基于整体观念的五辨论治思维探析

整体观念作为中医思维的灵魂,贯穿于中医思维的全过程,无论中医如何传承与发展都离不开以整体视角考量生命、健康与疾病的宗旨。目前,中医既迎来发展机遇也面临着发展瓶颈,而只有立足于整体观念,凝练出中医思维的特质才能真正发挥中医优势。"辨"是中医临床思维的核心特征,也是中医诊断最基本的过程,五辨是在中医整体观念的基础上,凝练中医诊治疾病的特点与精髓而提升出的中医临床思维,其包括辨症论治、辨证论治、辨病论治、辨人论治、辨机论治,熟练掌握五辨是中医有效治疗的前提。

Analysis of the five differentiation and treatment based on holistic concept

As the soul of traditional Chinese medicine (TCM) thinking,holistic concept runs through the whole process of TCM thinking. No matter how TCM inherits and develops,it cannot be separated from the purpose of considering life,health and disease from an overall perspective. At present,TCM is facing both development opportunities and development bottlenecks. Only based on holistic concept and the essence of TCM thinking,can TCM use full its advantages. Differentiation is the core characteristics of clinical thinking in TCM and is the most basic process of TCM diagnosis. Five differentiation and treatment is on the basis of holistic concept and condensing essence of TCM in diagnosis and treatment,which includes symptom differentiation,syndrome differentiation,disease differentiation,and differentiation of patient and pathogenesis. Mastering the skills to five distinguishing is the precondition of effective treatment of TCM.