无证可辨浅识及对策

辨证论治是中医学精髓。无证可辨的情况,究其原因,一方面与医者辨证方法和技能有关,另一方面确实存在无证可辨的现象。为提高辨证水平,医者既要重视病性特点、病因、六经病辨证特色;也要积极引入中医“病”的概念和微观辨证,因为中医辨病在特定情况下可弥补辨证的不足,而微观辨证的深入研究则可能为无证可辨提供客观依据。为此,才可在实践中正确处理无证可辨的尴尬,并使中医诊断学内容臻备。

On Differentiation of Syndrome Unavailable and Its Countermeasure

Differentiation of syndrome is core of Traditional Chinese Medicine (TCM). While sometimes differentiation of syndrome is unavailable, this always resulted from the limited of practitioner's skill and the method, as well as there is no clear cute for differentiation of syndrome objectively. In order to avoid the dilemma of differentiation of syndrome unavailable, the clinical practitioner should pay attention to disease pathology, disease evil, Meridian-differentiation of Shanghanlun. And the connotation of TCM disease and Micro-differentiation of syndrome also should be highly focused on, because the TCM disease sometimes is an important complementarity for differentiation of syndrome, while Micro-differentiation of syndrome sometime could be an objective evidence for differentiation of syndrome unavailable. In a word, differentiation of syndrome unavailable do exist, the connotation of differentiation of syndrome should be more rich.