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摘要 “识病寒热与遣药温清”,历来是中医药学的经典主题。《伤寒论》与《温病学》都是研究“寒热病性与温清药性”的经典著作。但是,伤寒论与温病学的学术源流和临证有何共享原理和差异特征?尤其是“辨证论治”和“识病遣药”的证治相对论原理。目前,尚未充分了解和引起关注。研究显示,中医学、西医学对人体生命现象的认识和反映,表明人体的系统生理功能、营养能量代谢、知觉情绪行为以及健康疾病状态等,都不是连续分布和一成不变的。生命医学和生命现象,同样符合“相对论原理”和“量子力学规律”。本文重点讨论以下6个方面的问题,以求阐明“相对论”与中医药学的密切关系和现实意义。
关键词 相对论/原理理论;中医药学;伤寒论;温病学;识病遣药;寒热病性;温清药性
Principle of “Differentiate Syndromes of Cold and Hot and Prescribe Accordingly” from Relativity of Syndrome and Treatment
Liu Sheng1,Chen Haibin1,Liu Qingyun2
(1 Shanxi Hospital of Integrated Traditional and Western Medicine,Taiyuan 030013,China; 2.Shanxi Provincial Hospital of Traditional Chinese Medicine,Taiyuan 030012,China)
Abstract Differentiating syndromes of cold and hot and prescribing accordingly has always been the classic theme of traditional Chinese medicine.Treatise on Cold Pathogenic Diseases and Science of Epidemic Febrile Disease are classics including study of syndromes of cold and hot,and different properties of herbs of traditional Chinese medicine.What are the common characteristics and distinguishing differences in academic origin and clinical practice,especially the principle of treatment based on syndrome differentiation and prescriptions according to different syndromes,between the two books? However,up to now,there is not enough understanding of such aspects.Studies show that the cognition and reflection of human life in traditional Chinese and Western medicine indicate that the physiological function,nutrition and energy metabolism,perception,emotion behavior and health condition of the system are not continuous and static.Life medicine and life phenomena are also consistent with the “theory of relativity” and “laws of quantum mechanics”.This paper focused on the following 6 aspects to clarify the close relationship and practical significance of “relativity” with traditional Chinese medicine.
Key Words Relativity theory; Traditional Chinese medicine; Treatise on Cold Pathogenic Diseases; Science of Epidemic Febrile Disease; Prescribing according to different syndromes; Syndromes of cold and hot; Herbs′ property
中图分类号:R222 文献标识码:A doi: 10.3969/j.issn.1673-7202.2019.02.051
“寒熱证候”的辨识与“温清药性”的遣用,历来是中医药学的经典理论和证治纲领,也是辨证论治的核心内容与临证主题。无论《伤寒杂病论》还是《温病学》,都是研究“寒热病性与温清药性”的中医临床经典著作。熟读和背诵《伤寒论》与《温病学》,是开展中医临床工作的基本要求。但是,伤寒与温病的异同点何在?为什么《伤寒论》成书要比《温病学》早1 500年?“寒热证候辨识与温清药性遣用”之间的关系如何?尤其中医药“证治相对论”原理的认识和意义,尚未充分认识和足够重视。本文从以下6个方面来分析探讨。
1 相对论与中医药
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