Origin of "Disease，Pulse，Syndrome Combined Treatment" and its Relationship with Syndrome Differentiation and Treatment
10.13288/j.11-2166/r.2024.16.001
- VernacularTitle:“病脉证并治”溯源及与辨证论治的关系
- Author:
Tiantian FAN
1
;
Fenglan WANG
2
Author Information
1. Postdoctoral Research Station of China Academy of Chinese Medical Sciences， Beijing， 100700
2. China Institute for History of Chinese Medicine and Medical Literature
- Publication Type:Journal Article
- Keywords:
Disease， pulse， and symptom combined treatment;
syndrome differentiation and treatment;
TCM diagnosis and treatment model;
Treatise on Cold Damage and Miscellaneous Diseases （《伤寒杂病论》）
- From:
Journal of Traditional Chinese Medicine
2024;65(16):1633-1638
- CountryChina
- Language:Chinese
-
Abstract:
"Disease， pulse， and syndrome combined treatment" is a diagnosis and treatment model of traditional Chinese medicine （TCM） originally created by ZHANG Zhongjing in Treatise on Cold Damage and Miscellaneous Diseases （《伤寒杂病论》）， and is a theory guided practice model. By tracing back the origin， formation and the establishment of the diagnosis and treatment model of "disease， pulse， and syndrome combined treatment"， as well as the proposal and extensive application of syndrome differentiation and treatment， it is believed that "disease， pulse， and syndrome combined treatment" originated from the "disease-drug" model in the pre-Qin dynasty， and the "disease-prescription-drug" model of the classical prescription school and the "disease-pulse-treatment” model of the medical classics school in the late Qin dynasty. In the Eastern Han dynasty， the model of “disease， pulse， and syndromes combined treatment" is constructed， forming a disease-symptom combined diagnosis and treatment model of "taking disease as the main principle， pulse and syndrome as the purpose， and treating the disease for its root cause"， and establishing a set of clinical thinking procedures for identifying and treating the root of the diseases. Based on ZHANG's model of "disease， pulse， and syndrome combined treatment"， later generations of doctors expanded and developed it further until Ming and Qing dynasties when treatment based syndrome differentiation is proposed， and then modern syndrome differentiation and treatment model is established. Furthermore， it develops into the disease-syndrome combined model based on syndrome differentiation and treatment. It is thus considered that the syndrome differentiation and treatment model is a further evolution and development of the "disease， pulse and syndrome combined treatment" model in contemporary times.
