首页|章次公治胃病"双重诊断,一重治疗"中西汇通思想浅析

章次公治胃病"双重诊断,一重治疗"中西汇通思想浅析

Analysis of ZHANG Cigong's "Dual Diagnosis and Single Treatment" Thoughts on Integrating Traditional Chinese and Western Medicine in Treating Gastric Diseases

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章次公注重西医病理和中医病机的对应,提出"双重诊断,一重治疗","双重诊断"是指对各种病症诊断出西医病理、病因、病名和中医证候,"一重治疗"是指采用中药治疗.通过阅读章次公胃病验案和相关论述,总结出胃病的"双重诊断,一重治疗",包括胃病的三步法诊断逻辑、病理-病机的对应关系、病因诊断和中医辨证,以及急性胃炎、胃溃疡和胃酸过多、十二指肠溃疡、慢性胃炎、消化不良和胃肠神经官能症、上消化道出血的中药治疗.在逻辑思维、临床实践、科研有机融合的思考模式下,章次公将"气血、寒热温凉"与"物质、功能"的中西医基础概念对应代入,探索了中西医互通的本质,从而使中医辨证和中药功效的范畴扩大到微观的生理、病理层面.章次公学术思想对探索现代中西结合的"双赢"方式有参考价值,应在遵循取长补短、互补互融的前提条件下充分发挥各自的优势.
Emphasizing the correspondence between western medicine pathology and traditional Chinese medi-cine pathogenesis,ZHANG Cigong proposes"dual diagnosis and single treatment"."Dual diagnosis"refers to the determination of pathology,etiology and disease names in western medicine as well as the syndromes of traditional Chinese medicine(TCM),while"single treament"is the use of Chinese herbal medicine(CHM).By analyzing the records of gastric disease cases by ZHANG Cigong and the related discussions,this paper summarized the"dual diag-nosis and single treatment"of gastric disease,including the three-step diagnosis logic of gastric disease,the corre-spondence between pathology and pathogenesis,etiological diagnosis and TCM syndrome differentiation,as well as CHM for the treatment of acute gastritis,gastric ulcer and hyperacidity,duodenal ulcer,chronic gastritis,dyspepsia and gastrointestinal neurosis,and upper gastrointestinal bleeding.Under the thinking mode of organic integration of logi-cal thinking,clinical practice,and scientific research,he corresponded the basic concepts of"Qi and blood,cold and hot,warm and cool"to"substance and function"in traditional Chinese and western medicine,exploring the essence of interoperability between Chinese and Western medicine,thereby expanding the scope of TCM syndrome differentia-tion and its efficacy to the microscopic physiological and pathological level.It is believed that ZHANG Cigong's academic ideas provide reference to the"win-win"approach of modern integration between Chinese and western medi-cine,and should follow the premise of learning from each other's strengths and complementing each other to fully high-light their advantages.

ZHANG Cigongstomach diseaseintegration of traditional Chinese and western medicinemicrocosmic syndrome differentiation

黄圣、刘果

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北京中医药大学东直门医院,北京市东城区海运仓5号,100700

北京中医药大学中医学院

章次公 胃病 中西汇通 微观辨证

国家中医药局全国中医临床优秀人才研修项目北京市中药骨干人才培养项目(第三批)

国中医药人教函[2022]239号京中医科字[2022]59号

2024

中医杂志
中华中医药学会 中国中医科学院

中医杂志

CSTPCD北大核心
影响因子:1.464
ISSN:1001-1668
年,卷(期):2024.65(5)
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