王琦_辨体_辨病_辨证诊疗模式_的理论要素与临床应用

《王琦_辨体_辨病_辨证诊疗模式_的理论要素与临床应用》由会员上传分享，免费在线阅读，更多相关内容在行业资料-天天文库。

1、第29卷第1期2006年1月北京中医药大学学报Vol.29No.1Jan.2006JournalofBeijingUniversityofTraditionalChineseMedicine·41··名师与高徒·王琦“辨体-辨病-辨证诊疗模式”的理论要素与临床应用靳琦(北京中医药大学北京100029)摘要:“辨体-辨病-辨证诊疗模式”是以辨体论治为切入点,将辨体、辨病、辨证相结合,进行综合运用的一种临床诊疗模式,是基于体质理论构建、科学实验和临床实践的总结和升华。其以辨体论治为基础和根本,以“体病相关”和“体质可调”学说为依据,沟通疾病、证候和体质的内在联系,拓展临

2、床思维空间,适应多元复杂的临床要求。在具体应用上,或防病重调体,或治病先调体,或治病兼调体,尤其当无证可辨时,辨体可补偏救弊。诊疗方法有辨体质状态论治、辨体质类型论治、辨体质差异用药等。通过列举临床案例,以资说明问题。关键词:辨体-辨病-辨证诊疗模式;辨体论治;体病相关论;体质可调论中图分类号:EssentialfactorsandclinicalapplicationofProfessorWANGQi’smodelofdifferentiationofphysique,diseaseandsyndromeJINQi(BeijingUniversityofChine

3、seMedicine,Beijing100029)Abstract:Themodelofdifferentiationofphysique,diseaseandsyndromewasaclinicaldiagnosticandtreatmentmodelwhichtookthephysiquedifferentiationandtreatmentasakeypointtocombinephy2sique,diseaseandsyndromedifferentiations.Themodelsummarizedanddistillatedtheconstitution

4、theo2ry,scientificexperimentandclinicalpractice.Inthismodelthephysiquedifferentiationandtreatment,thetheoryof“physiquerelatingtodisease”and“physiquebeingrecuperable”werethebasis,theinter2nalrelationshipbetweendisease,syndromemanifestationsandphysiquewaspromoted,theclinicalthink2ingwaso

5、penedandmultipleclinicaldemandsweresatisfied.Inclinicalpracticetheemphasiswaslaininpreventionmorethaninrecuperation,ortreatmentmorethanrecuperation,ortreatmentandrecuperationweregivenconsiderationtogether.Iftherewasnoanysyndromefordifferentiationthephysiquedifferenti2ationcouldbetakena

6、saremedialmeasure.Thediagnosticandtherapeuticmethodsinthismodelinclud2edgivingtreatmentafterdifferentiationofphysiquecondition,orgivingtreatmentafterdifferentiationofphysiquetype,oradministratingdrugsafterdifferentiationofphysiquedifference.Thequestionswerean2sweredthroughclinicalcases

7、.Keywords:modelofdifferentiationofphysique,diseaseandsyndrome;physiquedifferentiationandtreatment;theoryonrelationshipbetweenphysiqueanddisease;theoryonphysiquebeingrecuperable中医学历来强调因人制宜,重视个体体质差异际应用。王琦教授将辨体、辨病、辨证相结合,建立因素在疾病发生、发展中的作用。辨体论治就是在了“辨体-辨病-辨证诊疗模式”(以下简称“三辨对不同体质进行分析的基础上,开展临床诊疗