略论藏象辨证与证素辨证的关系

分析藏象辨证与证素辨证的关系。从理论认知、辨证原则、病位划分、思维模式和证名规范5个角度分析藏象辨证和证素辨证的异同。两种辨证体系在理论认知和辨证原则上具有相似性，提出了建立统一规范的辨证新体系，以病位和病性作为辨证的核心；两种辨证体系在病位划分、思维模式和证名规范上具有差异，证素辨证遵循“证候-证素-证名”的辨证模式，以时空划分病位，并建立了加权浮动阈值求和计量诊断方法和证候辨证素量表，信息量化和可操作性更强；藏象辨证以五脏系统为病位核心，按病性分类立证，总结了常见的基础证和复合证，对证的层次性、系统性的阐释更加清晰。藏象辨证在继承证素辨证的基础上进一步发展创新，使得病位划分更加系统，思维模式更加缜密，证名规范更具层次。在辨证研究中，宜将各种辨证方法相融合，以推动现代中医辨证理论体系的发展。 

Relationship Between Visceral Differentiation and Syndrome Factor Differentiation

Relationship between visceral differentiation and syndrome factor differentiation was explored and contrasted from the following five perspectives: theory knowledge， principles of syndrome differentiation， division of disease location， thinking pattern， specifications of syndrome names. It is proved that there existed similarities between them in theory knowledge and principles of syndrome differentiation and the establishment of a new unified system for syndrome differentiation was put forward， with disease location and disease character being the core of syndrome differentiation. While the differences were detected between the two in the division of disease location， thinking pattern and specifications of syndrome names， for the disease location of visceral differentiation was divided based on the five zang-organs system and the differentiation was made in accordance with disease character， with both common basic syndrome and compound syndrome being summarized. Hence， the syndrome was expounded in a more logical and systematic way. While syndrome factor differentiation was made by following the pattern of “ syndrome-syndrome factors-syndrome names” and the disease location was divided by time-space， with weighted-sum threshold logic operation and syndrome differentiation scale being applied， reaching the results of quantizing information and providing stronger operability. Visceral differentiation is the further development and innovation of syndrome factor differentiation， with a more systemic division of disease location， more logical thinking pattern and more specifications of syndrome names. Hence， combining different syndrome differentiation methods together will promote the development of modern theoretical system of traditional Chinese medicine syndrome differentiation.