《伤寒论》治疗反应病机观探析
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浙江中医药大学基础医学院

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国家科技部重点研发计划“中医药现代化研究”重点专项课题(No.2019YFC1708701)


Analysis on the Pathogenesis of Treatment Response in Treatise on Febrile Diseases
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College of Basic Medicine , Zhejiang Chinese Medical University

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    摘要:

    [目的]指出《伤寒论》中非常重视病机阐释,其中根据治疗反应来反推病机的治疗反应病机观研究有益于临证应用。[方法]通过对《伤寒论》原文进行客观全面的探析,包括根据药物治疗之后药效反应进行病机分析、根据药物试探的药效反应分析病机以及根据误治后治疗反应分析病机(包括误汗、吐、下、火疗或针刺)等,对《伤寒论》中治疗反应病机观理论进行详细阐释。[结果]《伤寒论》中非常重视病机阐释。仲景认识病机的方法也是多种多样的,其中治疗反应病机观颇具独创特色,值得深入研究。[结论]对《伤寒论》中治疗反应病机观理论进行详细阐释,对于《伤寒论》病机理论和中医学辨证理论的研用,以及临床疗效的提高均具有重要的启发意义和指导价值。

    Abstract:

    [Objective]It is pointed out that "Treatise on Febrile Diseases" attaches great importance to the interpretation of pathogenesis, in which the research on the pathogenesis of treatment response based on the response of treatment is beneficial to clinical application.[Method]Through objective and comprehensive analysis of the original text of "Treatise on Febrile Diseases", including pathogenesis analysis based on drug effect response after drug treatment, pathogenesis analysis based on drug efficacy response of drug probing, pathogenesis analysis based on response to fire therapy or acupuncture treatment, and basis The pathogenesis of treatment response after mistreatment is analyzed, and the pathogenesis theory of treatment response in "Treatise on Febrile Diseases" is explained in detail.[Results]"Treatise on Febrile Diseases" attaches great importance to the explanation of pathogenesis. Zhongjing"s methods of understanding pathogenesis are also diverse, among which the pathogenesis of treatment response is quite original and worthy of in-depth study.[Conclusion]A detailed explanation of the pathogenesis theory of treatment response in "Treatise on Febrile Diseases" has important enlightening significance and guiding value for the research and application of pathogenesis theory of "Treatise on Febrile Diseases" and TCM syndrome differentiation theory, as well as the improvement of clinical efficacy. Keywords: Treatise on Febrile Diseases; treatment response; pharmacodynamic response; pathogenesis

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  • 收稿日期:2024-03-10
  • 最后修改日期:2024-05-13
  • 录用日期:2024-05-28
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