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神经疾病——你的中医疾病诊断是什么?
Can neurological disease be named by TCM terms?
投稿时间:2017-12-25  修订日期:2018-02-06
DOI:
中文关键词:  中医  西医  神经疾病  疾病诊断
英文关键词:traditional Chinese medicine, western medicine, neurological disease, disease diagnosis
基金项目:
作者单位E-mail
苏占清 南京医科大学附属脑科医院 suzhanqingnj@126.com 
摘要点击次数: 177
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中文摘要:
      临床实践中,对于神经疾病的中医疾病诊断,存在难诊、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。
英文摘要:
      In clinical practice, there are many problems with TCM disease diagnosis when it comes to neurological disease, such as diagnosis difficulty and misdiagnosis. In comparison with western medicine, the number of diseases in TCM is much less, and diagnosis level is much lower. After analyzing the basic theory, authorized textbooks, national standard, and published research, this essay suggests the adoption of western medicine diagnosis in TCM disease diagnosis so that diagnosis in TCM medical record 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 of great significance, because, in clinical practice, it will help to solve the above-mentioned problems and join TCM in the development of modern medicine, while in theory, it will promote TCM understanding of Zang-fu organs (especially brain), set up a new treatment theory. Characterized by disease differentiation, this new treatment theory will be more targeted at disease in comparison with treatment based on differentiation syndromes. It is believed that treatment based on disease differentiation will be a major model change, and it will make significant contributions to the development of modern medicine.
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