Dialectical classification can't take the place of the syndrome differentiation and treatment (two)

MengQingYun Chinese medicine academy of sciences

China's traditional Chinese medicine reported

        The syndrome differentiation and treatment of the five characteristics

        Traditional Chinese medicine clinical chose the syndrome differentiation and treatment is really the most appropriate and exact. The evolution of things, such as physical and chemical process and repeatability, it can be to check the experiment. Geology, biology is a process of item, can be reduced, but human life activities, especially the disease process, is "god turned back, back to is not turn" (the grain asked · jade machine really hide theory "), is irreversible, and do not repeat process, only can compare distinguish. Therefore, based on syndrome differentiation to disease, help is of the election. The syndrome differentiation and treatment has the following five characteristics.

        By like argumentation, have is with the card is party

        But like the syndrome differentiation and treatment of theory, from the cognitive of information, is the "book of change" so-called "FengYi but like". Syndrome that is like, is the information, is evidence of the cause. The last century discussions about the "card" the sages of essence, puts forward "evidence" deep match but like theory. BianZhengLun ZhiSuo aimed at is to change with uncertainty characteristics of syndrome, rather than deterministic concept is the disease. Problems but symbols, as Shanghai summer Mr Tongfang says: "but the verification of the disease, not the right name." To KenQi.

        Many classes chosen aid, French inspection and

        The syndrome differentiation and treatment to make the best use of predecessors' experience and rules. Experience is to take for can be as kind of statistics than accumulation, experience and sublimate is a lot of syndrome differentiation and treatment theory program. Such as exogenous febrile disease syndrome differentiation have six-channel differentiation, defend gas blood differentiation, the camp differentiation, etc.; Syndrome differentiation and disease differentiation and miscellaneous internal injuries have, meridian differentiation, differentiation, six exogenous qi phlegm and blood stasis syndrome differentiation, and so on the many kinds of differentiation, as long as the fitting the certificate, it can be used for its, is "spirit the coffins · inverse lean" of the piece of the so-called "French inspection and". So, syndrome differentiation is choice theory and not determinism, is the embodiment of the selective thinking.

        Pay attention to the condition of patients and syndrome of the randomness of the patients with individual specificity

        According to the program frame "French inspection and", from the theory of universality, fit of common. Syndrome is state, that is, character and situation, but to specific patients differentiation, need to further explore the common curve in the random happen outside the symptoms and signs, and for other factors and the other physical symptoms of specific individual characteristics. When prescription medication to these especially attention, to add on, this is the syndrome differentiation and treatment "your few" principle. For syndrome characteristic of symptoms and signs, sometimes "but see a disease is". The dialectical way and the four diagnostic methods and participation, achieving common and specificity of unity.

        "The doctor also means", carry forward the creative and artistic quality

        Clinical syndrome differentiation is a doctor-patient coupling process, in the syndrome differentiation and treatment process, play the doctor's subjective initiative critical, especially the doctor to image thinking, beyond the conventional approach, yuantong stead, or provides initiative, which is called "the doctor meaning". And GaoMingZhe, the four diagnostic harmonious sacred, when the cat out of the bag by treatment south, instantly inspiration, skill, show the danger, the syndrome differentiation and treatment for spare a kind of art, called at work at the art of the platform.

        Advocating practical contracted, with practical space for application

        Avenue easy to Jane, contracted sex is one of the principles of scientific nature. Economist for knowledge, "for learning, growing WeiDaoRiSun". The syndrome differentiation and treatment of cure rates with engineering, except and requirements of the "things are outwardly harmful on effective" (wang chong "on balance") outside, also asked the doctor to use the most convenient treatment method, the most practical practical technology, with the least amount of economic pay, use the shortest time getting rid of illnesses. From engineering line look, syndrome differentiation and treatment choice practical space rather than physical space. Can say, syndrome differentiation with simple and practical as the goal, the four diagnostic methods and establish syndrome differentiation for, Daniel method and formulas for differentiation, itself reflects the contracted, but more to QiuYiZhe can in the way, select optimal about, and even to "at work at the cure is not ill." This is also one of the advantages of the syndrome differentiation and treatment.

        Dialectical points with syndrome differentiation and treatment of type is different

        In the syndrome differentiation system, since ancient times has a dialectical point type, such as the synopsis of quench · urination gonorrhea pulse license and put to 13 ", the thirst of treatment, Lord of the kidney shot, there are five lingya Lord of scattered, who have WenGe Lord of the scattered, this is actually several different type evidence, also visible its as the first type differentiation points. Ancient also have according to the cause of the sure knowledge or disease of the classification.

        Syndrome is widely respected parting with began in the 1950 s, when some in the western students to modern medical method to study TCM founded the modern dialectical points type, is to "disease" started in modern medical illness) research. Through the described symptoms, signs, microscopic examination, image data, use statistical methods, based on the theory of Chinese medicine diagnosis and classification of meaning, and name card type, the parting differentiation. This modern differentiation type characteristic is points: (1) have reason-law-party-medicine system, according to statistics, more than the cause of disease differentiation is exquisite, have clinical validity; (2) can communicate the theory of traditional Chinese and western medicine, Chinese and western physicians can avail himself; (3) easy to use. Into the above advantages, the modern type development dialectical point soon, not only as a form of clinical medical paper, also has a lot of teaching material used the differentiation of this type points form. The dialectical points is the development of type the syndrome differentiation and treatment, syndrome differentiation system is also one of the important contents.

        But, should see, the dialectical points with syndrome differentiation type have qualitative different, still can't take the place of, more should not replace the syndrome differentiation and treatment. The reason has the following three points: first, the dialectical type of disease is the points classification, the cause is illness; And the syndrome differentiation and treatment of the cause is syndrome, from the uncertainty concept of disease, starting from real information, and starting from the disease 'symbols differ greatly. Second, the specificity of the syndrome types is relative. A disease classification, the boundaries between various often fuzzy, come from the statistical classification, although a large sample of hundreds of cases from also have statistical error, a type of medical features or not of a patient's specific illness; And BianZhengLun is focusing on the specific therapeutic individual. Third, BianZhengLun ZhiSuo stressed the YinRenZhiYi and time factor and dynamic view, in points is embodied by type.

        From the above three to see, the dialectical points is the actual type of disease differentiation of subtle, card type is also symbols, and the Chinese medicine syndrome for the concept of state rebellious. So, in the clinical, dialectical points after application type, considering the time factor and disease dynamic factors, individual after characteristic, should combine the syndrome differentiation and treatment comprehensive application to salty to complete. To think of the imperial encyclopedia compilation of the syndrome differentiation and treatment about said: "but a theorem, and Confucianism in law, medical illness change, and it's hard to keep a Pope." The development of traditional Chinese medicine (TCM) to this day, in addition to adhere to the original, continue to continue expanding original, continuous innovation, but also need to absorb some of the modern medicine things added. In clinical, might as well absorb some of the strengths of dialectical points, cause in order to realize the combination of disease and syndrome differentiation to treat diseases, rich content of the syndrome differentiation and treatment.