从“五脏元真通畅”探讨仲景证治思想精髓-中医临床基础专业论文.docx

摘 要 目的：通过对《伤寒论》和《金匮要略》的学习研究，以“五脏元真通畅”为基 本思想，联系《伤寒论》和《金匮要略》的具体内容，探讨这一思想精髓的具体 展现，用以指导临床，作为临床辨证施治的一种目标。 方法：从四个方面来进行论证：第一部分，探讨“五脏元真通畅”的生理含义； 第二部分，从人体无形之气化和有形之组织结构畅通，探讨疾病的基本发病机制； 第三部分，根据发病机制的分类，探讨辨证施治的治疗总则；第四部分，综合归 类以结合《伤寒论》和《金匮要略》中的条文；第五部分，通过后世医家对仲景 这一思想的传承及运用，从多层面立体的探讨“五脏元真通畅”的思想，进一步 归纳、分析仲景学术的证治思想精髓，从而，为学习仲景学说及学习中医者提供 一个新的理论思路，亦为中医科研提供一个新的思考方式。 结果：“五脏元真通畅”是人体健康的基本条件，也是治愈疾病的最终目的。五 脏元真的气化不及和气化不利，及气血精液流通的障碍是疾病产生的根本原因， 仲景治病正是抓住了无形的气化和有形的组织结构通畅，体现了其思想的精髓。 结论：根据“五脏元真通畅”思想精髓来探讨仲景的辨证论治，将其思想精髓分 析总结归纳，填补了国内对此方面研究的不足。明确了“五脏元真通畅”对人体 微观内环境的重要作用，并总结出三大治疗法则，通过这一思想研究为学习仲景 学说及临床运用提供一个新的思维模式。 关键词：仲景证治思想精髓 五脏元真通畅 伤寒论 金匮要略 Abstract Objective: 《Treatise on Exogenous Febrile Disease》 and 《Prescription of the Golden Chamber》of the learning research to the five internal organs of Real Tong Chang, as the basic thinking, Treatise on and Golden Chamber of the specific content of the essence of this idea concrete expression to clinical practice as a clinical syndrome differentiation of a goal of Chinese medicine treatment sections of disease, treating disease and health, to provide an effective theoretical platform. Methods: From four to be demonstrated: the first part of the five internal organs of Real Tongchang physical meaning; the second part, invisible from the human body and the visible structure gasification flow, the basic pathogenesis of the disease; third Some, according to the classification of the pathogenesis, syndrome differentiation and treatment of general provisions; fourth part of the comprehensive classification to combine 《Treatise on Exogenous Febrile Disease 》 and 《Prescription of the Golden Chamber》 in the section; fifth part, according to physicians later this Zhongjing The clinical application of the essence of a thought, from the multi-dimensional aspects of the five internal organs of Real Tongchang thinking, and further refined ideology Zhongjing academic essence of governance, which, as a learning theory and learning Chinese Zhongjin