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系统辨证脉学在中医临床诊疗中具有重要意义。脉诊作为中医诊断的核心手段,通过分析脉象特征,能够揭示疾病的病因、病机及预后转归,为制定精准的治则治法和方剂药物提供依据。脉象与中药之间存在着内在的契合关系,临床实践中可实现“证从脉出,药随证立”的目标。经过系统辨证脉学客观分析和推理,不仅能够选择合适的方药,调整药味、剂量和配伍关系,还能够建立起“脉药相应”的全新模式,促进中医临床诊疗的精准化和个性化。因此,经过多领域相关专家的讨论与审核,最终构建了系统辨证脉学“脉药相应”临床应用规范,有助于“脉药相应”理念在临床的标准化和规范化使用。
Abstract:Systematic sphygmology for pattern differentiation is of great significance in the clinical diagnosis and treatment of traditional Chinese medicine(TCM). As the core method of TCM diagnosis,pulse diagnosis can reveal the etiology,pathogenesis and prognosis of diseases by analyzing the characteristics of pulses,and provide a basis for formulating precise therapeutic principles,treatment methods and prescriptions. There is an intrinsic compatibility between pulse diagnosis and traditional Chinese medicine. In clinical practice,the goal of “the syndrome emerges from the pulse and the medication is based on the syndrome” can be achieved. Through the objective analysis and reasoning of systematic sphygmology for pattern differentiation,we can not only select the appropriate prescription and drugs,adjust the drug flavors,dosage and com-patibility relationship,but also establish a new model of “pulse-herbs correspondence”,so as to promote the precision and personalization of clinical diagnosis and treatment of TCM. Therefore,after the discussion and review of relevant experts from multiple fields,the clinical application specification of “pulse-herbs correspondence” of systematic sphygmology for pattern differentiation is finally constructed,which is conducive to the standardization and standardized application of the concept of “pulse-herbs correspondence” in clinical practice.
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基本信息:
DOI:10.16295/j.cnki.0257-358x.2025.12.001
中图分类号:R241.1
引用信息:
[1]滕晶,齐向华,李甲民,等.系统辨证脉学“脉药相应”临床应用规范[J].山东中医杂志,2025,44(12):1285-1291.DOI:10.16295/j.cnki.0257-358x.2025.12.001.
基金信息:
国家中医药综合改革示范区科技共建项目(编号:GZY-KJS-SD-2024-070); 山东省中医药科技项目(编号:ZT20241853); 山东省医务系统职工科技创新计划项目(编号:SDYWZGKCJH2024007); 山东省卫生健康委员会齐鲁中医药文化研究项目(批文号:鲁卫函[2025]165号); 山东省文化和旅游研究项目[编号:22WL(Y)170]