中医的病因学绝对不是摆摆样子。
把临床课程的病因病机部分掌握运用熟练了,后面的分型就用不着了;而若是把基础的理论、技术掌握运用熟练了,临床课程也就用不着了。
病因辨证运用的好,绝大多数病例会有立竿见影的治疗效果。
有一个保健科的病人会诊,本来是会诊神经系统疾病,但是发现肺部感染很重,发烧,咳吐痰稠。
通过诊脉发现患者有积食的脉象,就嘱其家属注意饮食的质和量(患者痴呆),脾为生痰之源嘛。
几天后家属见了我甚是感谢,说听了我的话,饮食清淡后,患者体温已经恢复正常,痰也少多了,用了近一个月的抗生素也停了。
痴呆患者不能诉说自己的病情,病人家属往往也意识不到这种潜在的致病因素,这时候脉诊在认识病因方面的重要性可见一斑。
此外,临床许多的失眠患者,许多是早年落下的病根(病因),不指认清楚并给予解决,失眠是治不好的。
对于这类疾病的治疗,拔掉导火索就行了,人体是个自稳系统。
苦练技术吧,一切技术的掌握都需要时间和摸索,这个过程省不了,人人都一样。
明明白白诊病,清清楚楚用方。
再有就是用真功夫探得实质,用大白话讲出来,而不是套用经典。
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