摘要
目的:为中医临床及证候研究提出一种新的证候命名分类体系。方法:通过对"复合证候""单证"及"证候要素"三种证候命名分类体系的优缺点进行分析,认为复合证候存在组合形式不规范,内容相互交错重叠,分型僵化,相应诊断标准数量庞大等缺点;而证候要素存在割裂证候、模糊证候特异性以及病性证素和病位证素难以分开等缺点;单证则存在难以反映靶病位与本病位差异性以及证候间联系与演变规律的缺点。结果:提出以单证为基础兼及复合证候和证候要素的证候命名新系统。结论:在中医临床研究和证候研究中采用以单证为基础兼顾复合证候和证候要素的证候分类新系统,可以综合三者的优缺点,使中医临床和证候研究既能更加灵活,又能保持规范性,而且还简便明晰。可以解决原有三种研究单位单独运用所带来的各种问题。
Objective：To propose a new classification system of syndrome naming for TCM clinical and syndrome researches.Methods：The advantages and disadvantages of three classification systems of syndrome naming,respectively by complex syndromes,single syndromes and syndrome elements,were analyzed.Naming by complex syndromes was considered to have disadvantages including no standardized combining pattern,staggered and overlapped contents,rigid typing and a huge number of corresponding diagnostic criteria.Naming by syndrome elements was considered to have disadvantages including split syndromes,obscure syndrome specificity and nature syndrome elements of disease and inextricably related syndrome elements of nature and site of diseases.Naming by single syndrome was considered to have disadvantages that the differences between target and original sitesof disease as well as relations and evolution patterns between syndromes are difficult to be reflected.Results：A new system of syndrome naming,on the basis of single syndrome,combined with complex syndromes and syndrome elements,was proposed.Conclusion：On the basis of single syndrome,combined with complex syndromes and syndrome elements,the new classification system of syndrome naming,which can be used in TCM clinical and syndrome researches,integrated the advantages and disadvantages of the three systems,allowing the TCM clinical and syndrome researches to be more flexible while maintaining standardized,convenient and succinct.Therefore,it could be a solution to the various problems arising from single use of each of the original three research units.
出处
《辽宁中医杂志》
CAS
北大核心
2015年第4期694-696,共3页
Liaoning Journal of Traditional Chinese Medicine
基金
中国中西医结合学会-金港榄香烯中医药肿瘤研究基金项目(2010-F4)
中国抗癌协会临床肿瘤学协作专业委员会-丽珠中医药肿瘤研究基金(Y-L2013-003)
天津市武清区科委课题(WQKJ200908)
关键词
证候命名分类系统
复合证候
单证
证候要素
naming and classifying system
complex syndrome
single syndrome
syndrome element
作者简介
岳振松（1974-），男，河北人，主治医师，硕士，研究方向：恶性肿瘤证候与病机研究。
