微观辨证难以实现的根本原因

自1986年提出微观辨证和辨证微观化以来，中医界对此进行了不懈探索。目的在于以现代医学客观检测指标诠释中医的证，借以把同病异证定量区别开来，进而过渡到用客观指标辨证。本文对此类研究开展了全面考察，由于开展微观辨证和辨证微观化研究的辨证标准不规范；研究设计中适应证、参比证、客观检测指标选择、检测指标的微观程度等均存在毋庸置疑的逻辑问题；加之围绕西医疾病辨证所属症状的虚拟性广泛存在，因而导致此项研究实际上已经搁浅。明确并解决这些问题，及时调整研究思路已迫在眉睫。

Primary Causes of Difficulties in Application of Microcosmic Syndrome Differentiation

Abstract: Since the theory of microcosmic syndrome differentiation was put forward in 1986, Chinese medicine academia has been unremittingly exploring this theory. Efforts were made to explain the syndrome in Chinese medicine with objective index of modern medicine, so that different syndromes of the same disease can be recognized on the quantitative view and then apply syndrome differentiation with objective index. This paper comprehensively analyzed and got the primary causes why microcosmic syndrome differentiation was difficult to apply. It included no-identical criterion, research design such as the choice of syndrome, reference syndrome, objective index and microcosmic level. Additionally, too many virtual syndromes resulting from applying syndrome differentiation on western medicine diseases existed widely. Consequently, it is extremely urgent that solve these problems and regulate the research thought.