辨证四则刍议
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云南圣爱中医馆,云南昆明 650031

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R241.9

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Four Groups of Fundamental Elements of Syndrome Differentiation
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Yunnan Sheng Ai Traditional Chinese Medicine Hospital,Kunming Yunnan 650031,China

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    摘要:

    历代医家对“正邪、润燥、通滞、清浊”四者皆有论述,并予以重视,笔者通过临证体会,深感此四者对临床辨证有很好的指导意义,故将其统而论述,联系成篇,取名“辨证四则”。此四则中,以“正邪”为总则,“润、清、通”为人体健康的表现,为正为常,也为治法; “燥、滞、浊”为人体病变的表现,为邪为变,也为病因。“正邪”辨病证之进退预后; “润燥”辨津液之盛衰亏盈; “通滞”辨气机之畅达滞塞; “清浊”辨气机之升降混沌。此“辨证四则”,从另一个角度认识病因病理,从而指导临床立方用药。

    Abstract:

    In the FOUR GROUPS OF FUNDERMENTAL ELEMENTS OF SYNDROME DIFFERENTIATION, it is thought that HEALTHY QI and PATHOGENIC QI are the leading principles; MOISTENING, UNIMPEDEDNESS and LIMPIDNESS are the regular and normal manifestations of a healthy human body and the correct ways of treatment; and also, DRYNESS, OBSTRUCTEDNESS and TURBIDNESS are the irregular and abnormal manifestations of a sickened human body and the courses of diseases. HEALTHY QI and PATHOGENIC QI are to differentiate the prevention, the development and the declining of diseases; while MOISTENING and DRYNESS are to identify the flourishing and the waning of human body fluids. UNIMPEDEDNESS and OBSTRUCTEDNESS are to distinguish the smoothing and blocking QI inside human bodies; in the meantime, LIMPIDNESS and TURBIDNESS are to recognize the clearness and the thickness of the QI inside human bodies.

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