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尹周安,孙贵香,何清湖,叶培汉,刘向华,杨玉芳,孙光荣.国医大师孙光荣论如何在医案中体现中医特色优势[J].湖南中医药大学学报,2018,38(1):4-6[点击复制] |
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国医大师孙光荣论如何在医案中体现中医特色优势 |
尹周安,孙贵香,何清湖,叶培汉,刘向华,杨玉芳,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) |
摘要: |
国医大师孙光荣认为医案是医家临证的第一手资料,中医名家的辨证论治及其学术思想都具体体现在医案中,具有极其重要的学术地位。中医医案不同于病历,病历是基础,医案是在病历基础上的升华。医案必须具备以下七大要求才能凸显中医特色优势:首重选题第一宗,疑难少新怪简凶;疗效确切资料齐,引经释义意涵宏;提要突出真亮点,案体叙述莫相冲;重点凸显辨治难,方药精准要注重;证候变化述亦变,变中要显思辨功;全案精华是按语,千锤百炼莫放松;心得启迪显特色,一个亮点全案红。 |
关键词: 医案 选题原则 按语 孙光荣 |
DOI:10.3969/j.issn.1674-070X.2017.01.002 |
投稿时间:2017-04-16 |
基金项目:中央省补助中医药专项经费“国医大师孙光荣湖南工作室”;国家中医药管理局“国医大师孙光荣湖南工作室建设项目”资助;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);国家中医药管理局2014年中医药行业科研专项(201407004)。 |
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Discussion on How to Embody Characteristics and Advantages in Medical Cases by National Chinese Medicine Master Sun Guangrong |
YIN Zhouan,SUN Guixiang,HE Qinghu,YE Peihan,LIU Xianghua,YANG Yufang,SUN Guangrong |
(Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;National Chinese Medicine Master Sun Guangrong Studio of Hunan, Changsha, Hunan 410208, China) |
Abstract: |
National Chinese Medicine Master Sun Guangrong believes that the medical case is the first-hand information on clinical evidence.The dialectical theory of traditional Chinese medicine and its academic thoughts are embodied in the medical case and have an extremely important academic status.Medical cases different from the medical records,medical cases are based on medical records and higher than the records.The following seven requirements must be required so that the advantages of traditional Chinese medicine could be highlight:the first important is the subject of a record,with incurable,rare,new,werid,and terrible diseases,and simple synptoms;curative effect and sufficient supporting information,citing medical classics can deeply explain the meaning;the summary should stress the highlights,the records should not be inconsistent;the difficulty of treatment is the emphasis;record the changes in diseases and distinguish these changes;comments and instructions are the essence of the entire medical case;the experiences display the feature,which is the key of a successful medical case. |
Key words: medical case principle of choice comment Sun Guangrong |
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