The Study Of Syndrome Differentiation Of TCM And The Mode Of Diagnosis And Treatment To Combine Acupuncture And Medicine

The main task of clinical medicine is to make a diagnosis of a disease and then to carry out treatment on basis of diagnosis. So, correct diagnosis is the prerequisite for effective treatment. During the long period of medical practice, doctors of past ages accumulated rich experience of diagnosis which formed the comprehensive diagnostic system special for TCM, i. e., four diagnostic methods (observation, auscultation and olfaction, interrogation and palpation)and syndrome differentiation. And based on those, they established diagnostics of TCM. From ancient time to now, the diagnostics of TCM has been playing its constant role in clinical practice.The judgment on pathological conditions made by TCM can be divided into two aspects, the" disease differentiation" and "syndrome differentiation"Since the syndrome differentiation is the unique feature and quintessence of TCM,which is the common method applied to diagnosis in every branch of clinical medicine. Therefore, this thesis is on the basis of the dialectical method research, attempts to explore the diagnosis and treatment of traditional Chinese medicine pattern.In the long process of medical practice, ancient doctors created many methods of syndrome differentiation, such as eight principle,, meridian syndrome differentiation, visceral syndrome differentiation, Liu Jing syndrome differentiation, defensive-qi-nutrient-blood、triple-jiao syndrome differentiation, qi-blood-body-fluid syndrome differentiation, etc.These methods sum up the laws and the understanding of syndromes from different aspects. Each one has its own features respectively. During diagnosis, each method has its special emphasis, however, they are related to and supplemented by each other. Among them, eight principle syndrome differentiation is applied to determining the nature of disease;visceral syndrome differentiation and meridian syndrome differentiation to identifying the disease location; six-meridian-syndrome differentiation is system diagnosis, defensive-qi-nutrient-blood and triple-jiao syndrome differentiation to diagnosing the exopathic febrile diseases qi-blood-body-fluid syndrome differentiation to analyzing the abnormal changes of qi, blood, water and nutrient.ObjectiveThe purpose of this paper is through the four main types of the dialectical method (eight principle syndrome differentiation, meridian syndrome differentiation, visceral syndrome differentiation, Liu Jing syndrome differentiation,), to study the relationship between them and its role in disease diagnosis and treatment, try to establish a set of practical mode of TCM diagnosis and treatment (here referred to as "D-mode").MethodsThis paper first part adopts the method of literature research, to the relevant contents of TCM syndrome differentiation and treatment are summarized. Second part of the paper on the basic research of TCM syndrome differentiation and treatment method, through the longitudinal transverse comparison, in Liu Jing syndrome differentiation (that is, the "three Yin and three Yang" dialectical) system for the classics, the conditions of the specific as weft, through the integration of the eight principles meridian and visceral syndrome differentiation to build the diagnosis and treatment of TCM’s mode.ContentThe body of the thesis is divided into six parts:The first part mainly introduces the origin and development of TCM syndrome differentiation and treatment, and simply introduces the four kinds of syndrome differentiation and treatment methods, treatment based on syndrome differentiation is the essence of TCM. Characteristic to the method of treatment based on syndrome differentiation, each have emphasize particularly on, but from the viewpoint of academic origin and theory content, channels and collaterals syndrome differentiation is a foundation, visceral syndrome differentiation is the core of eight principles is dialectical, field and Liu Jing differentiation and widely used in the clinical curative effect is remarkable.In the second part discusses in detail Liu Jing differentiation combined with literature research origin detailed research, such as Liu Jing differentiation is actually more should be referred to as the "three Yin and three Yang" syndrome differentiation, just later generations have grown accustomed to call it "Liu Jing differentiation", but should be in the clinical application of "Liu Jing differentiation" return to the "three Yin and three Yang" syndrome differentiation, such ability is more reasonable and better understanding of zhang zhongjing "Liu Jing differentiation system" in treatise on febrile disease, can be at a higher understanding of Liu Jing differentiation (that is, the "three Yin and three Yang" syndrome differentiation system) is not only the typhoid fever exogenous syndrome differentiation method, is also a system of internal medicine miscellaneous disease differentiation, it is also a complete model of combination of acupuncture with medicine diagnosis and treatment of ideological basis.The third part compares the relationship of the four dialectical methods: eight principles Liu Jing differentiation and syndrome differentiation methods in treatise on febrile disease, meridian viscera syndrome differentiation method basis of syndrome differentiation in treatise on febrile disease, the eight principles is the sum of the syndrome differentiation of TCM syndrome differentiation, the eight principles is the direction of the diagnosis and treatment of TCM syndrome differentiation, viscera and meridian syndrome differentiation in clinical maneuverability is strong. The Liu Jing differentiation (i. e., "three Yin and three Yang" syndrome differentiation) and eight principles, main and collateral channels of the intimate relationship, differentiation of Liu Jing differentiation system can be as a whole, integration of the eight principles, main and collateral channels differentiation of to efficient and accurate for diagnosis and treatment of traditional Chinese medicine.The fourth part is on the basis of the former three chapters, for Liu Jing differentiation (" three Yin and three Yang ") diagnosis model building, Liu Jing differentiation diagnosis model based on treatise on febrile disease, integration of the eight principles, meridian, differentiation of syndrome differentiation by Liu Jing differentiation (that is, the "three Yin and three Yang" syndrome) system to take all kinds of syndrome differentiation methods to realize the comprehensive and systematic diagnosis and treatment of traditional Chinese medicine. In Liu Jing differentiation (" three Yin and three Yang "dialectical) diagnosis model system, through the extraction of treatise on febrile disease the original sun disease, shaoyang disease, stomach disease, lunar disease, shaoyin disease, jue Yin disease diagnosis of elements, and inquiring sheet produced Liu Jing differentiation to achieve effective, comprehensive, accurate model of TCM diagnosis and treatment.The fifth part is through the building of Liu Jing dialectical (that is, the "three Yin and three Yang" dialectical) diagnosis and treatment patterns and corresponding to the combination of acupuncture and moxibustion treatment of disease and completed in the framework of "three Yin and three Yang" the combination of acupuncture with medicine of traditional Chinese medicine diagnosis and treatment mode (hereinafter referred to as "needle medicine diagnosis mode"), the diagnosis and treatment patterns through "philosophical" interrogation, clinically to perform efficient and accurate diagnosis and treatment of traditional Chinese medicine. This thesis also of Liu Jing (" three Yin and three Yang ") the dialectical diagnosis and chooses the mode of all makes a statistic analysis on the acupuncture point, statistical result has the following two points worth thinking about:A. Twelve meridians, though cannot be equated to "three Yin and three Yang" dialectical system of "images", but both in philosophical dialectic diagnosis mode, both diagnosis and treatment has a very close connectionOf Liu Jing overall situation of find statistics, it can be seen in the treatise on febrile disease philosophical dialectic (that is, the "three Yin and three Yang" dialectical) system, the acupuncture treatment of bladder, sufficient sun and ren meridian, the meridian of yangming foot, foot shaoyin kidney meridian and acupoints on the foot lunar spleen, so through the treatise on febrile disease "philosophical" (that is, the "three Yin and three Yang") the dialectical diagnosis model building, this paper also puts forward the idea of TCM diagnosis and treatment to prevent disease namely:"solid kidney, prevent diseases, protect the spleen and stomach, adjustment of modern".The last part of this paper introduces the philosophical (" three Yin and three Yang ") mode in the clinical application of dialectical diagnosis and treatment, and gives some experiences in the clinical application of:"know often examine", "tong Yang can help Yang, qingchang ziyin, spontaneous, tong Yang Yang qing intestinal Yin self-sufficiency", "but Yang Ming, virtual lunar", "but the sun, the little Yin", anti exogenous "recovery", expect to help clinical diagnosis and treatment.ResultsThe main achievements of this paper has the following four points: completed the dialectical methods of traditional Chinese medicine (mainly eight principles, meridian syndrome differentiation, differentiation of syndrome differentiation, Liu Jing differentiation) system research and comprehensive induction; Tentative build comprehensive eight principles, main and collateral channels of zang-fu organs dialectical philosophical (i.e., "three Yin and three Yang") the dialectical mode of diagnosis and treatment; Gives a philosophical dialectic diagnosis model of combination of acupuncture with medicine and obtained by statistical proposed the disease in the diagnosis and treatment of the important thoughts of traditional Chinese medicine; The last practice philosophical dialectic diagnosis model of clinical application.ConclusionThis thesis complete philosophical schools of traditional Chinese medicine (that is, the "three Yin and three Yang") mode of dialectical diagnosis and treatment, and gives the diagnosis model of clinical application, although a few medical record is simple, also did not show details of the diagnosis and treatment process, but we can prospect of combination of acupuncture with medicine images ("three Yin and three Yang") the dialectical diagnosis and treatment patterns in clinical will have broad application space. The diagnosis and treatment mode is also a lot of deficiencies, in the hope that in future clinical practice constantly improve.