中华中医药杂志(原中国医药学报)2023年2月第38卷第2期CJTCMP,February2023,Vol.38,No.2•754•微观辨证对中医辨证保健理论的启示张倩，王梓仪，黄淑敏，钟森杰，廖晓倩，胡志希（湖南中医药大学，长沙410208）摘要：中医辨证保健是针对亚健康人群提出的一种中医理论指导和思想方法，与中医“治未病”的思想契合。但部分亚健康人群常无明显伴随症状或异常体征，存在无证可辨的情况，难以实施中医辨证治疗。微观辨证作为传统中医四诊的延伸和发展，可以从微观层面识别亚健康状态，辅助中医辨证，从而提高中医辨证的客观性和准确性。通过对目前亚健康状态的微观指标研究进行分析，发现微观辨证在辨证保健中的问题，尝试提出解决方案，以期帮助微观辨证在中医辨证保健中得到更好的应用和发展。关键词：微观辨证；亚健康状态；辨证保健；微观指标基金资助：国家自然科学基金项目（No.82274412），广东省重点领域研发计划项目（No.2020B1111100001），2022年湖南中医药大学研究生创新课题项目（No.2022CX01，No.2022CX03）EnlightenmentofmicroscopicsyndromedifferentiationtothehealthcaretheoryoftraditionalChinesemedicinesyndromedifferentiationZHANGQian,WANGZi-yi,HUANGShu-min,ZHONGSen-jie,LIAOXiao-qian,HUZhi-xi(HunanUniversityofChineseMedicine,Changsha410208,China)Abstract:TraditionalChinesemedicine(TCM)syndromedifferentiationhealthcareisatheoreticalguidanceandmethodologyofTCMforthesub-healthpopulation,whichisconsistentwiththethoughtof‘preventivetreatmentofdisease’ofTCM.However,somesub-healthpatientsoftenhavenoobviousaccompanyingsymptomsorabnormalsigns.ThisisasituationwherethereisnoTCMsyndrometodistinguish,soitisdifficulttoimplementTCMsyndromedifferentiationtreatment.AstheextensionandthedevelopmentofthefourtraditionaldiagnosticmethodsofTCM,microscopicsyndromedifferentiationcanidentifysub-healthstatusandassistTCMsyndromedifferentiationfromthemicroscopiclevel,thusimprovingtheobjectivityandaccuracyofTCMsyndromedifferentiation.Throughanalyzingthecurrentresearchonthemicro-indicatorsofsub-healthstatus,wefindtheproblemsofmicroscopicsyndromedifferentiationintheTCMsyndromedifferentiationhealthcareandtrytoputforwardthesolutionsinordertohelpthemicroscopicsyn...
