中医"病证"的涵义辨析

病证是中医临床上的常用术语。病证是在中国传统医药理论指导下,分类归纳出的一类在致病因素作用下具有相同基本病机的机体异常状态。而基本病机是病证分类和归纳的要点,是病证自身组成各要素之间相对稳定的内在联系,体现并贯穿于病证的全过程,是决定病证主症和中医诊治规律的内部依据。病证的含义不同于疾病、证候和症状。正确认识病证含义有助于总结前人临床经验和指导当下临床。

A differentiation and analysis on connotation of disease-syndrome in Chinese medicine

Disease-syndrome is a frequently used term in clinical Chinese medicine.Disease-syndromes are body's abnormal states affected by pathogenic factors with the same basic pathology, which are classified under the guidance of traditional Chinese medicine theory.Basic pathology is essential for the classification of disease-syndromes.It is the internal stable connection among all elements in disease-syndrome, and reflects and runs through the whole progress of disease-syndrome.In addition, basic pathology is also the internal basis used for determining the main symptoms of disease-syndromes and the laws for diagnosis and treatment in Chinese medicine.The implication of disease-syndrome is different from disease, syndrome and symptom.To properly understand the implication of disease-syndrome has a contribution to summarizing the previous clinical experience and guiding the clinical practice.