首页|期刊导航|北京中医药大学学报|证候特征诠释视角下证候标准化的思路探讨与实践

证候特征诠释视角下证候标准化的思路探讨与实践OA

Exploring concepts and practices of syndrome standardization from the perspective of syndrome feature interpretation

中文摘要英文摘要

中医学证候的标准化研究须遵循学科自身规律,采用与证候复杂整体性、高维高阶性相适应的系统理论与思维方式,把握证候的特征以还原辨证论治的思维路径.证候"内实外虚、动态时空、多维界面"基本特征的提出,在信息学领域阐释了证候学的内涵,为证候标准化奠定了思想基础.据此,本文基于证候的基本特征,提出其与中医学标准化的关系;从证候特征诠释的角度,分别探讨了上述三个证候特征对标准化实践的指导意义,并对其实践路径进行初步探索.文章提出运用病证结合研究模式,兼顾证候的内实外虚特征;遵循病势辨证思想,反映证候的动态时空特征;采用降维升阶方法,探寻证候多维界面的解析路径.立足以上论述,结合本团队构建急性缺血性中风痰瘀毒互结证诊断标准的研究过程,初步归纳了相应的实践路径与关键环节,旨在为中医学证候标准化研究提供思路与方法.

Standardization research on traditional Chinese medicine(TCM)syndrome must follow the specific principles of the discipline.It should adopt systems theories and thinking modes that are compatible with the complex holism of the TCM syndrome as well as the high-dimensional and high-order characteristics,to grasp the overall features of the syndrome and restore the cognitive pathways of treatment based on syndrome differentiation.The proposal of the basic features of syndrome,including"internal excess and external deficiency,dynamic time and space,and multi-dimension interfaces,"interprets the connotation of syndromology described by the field of informatics and lays an intellectual foundation for syndrome standardization.On this basis,this paper proposes the relationship between the basic features of the TCM syndrome and the standardization.From the perspective of interpretation of the characteristics of the TCM syndrome,the paper explores the guiding significance of the aforementioned three features for standardization practice and provides a preliminary exploration of practical approaches.The paper proposes that by applying a research approach that combines disease and syndrome to account for the feature of internal excess and external deficiency,the idea of syndrome differentiation of disease trend will thus reflect the features of dynamic time and space,while adopting dimension reduction and hierarchy elevation method to explore the analytical pathway of the multi-dimension interfaces.Based on the above rationale,considering the research process of the development of the diagnostic criteria for phlegm-stasis-toxin interjunction syndrome in acute ischemic stroke as an example,the corresponding practical pathway and key steps can be preliminarily summarized,with the aim of providing ideas and strategies for the standardization of research investigating TCM syndrome.

张云帆;赵迪;魏竞竞;梁晓;刘悦;申伟;迟显苏;张琦;张允岭

北京中医药大学研究生院 北京 100029||中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院中国中医科学院西苑医院

医药卫生

证候标准化辨证论治诠释特征

syndromestandardizationtreatment based on syndrome differentiationinterpretationfeatures

《北京中医药大学学报》 2026 (6)

763-769,7

重大疑难疾病中西医临床协作项目(No.ZDYN-2024-A-008)国家中医药管理局高水平中医药重点学科建设项目中医脑病学(No.ZYYZDXK-2023224)中国中医科学院西苑医院能力提升项目(No.XYZXRC01-01,No.XYZX0101-21)中国中医科学院科技创新工程创新团队(No.CI2021B006) Clinical Collaboration Project of Traditional Chinese and Western Medicine for Major and Difficult Diseases(No.ZDYN-2024-A-008)

10.3969/j.issn.1006-2157.2026.06.004

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