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寒热辨证研究述评

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寒热辨证是八纲辨证的重要组成部分。对寒热的相关理论、证候、体质,以及寒热辨证的基础与临床研究等方面进行概述,探索寒热辨证研究的新方向。结果表明,寒热理论研究围绕寒热的含义(即寒热的本意和特性)进行;寒热证候从四诊角度的探讨较为丰富,单独从舌脉角度探讨的文献相对较少;寒热体质与寒热证候均采用四诊方法进行判断,但二者的部分证候相似、诊断模糊,须进一步明确中医体质和疾病诊断的含义;属于象思维的寒热不可能采用检测指标予以定量化、客观化;准确的寒热辨证是保证疗效的基础和前提。目前的研究成果为后续研究方向提供了参考依据。探究寒热辨证思维的认知特征和神经机制,进行寒热辨证与认知心理学、认知神经科学的结合研究也为寒热辨证领域开辟了新的研究方向。
Review on the Differentiation of Cold and Heat Syndrome
Syndrome differentiation of cold and heat is an important part of the eight-line syndrome differentiation.This study summarized the related theories,syndromes and constitutions of cold and heat,as well as the basic and clinical re-search of cold and heat syndrome differentiation,and explored the new direction of cold and heat syndrome differentia-tion.The results show that the theoretical research of cold and heat focuses on the meaning of cold and heat(the origi-nal meaning and characteristics of cold and heat).There are abundant researches on cold and heat syndrome from the perspective of four diagnoses,and relatively few literatures from the perspective of tongue and pulse alone.Both cold and heat constitution and cold and heat syndrome are judged by four diagnostic methods,but some of the syndromes of the two are similar and the diagnosis is vague,so it is necessary to further clarify the meaning of traditional Chinese medicine constitution and disease diagnosis.Cold and heat,which belong to image thinking,cannot be quantified and ob-jectified by detection index.Accurate differentiation of cold and heat is the basis and premise of curative effect.The present research results provide a reference for the follow-up research direction.It is a new research perspective to ex-plore the cognitive characteristics and neural mechanism of cold-heat dialectical thinking,and to combine cold-heat dia-lectical thinking with cognitive psychology and cognitive neuroscience.

Cold and HeatSyndromeCold-Heat Syndrome Differentiation

张芳洲、马淬兰

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贵州中医药大学基础医学院,贵州 贵阳 550025

寒热 证候 寒热辨证

2025

亚太传统医药
中国民族医药学会 湖北省科技信息研究院

亚太传统医药

影响因子:0.743
ISSN:1673-2197
年,卷(期):2025.21(1)