Theoretical exploration of "Five Differentiations" in traditional Chinese medicine for preventive treatment

FAN Chunxiang; LI Pengfan; YU Donghai

doi:10.16305/j.1007-1334.2025.2312063

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Theoretical exploration of "Five Differentiations" in traditional Chinese medicine for preventive treatment

更新时间：2024-12-31

- Theoretical exploration of "Five Differentiations" in traditional Chinese medicine for preventive treatment
- Shanghai Journal of Traditional Chinese Medicine Vol. 59, Issue 1, Pages: 28-32(2025)
- 作者机构：
  
  1.复旦大学附属浦东医院（上海 201399）
  2.上海市浦东新区中医医院（上海 201205）
- 作者简介：
- 基金信息：
- DOI：10.16305/j.1007-1334.2025.2312063
  CLC：
- Published：10 January 2025，
  
  Received：14 December 2023，
- 稿件说明：
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范春香,李鹏帆,郁东海.中医治未病“五辨”理论发微[J].上海中医药杂志,2025,59(1):28-32.

FAN Chunxiang,LI Pengfan,YU Donghai.Theoretical exploration of "Five Differentiations" in traditional Chinese medicine for preventive treatment[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(1):28-32.
范春香,李鹏帆,郁东海.中医治未病“五辨”理论发微[J].上海中医药杂志,2025,59(1):28-32. DOI： 10.16305/j.1007-1334.2025.2312063.

FAN Chunxiang,LI Pengfan,YU Donghai.Theoretical exploration of "Five Differentiations" in traditional Chinese medicine for preventive treatment[J].Shanghai Journal of Traditional Chinese Medicine,2025,59(1):28-32. DOI： 10.16305/j.1007-1334.2025.2312063.

摘要

中医治未病“五辨”理论乃上海市浦东新区卫生健康委员会十余年“治未病”工作积淀，“五辨”理论乃治未病的核心特征，即在“辨证”理论指导下进行“辨体、辨症、辨病、辨变”。辨证论治，总体指导，辨明轻重缓急、真假主次；辨体论治，首辨体质，再辨男女、长幼、习性；辨症论治，注重宏观、中观、微观之三观并重；辨病论治，参合古今、辨明标本先后及病程新久；辨变论治，明辨病位、病性、病势之变。并附验案1则。

Abstract

The "Five Differentiations" theory in traditional Chinese medicine （TCM） for preventive treatment is the result of accumulated work over a decade by the Health Commission of Pudong New Area， Shanghai. The "Five Differentiations" theory is the core characteristic of preventive treatment， conducted under the guidance of "syndrome differentiation". It includes differentiating constitution， symptoms， diseases， and changes. The principle of syndrome differentiation and treatment serves as the overall guidance， distinguishing between severity， urgency， authenticity， and priority. Constitution differentiation and treatment prioritizes identifying the patient's constitution， followed by differentiations of gender， age， and habits. Symptom differentiation and treatment emphasizes a comprehensive approach， integrating macro， meso， and micro-level differentiations. Disease differentiation and treatment combines ancient and modern medical knowledge to distinguish between primary and secondary factors， and to determine the duration and whether the disease is acute or chronic. Change differentiation and treatment clearly identifies changes in the location， nature， and progression of the disease. One proven case is presented.

关键词

治未病辨证辨体辨症辨病辨变中医理论中医药疗法

Keywords

preventive treatmentsyndrome differentiationdistinguishing constitutiondistinguishing symptomsdistinguishing diseasesdistinguishing changestraditional Chinese medicine theorytraditional Chinese medicine therapy

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