An Introduction to the New Era of Combined Chinese and Western Medicine
The 21st century will surely be the century of the vigorous development of combined Chinese and Western medicine, as well as the combination of traditional medicine and modern medicine for the whole of mankind? Combined medicine? century of vigorous development. The promotion and realization of the combination of Chinese and Western medicine is the direction and ambitious goal of China's medical development, is our medicine and health workers and scientific and technological workers *** with the historical mission.
The definition of integrated Chinese and Western medicine is: ? The comprehensive use of Chinese and Western medicine theory and method, as well as Chinese and Western medicine cross-penetration of each other in the new theories and new methods, the study of the structure and function of the human body, the relationship between the human body and the environment (nature and society), to explore and solve the problems of human health, disease and life science. The integration of Chinese and Western medicine is a unique discipline in China, which is based on the foundation of Chinese traditional medicine and modern medicine, and a new discipline formed after the mutual compatibility, mutual penetration, and mutual combination of the two.
The connotation of the integration of Chinese and Western medicine should be that by comparing the similarities and differences in the ways of thinking, means of understanding and measures of response adopted by the two systems of medicine in medical practice, and by absorbing their respective strengths, we can gradually achieve a coherent theoretical system and complement each other's strengths in clinical practice. Modern science can help to understand and clarify the profound and complex theories of Chinese medicine, while Chinese medicine's unique understanding of the phenomenon of human life and unique treatment of diseases can enrich and enrich the connotation of modern life sciences. The combination of Chinese and Western medicine is the characteristic and highlight of the development of China's medical career, and it is also the advantage for us to shorten the gap between us and the developed countries in medicine, and catch up with and surpass the world's advanced level with our own characteristics.
At present, foreign countries are interested in ? The research and investment is a rising trend year by year, the United States NIH 1992 for the entire alternative medicine research funding of only 2 million U.S. dollars, and in recent years only the Massachusetts General Hospital of Harvard University for traditional Chinese medicine research funding has been more than 100 million U.S. dollars. Guangdong and other provincial governments have explicitly included Chinese medicine, Chinese and Western medicine research in one of the province's priorities. All these have provided a good opportunity for us to actively pursue the development of integrated Chinese and Western medicines. In the face of such a great opportunity, the work of integrated Chinese and Western medicine to do a lot of things.
First, the significance of the combination of Chinese and Western medicine
1. disease prevention. As in the prevention of infectious diseases, Chinese medicine in this regard, there are not many ways, and Western medicine? Vaccine? The method is very effective and simple and convenient.
2. Disease diagnosis. Chinese medicine in the diagnosis is general, abstract, theoretical, while Western medicine in the diagnosis is specific, accurate, real. Such as hypertension cerebrovascular accident patients, Chinese medicine said ? Stroke? The Chinese medicine practitioners say it is a stroke. Liver wind within the movement? This is not easy to understand, and it is not easy for patients to accept. To clearly diagnose the disease, it is necessary to apply modern equipment, i.e., Western medical means of examination, such as CT, MRT or DSA.
3. For a particular disease, the use of Chinese and Western medicine to think about the combination of methods, to clarify the efficacy of Chinese medicine treatment or Western medicine treatment, and then apply the efficacy of the method of treatment, in order to minimize the patient's pain and reduce the burden on the patient.
4. Disease recovery. Many diseases, Western medicine can only take measures to strengthen the nutrition, enhance the functional exercise, relying on the body's own recovery, and Chinese medicine can be used in acupuncture, physiotherapy and other rehabilitation measures, this time, Chinese and medical rehabilitation treatment measures is the best.
Second, the theory of complementary development
The early days of the founding of the country to develop? The first step in the development of the theory of complementary development
In the past two hundred years, the progress of modern science has brought about the rapid development of Western medicine. Western medicine has been committed to exploring physiology and pathology from a microscopic perspective, which has led to the invention of new therapies and drugs. In the post-genomics era, the biomedical community recognizes that genes do not determine everything, and therefore proteomics and metabolomics have been introduced to help people understand the operation of the complex system from genes to proteins to tissues and organs, and finally to the human body. The development of therapies can be summarized as targeted therapies, representative drugs, etc. that target genes or certain molecules.
Therefore, most scholars believe that Chinese medicine should learn from Western medicine, open the black box, to explore the nature of the viscera meridian yin and yang, each equivalent to what kind of systems, organs, functions and even molecules in Western medicine, prescription drug therapy can not only be manifested as clinical efficacy, but also from the molecular mechanism of experimental validation, so as to illustrate that a certain theory of traditional Chinese medicine is scientific, and to take this as a combination of traditional Chinese and Western medicine as a primary task. Since the 1970s, the Chinese and Western medical communities have been making the above efforts and have achieved a lot of results, such as the study of the nature of the kidney, the material basis of yin and yang, the substance of the meridians and so on.
Third, the evaluation of the efficacy of Chinese medicine with the methods of Western medicine
Specifically, it is the evaluation of the efficacy of Chinese medicine with the methods of cohort study and evidence-based medicine, and standardization of Chinese medicine? The first step is to use the same method to evaluate the efficacy of Chinese medicine by using cohort studies and evidence-based medicine. For example, coronary heart disease are all categorized into several types or even one type of evidence and treated with fixed prescriptions, and then randomized, double-blind, controlled methods to determine the efficacy of treatment. Most scholars believe that this system of treatment and evaluation of the disease, and the prescription of drugs, helps to objectify the evidence of Chinese medicine and the repeatability of the therapeutic effect.
This method will be the Chinese medicine identification?
This methodology incorporates the characteristics of Chinese medicine into the Western medical diagnosis.
This approach incorporates the characteristics of Chinese medicine into the Western medical diagnosis. The core of TCM diagnosis and treatment is evidence. Through the patient's performance, summarize what evidence belongs to, then can formulate the corresponding method, formula, medicine, such as medicine and evidence in line with the expected results can be received. Otherwise, it is necessary to further think about whether the identification of evidence and the use of drugs is correct. After the successful treatment of a patient, the future encounter similar patients will consider the same rationale and method of prescription drugs slightly adjusted to apply, the same type of evidence can be used in the same type of formula, "typhoid fever," that is, on behalf of the Chinese medicine efficacy of the reproducibility.
The combination of Chinese and Western medicine can be understood as the theory of Chinese medicine and Western medical theory is linked, each take its advantages, to achieve complementary advantages, and then applied to the prevention of disease, diagnosis, treatment and rehabilitation process, to achieve a better service for the people's health purposes; in order to promote traditional Chinese medicine, to prove the efficacy of traditional Chinese medicine, the active ingredient of Chinese medicine research, that is, Chinese medicine, Western medicine research, which is part of the integration of Western and Chinese medicine. This is also a part of the combination of Chinese and Western medicine.
References:
[1] Shen Ziyin. Thinking and practicing from the study of the essence of kidney to the study of the essence of evidence - the combination of Chinese and Western medicine promotes a higher level of complementarity between Chinese and Western medicine. Shanghai Journal of Traditional Chinese Medicine, 2005, 34(4): 47.
[2]Beijing College of Traditional Chinese Medicine. Fundamentals of Chinese medicine [M]. Shanghai: Shanghai Science and Technology Publishing House, 1978.105.
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