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新安医学医案中顺势思维价值意蕴探析OA

Analysis on the Value Meaning of Homeopathic Thinking in Xin'an Medical Case

中文摘要英文摘要

顺势思维是中国传统哲学的重要组成部分,也是中医临床诊疗和预防保健中不可或缺的思维方式.中医医案是中医思维过程的集中体现和具象表达,新安医学医案提供了中医思维方法与临床实践紧密结合的有益范式.新安医家临证诊断与治疗注重顺应自然天时的变化规律、人体气机的升降浮沉、个体体质的先天禀赋和后天影响、心理情志的调整变化、五脏六腑的苦欲喜恶等态势,顺势而为、因势利导,力求实现人体健康与自然环境的协调统一.文章从顺应天时自然之势、顺应人体气机之势、顺应体质偏颇之势、顺应心理情志之势、顺应脏腑苦欲喜恶之势五方面对新安医学医案中的顺势思维进行探析,以期对新安医案解读、临床思维运用及理法方药的研究有所裨益,同时强调说明中医独特的思维模式指导临床实践的重要意义.

Homeopathic thinking is an important part of traditional Chinese philosophy and an indispensable way of thinking in TCM clinical diagnosis,treatment and preventive health care.TCM medical case is the concentrated embodiment and concrete expression of TCM thinking process.Xin'an Medical case provides a beneficial paradigm of close combination of TCM thinking method and clinical practice.Xin An doctors clinical diagnosis and treatment pay attention to comply with the natural changes in the law of the day,the rise and fall of the human qi,the innate endowments and acquired influences of the individual physique,the adjustment and change of psychological emotions,the pain,desire,love and hate of the viscera and other trends,and strive to achieve the coordination and unity of human health and the natural environment.This paper analyzes the homeopathic thinking in Xin'an medical records from five aspects:conforming to the natural trend,conforming to the qi mechanism of human body,conforming to the bias of physical constitution,conforming to the psychological sentiment,conforming to the bitter desire,liking and disliking of zang fu organs,with a view to contributing to the interpretation of Xin'an medical records,the application of clinical thinking and the study of principles,laws,prescriptions and medicines.At the same time,it emphasizes the significance of TCM's unique thinking mode to guide clinical practice.

卜菲菲;杨硕鹏;王鹏;周亚东

安徽中医药大学,安徽 合肥 230012||新安医学与中医药现代化研究所文献挖掘与利用中心 安徽 合肥 230012安徽中医药大学,安徽 合肥 230012||新安医学与中医药现代化研究所文献挖掘与利用中心 安徽 合肥 230012安徽中医药大学,安徽 合肥 230012||新安医学与中医药现代化研究所文献挖掘与利用中心 安徽 合肥 230012安徽中医药大学,安徽 合肥 230012||新安医学与中医药现代化研究所文献挖掘与利用中心 安徽 合肥 230012

医药卫生

新安医学医案顺势思维理法方药天时气机体质心理脏腑

Xin'an Medical Sciencemedical recordshomeopathic thinkingdoctrine,prescription and medicinescasonal factorsQi movementconstitutionpsychologyorgans

《陕西中医药大学学报》 2026 (1)

45-48,4

国家中医药管理局《中华医藏》提要编纂医案医话项目(KJS-ZHYC-2020-012)安徽省社科规划青年项目(AHSKQ2022D111)安徽省高校人文社会科学研究重点项目(2023AH050695)

10.13424/j.cnki.jsctcm.2026.01.08

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