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Model essay on integrated Chinese and western medicine (2)
On the integration of traditional Chinese and western medicine in the new period
2 1 century is bound to be a century in which the integration of traditional Chinese and western medicine flourishes, and it is also a combination of traditional medicine and modern medicine for all mankind? Combined medicine? A prosperous century. Promoting and realizing the integration of traditional Chinese and western medicine is the direction and lofty goal of medical development in China, and it is the common historical mission of medical and health workers and scientific and technological workers in China.
What is the definition of integrated traditional Chinese and western medicine? Comprehensive application of the theories and methods of Chinese and Western medicine, as well as the new theories and methods produced by the mutual infiltration of Chinese and Western medicine, to study the structure and function of human body, the relationship between human body and environment (nature and society), and to explore and solve human health, disease and life problems. ? The combination of traditional Chinese and western medicine is a unique subject in China. It is a new discipline developed on the basis of mutual compatibility, mutual penetration and mutual combination of traditional medicine and modern medicine in China.
The connotation of the combination of traditional Chinese and western medicine should be to compare the similarities and differences of thinking modes, cognitive means and coping measures adopted by the two medical systems in medical practice, absorb their respective strengths, gradually achieve mastery in theoretical systems and complement each other in clinical practice. Modern science helps to understand and clarify the profound theory of traditional Chinese medicine, and the unique understanding of human life phenomena and the unique treatment methods of diseases by traditional Chinese medicine can enrich and enrich the connotation of modern life science. The combination of traditional Chinese and western medicine is the characteristic and highlight of the development of medical cause in China, and it is also our advantage to shorten the gap with developed countries and catch up with the advanced level in the world with our own characteristics.
Currently, foreign countries, right? Combined medicine? The research and investment in NIH 1992 in the United States is increasing year by year. The research funding for the whole alternative medicine is only $2 million. In recent years, the research funding of Chinese medicine in the Massachusetts General Hospital of Harvard University alone has exceeded $6,543.8 billion. Guangdong and other provincial governments have clearly listed Chinese medicine research and integration of traditional Chinese and western medicine as one of the key tasks in the province. All these provide good opportunities for us to actively seek the development of integrated traditional Chinese and western medicine. Faced with such a great opportunity, there are still many things to be done in the work of integrating traditional Chinese and western medicine.
First, the significance of integrated traditional Chinese and western medicine
1. Disease prevention. For example, the prevention of infectious diseases, Chinese medicine in this regard few methods, and western medicine? Vaccine? This method is very effective, simple and convenient.
2. Disease diagnosis. The diagnosis of traditional Chinese medicine is general, abstract and theoretical, while the diagnosis of western medicine is specific, accurate and practical. For example, patients with hypertensive cerebrovascular accidents, Chinese medicine said ok? Stroke? 、? Internal movement of liver wind? Wait, this is really not easy to understand, and it is not easy for patients to accept. To diagnose the disease clearly, it is necessary to apply modern equipment, that is, western medicine inspection methods, such as CT, MRT or DSA.
3. Disease treatment. For a certain disease, we should use the method of combining traditional Chinese and western medicine to think clearly whether the curative effect of traditional Chinese medicine or western medicine is good, and then apply the method with good curative effect to reduce the pain and burden of patients as much as possible.
4. illness rehabilitation. For many diseases, western medicine can only take measures such as strengthening nutrition and functional exercise, relying on the recovery of the human body itself, while Chinese medicine can take rehabilitation measures such as acupuncture and physical therapy. At this time, the rehabilitation measures of traditional Chinese medicine are the best.
Second, the complementary development of theory.
Made in the early days of the People's Republic of China? Integrated traditional Chinese and western medicine? The first step in the integration of traditional Chinese and western medicine is the health policy after 1954 and the real realization of unity and cooperation between China and the West. In the research process of integrated traditional Chinese and western medicine, western learning? Personnel are the main body of integrated traditional Chinese and western medicine research. Later, with the development of formal education in traditional Chinese medicine colleges, more and more people grew up from traditional Chinese medicine to integrated Chinese and western medicine talents by further studying western medicine. What about this talent? Western learning? In contrast, although the foundation of western medicine is not solid enough, but in? Systematic learning, comprehensive mastery? However, traditional Chinese medicine shows some advantages. It is the key to establish modern scientific method as the research method of integrated traditional Chinese and western medicine. Modern scientific methods certainly include modern medical methods. Generally speaking, life science is only the application of non-life science such as physics, chemistry and mathematics in the field of life research. Due to the unity of methodology, the high affinity between modern medicine and developing modern natural science is incomparable to traditional medicine.
In the past two hundred years, the progress of modern science has brought about the rapid development of western medicine. Western medicine has always been committed to exploring physiology and pathology from a microscopic perspective, thus promoting the invention of new therapies and drugs. In the era of post-genomics, the biomedical community realized that genes can't determine everything, so it joined protein genomics and metabonomics to help people understand the operation mode of this complex system, from genes to protein to tissues and organs to the human body. The development of its therapeutic methods can be attributed to targeted therapy for genes or some molecules, representative drugs and so on.
Therefore, most scholars believe that Chinese medicine should learn from western medicine, open the black box and explore the yin-yang essence of viscera and meridians, which is equivalent to the system, organs, functions and even molecules of western medicine. Prescription therapy can not only show the clinical curative effect, but also be verified by experiments from the molecular mechanism, thus showing that a certain theory of traditional Chinese medicine is scientific and taking it as the primary task of integrating traditional Chinese and western medicine. Since the 1970s, Chinese and western medicine circles have been making the above efforts, and achieved many achievements, such as the research on kidney essence, the material basis of yin and yang, and the essence of meridians.
Third, evaluate the curative effect of traditional Chinese medicine with the method of western medicine.
Specifically, it is to use cohort study and evidence-based medicine to evaluate the efficacy of Chinese medicine and standardize Chinese medicine? Syndrome differentiation? . For example, coronary heart disease belongs to several or even one syndrome type, which is treated with a fixed prescription, and then the curative effect is judged by a randomized double-blind control method. Most scholars believe that this system of unified disease and syndrome and evaluation of prescription and medicine treatment is helpful to objectification of TCM syndromes and repeatability of curative effect.
Does this method distinguish Chinese medicine? Certificate? Does the diagnosis include the characteristics of western medicine? What's wrong with you? The system simplifies the thinking of Chinese medicine, is easy to master, and is convenient for western medicine to use Chinese patent medicines, such as Shenmai needle for treating heart failure and Qingkailing for treating fever. , but also lost the advantages of individualized treatment of traditional Chinese medicine. The core link of TCM diagnosis and treatment is syndrome. Through the patient's performance, we can get what syndrome it belongs to, and then formulate corresponding methods, prescriptions and drugs. If the medicine and evidence are consistent, the expected effect can be obtained. Otherwise, it is necessary to further consider whether the dialectical medication is correct. After successfully treating a patient, similar patients will be considered to use the same principles, methods and prescriptions slightly, and the same type of syndrome can use the same type of prescriptions, represented by Treatise on Febrile Diseases, which is the repeatability of the curative effect of traditional Chinese medicine.
The combination of traditional Chinese and western medicine can be understood as the combination of traditional Chinese medicine theory and western medicine theory, learning from each other's strong points and then applying them to the prevention, diagnosis, treatment and rehabilitation of diseases, so as to better serve people's health; In order to popularize Chinese medicine and prove its curative effect, the effective components of Chinese medicine are studied, that is, the westernization of Chinese medicine, which is also a part of the integration of Chinese and western medicine.
References:
[1] Shen Ziyin. Thinking and practice from the study of kidney essence to the study of syndrome essence ―― The study of integrated traditional Chinese and western medicine has promoted the complementarity of traditional Chinese and western medicine at a higher level. Shanghai Journal of Traditional Chinese Medicine, 2005,34 (4): 47.
[2] Beijing College of Traditional Chinese Medicine. Fundamentals of traditional Chinese medicine [M]. Shanghai: Shanghai Science and Technology Press, 1978.438+005.
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