中西医结合医学的概念产生于中国的20世纪50年代,最初是以利用现代医学技术与手段来研究与发展中医为目标而提出的。在发展过程中,此概念逐渐扩展,由中医结合西医逐步转变为结合所有有益于健康及诊治疾病的医学,即概念转变为结合医学(integrative medicine)或整合医学或综合医学。中西医结合神经病学涉及的疾病种类与中国传统医学文献记载的病种存在较大差异。尽管疾病的名称无法一一对应,但是在治疗疾病时,却可利用中医学的症状治疗及辨证施治的特色及优势,结合现代医学治疗手段,提高神经科部分重大难治性疾病的疗效。
Abstract
The concept of traditional Chinese medicine (TCM) combined with Western medicine initiated from the 1950s in order to develop TCM by means of the modern technology or Western medicine. With the passage of time, the concept of TCM combined with Western medicine has been changed as integrative medicine (IM). It includes any methods which can help people improving health or treating diseases. Although all kinds of diseases of Chinese integrative neurology may not be found in TCM area, but the diseases in integrative neurology area can be treated and the symptoms of these diseases can be relieved by using symptomatic treatment and dialectical therapy from TCM. The integrative treatment has indicated superiority in treating diseases of integrative neurology by combining TCM methods. The integrative therapy may improve the treatment methods for some major refractory diseases of neurology.
关键词
结合医学 /
中西医结合医学 /
补充与替代医学 /
广义结合医学 /
狭义结合医学 /
神经病学
Key words
Integrative medicine /
Traditional Chinese medicine combined with Western medicine /
Complementary and alternative medicine /
Generalized integrative medicine /
Special integrative medicine /
Neurology
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参考文献
[1] 崔永强, 周 冰,陈 荠,等. 结合医学在医院的临床实践及发展思考[J]. 中国中西医结合杂志, 2012, 32(1):115-118.
[2] PAN W, ZHOU H. Inclusion of integrative medicine in clinical practice[J]. Integr Med Int, 2014, 1(1):1-4.
[3] WITT C M, 黄文静. 我们需要什么研究来支持将结合医学运用于临床的决策?——效益比较研究可以填补其间的沟壑吗?[J]. 中国中西医结合杂志, 2013, 33(8):1030-1035.
[4] 孔令青. 中西医结合医学的一个新定义[J]. 中西医结合研究, 2015, 7(5):267-269.
[5] 暴 洁, 俞 郦, 潘卫东. 整合医学的理念与模式思考[J]. 世界中西医结合杂志, 2013, 8(11):1164-1167.
[6] 侯政昆, 刘凤斌, 杨云英, 等. 广义结合医学:综合健康干预的战略方向[J]. 中国中西医结合杂志, 2014, 34(6):645-652.
[7] PAN W. Integrative medicine, the direction of future medicine: An interview with Prof. Wenjian Wang[J]. Integr Med Int, 2015, 2(3-4):139-142.
[8] 郑国庆, 张金钟. 结合医学的发展应坚持综合理念[J]. 中国中西医结合杂志, 2011, 31(3):397-401.
[9] LITSCHER D, LITSCHER G. China's Tu Youyou, Nobel laureate in medicine 2015, and relationships with the TCM Research Center Graz at the Medical University[J]. Integr Med Int, 2016, 3(1-2):1-9.
[10] CHEN G Q, SHI X G, TANG W, et al. Use of arsenic trioxide (As2O3) in the treatment of acute promyelocytic leukemia (APL): I. As2O3 exerts dose-dependent dual effects on APL cells[J]. Blood, 1997, 89(9):3345-3353.
[11] PAN W, KWAK S, LIU Y, et al. Traditional Chinese medicine improves activities of daily living in Parkinson’s disease[J]. Parkinsons Dis, 2011:789506.
[12] 刘 云, 潘卫东, 方正龙, 等. 加速度记录仪定量化评价安神健脑方对早期帕金森患者睡眠障碍的疗效[J]. 神经病学与神经康复学杂志, 2010, 7(3):127-131.
[13] 连新福, 雒晓东. 中医辨证分型治疗对美多巴增效减毒的影响[J]. 中国中西医结合杂志, 2007, 27(9):796-799.
[14] PAN W, SU X, BAO J, et al. Open randomized clinical trial on JWSJZ decoction for the treatment of ALS patients[J]. Evid Based Complement Alternat Med, 2013:347525.
[15] 陈 旭, 蔡俊宏, 潘卫东, 等. 应用加速度记录仪定量评估急性脑梗死患者上肢运动功能[J]. 神经病学与神经康复学杂志, 2010, 7(2):65-68.
[16] NAVROTSKY L G, BLOKHIN A A, BELAVSKAYA S V, et al. Patterns of skin luminescence resulting from the visualization of active acupuncture points using optical stimulation[J]. Integr Med Int, 2015, 2(1-2):1-8.
基金
国家自然科学基金面上项目(编号:81373619)