Disease differentiation thinking refers to the clinical thinking that accurately understands the overall attributes,characteristics and regularities of the whole process of disease,and applies corresponding treatment methods.The application of disease differentiation thinking in diagnosis and treatment can avoid the mechanization of syndrome differentiation and treatment,and avoid falling into the misunderstanding of emphasizing one-sided clinical manifestations and ignoring the overall pathogenesis.By analyzing Treatise on Cold Pathogenic and Miscellaneous Diseases with disease differentiation thinking,we can clarify the modern clinical significance of diagnosis and treatment methods in the classics,better analyze the meaning of the provisions,and apply modern medical understanding to expand the indications of formulas.The emphasis on disease differentiation and treatment is not to deny syndrome differentiation and treatment,but to emphasize the organic combination of both.We should not focus merely on syndrome differentiation and ignore disease differentiation.Syndrome differentiation and treatment should be based on holism led by disease differenti-ation thinking.We advocate the clinical thinking mode of disease differentiation first and combination of disease and syndrome.
关键词
《伤寒杂病论》/辨病思维/经方方证/辨证论治/思维模式
Key words
Treatise on Cold Pathogenic and Miscel-laneous Diseases/disease differentiation thinking/classic formulas and syndrome/treatment based on syndrome differentiation/thinking mode