摘要
临床实践中,对于神经疾病的中医疾病诊断,存在着难诊、误诊等比较突出的问题。中医病名数量远较西医少、水准远比西医低是导致这一状况的重要原因。对基础理论、教材标准、临床科研等方面作以分析后,建议扬弃众多低水准中医病名,中医疾病诊断采用西医诊断,这样中医病历的诊断就大多直接简化为西医诊断+中医证候诊断,西医诊断的融入体现了发展,中医证候诊断的保留则反映了传承。这一诊断范式在临床上更加切合实际,有助于解决难诊、误诊等问题,还可以与时俱进、接轨国际;理论上将推动中医对脏腑(尤其是脑)的认识回归其本原,并确立辨病治疗理论。与辨证论治相比,辨病治疗对于疾病更具有针对性,其一旦完成,将会成为中医辨证论治确立以来治疗范式的重大变革,并将使中医突破传统、步入现代,为现代医学的发展做出重大贡献。
In clinical practice, there are many noticeable problems with TCM disease diagnosis when it comes to neurological diseases, such as diagnosis difficulty and misdiagnosis. The important reasons behind this situation are that,in comparison with western medicine, the number of disease names in TCM is much less, and their levels are much lower. After analyzing the basic theory, textbook standards, clinical research, etc., this paper suggests the adoption of western medicine diagnosis in TCM disease diagnosis while sublating numerous low level of TCM disease names, so that the diagnosis in a TCM case report will be simplified to be a combination of western medicine diagnosis and TCM syndrome diagnosis. The integration of western medicine diagnosis embodies the development, while the preservation of TCM syndrome diagnosis reflects the inheritance. This diagnosis model is clinically more practical, which helps to solve the above-mentioned problems, keep pace with the times and be geared to international standards, while in theory, it will promote TCM understanding of zang-fu organs(especially brain) and set up a disease differentiation and treatment theory. This disease differentiation and treatment theory will be more targeted at disease in comparison with syndrome differentiation and treatment. It is believed that once the theory is set up, it will be a significant model revolution since the establishment of syndrome differentiation and treatment in TCM, which may break through the tradition, step into modernization, and make significant contributions to the development of modern medicine.
作者
苏占清
Su Zhanqing(Department of Traditional Chinese Medicine,The Affiliated Brain Hospital of Nanjing Medical University,Nanjing 210029,China)
出处
《世界科学技术-中医药现代化》
CSCD
北大核心
2019年第12期2838-2846,共9页
Modernization of Traditional Chinese Medicine and Materia Medica-World Science and Technology
关键词
中医
西医
神经疾病
疾病诊断
Traditional Chinese medicine
western medicine
neurological disease
disease diagnosis
