Wang Qiao-Chu
Zhong Xi Yi Jie He Xue Bao. 2006 May;4(3):221-4. doi: 10.3736/jcim20060301.
By historical review on integrative research of syndrome differentiation and disease differentiation and considering the scientific research method of traditional Chinese medicine (TCM), the syndrome is the key subject of clinical study on TCM. During the recent 10 years or more, many new diseases and diagnostic approaches have been found and developed in Western medicine, while in TCM, the advances in research on syndrome can not keep up with the requirements of clinical practice. This problem was caused by three matters as follows: (1) Syndrome differentiation and its classification have been conservative and lack of new discovery; (2) The thinking pattern of clinical practice has been focused on disease differentiation, and only complemented by syndrome differentiation; (3) The treatment has been concentrated on the disease instead of on the syndrome. Considering these problems, the author has put forward the thinking pattern of clinical research, that is "to differentiate diseases from syndromes and to differentiate syndromes from diseases". In this way, many new syndromes and diseases will be discovered with the improvement of disease and syndrome differentiations. These advances will provide rich resources for basic theoretical and pharmacal studies of TCM, and improve the common understanding of TCM in the world.
通过对辨证与辨病相结合研究的历史回顾,并考虑中医的科研方法,证是中医临床研究的关键课题。在最近十多年里,西医发现并发展了许多新疾病和诊断方法,而中医在证的研究进展却跟不上临床实践的需求。这个问题是由以下三个原因造成的:(1)辨证及其分类一直较为保守,缺乏新发现;(2)临床实践的思维模式一直以辨病为主,仅以辨证为辅;(3)治疗一直集中在疾病而非证上。考虑到这些问题,作者提出了临床研究的思维模式,即“辨病与辨证相结合,辨证与辨病相结合”。这样,随着辨病和辨证水平的提高,将会发现许多新的证和疾病。这些进展将为中医基础理论和药学研究提供丰富资源,并提高中医在世界范围内的共识。