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基于现代医学体系中的病与中医体系中的证相结合的证素构建证诊断标准的思考

[A perspective of developing syndrome diagnostic criteria based on syndrome factors and combination of disease in modern medicine system and syndrome in traditional Chinese medicine system].

作者信息

Wang Tian-fang, DU Cai-feng, Wang Qing-guo, Wu Xiu-yan, Wang Zhi-yu, Zhao Yan, Xue Xiao-lin, Deng Hua-liang, Yue Hong, Yu Li-li, Qu Kai, Yu Chun-guang, Xu Wen-jie

出版信息

Zhong Xi Yi Jie He Xue Bao. 2009 Oct;7(10):901-6. doi: 10.3736/jcim20091001.

Abstract

Syndrome differentiation treatment is the traditional model of diagnosis and treatment of diseases in traditional Chinese medicine (TCM). To establish scientific diagnostic criteria of TCM syndrome is one of the key points in TCM study. In this paper, the basic models of the relevant diagnostic criteria of TCM syndrome and existed problems were reviewed. The authors pointed out the advantages of establishing diagnostic criteria of TCM syndrome based on TCM syndrome factors and combination of disease in Western medicine system and TCM syndrome, in which not only the characteristics of the disease in Western medicine were considered, but also the complexity and flexibility of syndrome identification and convenient application in clinical practice were resolved. The basic model and frame of the above diagnostic criteria and the procedures and methods used in developing the diagnostic criteria were also described and discussed.

摘要

辨证论治是中医传统的疾病诊疗模式。建立科学的中医证候诊断标准是中医研究的重点之一。本文综述了中医证候相关诊断标准的基本模式及存在的问题。作者指出基于中医证候要素及中西医病与证相结合建立中医证候诊断标准的优势,既考虑了西医疾病的特点,又解决了证候辨识的复杂性和灵活性以及临床应用便捷性的问题。还描述和讨论了上述诊断标准的基本模式与框架以及制定诊断标准所采用的程序和方法。

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