| Pathogenesis of Chinese medicine is an important component of the basic theories of TCM and links theory and practice as a bridge. Though ancient and modern medical experts paid more attention to it, different people with different views, systemic theory research is lacked now. For the modern definition is short of TCM characteristics, with vague meaning and limited connotation, so it can't became the general guidance of clinical practice, and makes it difficult to comprehend, explain and apply it correctly.The essay choose the concept of Pathogenesis of Chinese medicine as research object, by means of comparison methods, discussed the how the concept caused and developed; by means of the method of linguistics, researched the word-formation; by means of philological inspection, made a textual research of the concept to provide datum for interpretation; by means of hermeneutics method, made an explanation of the concept and revealed the deep implication the concept contained. By well-documented and extensive evidence to explore the subtle essence, selected the main viewpoint, analyzed the essential about pathogenesis identification when do clinical practice in order to find a new idea to conquer clinical difficulty diseases.A conclusion was made that modern concept of pathogenesis was probably affected by modern physiopathology. Though the concept is brief, connotation is extensive and profound, including etiology, location, nature and trend of disease. Besides that, there are still more meanings inside the concept so it is more important and we should comprehend this concept with a whole new mind. The research revealed that Chinese medicine emphasizes using the four diagnostic methods, Wang, Wen, Wen.Qie, together, with a view to analyze pathogenesis; for pathogenesis is the nature of disease well the syndrome is the external phenomena, so according to syndrome to probe disease should base on pathogenesis and combination of disease, syndrome should have insight into pathogenesis, and searching for the essence in treatment should deeply and detailed study pathogenesis then correspondence of prescription and syndrome could be based of pathogenesis. For pathogenesis of Chinese medicine theory including superficiality and origin of the syndrome and pathogenesis, reflecting the ascending and descending of Qi Ji and the opening and closing of Shu Ji, so examine body's Shen Ji could judge its Sheng Ji. It pointed out that pathogenesis identification should pay attention to five elements and divided into five levels which has different connotation to disease treatment. So propose the new point that identifying syndrome and pathogenesis could clear which is the superficiality and origin; studying carefully the ascending and descending of Qi Ji could clear the trend of the disease; observing the opening and closing of Shu Ji could clear the Xu and Shi of the disease; examining the being and losing of Shen Ji could clear the trend of disease; searching Sheng Ji could decide whether it having life or not.In addition, the essay is still needed deeply research the relationship between TCM pathogenesis and syndrome differentiation and the essence of searching for the primary cause of disease in treatment, so as to establish the nucleus position of the theory in clinical practice and look for a new idea to the TCM theory innovation. It pointed out the new connation that what syndrome differentiation to identify is pathogenesis, treatment lying in regulating Qi Ji and Shu Ji and with the purpose to own the Shen Ji and Sheng Ji. And by through the annotation put diagnosis and treatment thought to the altitude of "Ji", revealed the nature of Health Physic is protecting Shen Ji and Sheng Ji, which expressed the human care with the guidance of science and technology and made the idea that TCM, as Health Physic, pays more attention to the life stand out and showed the important position and advantage of TCM, which also the innovative points of this research.A research from multi-angle and different levels will be needed, which could make the connotation of the concept distinct and integrity in order to comprehend, explain and apply it correctly, and might be of theoretical and practical significance. This is also the purpose, the significance and the value of the study. |
