{"id":9184,"date":"2024-06-06T01:50:57","date_gmt":"2024-06-06T01:50:57","guid":{"rendered":"https:\/\/tcmdrma.com\/%e4%bb%8e%e6%b2%bb%e5%a4%96%e6%84%9f%e5%a6%82%e5%b0%86%ef%bc%8c%e6%b2%bb%e5%86%85%e4%bc%a4%e5%a6%82%e7%9b%b8%e8%b0%88%e6%82%a3%e8%80%85%e8%af%a5%e5%a6%82%e4%bd%95%e9%85%8d%e5%90%88\/"},"modified":"2025-05-09T11:08:33","modified_gmt":"2025-05-09T01:08:33","slug":"%e4%bb%8e%e6%b2%bb%e5%a4%96%e6%84%9f%e5%a6%82%e5%b0%86%ef%bc%8c%e6%b2%bb%e5%86%85%e4%bc%a4%e5%a6%82%e7%9b%b8%e8%b0%88%e6%82%a3%e8%80%85%e8%af%a5%e5%a6%82%e4%bd%95%e9%85%8d%e5%90%88","status":"publish","type":"post","link":"https:\/\/tcmdrma.com\/zh-hans\/%e4%bb%8e%e6%b2%bb%e5%a4%96%e6%84%9f%e5%a6%82%e5%b0%86%ef%bc%8c%e6%b2%bb%e5%86%85%e4%bc%a4%e5%a6%82%e7%9b%b8%e8%b0%88%e6%82%a3%e8%80%85%e8%af%a5%e5%a6%82%e4%bd%95%e9%85%8d%e5%90%88\/","title":{"rendered":"\u4ece\u201c\u6cbb\u5916\u611f\u5982\u5c06\uff0c\u6cbb\u5185\u4f24\u5982\u76f8\u201d\u8c08\u60a3\u8005\u8be5\u5982\u4f55\u914d\u5408\u533b\u751f\u7684\u6cbb\u7597"},"content":{"rendered":"

真正的中医治病是非常讲究谋略的。患者应该了解医生是怎么治病的，才知道该如何去配合。<\/p>\n

吴鞠通在《温病条辨》卷四“治病法论”中说：治外感如将，兵贵神速，机圆法活，去邪务尽，善后务细，盖早平一日，则人少受一日害；治内伤如相，坐镇从容，神机默运，无功可言，无德可见，而人登寿域。<\/p>\n

治疗外感病，宜早宜快，比如现在的新冠肺炎，一有苗头就应该就医，在外邪深入之前，尽量把它阻挡到卫分的浅表阶段，这样治疗上就会事半功倍。外感病的特点，包括伤寒和温病，都是传变迅速，所以遣方用药必须快。一个治疗外感病的方不应该用超过三天。临床中，一日根据病情变化而调一两次方都属于正常。从这个角度，患者就能理解，为什么我治外感病开方不会超过三天。这些都是中医的祖训，也是当代中医应该遵循的原则。同时，患者也才能理解疫情期间自行囤一堆药是不明智的，达不到最优治疗效果，还可能贻误病机。<\/p>\n

外感病还有个需要注意的，就是“去邪务尽，善后务细”。有些外感病，症状没有了，但脉象还能看到余邪，这个时候治疗应该继续；有些外感病，由于拖了很久没好，邪去了，但是正已经伤了，这个时候应该继续从扶正的角度治疗，才能收到最佳效果。这是需要患者积极就诊，主动沟通才能达成的效果。<\/p>\n

再来看内伤病，我的一位老师强调要用“王道之法”。所谓“王道无近功”，切忌在治疗内伤病的时候急功近利，为了一个短期疗效，损伤长期的气血健康。现在大部分找我来看的内伤病，都是虚实夹杂，实的部分需要攻，虚的部分需要补。这个时候，需要的就是医者的谋略，补几分，攻几分，攻补的时机在哪里等等都需要通盘考虑，这就是所谓的“坐镇从容，神机默运”。同时，需要患者改变不良生活习惯，紧密配合。如果患者不理解这些，只是求快，其实就相当于破了医生运筹的布局。内伤病治疗的前期，很可能就是“无功可见，无德可见”，也就是说看不到患者心里期待“明显”的变化，这个时候既考验医者的定力，也考验患者的智慧。医者一看好像患者说没效，如果定力不足肯定要换方了。患者一看没效，心里一定会嘀咕我这有没有找对医生？这些都属于常见，双方的智慧都在这个时候体现，我在之后的医案分享中也会分析一则病案。但是，从医生来讲，务必要有此坚持，才可能使患者“人登寿域”，也就是帮助患者获得长久的健康，长命百岁。患者千万不要以为一直不生病的人就长寿，老是病病痛痛的人就短寿，用心去找到一个合适的医生，完全可以在患者生命的各个阶段起到重要的助力作用。<\/p>\n

最后，患者需要认清医生的作用是“将”和“相”，君王还是你自己，打仗所仰仗的兵也是你自己的气血。如果君王不具足智慧，就找不到合适的将相来帮你；如果你的士兵都是老弱病残，你就要有足够的耐心授权给你的将相，先把自己的军队调教的强大起来，再带兵打仗，方能无往而不利。<\/p>\n

 <\/p>\n

（注：本文中所有提及到的“医生”都特指在你身边能确切理解你身体状况的有水平的中医，否则就无从谈起。）<\/p>\n","protected":false},"excerpt":{"rendered":"

真正的中医治病是非常 […]<\/p>\n","protected":false},"author":1,"featured_media":9185,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[74],"tags":[],"class_list":["post-9184","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-74"],"acf":[],"uagb_featured_image_src":{"full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-150x150.jpg",150,150,true],"medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-300x180.jpg",300,180,true],"medium_large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"1536x1536":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"2048x2048":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"blog-large":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",453,272,false],"blog-medium":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-320x192.jpg",320,192,true],"recent-posts":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"recent-works-thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-66x40.jpg",66,40,true],"fusion-200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-200x120.jpg",200,120,true],"fusion-400":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-400x240.jpg",400,240,true],"fusion-600":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"fusion-800":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"fusion-1200":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"portfolio-full":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"portfolio-one":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-540x324.jpg",453,272,true],"portfolio-two":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-460x276.jpg",460,276,true],"portfolio-three":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-300x180.jpg",300,180,true],"portfolio-five":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-177x106.jpg",177,106,true],"woocommerce_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-500x300.jpg",500,300,true],"woocommerce_single":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06.jpg",600,360,false],"woocommerce_gallery_thumbnail":["https:\/\/tcmdrma.com\/wp-content\/uploads\/2024\/06\/\u6cbb\u5916\u611f\u5982\u5c06-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"Max Ma","author_link":"https:\/\/tcmdrma.com\/zh-hans\/author\/tcmdrma-com\/"},"uagb_comment_info":0,"uagb_excerpt":"真正的中医治病…","_links":{"self":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9184","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/comments?post=9184"}],"version-history":[{"count":1,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9184\/revisions"}],"predecessor-version":[{"id":13894,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/posts\/9184\/revisions\/13894"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media\/9185"}],"wp:attachment":[{"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/media?parent=9184"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/categories?post=9184"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tcmdrma.com\/zh-hans\/wp-json\/wp\/v2\/tags?post=9184"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}