Outline of the Six-Dimensional Differentiation System Based on the Clinical Thinking Mode of Traditional Chinese Medicine
10.13359/j.cnki.gzxbtcm.2024.10.005
- VernacularTitle:基于中医临床思维模式构建的"六维辨识"体系要略
- Author:
Gui-Bin WANG
1
;
Hong-Lin SITU
;
Yi LIN
Author Information
1. 广东省中医院,广东广州 510120
- Keywords:
clinical thinking mode of traditional Chinese medicine(TCM);
six-dimensional differentiation;
disease differentiation;
syndrome differentiation;
symptom differentiation;
pathogenesis differentiation;
constitution differentiation;
qi differentiation
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2024;41(10):2538-2546
- CountryChina
- Language:Chinese
-
Abstract:
Traditional Chinese medicine(TCM)is a medical science about the physiological state and disease process of human body.It contains the universality of general thinking methods and the particularity of oriental cultural thinking.Starting from the necessity of the construction of clinical thinking mode of TCM and based on the philosophical features of TCM,this paper re-examines and analyzes the importance of the thinking mode for the nature of disease,and puts forward the six-dimensional differentiation system for TCM clinical practice,which covers disease differentiation,syndrome differentiation,symptom differentiation,pathogenesis differentiation,constitution differentiation and qi differentiation.Guided by the thinking mode of six-dimensional differentiation system,the TCM clinical practice exerts holistic view:disease differentiation is advocated to combine syndrome differentiation;symptom differentiation is mainly for the primary symptoms,which can clarify the transformation of pathogenesis,the progression of the disease,and the evolution of the syndromes;pathogenesis differentiation focuses on the evolution of pathogenesis,and treatment based on syndrome differentiation and modification of drugs based on symptoms are required;constitution differentiation should be made on the basis of the patient's constitution,and detailed identification of the etiology,disease location,disease nature,and progression of the disease should also be conducted;qi differentiation should be made on the basis of the comprehensive consideration of the exuberance and decline of healthy qi and pathogenic qi,thus to ensure the treatment adapting to the individuality,climate,and environment.The establishment of six-dimensional differentiation system aims to expound the internal mechanism of key points for disease differentiation,therapeutics based on syndrome differentiation,drug modification according to symptom differentiation,and differentiation of pathogenesis and illness state,which is helpful to the overall grasp of the disease,pathogenesis,syndrome and treatment in clinical practice,and will provide theoretical basis for the precise treatment of disease.
