甘肃中医药大学学报2024,Vol.41Issue(3) :23-27.DOI:10.16841/j.issn1003-8450.2024.03.05

"五诊四辨"的中西医临床新思维

New clinical thinking of Chinese and western medicine:five diagnostic methods and four differentiating approaches

黄汉超 蔡伟才
甘肃中医药大学学报2024,Vol.41Issue(3) :23-27.DOI:10.16841/j.issn1003-8450.2024.03.05

"五诊四辨"的中西医临床新思维

New clinical thinking of Chinese and western medicine:five diagnostic methods and four differentiating approaches

黄汉超 1蔡伟才2
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作者信息

  • 1. 广东省第二中医院治未病中心,广东 广州 510095
  • 2. 广州中医药大学第五临床医学院,广东 广州 510405
  • 折叠

摘要

为细化中医诊病要点,凸显中医诊病的独到优势,提出了"五诊四辨"中西医临床新思维,并进行深入探讨."五诊"是在望、闻、问、切四诊基础上添加了"查诊","四辨"是以八纲辨证为基础,把辨证内容概括为辨病位、病性、病邪和病势4项内容.该诊病体系是对中医"八纲辨证""脏腑辨证"的有益补充,不仅有利于传承和发掘中医经典古籍,反思临床治疗得失,更有利于构建更为系统完整、客观详细的中医诊病思路,有助于提高临床疗效,推动中西医结合发展.

Abstract

In order to refine the essence of TCM diagnosis and highlight its unique advantages,this paper puts forward a new clinical thinking of traditional Chinese and western medicine with"five diagnostic methods and four differentiating approaches",and carries on an in-depth discussion.The"five diagnostic methods",based on obser-ving,listening,asking,and feeling pulses,includes examination in addition."Four differentiating approaches"is to clarify the location,pathogenic factors,evil and trend of the disease on the basis of"eight principles of syndrome differentiation".This diagnostic system serves as a beneficial supplement to traditional Chinese medicine's"eight principles of syndrome differentiation"and"viscera syndrome differentiation",facilitating the inheritance and ex-ploration of classic and ancient books of traditional Chinese medicine,reflecting on clinical treatment while promo-ting the formation of a more systematic,comprehensive,objective and detailed approach to TCM diagnosis.This will ultimately help improve clinical efficacy and advance the development of integration traditional Chinese and western medicine.

关键词

五诊四辨/中医诊断学/中西医结合/诊病体系

Key words

five diagnostic methods and four differentiating approaches/TCM diagnostics/integration of tradi-tional Chinese and western medicine/diagnosis system

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基金项目

2020年度广东省中医药局科研立项面上项目(20201032)

出版年

2024
甘肃中医药大学学报
甘肃中医学院

甘肃中医药大学学报

影响因子:0.563
ISSN:1003-8450
参考文献量17
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