医内科学中的应用(王永炎、王飞)

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1、诠释学在中医内科学研究中的应用TheApplicationofHermeneuticsMethodologyinStudyingInternalMedicineofTraditionalChineseMedicine中国中医科学院王永炎ChineseAcademyofScienceofTCMWangYongyan成都中医药大学王飞ChengduUniversityofTCMWangFei提纲Outline诠释学的原理与方法PrincipleandMethodofHermeneutics诠释学在中医内科学中的应用TheApplicationofHermeneuticsMet

2、hodologyinStudyingInternalMedicineofTCM中医内科学诠释的原则与方法PrincipleandMethodofHermeneuticsofInternalMedicineofTCM结语TheLastWord诠释学的原理与方法PrincipleandMethodofHermeneutics诠释学的起源与发展DevelopmentofHermeneutics德国当代哲学家伽达默尔于1960年建立起诠释学哲学PhilosophyHermeneuticsestablishbyGermancontemporaryphilosopherGadamerc

3、ameonthescenein1960本体论Ontology诠释学概念ConceptionofHermeneutics诠释学哲学ThePhilosophyHermeneutics诠释学的原理与方法PrincipleandMethodofHermeneutics诠释学的内涵ConnotationofHermeneutics词源三要素etymologythreefactors诠释学Hermeneutics理解Understand阐释Explanation应用Application理解Understand解释Explanation应用与实践ApplicationandPracti

4、ce诠释学在中医内科学中的应用TheApplicationofHermeneuticsMethodologyinStudyingInternalMedicineofTCM诠释学Hermeneutics中医内科学internalmedicineofTCM阐释explanation病名nameofdisease概念conception专有术语technicalterm临床理论clinictheory1、病证的诠释HermeneuticsofinternalmedicinediseasesofTCM（1）病证的内涵与外延IntensionandExtensionofdisease

5、“病”“证”“症”diseasesyndromesymptom诠释学在中医内科学中的应用TheApplicationofHermeneuticsMethodologyinStudyingInternalMedicineofTCM病：一种完整的过程Disease:anintegratedprocess包括comprise特定病因specificpathogeny发病形式formoffalling核心病机coreofpathogenesis演变规律lawofevolution转归预后outcomeandprognosis诠释学在中医内科学中的应用TheApplicationof

6、HermeneuticsMethodologyinStudyingInternalMedicineofTCM症：具体临床表现Symptom:specificclinicalmanifestations包括comprise患者patient自觉症状subjectivesymptoms医生doctor观察、体检信息informationofobservationandphysicalexamination诠释学在中医内科学中的应用TheApplicationofHermeneuticsMethodologyinStudyingInternalMedicineofTCM证Synd

7、rome疾病发展全过程Thewholeprocessofdiseasedevelopment某一阶段病理概括Summationofpathologicalconditioninacertainstage诠释学在中医内科学中的应用TheApplicationofHermeneuticsMethodologyinStudyingInternalMedicineofTCM（2）证候的特征CharacteristicofZhengHou(Syndrome)内实外虚——证候的重要特征InternalFullnessandEx