摘要
以《黄帝内经》为代表的中医理论体系,蕴含着丰富的哲学思想,对后世影响深远。《灵枢·九针十二原》载:“粗守关,上守机”,“机”为触发点、关键点之意,“守机”即是把握事物变化之关键节点,并适时干预,以收事半功倍之功。验之于临床,通过四诊合参,收集有效信息,精准辨识“疾病之机”,此为“识机”;根据“疾病之机”,制定相应治疗方案,精准把握“治疗之机”,此为“守机”论治。“守机”思想,可为诊疗提供新视野,旨在提高中医疗效。
The theoretical system of traditional Chinese medicine represented by Huangdi Neijing contains rich philosophical thoughts and has far-reaching influence on later generations.Lingshu·Jiuzhen Shier Yuan said that the mediocre held the senseless point while the sage seized the pivot.‘Pivot’is the meaning of trigger points and key points.‘Seize the pivot’means that people grasp the key changes of things,and intervene in time or in advance,in order to get twice the result with half the effort.In clinical treatment,‘identify pivot’is that doctors accurately identify the‘pivot’of disease by collecting effective information from four diagnostic methods.‘Seizing the pivot’of diagnosis and treatment is to formulate the corresponding treatment plan,and accurately grasp the‘treatment pivot’based on the‘pivot’of disease.The idea of‘seizing the pivot’can provide new horizons for diagnosis and treatment,aiming to improve the effectiveness of traditional Chinese medicine.
作者
丁思元
王琪格
胡镜清
林明欣
DING Si-yuan;WANG Qi-ge;HU Jing-qing;LIN Ming-xin(Liaoning University of Traditional Chinese Medicine,Shenyang 110847,China;Institute of Basic Theory for Chinese Medicine,China Academy of Chinese Medical Sciences,Beijing 100700,China)
出处
《中华中医药杂志》
CAS
CSCD
北大核心
2020年第2期530-534,共5页
China Journal of Traditional Chinese Medicine and Pharmacy
基金
国家重点基础研究发展计划(973计划)(No.2014CB542903)。
关键词
病机
识机
守机
疗效
痰瘀互结
Pathogenesis
Identify pivot
Seize the pivot
Efficacy
Phlegm and blood stasis
