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黄煌教授"方-病-人"诊疗模式的整体观内涵探微

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从构建过程、思维维度、临床实践等方面探究黄煌教授"方-病-人"诊疗模式的整体观内涵,认为"方-病-人"诊疗模式是建立在"形神合一"整体观的基础上,蕴含了丰富的"形-气-神"一体观的体质认识论,具有立体化、场景化、具身化的特征.该模式从治疗学角度衍生出"方人相应"和"方病相应"两个关键点,蕴含了"辨体-辨病-辨证-辨机"思维的系统性与整体性,强调方人、方病、方证、方机的统一,是病证结合思想的体现."方-病-人"诊疗模式将整体观贯穿于疾病辨治全程,融合了"诊断-识证"一体的方证观以及"辨体-辨病"一体的治疗观,对辨治慢性病、疑难病尤具指导意义.
A Probe into the Holistic Concept of Professor Huang Huang's Formula-Disease-Person Diagnosis and Treatment Model
To explore the connotation of the holistic view of"formula-disease-person"diagnosis and treatment model of Professor Huang Huang from the aspects of construction process,thinking dimension,clinical practice,etc.It's believed that"formula-dis-ease-person"diagnosis and treatment model is based on the holistic view of"unity of form and spirit",and contains a wealth of consti-tution epistemology based on the holism of"form-qi-spirit",which has the characteristics of three-dimensional,scene character and embodiment.From the perspective of therapeutics,two key points are derived,namely"correspondence between formula and person"and"correspondence between formula and disease",which embodies the systematic and holistic thinking of"constitution differentia-tion,disease differentiation,syndrome differentiation,pathogenesis differentiation",emphasizes the unity of formula-person,formula-disease,formula-syndrome and formula-pathogenesis,and is the embodiment of the idea of combining disease and syndrome.The"formula-disease-person"diagnosis and treatment model combines the formula-syndrome view of"diagnosis-identification"and the treatment view of constitution differentiation-disease differentiation and incorporates a holistic view throughout the entire process of dis-ease diagnosis and treatment,which has guiding significance for the treatment of chronic diseases and difficult diseases.

"formula-disease-person"diagnosis and treatment modelholistic viewcorrespondence between formula and personcorrespondence between formula and diseaseHuang Huang

顾国祥、殷忠勇

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江苏医药职业学院中医药学院,江苏 盐城 224005

江苏医药职业学院黄煌经方学院,江苏 盐城 224005

南京中医药大学中医文化研究中心,江苏 南京 210023

"方-病-人"诊疗模式 整体观 方人相应 方病相应 黄煌

江苏省教育厅哲学社会科学重点研究基地基金资助项目

2021B04

2024

南京中医药大学学报
南京中医药大学

南京中医药大学学报

CSTPCD北大核心
影响因子:1.658
ISSN:1672-0482
年,卷(期):2024.40(9)
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