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叶培汉,孙贵香,何清湖,刘琦,胡志希,张冀东,孙光荣.国医大师孙光荣论“知犯何逆”[J].湖南中医药大学学报,2017,37(5):465-468[点击复制] |
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| 国医大师孙光荣论“知犯何逆” |
| 叶培汉,孙贵香,何清湖,刘琦,胡志希,张冀东,孙光荣 |
| (湖南中医药大学, 湖南 长沙 410208;国医大师孙光荣湖南工作室, 湖南 长沙 410208;中国中医科学院中医基础理论研究所, 北京 100700) |
| 摘要: |
| 国医大师孙光荣认为“知犯何逆”是对疾病辨证过程的高度概括，结合个人临床经验以歌诀形式阐述其内涵：主证切入莫彷徨，首先明辨阴与阳；表里要辨脉与舌，寒热要询便与汗；虚实须问眠纳泄，痛问喜按不喜按；逆顺必观纳和出，生死凭脉看神光；脏腑经络与时令，新病旧疾细参详；风寒暑湿燥火虫，痰瘀郁毒食性伤；审症求因明主从，知犯何逆必显彰。 |
| 关键词: 知犯何逆 中医辨证 阴阳 表里 寒热 虚实 孙光荣 |
| DOI：10.3969/j.issn.1674-070X.2017.05.001 |
| 投稿时间：2016-12-01 |
| 基金项目:国家中医药管理局“国医大师孙光荣工作室建设项目”资助；国家中医药管理局2014年中医药行业科研专项（201407004）；湖南中医药大学中医诊断学国家重点学科开放基金项目（2013ZYZD21）；湖南省学位与研究生教改项目（JG2014B043）；湖南省卫计委科研项目（B201546）。 |
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| National Chinese Medicine Master Sun Guangrong on “Knowing What Mistaken Therapy was Applied” |
| YE Peihan,SUN Guixiang,HE Qinghu,LIU Qi,HU Zhixi,ZHANG Jidong,SUN Guangrong |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;National Chinese Medicine Master Sun Guangrong Studio of Hunan, Changsha, Hunan 410208, China;Institute of Basic Theory for Chinese Medicine, China Academy of Chinese Medical Sciences, Beijing 100700, China) |
| Abstract: |
| National Chinese medicine master Sun Guangrong holds that "knowing what mistaken therapy was applied" is a highly generalization of TCM diagnosis process. A poetry was formed to elaborate the connotation:firstly distinguish Yin and Yang when diagnosing of major syndromes; the location of the disease is to distinguish between the pulse and tongue, cold or hot conditions to ask from stool, urine and sweat; deficiency and excess need to ask about sleep, diet and excretion, pain acording to press; the adverse or positive disease should be observed in diet and excretion, life and death look at the expression and the luster of the skin; the new or old disease requires careful reference of viscera, meridians and seasons; wind, cold, summer heat, dampness, dryness, fire, insect, phlegm, stasis, stagnation, toxin, food, sex, injury; identify major syndrome and secondary syndrome for diseases, which could help us knowing what mistaken therapy was applied. |
| Key words: knowing what mistaken therapy was applied TCM differentiation Yin and Yang exterior and fever deficiency and interior chills and excess Sun Guangrong |
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