古医籍中辨体论治医案准入标准与体质分类判定研究.pdfVIP

第十次全国中医体质学术年会 DISHICIQUANGUOZHONGYITIZHIXUESHUNIANHUI 二、体质分类标准及辨识方法研究 古医籍中辨体论治医案准入标准及体质分类判定研究 倪 诚, 包春华, 李 杨, 孙秋苗, 英 孝, 刘美之, 董 伟 （北京中医药大学 北京 100029） 摘要：在系统考察中医体质学及古代医案发展史基础上，针对古医籍医案的特点，制定切实可行的辨 体用方医案的准入、排除标准，了解古人体质的分布特点与类型特征，旨在为进一步开展古医籍辨体论治 医案中的体病相关、方体相关、药体相关及方药调体规律研究奠定基础，为制定现代人群的辨体用方方案 提供文献依据。 关键词：古医籍医案；辨体论治；准入标准；排除标准；体质分类 Study on a permit standard and classification of constitution about medical case of treating by differentiation of individual in ancient medical literature NI Cheng ，BAO Chun-hua ，LI-Yang ，SUN Qiu-miao ，YING-Xiao ，LIU Mei-zhi ，DONG Wei Abstract ：Based on the systematic investigation of biotypology of Chinese medicine and the development history of ancient medical record ，according to the characteristics of medical case of ancient medical literature，we make a feasible permit standard and exclusion criteria of using prescriptions by differentiation of individual，realize the characteristics of distribution and types on constitution，will be aimed at laying the foundation for further study on the regular pattern of“physique relating to disease”，“prescription relating to physique” ，“drug relating to physique”and“prescription regulating physique”in medical case of ancient medical literature about treating by differentiation of individual，and provide literature basis to the modern people for making a scheme of using prescriptions by differentiation of individual Key words：Medical case of ancient medical literature ；Treating by differentiation of individual ；Permit standard；Exclusion criteria ；constitution classification 中医临床向来多强调辨病、辨证论治，忽略淡化辨体论治，从而使临床思维局限，成为影响并制约中医 [1] [2] 疗效提高的重要因素。“辨体论治”概念 的提出以及“辨体-辨病-辨证”诊疗模式 的建立，为中医临床提供 了多元化的诊疗思路，但如何将辨体论治落到实处缺乏临床证据。现阶段大多数