中医外科临床思维备要

临床思维对临床诊疗决策具有决定性的作用。中医外科临床思维包括首辨阴阳,重视局部辨证与微观辨证;辨病为先,辨证为主,辨体与辨症参合;外病内治,重视整体,顾护脾胃;分期论治,内外合治,最重外治。建立和强化中医外科临床思维,是提高临床疗效、提升中医学术水平、振兴中医外科的关键所在。

Research on clinical thinking of Chinese medical surgery

Clinical thinking plays a decisive role in the clinical diagnosis and treatment decisions. The article introduces the clinical thinking of Chinese medical surgery,including prior differentiation of yin and yang,importance of local syndrome differentiation and microscopic syndrome differentiation,combination of constitution differentiation and symptom differentiation that taking disease differentiation as the first and giving priority to syndrome differentiation,internal treatment for external diseases and emphasis on integrity and protection of spleen and stomach,treatment by stages and combination of internal and external treatment and underlining the external therapy. Establishment and reinforcement of clinical thinking of Chinese medical surgery are the key to improve the clinical efficacy,promote the academic level of Chinese medicine and revitalize Chinese medical surgery.