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中醫基礎
·基本特點 ·陰陽學說
·五行學說 ·八綱辨證
·望診 ·聞診 ·問診 ·切診
·方藥概論 
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藥材認識
拼音索引:
A B C D E F G H J K L M N O P Q R S T W X Y Z

筆畫索引:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20以上

常用方劑

解表 清熱 溫里
瀉下 消導 祛濕
理氣 理血 補益
固澀 開竅 驅蟲
鎮潛熄風 祛風濕
止咳化痰平喘


  中醫基礎

中醫學的基本特點

正常字體  放大字體

    中醫學認為人體是一個臟腑經絡為核心的有機整體,各臟腑組織之間是互相聯系、互相影響、互相促進的;人體與自然界是密切相關的,是對立統一的整體。

    一、樸素的整體觀

    (1)人體是有機的整體人體的各個部分是有機聯系的,這種聯系是以五臟為中心,通過經絡的溝通和聯系,將人體各臟腑、孔竅以及皮毛、筋肉、骨骼等組織緊密地聯結成一個統一的整體。如心合小腸,主血脈,開竅于舌;肺合大腸,主氣,開竅于鼻;脾合胃,主肌肉、四肢,開竅于口;肝合膽,主筋,開竅于目;腎合膀胱,主骨,開竅于耳等。這種整體性,表現在生理、病理以及診斷治療等方面,臨床上就是根據這種聯系和影響來指導辨證論治。

    (2)人和自然的關系《素問.四氣調神大論》認為“夫四時陰陽者,萬物之根本也。”人生活在大自然中,晝夜陰陽的消長,一年四季的氣候變化,不同地域的地理環境、居住條件、生活習慣等,都直接影響人的生理活動。在一般情況下,人能適應自然界有規律的變化。《靈樞.五癃津液別篇》說:“天暑衣厚則腠理開,故汗出……天寒則腠理閉,氣濕不行,水下留于膀胱,則為溺與氣”,所以《靈樞.邪客篇》說:“人與天地相應”。一旦氣候環境條件的變化,超過人體的適應能力,或者由于人體的調節機能失常,不能對外界變化作出適應的反應時,就會發生疾病。

    二、辨證論治

    運用望、聞、問、切的診斷方法,收集病人的癥狀、體征以及病史有關情況,進行分析、綜合、辨明病理變化的性質和部位,判斷為何種性質的“證候”,這個過程就是“辯證”。“論治”,就是在辨證基礎上,根據正邪情況而確立的治療法則。因此辨證是治療的前提和依據,論治是治療疾病的手段和方法,亦為辨證的目的,又是對辨證正確與否的檢驗。

    “證”與“癥”的概念不同。“癥”是癥狀,如頭痛、惡寒、咳嗽、胸痛等;“證”是證候,是疾病發展過程中某一階段的各種癥狀的概括,包括病變部位、原因和性質,以及致病因素與抗病能力相互斗爭情況等,它深刻、全面、正確地的映了疾病的本質。

    辨證論治不同于“對癥治療”,以及現代醫學所說的“辨病治療”。疾病的不同階段可出現不同的證候,不同的疾病,也可在其發展過程中出現同樣的證候。因此同一疾病的不同證候,則治療方法有異,如水腫(腎炎)患者,初期發熱、惡寒、浮腫、小便不利等為“風水證”,治宜宣肺發汗,利水退腫;后期見腰酸、肢冷、畏寒、面白、浮腫等為“腎陽虛衰證”,治當溫腎扶陽。不同的疾病只要證候相同,便可以采用相同的治法,如脫肛、胃下垂、子宮脫垂等病,均屬中氣下陷所致,皆可用益氣升陽的方法治療,這就是中醫學常說的“同病異治”、“異病同治”。

    以上兩個特點是中醫學所獨有的。隨著中醫學的不斷發展,其內容也將會不斷地完善和提高,在防治疾病的實踐中發揮出更大的作用。

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