期刊论文

中文

世界中医药

1673-7202

2016

11

6

974-978

10.3969/j.issn.1673-7202.2016.06.009

湖南省中医药科研基金资助项目（编号:2008035）； 国家中医药管理重大项目——湖湘欧阳氏杂病流派工作室建设（国中医药人教函[2012]228号）；

本校为第一机构

病证结合是中医理论和临床研究的切入点。病、证均有广义和狭义概念,相互关系因纵横联系既单一又复杂。临床诊疗应根据病、证、症的主次、轻重、缓急,以病为主,病证结合;或以证为主,证病结合;或以症为主,症病或症证结合。临床疗效评价或中医证候研究,依据目标适应证选择病证结合、证病结合、症病（或证）结合模式,科研设计、分析总结应注意因广义或狭义病证关系所致多种混杂因素的均衡,分析总结应注意排除上述混杂因素导致的各种偏倚。分析症、证、病及其各种观察指标的相关性,有助于探讨药物或治疗方法的临床特点,阐明中医证候与西医检测指标的内在联系。

Syndrome and disease combination is the essential point of traditional Chinese medicine (TCM)and clinical research. Disease and syndrome can all be interpreted from a broad and narrow sense.The relationship of them is both simple and complex. In clinical treatment,the primary and secondary symptom,syndrome and disease should be firstly differentiated,as well as their de-veloping stage,then treat in successive orders.When doing clinical evaluation or TCM syndrome score,the combination of disease and symptom,symptom and syndrome,or disease and syndrome should be chosen.Besides,during scientific ...