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论"方证对应"应为"方机证对应"OA

Discussion on"Prescriptions-Syndromes Correspondence"Should Be"Prescriptions-Pathogenesis-Syndromes Correspondence"

中文摘要英文摘要

本文通过对方证对应相关文献进行探析,以《伤寒论》为主,客观分析方证对应的价值及不足,并探讨病机在其中的重要作用.文中指出"方证对应"研习法存在一定的不足,论述"方机证对应"才是更为可取的中医研习与思辨原则.方证之间不是单一线性对应关系,古代文献的方证对应描述方式是最初认识水平不足的表现,不能作为方证对应的依据.应该提倡方机证对应,只有这样,才能有利于中医学辨证论治理论的研究与运用,才能真正地提高临床疗效.

This article analyzes relevant literature on prescriptions-syndromes correspondence,primarily focusing on the Shang Han Lun(Treatise on Exogenous Febrile Disease),to objectively assess the value and limitations of this approach and explore the crucial role of pathogenesis within it.The article points out certain shortcomings in the"prescriptions-syndromes correspondence"study method,arguing that"prescriptions-pathogenesis-syndromes correspondence"represents a more preferable principle for learning and analytical thinking in traditional Chinese medicine(TCM).The relationship between prescriptions and syndromes is not a simple linear correspondence.The descriptive style of prescriptions-syndromes correspondence found in ancient texts reflects an initial,insufficient level of understanding and should not serve as the basis for this concept.We should advocate for prescriptions-pathogenesis-syndromes correspondence.Only in this way can we benefit the research and application of TCM's syndrome differentiation and treatment theory and effectively enhance clinical efficacy.

刘玉良;汪京龙

浙江中医药大学基础医学院,浙江 杭州 310053浙江中医药大学基础医学院,浙江 杭州 310053

医药卫生

方证方机方证对应方机证对应

Prescriptions-syndromesPrescriptions-pathogenesisPrescriptions-syndromes correspondencePrescriptions-pathogenesis-syndromes correspondence

《新中医》 2026 (7)

178-182,5

2022年第五批全国中医临床优秀人才研修项目(国中医药人教函[2022]239号)

10.13457/j.cnki.jncm.2026.07.027

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