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中医诊断学

《中医诊断学》

作者: 杨维益,孟繁
版权: 学苑出版社
出版:
浏览量: 1069
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页数: 574
ISBN 7-5077-1271-0
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《中医诊断学》内容包括Chapter 1  Introduction ,Section 1  The Main Contents of Diagnostics of TCM,Section 2  The Principles of Diagnosis in TCM等。

目录:
 Chapter 1 Introduction 1
 Section 1 The Main Contents of Diagnostics of TCM 2
 Ⅰ.Diagnostic Method 2
 Ⅱ.Syndrome Differentiation 4
 Section 2 The Principles of Diagnosis in TCM 5
 Ⅰ.Holism 5
 Ⅱ.Applying Four Diagnostic Methods in Combination 7
 Ⅲ.Differentiating the Syndrome of a Disease 8
 Section 3 The Brief History of TCM Diagnostics 9
 Chapter 2 Observation 17
 Section 1 Observing Vitality, Color, Figure and Posture 17
 Ⅰ.Vitality 18
 Ⅱ.Color 22
 Ⅲ.Figure 29
 Ⅳ.Posture 32
 Section2Local Observation 33
 Ⅰ.Head Observation 33
 Ⅱ.Face Observation 34
 Ⅲ.Hair Observation 34
 Ⅳ.Eye Observation 35
 Ⅴ.Ear Observation 38
 Ⅵ.Nose Observation 38
 Ⅶ.Lip Observation 39
 Ⅷ.Tooth and Gum Observation 39
 Ⅸ.Throat Observation 40
 Ⅹ.Neck Observation 40
 Ⅺ.Chest and Abdomen Observation 41
 Ⅻ.Lumbus and Back Observation 42
 ⅩⅢ.Limb Observation 42
 ⅩⅣ.Genital and Anus Observation 45
 ⅩⅤ.Skin Observation 46
 Section 3 Observation of Excreta 50
 Ⅰ.Observing sputum, Saliva, Nasal Discharge and Spittle Ⅱ. Observingitus 51
 Section 4 Tongue Observation 51
 Ⅰ.The Relation Between Tongue and Viscera 52
 Ⅱ.Significance of Tongue Inspection 52
 Ⅲ.Special Attentions on Tongue Observation 54
 Ⅳ.Concrete Contents of Tongue Diagnosis 55
 1Tongue Texture 56
 2Tongue Coating 64
 3Combining Consideration of Tongue Texture and Coating 72
 4Tongue Picture in Critical Conditions 76
 Section5ModernResearchonObservation 77
 Ⅰ . Facial Color Observation 77
 Ⅱ.Eye Observation 78
 Ⅲ.Ear Observation 79
 Ⅳ.Nose Examination 80
 Ⅴ.Mouth and Lip Observation 80
 Ⅵ.Tongue Examination 81
 Ⅶ.Hand Examination 84
 Ⅷ.Acupoint Examination 84
 Chapter 3 Auscultation and Olfaetion 86
 Section 1 Auscultation 86
 Ⅰ.Voice 86
 Ⅱ.Speech 88
 Ⅲ. Respiration 89
 Ⅳ. Cough 90
 Ⅴ. Vomiting 91
 Ⅵ. Hiccup 92
 Ⅶ. Belching 92
 Ⅷ. Sigh 92
 Ⅸ. Sneeze 93
 Ⅹ. Bowel Rumbling 93
 Section 2 Olfaction 94
 ⅠSputum and Nasal Discharge 94
 Ⅱ.Odor of Mouth 94
 Ⅲ.Sweat 94
 Ⅳ.Odor of Body 95
 Ⅴ.Menstrual Blood and Vaginal Discharge 95
 Ⅵ.Stool and Urine 95
 Ⅶ.Vomit 95
 Ⅷ.Odor of Ward 95
 Chapter 4 Interrogation 96
 Section 1 The Purpose and Method of Interrogation 96
 Ⅰ.The Purpose of Interrogation 96
 Ⅱ.The Method of Interrogation 97
 Section2The Contents of Interrogation 97
 ⅠGeneral Data 98
 Ⅱ.Life Style and Process 98
 Ⅲ.Family History and Anamnesis 100
 Ⅳ.Chief Complaint 100
 Ⅴ.History of Present Disease 101
 Chapter 5Palpation 135
 Section1Pulse Examination 135
 Ⅰ.Location for Pulse Examination 137
 Ⅱ.The Method of Pulse-Reading 143
 Ⅲ.Normal Pulse 146
 Ⅳ. Morbid Pulse 149
 Ⅴ. Key Points for Pulse-taking and Distinguishing among Morbid Pulses Ⅵ.ulse and Infant Pulse 172
 Ⅶ. Compound Pulse and Solitary Pulse 174
 Ⅷ. Between Pulse and Symptoms 175
 Section 2 Body Palpation 178
 Ⅰ.Method of Body Pressing 178
 Ⅱ.The Main Content 179
 Section 3 The Modern Research On Pulse-Reading 188
 Ⅰ.Objectifying of Pulse-Reading 188
 Ⅱ.Analysis Method of Sphygmograph 189
 Ⅲ.Mechanism of Pulse Formation 190
 Ⅳ. Clinical Research of Pulse 190
 Chapter 6 The Eight Principle Syndrome Differentiation 192
 Section 1 Syndrome Differentiation on the Yin and Yang 193
 Ⅰ.Yin Syndrome and Yang Syndrome 193
 Ⅱ.Yin Deficiency and Yang Deficiency 195
 Ⅲ.Yang Depletion and Yin Depletion 196
 Ⅳ.Yin Rebellion and Yang Rebellion 198
 Section 2 Syndrome Differentiation on Exterior and Interior 199
 Ⅰ.Exterior Syndrome and Interior Syndrome 199
 Ⅱ.Syndrome of Both Exterior and Interior 201
 Ⅲ. Entering and Exiting 202
 Section 3 Syndrome Differentiation on Cold and Heat 203
 Ⅰ.Cold Syndrome and Heat Syndrome 204
 Ⅱ.Coexistence of Cold and Heat 207
 Ⅲ.Inter-Transformation Between Cold and Heat 207
 Ⅳ.True and False of the Cold and Heat 208
 Section 4 Syndrome Differentiation on Deficiency and Excess 209
 Ⅰ.Deficiency and Excess Syndromes 210
 Ⅱ.Coexistence of Deficiency and Excess 213
 Ⅲ.Inter-Transformation Between Deficiency and Excess 213
 Ⅳ.True and False of the Deficiency and Excess 214
 Section 5 The Modern Research on the Eight Principle Syndrome Differentiation 216
 Chapter 7 Etiological Syndrome Differentiation 217
 Section 1 Six Evils 217
 Ⅰ . Wind Syndrome 218
 Ⅱ. Cold Syndrome 220
 Ⅲ. Summer-Heat Syndrome 221
 Ⅳ. Dampness Syndrome 223
 Ⅴ. Dryness Syndrome 224
 Ⅵ. Fire Syndrome 225
 Section 2 Pestilential Evils 226
 Section 3 Seven Emotions 228
 Section 4 Improper Diet and Overwork 230
 Ⅰ.Food-Retention 230
 Ⅱ.Overwork 231
 Section 5 Parasites and Surgical Trauma 232
 Ⅰ.Parasites 232
 Ⅱ.Trauma 233
 Chapter 8 Qi, Blood and Body-Fluid Syndrome Differentiation 234
 Section 1 Qi Syndrome Differentiation 234
 Ⅰ.Deficiency of Qi 234
 Ⅱ.Qi Sinking 235
 Ⅲ.Stagnation of Qi 235
 Ⅳ.Rebellion of Qi 236
 Section 2 Blood Syndrome Differentiation 236
 Ⅰ.Deficiency of Blood 237
 Ⅱ.Bleeding Syndrome 237
 Ⅲ.Blood-Heat Syndrome 238
 Ⅳ.Blood Stasis Syndrome 238
 Ⅴ. Blood-Cold Syndrome 239
 Section 3 Syndrome Differentiation of Both Qi and Blood 239
 Ⅰ.Qi Deficiency and Blood Stasis 239
 Ⅱ.Qi Stagnation and Blood Stasis 240
 Ⅲ.Deficiency of Both Qi and Blood 240
 Ⅳ.Failure of Qi to Control Blood 240
 Ⅴ.Qi Depletion Resulting from Hemorrhage 240
 Section 4 Syndrome Differentiation of Body Fluid 241
 Ⅰ.Deficiency of Body Fluid 241
 Ⅱ.Retention of Body Fluid 242
 Section 5 Modern Research on Qi, Blood and Body-Fluid Syndrome Differentiation 246
 Chapter 9 Visceral Syndrome Differentiation 248
 Section 1 Syndrome Differentiation on Liver and Gallbladder 249
 Ⅰ.Liver Qi Stagnation and Liver Qi Transverse Invasion 252
 Ⅱ.Liver Fire Flaming Up Excess Fire in the Liver and Gallbladder 253
 Ⅲ.Ascending Hyperactivity of Liver Yang 254
 Ⅳ.Liver Blood Deficiency 255
 Ⅴ.Liver Yin Deficiency 255
 Ⅵ.Liver Wind Stirring Internally 256
 Ⅶ.Retention of Cold in Liver Meridian 258
 Ⅷ.Liver Qi Deficiency and Liver Yang Deficiency 259
 Ⅸ.Damp-Heat in Liver and Gallbladder 260
 Ⅹ. Gallbladder Stagnation due to Phlegm Disturbance 261
 Section 2 Syndrome Differentiation on Heart and Small Intestine 263
 Ⅰ.Heart Qi Deficiency , Heart Yang Deficiency and Loss of Heart Yang 264
 Ⅱ.Heart Blood Deficiency 265
 Ⅲ.Heart Yin Deficiency 266
 Ⅳ.Blood Stasis in Heart 266
 Ⅴ.Fire Blazing in Heart 268
 Ⅵ.Heart Disturbed by Phlegm-Fire 268
 Ⅶ.Phlegm Covering Heart Orifices 269
 Section 3Syndrome Differentiation on Spleen and Stomach 270
 Ⅰ.Spleen Qi Deficiency 272
 Ⅱ.Spleen Qi Sinking 272
 Ⅲ.Failure of Spleen to Control Blood 273
 Ⅳ.Spleen Yang Deficiency 274
 Ⅴ.Spleen Encumbered by Cold-Dampness 275
 Ⅵ.Stomach Cold 276
 Ⅶ.Damp-Heat in Spleen and Stomach 277
 Ⅷ.Stomach Heat 278
 Ⅸ.Stomach Yin Deficiency 278
 Ⅹ.Spleen Yin Deficiency 279
 Ⅺ.Food-Retention in Stomach 280
 Ⅻ.Blood Stasis in Stomach 281
 Section 4 Syndrome Differentiation on Lung and Large Intestine 281
 Ⅰ.Lung Qi Deficiency 282
 Ⅱ. Lung Yin Deficiency 283
 Ⅲ.Wind-Cold Attacking Lung 284
 Ⅳ.Cold in Lung 284
 Ⅴ.Phlegm and Fluid-Retention in Lung 285
 Ⅵ.Wind-Heat in Lung 286
 Ⅶ.Lung Clogged with Heat 286
 Ⅷ.Dryness in Lung 287
 Ⅸ. Damp-Heat in Large Intestine 288
 Ⅹ. Deficiency-Cold of Large Intestine 289
 Ⅺ. Loss of Large Intestine Fluid 289
 Section 5 Syndrome Differentiation on Kidney and Urinary Bladder 290
 Ⅰ.Kidney Yang Deficiency 291
 Ⅱ.Kidney Yin Deficiency 292
 Ⅲ.Kidney Essence Insufficiency 293
 Ⅳ.Unconsolidation of Kidney Qi 294
 Ⅴ.Failure of Kidney to Receive Qi 294
 Ⅵ.Damp-Heat in Urinary Bladder 296
 Section 6 Syndrome Differentiation on Compound Visceral Syndromes 297
 Ⅱ.Qi Deficiency of Both Heart and Lung 297
 Ⅱ.Deficiency of Both Heart and Spleen 298
 Ⅲ.Blood Deficiency in Both Heart and Liver 299
 Ⅳ.Yang Deficiency of Both Heart and Kidney 299
 Ⅴ.Disharmony Between Heart and Kidney 300
 Ⅵ.Qi Deficiency of Both Lung and Spleen 301
 Ⅶ.Aggression on Lung by Liver Fire 302
 Ⅷ.Yin Deficiency of Both Lung and Kidney 302
 Ⅸ.Yang Deficiency of Both Spleen and Kidney 303
 Ⅹ.Disharmony Between Liver and Spleen 304
 Ⅺ.Disharmony Between Liver and Stomach 305
 Ⅻ.Liver and Kidney Yin Deficiency 306
 Section 7 The Modern Research on Visceral Syndrome Differentiation 306
 Chapter 10 Meridian Syndrome Differentiation 309
 Section 1 Syndromes of the Twelve Regular Meridians 310
 Ⅰ.Syndrome of Lung Meridian of Hand-Taiyin 313
 Ⅱ.Syndrome of Large Intestine Meridian of Hand-Yangming 313
 Ⅲ.Syndrome of Stomach Meridian of Foot-Yangming 314
 Ⅳ.Syndrome of Spleen Meridian of Foot-Taiyin 314
 Ⅴ.Syndrome of Heart Meridian of Hand-shaoyin 315
 Ⅵ.Syndrome of Small Intestine Meridian of Hand-Taiyang 315
 Ⅶ.Syndrome of Urinary Bladder Meridian of Foot-Taiyang 316
 Ⅷ.Syndrome of Kidney Meridian of Foot-shaoyin 316
 Ⅸ.Syndrome of Pericardium Meridian of Hand-Jueyin 317
 Ⅹ.Syndrome of Triple-Jiao Meridian of Hand-Shaoyang 317
 Ⅺ.Syndrome of Gallbladder Meridian of Foot-Shaoyang 318
 Ⅻ.Syndrome of Liver Meridian of Foot-Jueyin 318
 Section 2 Syndromes of the Eight Extra Meridians 319
 ⅠSyndrome of Du Governor Meridian 319
 ⅡSyndrome of Ren Conception Meridian 320
 Ⅲyndrome of Chong Meridian 321
 Ⅳ Syndrome of Dai Meridian 321
 Ⅴ Syndrome of Yangwei and Yinwei Meridian 322
 Ⅵ Syndrome of Yangqiao and Yinqiao Meridian 323
 Chapter 11 Syndrome Differentiation of Exogenous Diseases 328
 Section 1 The Six Meridian Syndrome Differentiation 331
 ⅠTaiyang Syndrome 332
 ⅡShaoyang Syndrome 336
 ⅢYangming Syndrome 337
 ⅣTaiyin Syndrome 338
 ⅤShaoyin Syndrome 339
 ⅥJueyin Syndrome 341
 Section 2 Wei-Qi-Ying-Xue Defence-Qi-Nutrient-Blood Syndrome Differentiation 344
 Ⅰ.Wei Phase Syndrome 346
 Ⅱ.Qi Phase Syndrome 346
 Ⅲ.Ying Phase Syndrome 348
 Ⅳ.Xue Phase Syndrome 349
 Appendix:Modern Researches on Wei-Qi-Ying-Xue Syndrome DifferentiationSection 3 Triple-Jiao Syndrome Differentiation 352
 Ⅰ.Upper-Jiao Syndrome 353
 Ⅱ.Middle-Jiao Syndrome 354
 Ⅲ. Lower-Jiao Syndrome 355
 Chapter 12 Medical Record 359
 Section 1 The Attentive Items for Writing Medical Record 359
 Section 2 The Content of Medical Record 360
 第一章绪论375
 第一节中医诊断学的基本内容375
 一、诊法375
 二、辨证376
 第二节中医诊断疾病的基本原则377
 一、整体观念377
 二、四诊合参377
 三、辨别病证378
 第三节中医诊断学简史378
 第二章望诊382
 第一节望神色形态382
 一、望神382
 二、望色384
 三、望形体387
 四、望姿态388
 第二节望局部388
 第三节望排出物395
 第四节望舌395
 一、舌与脏腑的关系396
 二、舌诊的临床意义396
 三、舌诊时的注意事项397
 四、舌诊的内容397
 (一)望舌质397
 (二)望舌苔401
 (三)望舌质合舌苔404
 (四)危重舌象406
 第五节望诊的现代研究进展406
 一、面部色诊406
 二、目诊407
 三、耳诊407
 四、鼻诊407
 五、望口、唇407
 六、舌诊408
 七、手诊409
 八、穴位诊409
 第三章闻诊411
 第一节听声音411
 一、声音411
 二、语言412
 三、呼吸412
 四、咳嗽413
 五、呕吐413
 六、呃逆413
 七、嗳气413
 八、太息413
 九、喷嚏414
 十、肠鸣414
 第二节嗅气味414
 一、痰与涕414
 二、口气414
 三、汗414
 四、身414
 五、经带414
 六、二便414
 七、呕吐物415
 八、病室气味415
 第四章问诊416
 第一节问诊之目的与方法416
 一、问诊之目的416
 二、问诊的方法416
 第二节问诊的内容417
 一、一般情况417
 二、生活史417
 三、家族史与既往史418
 四、主症418
 五、现病史418
 第五章切诊433
 第一节脉诊433
 一、诊脉部位434
 二、诊脉方法437
 三、正常脉象438
 四、病脉与主病440
 五、诊脉要点与鉴别450
 六、诊妇女与小儿脉452
 七、相兼脉象与独异脉象主病453
 八、脉与症的关系453
 第二节按诊455
 一、按诊的方法455
 二、按诊的内容456
 第三节切诊的现代研究进展460
 一、脉诊客观化的研究460
 二、脉图分析方法的建立460
 三、脉象形成机理的研究460
 四、脉诊的临床研究461
 第六章八纲辨证462
 第一节阴阳辨证462
 一、阴证与阳证462
 二、阴虚证与阳虚证463
 三、亡阴与亡阳464
 四、阴厥与阳厥465
 第二节表里辨证465
 一、表证与里证465
 二、表里同病466
 三、表里出入467
 第三节寒热辨证467
 一、寒证与热证468
 二、寒热错杂469
 三、寒热转化470
 四、寒热真假470
 第四节虚实辨证471
 一、虚证与实证472
 二、虚实错杂473
 三、虚实转化473
 四、虚实真假473
 第五节八纲辨证的现代研究进展474
 第七章病因辨证476
 第一节六淫476
 一、风证476
 二、寒证477
 三、暑证478
 四、湿证479
 五、燥证480
 六、火证480
 第二节疫疠481
 第三节七情482
 第四节饮食劳倦483
 一、食积483
 二、劳倦484
 第五节虫证、外伤485
 一、虫证485
 二、外伤485
 第八章气血津液辨证486
 第一节气病辨证486
 一、气虚证486
 二、气陷证486
 三、气滞证487
 四、气逆证487
 第二节血病辨证488
 一、血虚证488
 二、失血证488
 三、血热证488
 四、瘀血证489
 五、血寒证489
 第三节气血同病辨证489
 一、气虚血瘀证490
 二、气滞血瘀证490
 三、气血两虚证490
 四、气不摄血证490
 五、气随血脱证490
 第四节津液病辨证491
 一、津液不足证491
 二、津液不化证491
 第五节气血津液辨证的现代研究进展494
 第九章脏腑辨证496
 第一节肝与胆病辨证496
 一、肝气郁结与肝气横逆证498
 二、肝火上炎证498
 三、肝阳上亢证498
 四、肝血虚证499
 五、肝阴虚证499
 六、肝风内动证499
 七、寒滞肝脉证500
 八、肝气虚与肝阳虚证500
 九、肝胆湿热证501
 十、胆郁痰扰证501
 第二节心与小肠病辨证502
 一、心气虚、心阳虚与心阳暴脱证503
 二、心血虚证503
 三、心阴虚证504
 四、心血瘀阻证504
 五、心火亢盛证505
 六、痰火扰心证505
 七、痰迷心窍证506
 第三节脾与胃病辨证506
 一、脾气虚证507
 二、脾气下陷证507
 三、脾不统血证508
 四、脾阳虚证508
 五、寒湿困脾证508
 六、胃寒证509
 七、脾胃湿热证509
 八、胃热证510
 九、胃阴虚证510
 十、脾阴虚证510
 十一、食滞胃脘证511
 十二、血瘀胃脘证511
 第四节肺与大肠病辨证511
 一、肺气虚证512
 二、肺阴虚证512
 三、风寒束肺证512
 四、寒邪客肺证513
 五、痰饮停肺证513
 六、风热犯肺证514
 七、热邪壅肺证514
 八、燥邪犯肺证514
 九、大肠湿热证515
 十、大肠虚寒证515
 十一、大肠液亏证515
 第五节肾与膀胱病辨证515
 一、肾阳虚证516
 二、肾阴虚证517
 三、肾精不足证517
 四、肾气不固证517
 五、肾不纳气证518
 六、膀胱湿热证518
 第六节脏腑兼病辨证519
 一、心肺气虚证519
 二、心脾两虚证519
 三、心肝血虚证520
 四、心肾阳虚证520
 五、心肾不交证520
 六、肺脾气虚证521
 七、肝火犯肺证521
 八、肺肾阴虚证521
 九、脾肾阳虚证521
 十、肝脾不调证522
 十一、肝胃不和证522
 十二、肝肾阴虚证522
 第七节脏腑辨证的现代研究进展523
 第十章经络辨证525
 第一节十二经脉病证525
 第二节奇经八脉病证531
 第十一章外感病辨证534
 第一节六经辨证535
 一、太阳病证535
 二、少阳病证537
 三、阳明病证537
 四、太阴病证538
 五、少阴病证538
 六、厥阴病证539
 第二节卫气营血辨证539
 一、卫分证540
 二、气分证540
 三、营分证541
 四、血分证541
 附:卫气营血辨证的现代研究进展542
 第三节三焦辨证543
 一、上焦病证543
 二、中焦病证544
 三、下焦病证544
 第十二章病案547
 第一节书写病案的注意事项547
 第二节病案书写的内容547

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