世界中医药
世界中醫藥
세계중의약
WORLD CHINESE MEDICINE
2015年
4期
542-545
,共4页
冯骋骋%张保春%吴昊天%王丹阳
馮騁騁%張保春%吳昊天%王丹暘
풍빙빙%장보춘%오호천%왕단양
小儿咳嗽%张保春教授%诊疗思维
小兒咳嗽%張保春教授%診療思維
소인해수%장보춘교수%진료사유
Infantile cough%Professor Zhang Baochun%Clinical thinking
目的:小儿咳嗽是临床上的常见病,多发病,及时准确的进行诊治开具出行之有效的方药是中医内科医生必须掌握的基本技能。方法:笔者随导师张保春教授于北京中医大学国医堂门诊部出诊期间,收集整理了张老师有效的治疗小儿咳嗽的许多方剂,通过对这些病例,方药的分析,从而总结归纳出小儿咳嗽诊疗思维过程。结论:小儿咳嗽的诊疗思维过程主要涉及:1)四诊的信息收集整理取象过程;2)医者认知水平和抓住疾病主要矛盾的诊疗立象过程;3)医者行医经验,用药习惯的处方用药决策过程。通过在“辨病”基础上的“辨证”,进而真正合理有效的辨证论治,最终成功的治愈疾病。
目的:小兒咳嗽是臨床上的常見病,多髮病,及時準確的進行診治開具齣行之有效的方藥是中醫內科醫生必鬚掌握的基本技能。方法:筆者隨導師張保春教授于北京中醫大學國醫堂門診部齣診期間,收集整理瞭張老師有效的治療小兒咳嗽的許多方劑,通過對這些病例,方藥的分析,從而總結歸納齣小兒咳嗽診療思維過程。結論:小兒咳嗽的診療思維過程主要涉及:1)四診的信息收集整理取象過程;2)醫者認知水平和抓住疾病主要矛盾的診療立象過程;3)醫者行醫經驗,用藥習慣的處方用藥決策過程。通過在“辨病”基礎上的“辨證”,進而真正閤理有效的辨證論治,最終成功的治愈疾病。
목적:소인해수시림상상적상견병,다발병,급시준학적진행진치개구출행지유효적방약시중의내과의생필수장악적기본기능。방법:필자수도사장보춘교수우북경중의대학국의당문진부출진기간,수집정리료장로사유효적치료소인해수적허다방제,통과대저사병례,방약적분석,종이총결귀납출소인해수진료사유과정。결론:소인해수적진료사유과정주요섭급:1)사진적신식수집정리취상과정;2)의자인지수평화조주질병주요모순적진료립상과정;3)의자행의경험,용약습관적처방용약결책과정。통과재“변병”기출상적“변증”,진이진정합리유효적변증론치,최종성공적치유질병。
Objective:Infantile cough is a common and frequently occurring disease,therefore timely and accurate diagnosis and treatment is one of the basic skills of a TCMdoctor.Methods:When accompanying Doctor Zhang at clinic visits,the author sum-marized many prescriptions for infantile cough prescribed by doctor Zhang,brought forth the clinical thinking process for treating in-fantile cough.Conclusion:The clinical thinking process of infantile cough mainly involves:1)four examinations to collect mani-festation;2)establishment of diagnosis and treatment methods;3)determination of prescription.Through "disease"examination and “syndrome”differentiation,the ultimate cure is found.