童天昊 周小青 李金霞

    摘要 构建诊断与理法方药紧密契合的诊疗体系，从而实现诊断与治疗的精准化，是中医药领域发展的必然趋势。以主诉诊疗学作为切入点，从四诊合参、关联分析等方面展开论述，提出主证精细深入分析、主证横/纵向分析等研究思路与对策，以期优化中医临床诊断思路，为临床路径提供决策参考。

    关键词 中医诊断;中医主诉诊疗;四诊合参;关联分析;临床诊疗路径;症对;精准诊断;精准施治

    Abstract It is an inevitable trend in the development of traditional Chinese medicine(TCM)to build a diagnosis and treatment system that closely accords with the principle-method-recipe-medicines in order to achieve precise diagnosis and treatment.This paper takes the chief complaint diagnosis and treatment as the entry point and discusses the synthesis of the 5 diagnostic methods and association analysis.It proposes research ideas and measures such as precise-depth analysis of the main symptoms and horizontal/vertical analysis of the main symptoms to optimize the clinical diagnosis of TCM paths and to provide decision-making reference for the clinical pathway.

    Keywords Diagnosis of traditional Chinese medicine; Chief complaint diagnosis and treatment; Synthesis of the 4 diagnostic methods; Association analysis; Clinical diagnosis and treatment path; Coupled symptoms; Accurate diagnosis; Precise treatment ......