的循序渐进的治疗法则,以及通过病机分析法对经方进

行扩展应用的思维模式.三者构成仲景辨证思维方法的主线.[结论]张仲景著《伤寒

论》辨证准确,方证合一,对后世医家进一步发挥与完善辨证论治有着深远影响,其辨

证思维方法对后世多有启发,值得进一步研习.%[Objective]Todiscussthe

syndromedifferentiationandtreatmentofclassicalprescriptionofZHANG

Zhongjing.[Method]Listingrelevantliteratureandquotingphysicians

viewsonbookandcombiningtheoryandpracticetodiscussanddistill

fromtheapplicationofthinkingmethodsofsyndromedifferentiation.

[Results]TreatiseonColdPathogenicDiseasesfullyreflectsthe

syndromedifferentiationthoughts,wherecanbeconcludedsyndrome

differentiationandtreatmentandthemethodoftreatment.Catchingthe

mainsyndromemeanswhenfacingwithaspecificsyndromecanbeused

tocatchthemaincharacterofmethod.Andthecorrespondencebetween

recipeandsyndromeistheprescriptionconsistentwiththepathogenesis

andsymptomsofdiseasewhichisaprerequisiteforsyndrome

differentiationandtreatment.Meanwhile,syndromedifferentiationand

treatmentisaprincipleofstepbysteptreatmentthataccordingtothe

symptomsandsignsofpatients,sumupsyndrometype,andthenprescribe

andselectdrugsatsomestageinthedisease.Anditisalsoathinking

modeofclassicalprescriptionextendedapplicationbypathogenesis

analysis.Thoseconstitutethethreemainlinesofthethinkingmethodof

differentiation.[Conclusion]Accuratedifferentiationandtheprescription

areconsistentedwiththesyndrometypeofTreatiseonColdPathogenic

Diseasesexertfar-reachinginfluenceontheuseandperfectsyndrome

differentiationandtreatment,whichinspirefuturegenerationsof

doctors.Therefore,itdeservesfurtherstudy.Syndromedifferentia