浙江中医药大学学报2025，Vol.49Issue(10)：1270-1276,7.DOI:10.16466/j.issn1005-5509.2025.10.008
从"血瘀"论中医"微观辨证"的思路与方法
Exploring the Connotation of"Microcosmic Syndrome Differentiation"in Traditional Chinese Medicine from the Perspective of"Blood Stasis"
摘要
Abstract
[Objective]To explain the essence and connotation of micro syndrome differentiation,using"blood stasis"as a medium,providing an academic reference for the future development of clinical differentiation systems.[Methods]It deepens the understanding of the theoretical system and thinking mode of microcosmic syndrome differentiation by analyzing the theory of"microcosmic syndrome differentiation"and clinical aspects.Using"blood stasis"as an example,the paper establishes the connection between macroscopic and microcosmic syndrome differentiation.It also proposes methods and approaches for exploring microcosmic syndrome differentiation,supported by clinical experience.[Results]Microcosmic syndrome differentiation,through the application of modern detection technologies,has achieved an extension from"external Xiang"to"internal Xiang",transforming abstract pathomechanisms such as"rough pulse"in traditional macroscopic syndrome differentiation into quantifiable microscopic blood indicators.This effectively compensates for the limitations of macroscopic syndrome differentiation in delayed information acquisition and subjective interpretation.Employing a research approach of"exploring Xiang through theory-inferring Xiang from changes-validating Xiang with prescriptions and syndromes",not only has an intrinsic connection among microscopic indicators like hemorheology,and traditional syndrome differentiation has been confirmed,but the clinical value of microcosmic syndrome differentiation has also been corroborated through the efficacy of blood-activating and stasis-resolving drugs.[Conclusion]Microcosmic syndrome differentiation,through the organic integration of modern technology and traditional theory,not only broadens the dimensions of syndrome differentiation but also promotes the development of traditional Chinese medicine diagnosis and treatment towards greater objectivity and precision,which offers a promising pathway for the modernization of traditional Chinese medicine.关键词
微观辨证/微观指标/宏观辨证/证/血瘀/象/血液流变学/发绀Key words
microcosmic syndrome differentiation/microscopic indicators/macroscopic syndrome differentiation/syndrome/blood stasis/Xiang(hemorheology)/cyanosis分类
医药卫生引用本文复制引用
范微,吕媛琳,张光霁,黄建波,姜涛..从"血瘀"论中医"微观辨证"的思路与方法[J].浙江中医药大学学报,2025,49(10):1270-1276,7.基金项目
国家自然科学基金区域创新发展联合基金重点支持项目(U23A20499) （U23A20499）
浙江省自然科学基金项目(LQ23H270031) （LQ23H270031）
国家自然科学基金重点项目(82030119) （82030119）
浙江省自然科学基金重点项目(LZ24H270002) Key Support Program of National Natural Science Foundation of China's Regional Innovative Development Joint Fund(U23A20499) （LZ24H270002）
Zhejiang Provincial Natural Science Foundation Project(LQ23H270031) （LQ23H270031）
Key Project of the National Natural Science Foundation of China(82030119) （82030119）
Zhejiang Province Natural Scientific Fund Key Project(LZ24H270002) （LZ24H270002）
