辨证四则刍议

历代医家对"正邪、润燥、通滞、清浊"四者皆有论述,并予以重视,笔者通过临证体会,深感此四者对临床辨证有很好的指导意义,故将其统而论述,联系成篇,取名"辨证四则"。此四则中,以"正邪"为总则,"润、清、通"为人体健康的表现,为正为常,也为治法;"燥、滞、浊"为人体病变的表现,为邪为变,也为病因。"正邪"辨病证之进退预后;"润燥"辨津液之盛衰亏盈;"通滞"辨气机之畅达滞塞;"清浊"辨气机之升降混沌。此"辨证四则",从另一个角度认识病因病理,从而指导临床立方用药。

Four Groups of Fundamental Elements of Syndrome Differentiation

In the FOUR GROUPS OF FUNDERMENTAL ELEMENTS OF SYNDROME DIFFERENTIATION,it is thought that HEALTHY QI and PATHOGENIC QI are the leading principles;MOISTENING,UNIMPEDEDNESS and LIMPIDNESS are the regular and normal manifestations of a healthy human body and the correct ways of treatment;and also,DRYNESS,OBSTRUCTEDNESS and TURBIDNESS are the irregular and abnormal manifestations of a sickened human body and the courses of diseases.HEALTHY QI and PATHOGENIC QI are to differentiate the prevention,the development and the declining of diseases;while MOISTENING and DRYNESS are to identify the flourishing and the waning of human body fluids.UNIMPEDEDNESS and OBSTRUCTEDNESS are to distinguish the smoothing and blocking QI inside human bodies;in the meantime,LIMPIDNESS and TURBIDNESS are to recognize the clearness and the thickness of the QI inside human bodies.