The relationship between disease and syndrome has always been the core issue of TCM clinical practice. At the time of clinical consultation, the doctor needs to think about whether he is facing the disease or the syndrome. The relationship between symptoms and illness is also complex and delicate. In order to better help patients, as doctors, we should think deeply about these questions. In the classics of traditional Chinese medicine, whether it is the "Yellow Emperor's Inner Hundred Schools of Assistance Plan" or "Treatise on Typhoid Fever", although it is about illness everywhere, it is often mentioned as evidence. This suggests that disease and syndrome are two different concepts, but they are related to each other. Disease refers to the disease itself, which is the whole process and overall characteristics of the disease. Syndrome, on the other hand, is the manifestation of the disease at a certain stage and the state of the disease at a specific point in time. Therefore, there is a difference between illness and syndrome. In clinical practice, when faced with disease syndromes, doctors need to distinguish and treat the symptoms according to the specific situation. It is necessary to pay attention not only to the disease itself, but also to the individual differences of patients, environmental factors, life Xi habits and other factors. Only with a comprehensive understanding of the condition can a more accurate diagnosis be made. At the same time, it is also necessary to have a clear understanding of the relationship between symptoms and diseases. Symptoms are the manifestation of the patient's subjective feelings, while illness is the essence of the disease. Symptoms can reflect changes in the condition, but they do not necessarily reflect the nature of the disease. Therefore, in the diagnosis and diagnosis, it is not only based on symptoms, but also needs to be combined with other clinical data for comprehensive analysis.
A "syndrome" refers to a group of related symptoms, which is based on the symptoms to determine what the "syndrome" is. In the theory of traditional Chinese medicine, syndrome differentiation and treatment is the core, which is characterized by showing the essence of the disease through symptoms, pulses, and syndromes, and carrying out targeted treatment.
As early as the fifties of the last century, Chinese medicine textbooks began to emphasize the importance of syndrome differentiation and treatment. Judging from the "Treatise on Typhoid Fever", Zhang Zhongjing described in detail the disease, pulse and syndrome of the disease in "Distinguishing the Pulse and Syndrome of Sun Disease and Treatment", if they were the same, it would not be so complicated to write, because the ancients cherished words like gold, and the circulation at that time was very inconvenient.
Therefore, we can deduce that the "syndrome" of TCM is a method of judging the nature of a disease based on symptoms. The accuracy of this method depends on the doctor's accurate observation and judgment of the symptoms, and also requires the doctor to have rich clinical experience and a deep understanding of the disease.
In the clinical practice of traditional Chinese medicine, the "syndrome" is usually obtained through four diagnostic methods: looking, smelling, asking, and cutting. The nature and extent of the disease are determined by observing the patient's demeanor, complexion, tongue coating, etc.;Olfaction is aided by listening to the patient's voice and smelling the patient's odorQuestioning is to ask about the patient's medical history, symptoms, signs and other information to further understand the conditionPalpation is to obtain information such as the patient's pulse and skin touch by means of pulse checking and palpation.
To sum up, "syndrome" is the core of TCM diagnosis, which determines the essence of the disease based on the symptoms, and requires a variety of diagnosis methods to obtain comprehensive disease information. The accuracy and reliability of this method have been verified by long-term clinical practice, and it is an indispensable and important part of TCM theory.
In modern society, with the popularization of the Western education system, more and more people are graduating from foreign schools, and they have less contact with the way of thinking of traditional culture. Therefore, when it comes to the concept of "disease", they often only consider the scope of Western medicine, such as tracheitis, cholecystitis, and so on. However, the understanding of "disease" in Chinese medicine and Western medicine is different.
Illness in Chinese medicine and illness in Western medicine are two completely different concepts. TCM diseases are based on TCM theories and laws, which emphasize the overall balance and harmony of the inside and outside of the human body. Traditional Chinese medicine believes that the interconnections and influences between various organs and tissues within the human body, as well as the interaction between the human body and the external environment, are key factors in the development and development of diseases.
In traditional Chinese medicine, illness is the root of the syndrome, and it is possible to have this syndrome with this disease. This means that symptoms only appear when a disease is present. Many times, people may have developed a certain disease, but the symptoms have not yet fully manifested themselves. Therefore, in clinical practice, doctors need to start from the symptoms, summarize the corresponding syndromes, and pay attention to the nature of the disease behind them.
In addition, TCM also focuses on the classification and diagnosis of diseases such as sun disease and low yin disease. These disease classifications are based on TCM theory and clinical practice, and they help doctors to better understand and ** diseases. Only by grasping the meaning of the disease can we find the origin of the symptoms and truly relieve them.
Therefore, for those doctors who have graduated from the Western Academy, they need to strengthen their understanding and Xi of traditional culture in order to better grasp the theory and diagnosis and treatment methods of Chinese medicine. Only in this way will they be able to provide more comprehensive and effective medical care to their patients.
From the perspective of ancient Chinese medicine, the syndromes and diseases of Chinese medicine have their fixed meanings, and these meanings are completely based on the principles of traditional Chinese medicine. The so-called "rational prescription medicine" in traditional Chinese medicine refers to the process of diagnosing and improving diseases through traditional Chinese medicine theories and methods. These theories and methods are the unique advantages of TCM and an important foundation for the inheritance and development of TCM.
In short, as a doctor, you should think deeply about the relationship between illness and syndrome, as well as the relationship between symptoms and disease. Only in this way can we better help patients and improve the best results.