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中医治未病"五辨"理论发微

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中医治未病"五辨"理论乃上海市浦东新区卫生健康委员会十余年"治未病"工作积淀,"五辨"理论乃治未病的核心特征,即在"辨证"理论指导下进行"辨体、辨症、辨病、辨变".辨证论治,总体指导,辨明轻重缓急、真假主次;辨体论治,首辨体质,再辨男女、长幼、习性;辨症论治,注重宏观、中观、微观之三观并重;辨病论治,参合古今、辨明标本先后及病程新久;辨变论治,明辨病位、病性、病势之变.并附验案1则.
Theoretical exploration of"Five Differentiations"in traditional Chinese medicine for preventive treatment
The"Five Differentiations"theory in traditional Chinese medicine(TCM)for preventive treatment is the result of accumulated work over a decade by the Health Commission of Pudong New Area,Shanghai.The"Five Differentiations"theory is the core characteristic of preventive treatment,conducted under the guidance of"syndrome differentiation".It includes differentiating constitution,symptoms,diseases,and changes.The principle of syndrome differentiation and treatment serves as the overall guidance,distinguishing between severity,urgency,authenticity,and priority.Constitution differentiation and treatment prioritizes identifying the patient's constitution,followed by differentiations of gender,age,and habits.Symptom differentiation and treatment emphasizes a comprehensive approach,integrating macro,meso,and micro-level differentiations.Disease differentiation and treatment combines ancient and modern medical knowledge to distinguish between primary and secondary factors,and to determine the duration and whether the disease is acute or chronic.Change differentiation and treatment clearly identifies changes in the location,nature,and progression of the disease.One proven case is presented.

preventive treatmentsyndrome differentiationdistinguishing constitutiondistinguishing symptomsdistinguishing diseasesdistinguishing changestraditional Chinese medicine theorytraditional Chinese medicine therapy

范春香、李鹏帆、郁东海

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复旦大学附属浦东医院(上海 201399)

上海市浦东新区中医医院(上海 201205)

治未病 辨证 辨体 辨症 辨病 辨变 中医理论 中医药疗法

2025

上海中医药杂志
上海中医药大学 上海市中医药学会

上海中医药杂志

影响因子:0.755
ISSN:1007-1334
年,卷(期):2025.59(1)