中华中医药杂志2024,Vol.39Issue(3) :1313-1318.

基于象思维原理对病机分层方法的运用

Application of pathogenesis stratification method based on thinking principle of image

王晖 王建康 苏文涛 陈靓 唐可伟 龚文波 陈霞波 周开 顾颖杰 张业 夏煜听
中华中医药杂志2024,Vol.39Issue(3) :1313-1318.

基于象思维原理对病机分层方法的运用

Application of pathogenesis stratification method based on thinking principle of image

王晖 1王建康 1苏文涛 2陈靓 3唐可伟 4龚文波 1陈霞波 1周开 1顾颖杰 1张业 1夏煜听5
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作者信息

  • 1. 浙江中医药大学附属宁波中医院,宁波 315000
  • 2. 余姚市中医医院,余姚 315400
  • 3. 宁波市江北区姚江社区卫生服务中心,宁波 315020
  • 4. 宁波市海曙区中医医院,宁波 315010
  • 5. 澳门科技大学中医药学院,澳门 999078
  • 折叠

摘要

运用象思维的哲学原理,将象思维分为表象和意象两大类,并细分为元象、物象、比象、道象、具象、维象6种类,按照各自特性分别对应病机分层中类证病机、基本病机、阶段病机、兼夹病机、即时病机、潜伏病机"六机",指导临床辨证.并从唯象角度提出捕象、释象、分层、诊断、立法、靶药六步诊疗法形成"6-6-6"象思维诊疗模式,对临床具有较大的指导和应用价值.

Abstract

Based on the philosophical principle,imagery thinking can be divided into two categories:representation and imagery.It is subdivided into six small categories:meta-image,physical image,comparative image,Taoist image,concrete image and dimensional image.According to their respective characteristics,the imagery thinking corresponded to six pathogenesis types in the pathogenesis hierarchy,i.e.,pathogenesis type syndrome,basic pathogenesis,stage pathogenesis,concurrent pathogenesis,immediate pathogenesis and latent pathogenesis,which can help guide clinical syndrome differentiation.From the perspective of phenomenology,the six-step diagnosis and treatment method of image capture,image interpretation,stratification,diagnosis,legislation and target drug is proposed to form the'6-6-6'image thinking diagnosis and treatment mode,which has great guiding and application value for clinical practice.

关键词

象思维/病机分层/诊疗模式/临床运用

Key words

Image thinking/Pathogenesis stratification/Diagnosis and treatment mode/Clinical application

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基金项目

宁波市科技发展专项市重点技术研发项目(第五批)(2022)(甬财经[2022]658号)

浙江省国医名师传承工作室建设项目王晖国医名师传承工作室项目(GZS2020012)

浙江省中青年临床名中医项目培养项目(浙中医药[2021]22号)

宁波市名中医药专家传承工作室建设项目(甬卫发[2022]54号)

宁波市市级医疗卫生品牌学科建设项目(PPXK2018-07)

出版年

2024
中华中医药杂志
中华中医药学会

中华中医药杂志

CSTPCD北大核心
影响因子:1.135
ISSN:1673-1727
参考文献量29
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