关于构建中医学辨证察机综合思辨体系的思考

辨证察机是中医临证的关键所在，对于临床疗效的提高至关重要。对辨证察机的思辨体系进行了详细阐释，包括纵向思辨:按照病证发生、发展的时间顺序思辨; 横向思辨:围绕证候病机各要素进行同位思辨; 纵横结合思辨补充:病证的各种影响因素辨析; 纵横结合思辨的依据:四诊信息的收集分析。提出复杂病机的动态整体关系思辨以及结合现代科学方法构建辨证察机的思辨模式。对中医学辨证理论和病机理论的研究具有一定的指导价值。 

Reflections on the Establishment of an Integrated Speculation System in Traditional Chinese Medicine

Syndrome differentiation and mechanism observation are the keys to the traditional Chinese medicine (TCM) clinical practice. They are also crucial to the improvement of clinical efficacy. This study gives a detailed explanation of the speculation system of syndrome differentiation and mechanism observation: speculating according to the chronological order of occurrence and development of diseases and syndromes (vertical speculation), along with speculating on the elements of syndromes and mechanism in an appositive way (horizontal speculation). In addition, the differentiation and analysis of the various influencing factors of syndromes and diseases are supplements to the combination of the vertical and horizontal speculations. The collection and analysis of the four diagnostic information form the basis of that combination speculations. Besides, we propose the dynamically integrated relationship of speculation on the complex mechanism and the speculation model of syndrome differentiation and mechanism observation by incorporating modern scientific methods. Thus, it has a certain guidance value for the research of the theory of syndrome differentiation and mechanism in TCM.