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基于消化道黏膜象进行中医辨证的思考

Thinking about possibility of TCM syndrome differentiation based on mucosal image
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摘要 望诊是中医诊断的主要方法之一。已有的中医望诊集中于体表可见部位,如面部、舌部等。近来年消化内镜不断发展使消化道内部的黏膜象望诊已逐渐可能。文章通过分析认为基于消化道黏膜象进行中医诊断已经可行:消化道黏膜象的获取方法简单且图像标准;消化道黏膜象中医诊断符合中医原理,与舌诊有共通性;消化道黏膜象中医诊断对消化道疾病诊断有独特优势,对临床辨证有巨大实用价值。充分利用消化道黏膜象进行中医诊断应改变已有的'司外揣内'的思维模式,通过以'内'为主,'内外'结合达到准确辨证、提高疗效的目的。 Inspection is one of the main diagnostic methods in traditional Chinese medicine. The traditional Chinese medicine has been concentrated on the surface of visible parts, such as face, tongue. In recent years, the development of the internal endoscopic mucosal surface inspection has been possible. This paper analyzes that the mucosa and tongue mucosa are similar, as to meet the Chinese inspection principle, and has a unique advantage for disease diagnosis. To make full use of mucous membrane for diagnosis of Chinese medicine, we should change the existing thinking mode of ‘division outside the interior’, and combine ‘internal’ and ‘internal and external’ to achieve the purpose of accurate differentiation and improvement of curative effect.
作者 邓芳芳 曹淼 张文兴 DENG Fang-fang;CAO Miao;ZHANG Wen-xing(The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China;Hunan University of Chinese Medicine,Changsha 410208,China)
出处 《中华中医药杂志》 CAS CSCD 北大核心 2019年第3期1108-1110,共3页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 湖南中医药大学校级科研课题(自科类)(No.ZYYDX201745).
关键词 望诊 黏膜象 辨证论治 中西医结合 消化内镜 Inspection Mucosal image Treatment based on syndrome differentiation Integrated traditional Chinese and western medicine Gastrointestinal endoscopy
作者简介 通讯作者:张文兴,湖南省长沙市雨花区湖南中医药大学第一附属医院普外微创外科,邮编:410007,电话:0731-85369121,E-mail:zwx325@126.com.
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