| 引用本文: |
孟骊冲, 谭朵廷, 李琳, 胡宗仁, 邓湘琴, 罗健, 胡志希.中医治疗方法学对辨证论治理论体系的深化与拓展探析[J].湖南中医药大学学报,2025,45(11):2136-2141[点击复制] |
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| 中医治疗方法学对辨证论治理论体系的深化与拓展探析 |
| 孟骊冲,谭朵廷,李琳,胡宗仁,邓湘琴,罗健,胡志希 |
| (湖南中医药大学, 湖南 长沙 410208;湖南省中医药研究院, 湖南 长沙 410013;湖南医药学院, 湖南 怀化 418000;湖南省中西医结合医院, 湖南 长沙 410006) |
| 摘要: |
| 中医治疗方法学是衔接中医理论与临床实践的关键桥梁，其系统化发展对完善辨证论治体系具有重要意义。本文以“十四五”创新教材《中医治疗方法学》为理论基础，系统阐述该学科如何从理论与应用两个层面深化并拓展辨证论治理论体系。在理论层面，通过整合散在的治法知识，构建“治疗原则-核心大法-具体治法”的多层次框架，规范临床术语，强化病机辨识与动态辨证能力，显著提升了“理-法-方-药”的连贯性与临床可操作性。在应用层面，将治法从疾病治疗延伸至治未病、康复养生、复杂疾病及心身医学等领域，融合多学科技术以增强治法的科学性与适用性，体现了中医“整体观”和“以人为本”的诊疗思想。同时，本文指出该学科仍面临临床转化不足与标准化滞后等挑战，并提出应结合现代科技与中西医融合路径，以推动中医治法体系的规范化、科学化发展，为提升中医临床诊疗水平提供理论支持与方法参考。 |
| 关键词: 中医治疗方法学 辨证论治 理法方药 治则 治法 诊疗 |
| DOI：10.3969/j.issn.1674-070X.2025.11.015 |
| 投稿时间：2025-05-05 |
| 基金项目:国家自然科学基金项目(82274412); 国家中医药管理局高水平中医药重点学科建设项目(zyyzdxk-2023147)。 |
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| Exploration of the deepening and expansion of the theoretical system of pattern identification and treatment by the methodology of TCM treatment |
| MENG Lichong, TAN Duoting, LI Lin, HU Zongren, DENG Xiangqin, LUO Jian, HU Zhixi |
| (Hunan University of Chinese Medicine, Changsha, Hunan 410208, China;Hunan Academy of Chinese Medicine, Changsha, Hunan 410013, China;Hunan University of Medicine, Huaihua, Hunan 418000, China;Hunan Provincial Hospital of Integrated Traditional Chinese and Western Medicine, Changsha, Hunan 410006, China) |
| Abstract: |
| The methodology of TCM treatment serves as a vital bridge linking TCM theory with clinical practice, and its systematic development holds great significance for improving the system of pattern identification and treatment. Based on the "14 th Five-Year Plan" innovative textbook Methodology of TCM Treatment, this paper systematically expounds how this discipline deepens and expands the theoretical system of pattern identification and treatment from both theoretical and application dimensions.At the theoretical level, by integrating fragmented knowledge of treatment methods, a multi-level framework of "treatment principles-core methods-specific treatments" is constructed. This framework standardizes clinical terminology, strengthens the ability to identify pathogenesis and conduct dynamic pattern identification, and significantly enhances the coherence and clinical operability of the "theory-method-formula-medicine" system. At the application level, treatment methods have been extended from disease treatment to fields such as preventive treatment, rehabilitation and health preservation, complex diseases, and psychosomatic medicine. By integrating multi-disciplinary technologies, the scientificity and applicability of treatment methods have been enhanced, reflecting the TCM diagnostic and therapeutic philosophies of "holism" and "people-oriented". Meanwhile, the paper points out that the discipline still faces challenges such as insufficient clinical translation and lagging standardization. It proposes that modern technology and an integrated approach combining TCM and western medicine should be employed to promote the standardization and scientific development of the TCM therapeutic system, so as to provide theoretical support and methodological reference for improving the level of TCM clinical diagnosis and treatment. |
| Key words: methodology of TCM treatment pattern identification and treatment theory-method-formula-medicine treatment principles treatment methods diagnosis and treatment |
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