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中医体质研究与4P医学的实施 被引量:46

Chinese Constitution Research and the Practice of 4P Medical Model
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摘要 当今医学模式正在由疾病医学向健康医学转化,由此提出了强调预测性(predictive)、预防性(preventive)、个体化(personalized)和参与性(participatory)的4P医学模式。中医体质学提出的3个关键科学问题是"体质可分"、"体病相关"和"体质可调"。"体质可分"是按照人类体质的个体差异性和群体趋同性将中国人群体质分为9种类型,在疾病防治中考虑体质的个体化因素;"体病相关"研究发现每种体质都有其易患的疾病,可以通过健康人群的体质辨识对相关疾病起到一定的预测作用;调体防病研究从偏颇体质这种"未病"状态进行调治,减少相关疾病发生的风险,体现了预防性。体质辨识应用于临床和公共卫生服务,在辨识过程中充分强调服务对象的参与性。因此,中医体质研究体现了4P医学模式的实践和运用,为其他学科在当今医学模式下的研究和发展提供了参考。 The aim of modem medicine is transforming from disease to health. Thus the medical model of 4P was proposed in recent years. 4P includes preventive, predictive, personalized, and participatory medical model. In constitution theory of Chinese medicine, there are three main ideas. The first one is. constitutions can be divided to nine types in the Chinese population. Prevention and treatment of disease can be divided according to the constitutional type. This reflects personalized or individualized of 4P. The second one is, certain constitu- tion is correlated to certain disease. So constitution differentiation can be used to predict the occurrence of any kind disease. The third one is. Disease can be prevented through regulating correlated constitutions. And during the course of constitution differentiation, the object of service or patients can participate in the whole course. In summary, the research of Chinese medical constitution embodies the application and practice of 4P medical model . And it provided reference for studying and developing other subjects under the present medical model.
作者 王济 王琦
出处 《中国中西医结合杂志》 CAS CSCD 北大核心 2012年第5期693-695,共3页 Chinese Journal of Integrated Traditional and Western Medicine
基金 国家重点基础研究发展计划(973计划)资助项目(No.2011CB505400)
关键词 中医体质学 4P医学模式 constitution of Chinese medicine 4P medical model
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