combine traditional Chinese and western medicine
The combination of traditional Chinese and western medicine has a distinct advantage in the development of psychosomatic medicine in China.
Chunming Wang
Psychosomatic medicine, also known as psychophysiological medicine, as a branch of modern medicine, mainly studies the relationship between mind (spirit, psychology) and body (body) and its role in people's health and diseases, and provides a new exploration way for medical research and development, which is the trend of biomedical transformation to bio-psychological-social medical model. With the rapid development of society, people's production, life and behavior have changed, and their psychological load is increasing day by day. Psychological factors have become an important cause of various pathogenic factors, and the incidence of psychosomatic diseases induced by psychological factors has risen sharply. Facing the needs of the society and the development of medical disciplines, the psychosomatic medicine committee of the Chinese Society of Integrated Traditional Chinese and Western Medicine came into being in June 1996+00.
Psychosomatic medicine has interdisciplinary characteristics, involving medicine, biology, psychology, sociology, education and other disciplines, with wide connotations. Broadly speaking, it involves all psychosomatic phenomena in human health and diseases. Psychosomatic medicine in a narrow sense is the basis and clinical problem of studying physical diseases closely related to psychological factors.
China is one of the birthplaces of psychosomatic medicine in the world. The holistic view of "harmony between man and nature", the theory of emotional diseases with "unity of form and spirit" as the core, and the comprehensive prevention and treatment ideas and methods with equal emphasis on "spirit" and "body" have similarities with modern psychosomatic medicine. The principle of syndrome differentiation and treatment, different treatment of the same disease, different treatment of different diseases and multi-level pathogenesis theory of traditional Chinese medicine are more useful for understanding and summarizing modern psychosomatic diseases. Based on this feature and advantage, the professional committee of psychosomatic medicine has carried out academic activities and made efforts to adapt to the change of medical model, establish a psychosomatic medical system combining traditional Chinese and western medicine and promote the modernization of traditional Chinese medicine.
The research of psychosomatic medicine in China began in 1980s, although it started late. However, due to the three forces of western medicine, traditional Chinese medicine and the combination of traditional Chinese and western medicine, as well as the foundation and experience of multidisciplinary integration research, the starting point is relatively high, which is almost synchronous with the international psychosomatic medicine research. Its development trend is: first, integration (micro-macro integration, psychosomatic integration, multidisciplinary integration, multi-etiology integration, etc.). ), followed by the extensive application of molecular biology technology, and the idea of taking care of both body and mind has been extended to almost all disease fields. The current situation of psychosomatic medicine development in China is: the establishment and popularization of psychosomatic related concepts
At present, the discipline has gone out of mental hospitals and expanded to other institutions, general hospitals, communities, schools and enterprises, and has set up institutions related to psychology and psychosomatic affairs to carry out specific work such as consultation, treatment and education.
fundamental research
Tianjin, Beijing, Guangdong, Sichuan, Shanghai, Shandong and other places have made exploratory research on the pathogenesis, syndrome characteristics and treatment of psychosomatic diseases. Among them, the research work of Tianjin University of Traditional Chinese Medicine and Tianjin Institute of Traditional Chinese Medicine is relatively systematic, which embodies the characteristics of integrated traditional Chinese and western medicine. They study the psychosomatic diseases in various systems of internal medicine as a whole, look for * * * from the etiology (psychological factors) and pathogenesis of traditional Chinese medicine and evaluate its syndrome characteristics, while studying syndromes, treatment principles and psychosomatic related biological mechanisms.
1. Evaluate the syndrome characteristics of psychosomatic diseases from the basic pathogenesis level of traditional Chinese medicine, and put forward the basic treatment principles of regulating qi and reducing adverse qi based on qi stagnation and qi, and the resulting combination of blood stasis, phlegm turbidity, cold coagulation, heat toxin and cold and heat.
2. Taking a variety of psychosomatic diseases as objects, the neuroendocrine immune network mechanism related to psychosomatic diseases and the good intervention effect of compound traditional Chinese medicine with the functions of regulating qi, reducing adverse events and dispersing stagnation were explored and verified from the aspects of organs, systems, tissues, cells and molecular biology.
3. It has been proved that the disorder of qi in psychosomatic diseases is closely related to the function of neuroendocrine immune network, which is one of the biological bases of qi disorder.
clinical research
At present, many general hospitals in China have set up psychosomatic diseases departments, psychological counseling departments or medical psychology departments to carry out clinical comprehensive prevention and treatment of various psychosomatic disorders and neurosis, including psychosomatic diseases. Tianjin College of Traditional Chinese Medicine has 10 departments of psychosomatic diseases.
In recent years, the diagnostic criteria of integrated traditional Chinese and western medicine for psychosomatic diseases, the diagnostic criteria of syndromes, the routine treatment and the criteria for judging curative effect have been gradually established, and a series of hospital preparations of compound Chinese medicine "psychosomatic 1 ~ 5" have been developed and produced, which are used for psychosomatic diseases of digestive system, endocrine system, respiratory system and cardiovascular and cerebrovascular system respectively. According to the type and course of the disease, TCM, western medicine and psychology were used in the treatment.
personnel training
Traditional Chinese medicine colleges in Nanjing, Zhejiang, Tianjin and other places set up applied psychology majors (undergraduate courses), and trained undergraduates with psychological professional knowledge and background of integrated traditional Chinese and western medicine. Many institutions have also trained master students and doctoral students, laying a talent foundation for psychosomatic medicine and psychology of integrated traditional Chinese and western medicine.
The academic development of psychosomatic medicine proves that it is a correct way for the development of psychosomatic medicine in China to adhere to the combination of Chinese and Western medicine and interdisciplinary comprehensive research, and its achievements have important academic value and scientific significance for the modern development of Chinese and Western medicine and traditional Chinese medicine in China. Based on the academic development and achievements of psychosomatic medicine with integrated traditional Chinese and western medicine, the project "Neuroendocrine and Immune Network Mechanism of Psychosomatic Diseases and Intervention of Compound Chinese Medicine" declared by the professional committee of psychosomatic medicine in 2005 won the third prize of the first China Science and Technology of Integrated Traditional Chinese and Western Medicine.
Compared with the increasing social demand and the rapid development of medicine, the development of psychosomatic medicine in China is still slow. In the future, while continuing to carry out in-depth academic research, professional committees should actively publicize the concepts of psychosomatic health and diseases, popularize psychosomatic medical knowledge, and make continuous efforts to improve people's psychosomatic health with the support of the state and the help of social forces.