北京中医药大学学报2018，Vol.41Issue(4)：269-273,5.DOI:10.3969/j.issn.1006-2157.2018.04.001
基于五诊十纲探讨中西医结合诊断的临床思维模式
Clinical thinking pattern in integrated Chinese and Western medicine based on five diagnostic methods and ten principles
摘要
Abstract
Four diagnostic methods (inspection, listening and smelling, inquiry, and palpation) in traditional Chinese medicine (TCM) help diagnose common symptomatic diseases and thus give clue to the corresponding treatments. However,they are of less diagnostic value as to pre-symptomatic states and some psychological diseases in which Western medicine diagnostic technology does better in early detection. Thus, integrating modern laboratory examination into TCM diagnostic system could facilitate integration and development of TCM and Western medicine. Based on modern development and ancient experiences,this study proposes that there are five diagnostic methods and ten principles in modernized TCM diagnostic system. Five diagnostic methods are inspection, listening and smelling, inquiry, palpation,and examination;Ten principles are yin-yang,cold-heat,deficiency-excess,exterior-interior, and explicit-implicit principles. This proposal may help provide a new thinking pattern to standardize TCM diagnosis process,and facilitate integration and development of TCM and modern medicine.关键词
五诊十纲/中西医结合诊断/现代化/客观化/显隐Key words
five diagnostic methods and ten principles/integrated Chinese and Westem medical diagnosis/modernization/objectification/explicit-implicit分类
医药卫生引用本文复制引用
宋明,陈家旭..基于五诊十纲探讨中西医结合诊断的临床思维模式[J].北京中医药大学学报,2018,41(4):269-273,5.基金项目
国家自然科学基金项目(No.81473597、81630104),北京市自然科学基金项目(No.7152093),北京中医药大学研究生自主立项课题(No.2017-JYB-XS-018)National Natural Science Foundation of China(No.81473597、81630104),Municipal Natural Science Foundation of Beijing(No.7152093) （No.81473597、81630104）
