摘要
慢性疾病在临床中呈现出临床前期-临床期(发作期、缓解期)-临床治愈/迁延的演变规律,其发生发展受到四时气候、疾病轻重、个体差异等众多因素的影响。以中医“未病先防、既病防变、瘥后防复”为主线,将中医三因制宜思想融入到序贯理念中,提出中医药序贯干预模式,形成了早介入、多疗程、可动态的个体化策略,体现中医辨证论治的特色。结合慢性疾病特点,凝练出中医药在慢性疾病防治中的病机序贯、方案序贯、药物序贯、疗效序贯、时机序贯的不同模式。并以心血管疾病为例,提出了“防-治-康-养”的序贯方案,更好地体现出中医药在慢性疾病诊疗中的优势。
Chronic diseases progress from pre-clinical,clinical(onset,remission),to cure/prolongation phases,heavily affected by many factors such as the four seasons,the severity of the disease,and individual differences.Based on the traditional Chinese medicine(TCM)theory of“prevent disease before it arises;control the development of existing disease;and prevent recurrence after disease is cured”,the concept of treatment in accordance with three categories of disease causes is integrated with sequential concept,proposing the TCM sequential treatment model,and formulating the syndrome differentiation-based TCM-specific individualized strategy characterized by early interventinon,multiple courses,and dynamic changes.According to the characteristics of chronic diseases,different prevention and treatment models with TCM for chronic diseases have been proposed involving sequential pathogenesis,program,herbs,therapeutic effect and timing.By taking cardiovascular disease as an example,this paper raises a“prevention-treatment-rehabilitation-preservation”sequential program,which better addressed the advantages of TCM in management of chronic diseases.
作者
漆仲文
严志鹏
施琦
周欢
杨潇雅
冀楠
王玥瑶
张傲
张军平
QI Zhongwen;YAN Zhipeng;SHI Qi;ZHOU Huan;YANG Xiaoya;JI NanWANG Yueyao;ZHANG Ao;ZHANG Junping(Postdoctoral Research Station,Xiyuan Hospital,China Academy of Chinese Medical Sciences,Beijing,100091;First Teaching Hospital of Tianjin University of Traditional Chinese Medicine;National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion;The Affiliated Hospital of Nankai University)
出处
《中医杂志》
CSCD
北大核心
2022年第8期730-733,共4页
Journal of Traditional Chinese Medicine
基金
第二批国家“万人计划”人才——百千万工程领军人才。
关键词
慢性疾病
序贯理念
中医药
慢病防治
chronic diseases
sequential concept
traditional Chinese medicine
prevention and treatment of chronic diseases
