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从《伤寒论》看中医特色临证护理思维 被引量:6

Reflection of nursing thinking with the characteristics of traditional Chinese medicine from the perspective of Treatise on Cold Damage
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摘要 随着护理事业在国内外的蓬勃发展,充分发挥中医护理的特色与优势——“整体观”“辨证施护”成为了近年来《中国护理事业发展规划纲要》明确指示,其中尤以“辨证施护”为重。严谨的护理辨证体系应扎根于中医经典著作的理论苗床,因此对《伤寒论》等中医典籍的护理内涵进行充分挖掘,再融入现代中西医结合护理技术中,可以为现阶段的中医临床护理丰富更多实用技术,启发新的思路,开拓研究目标。本文谨以《伤寒论》中后注于经方的护理内容,根于“方证对应”,参考“类方-方证-主证”的辨证体系,探求护理辨证方法,并举桂枝汤证、柴胡汤证两例经方护理为例,结合医门八法中“汗、和、下”三法的辨证施治思想,对仲景护理思想进行探析。 With the rapid development of nursing at home and abroad,giving full play to the characteristics and advantages of traditional Chinese medicine(TCM)nursing including holism and nursing based on syndrome differentiation is a distinct hint from the Outline of China′s Nursing Development Plan,especially the later.Prudent nursing syndrome differentiation should root in the theoretical TCM classics.Therefore,full excavation of the nursing connotation in TCM classical works like Treatise on Cold Damage combining with modern nursing techniques of integrated traditional Chinese and Western medicine can enrich the more practical techniques in current clinical nursing,inspire new ideas,and develop research goals.In this article,we focused on the nursing content recorded in the classical formulas in Treatise on Cold Damage by following the principle of formula-syndrome correspondence and reference of syndrome differentiated system of formulas-like-formula and syndrome-primary syndrome and explored the differentiated methods of nursing by taking nursing content of Guizhi Decoction syndrome and Chaihu Decoction syndrome as examples.In addition,together with three methods of sweat promoting,harmonization,and purgation among eight medical therapeutic methods,attempted to probe into the Zhongjing′s nursing thought.
作者 刘静 唐玲 李山 马雪玲 张大华 张雪键 赵丹凤 LIU Jing;TANG Ling;LI Shan;MA Xueling;ZHANG Dahua;ZHANG Xuejian;ZHAO Danfeng(Department of Nursing,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;Department of Nursing,Dongfang Hospital,Beijing University of Chinese Medicine,Beijing 100029,China;Outpatient Office,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China;School of Nursing,Beijing University of Chinese Medicine,Beijing 100029,China;Department of Spine,Hand and Foot,the Third Affiliated Hospital of Beijing University of Chinese Medicine,Beijing 100029,China)
出处 《中国当代医药》 CAS 2022年第20期151-155,共5页 China Modern Medicine
基金 北京中医药科技发展资金项目(JJ2018-63)。
关键词 《伤寒论》 方证辨证 中医护理 Treatise on Cold Damage Formula-syndrome differentiation Traditional Chinese medicine nursing
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