主 办:北 京 中 医 药 大 学
ISSN 1006-2157 CN 11-3574/R

JOURNAL OF BEIJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE ›› 2018, Vol. 41 ›› Issue (12): 973-977.doi: 10.3969/j.issn.1006-2157.2018.12.001

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The original thinking in disease diagnosis and syndrome differentiation in Shanghan Lun*

Liu Min, Wang Xueqian, Wang Qingguo#   

  1. Liu Min, Wang Xueqian, Wang Qingguo# (School of Chinese medicine, Beijing University of Chinese Medicine, Beijing 100029, China
  • Received:2018-07-02 Published:2019-01-14

Abstract: Original thinking is what makes the book Treatise on Cold Damage (Shang Han Lun) become a TCM classic. There are eight aspects of original thinking about disease diagnosis and syndrome differentiation in the book. The first one is searching for the primary cause of disease in treatment, which is yin and yang. The second one is combining the differentiation of disease and syndrome, differentiating the syndrome and analyzing the pathogenesis, and Treatise on Febrile Disease is the first precedent in this regard. The third one is the combined use of the four diagnostic methods, the dynamic analysis of analyzing the pathogenesis and the choice between the pulse and the symptom, so the clause “observe the pulse and signs, know what mistakes have been made, and treat according to the presenting pattern” is of profound significance. The fourth one is selecting the essential by discarding the dross and retaining the true by eliminating the false, excavating and extracting the pulse and the symptoms which could represent the essence of the pathogenesis. The fifth one is seeking differences within the similarity and seeking difference from commonness. If the pathogenesis is the same in different diseases, we can choose the same treatment, and vice versa. The sixth one is knowing commonness of the diseases for the change, whid is the basic feature of TCM thinking when identifying syndromes. The seventh one is attaching great importance to the primary symptom. Sometimes one symptom is sufficient for diagnosis and not all signs and symptoms need to be present. If the primary symptom seems to contradict the pathogenesis, we should follow the pathogenesis. The eighth one is grasping the rules in the development of the disease from the first small beginnings, and predicting the tendency of disease. Thus, Treatise on Febrile Disease is of precious value with enormous evidence for presenting original thinking of TCM.

Key words: Original thinking, Treatise on Febrile Disease, disease diagnosis and pattern identification

CLC Number: 

  • R222.2