首页|阮诗玮从"四纲六目"论"厥"心法初探

阮诗玮从"四纲六目"论"厥"心法初探

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中医学对"厥"的认识由来已久,具有丰富的内涵.但因其概念在历史的发展中多有变迁,论述较为散乱,难以对"厥"形成系统、客观的理论框架.基于此,阮诗玮教授发皇古义,融汇新知,指出"厥"的内涵主要为"四肢厥冷""神志昏厥"二者,病机系"阴阳气血逆乱",与现代医学的缺血性脑卒中、心源性休克等联系紧密.阮教授临证治"厥",主张"四纲六目"."四纲",即"阴、阳、正、邪",是从"阴阳"判别"厥"之真假,"正邪"评估病情整体发展趋势,具有提要钩玄的意义."六目",即"机、位、势、体、时、象",是在"四纲"基础上,分别从"病机、病位、病势、体质、时令、病象"对"厥"临床辨治的具体指导.希冀对传统中医药"厥"领域的开发,并为构建中医"厥"诊疗体系有所助益并提供参考价值.
Professor RUAN Shiwei's Preliminary Study on"Four Principles and Six Entries"on"Jue"Mental Method
Objective The understanding of"Jue"in traditional Chinese medicine has a long history and rich connotation.However,due to the changes of its concept in the development of history,it is difficult to form a systematic and objective theoret-ical framework for"Jue".On this basis,professor RUAN Shiwei said that the connotation of"Jue"was mainly"cold limbs"and"syncope",and the pathogenesis was"disorder of Yin-Yang and Qi and blood",it is closely related to ischemic stroke and car-diogenic shock in modern medicine.Professor RUAN Shiwei advocated"four principles and six entries"in clinical treatment of"Jue".The"four principles",namely"Yin,Yang,healthy Qi and evils",is to distinguish the true and false of"Jue"from"Yin and Yang",and to evaluate the overall development trend of"healthy Qi and evils"."Six entries",namely"pathogenesis,loca-tion,condition,constitution,seasons,symptoms and signs",is based on the"four principles"to guide the treatment of"Jue"from"pathogenesis,location,condition,constitution,seasons,symptoms and signs".It is hoping to develop the field of traditional Chi-nese medicine"Jue"and help to build the traditional Chinese medicine diagnosis and treatment system of"Jue"and provide ref-erence value.

RUAN ShiweiJuefour principles and six entriesYinYanghealthy Qievilspathogenesislocationconditionconstitutionseasonsymptoms and signs

杨运劼、阮诗玮

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福建中医药大学,福建福州 350108

福建中医药大学附属人民医院,福建福州 350004

阮诗玮 四纲六目

阮诗玮全国名老中医药专家传承工作室建设项目

国中医药人教函[2022]75号

2024

实用中医内科杂志
辽宁省中医药学会,中华中医药学会,辽宁省中医药研究院

实用中医内科杂志

影响因子:0.421
ISSN:1671-7813
年,卷(期):2024.38(6)
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