ABSTRACT
[Objective]To explore the origin, connotation and clinical significance of the similarities and differences in disease treatment.[Methods]Refer to the ancient and modern literature, inquiry, analysis and summary of ancient and modern medicine to confirm the similarities and differences with different treatment, analysis, interpretation of different diseases with the same therapeutic principle and application, combined with clinical cases are discussed. [Results]Similarities and differences in disease treatment originated from"Huang Di Nei Jing"and developed in"Shang Han Za Bing Lun", and through successive generations of doctors in their respective clinical practice continuous use and efficacy, it is very scientific and effective to confirm the similarities and differences of disease treatment as an important method in Chinese medicine treatment. According to the change of pathogenesis of the same disease or different diseases, and to analyze the commonness or particularity of the contradiction, it is adopted the principle and method of different or same treatment. Case 1 diagnosed as metrorrhagia and metrostaxis, case 2 diagnosed as leukorrhagia, a common pathogenesis was developed through TCM syndrome differentiation: impairment of Chong and Ren channels, governance lost control, given the treating different diseases with same method;Case 3 and case 4 were diagnosed as late menstruation, but case 3 identified as asthenia of spleen and stagnation of wetness-evil and deficiency of menstruation, cases 4 diagnosed as Yin-blood deficiency and blood dryness dry, therefore with treating same disease with different methods, good clinical results were achieved. [Conclusion]The similarities and differences of disease are important characteristic of traditional Chinese medicine treatment, TCM is the spirit embodied in the process of clinical diagnosis and treatment, to explore its connotation and significance of clinical guidance, help to inherit and develop the TCM diagnosis and treatment of diseases, so as to better serve the clinic.