中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件

中西醫(yī)結(jié)合在未來醫(yī)學(xué)中的作用

有待思路與方法的突破

GrowthoftheIntegrationofTraditionalChineseandWesternMedicineandIt'sEffectonFutureMedicineAwaitingaBreakthroughinThinkingRouteandWorkingMethod

李恩LiEn,HebeiMedicalUniversity中西醫(yī)結(jié)合在未來醫(yī)學(xué)中的作用

有待思路與方法的突破

Grow1

前言

(Introduction)

1．“三個醫(yī)學(xué)”并存共同發(fā)展的局面2．基礎(chǔ)理論研究促進了中藥現(xiàn)代化，同時也豐富了基礎(chǔ)醫(yī)學(xué)相關(guān)的學(xué)科

Inasituationofco-existenceofChinesemedicine,westernmedicineandIntegrationofTraditionalandWesternMedicineforminganewaspectofthree-medicinegrowingincommon.BasistheorystudypromotedofthemodernizationtheChineseHerbs,atthesametime,enrichingtheBasisMedicine—relatedsubjects.前言(Introduction)2

3．臨床研究中辨證與辨病相結(jié)合，宏觀辨證與微觀辨證顯示了中醫(yī)特色和中西醫(yī)結(jié)合優(yōu)勢。

Inclinicalstudy,theeffectofsyndromedifferentiationanddifferentialdiagnosisexhibitsaspecialfeatureintraditionalmedicineandasuperiorityofIntegrationofTraditionalandWesternMedicine.Thepracticeofmacroscopicsyndromedifferentiationincompanywithmicroscopicdifferentialdiagnosisimprovesthequalityofbothdiagnosisandtreatment.

3．臨床研究中辨證與辨病相結(jié)合，宏觀辨證與微觀辨證顯3

4．中西醫(yī)結(jié)合進入了高層次研究階段；全國現(xiàn)有中西醫(yī)結(jié)合碩士點90個，博士學(xué)科點31個，博士后流動站6個。中西醫(yī)結(jié)合教育體系正在形成中。

Presently,alongsidethegrowthoftheIntegrationofTraditionalandWesternMedicine,theresearchworkofwhichhasenteredaseniorstage.Now,91master'sstudystationsconcerningtheIntegrationofTraditionalandWesternMedicineareestablished.Inaddition,thereare31doctor'sand6mobilespotsforpostdoctoralstudent,showingthatasystemoftheIntegrationofTraditionalandWesternMedicineisshapingupandgoingtodevelop.4．中西醫(yī)結(jié)合進入了高層次研究階段；全國現(xiàn)有中西醫(yī)結(jié)4

5．中西醫(yī)結(jié)合有待思路與方法的突破創(chuàng)新能力三個要素：

(1)洞察性：即能通過事物的表面現(xiàn)象把握其內(nèi)在含義和本質(zhì)特性；

AdevelopmentexpectedbytheIntegrationofTraditionalandWesternMedicineawaitsabreakthroughofthinkingrouteandworkingmethod.Theabilityofbringingnewtrailsandnovelideasoughttoholdthreeessentialelement:(1)Insightability-tryingtoseethingsthroughtheappearancetotheessence.5．中西醫(yī)結(jié)合有待思路與方法的突破Adeve5

(2)敏感性：即能夠接受新事物，發(fā)現(xiàn)新問題；(3)獨創(chuàng)性：即產(chǎn)生新的非凡思想能力，表現(xiàn)為產(chǎn)生新奇、罕見、首創(chuàng)的觀念和成就。

(2)Sensibility-anabilityapttoacceptnovelthingsandideasandfindoutnewproblems.(3)Originality-beingabletohaveapioneeringspiritoracreativeinitiationindoingsomethingwithastonishingachievement.(2)敏感性：即能夠接受新事物，發(fā)現(xiàn)新問題；(2)6一.醫(yī)學(xué)發(fā)展的歷史與當(dāng)代醫(yī)學(xué)的特點

TheErareflectedbycurrentmedicineanditsfeatures

一.醫(yī)學(xué)發(fā)展的歷史與當(dāng)代醫(yī)學(xué)的特點

TheEra7中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件8二．三個醫(yī)學(xué)的內(nèi)涵與中西醫(yī)結(jié)合“代橋”作用

Theconnotationof“ThreeMedicine"andtheeffectof

“GenerationBridge"ofIntegrationtheChinese

MedicineandWesternMedicine二．三個醫(yī)學(xué)的內(nèi)涵與中西醫(yī)結(jié)合“代橋”作用

Thec9

●西醫(yī)學(xué)：即現(xiàn)代醫(yī)學(xué)。它是自然科學(xué)和社會科學(xué)兩大門類相結(jié)合的一門科學(xué)。隨著近代科學(xué)的發(fā)展，運用現(xiàn)代的科學(xué)理論和技術(shù)，研究人體的結(jié)構(gòu)和功能，各種病因的致病作用，病理變化，以及對疾病的診斷、治療和預(yù)防，從而達到增強健康和延緩衰老為目的的一門科學(xué)。

Thewesternmedicinenamelythemodemmedicinewhichintegratestwomajordepartmentsofnaturalsciencewithsocialsciencetogether.Alongwiththeprogressofcurrentscience,themodernscientifictheoriesandtechniquesareusedtostudythestructuresandfunctionsofthehumanbody,etiology,pathologyandclinicaldiagnosis,treatmentandprevention,soastostrengthenone'shealthandtopostponeone'saging.●西醫(yī)學(xué)：即現(xiàn)代醫(yī)學(xué)。它是自然科學(xué)和社會科學(xué)兩大門類相結(jié)合10

●中醫(yī)學(xué)：中醫(yī)學(xué)屬于傳統(tǒng)醫(yī)學(xué)。傳統(tǒng)醫(yī)學(xué)是指：“它是在現(xiàn)代醫(yī)學(xué)傳播和發(fā)展以前就已存在幾百年的有生命力的醫(yī)療實踐，而且至今還在應(yīng)用。這些實踐由于各國社會傳統(tǒng)和文化不同而存在很大差異(《WHO第八次工作綱要》)。”說明中醫(yī)是產(chǎn)生在經(jīng)驗醫(yī)學(xué)時代的經(jīng)驗醫(yī)學(xué)，各國傳統(tǒng)醫(yī)學(xué)有著各自的理論體系。中醫(yī)學(xué)是世界傳統(tǒng)醫(yī)學(xué)中理論最完整、經(jīng)驗最豐富的傳統(tǒng)醫(yī)學(xué)，包括漢醫(yī)、蒙醫(yī)、維吾爾醫(yī)、藏醫(yī)以及其他少數(shù)民族醫(yī)等。

TheChinesemedicine,whichbelongstothetraditionalmedicinewhichdemonstratesthatbeforethespreadandgrowthofwesternmedicine,theChinesemedicinehadexistedandpractisedclinicallyforseveralhundredsyearswithitsgreatvitalitytilttoday.Thereisasignificantdifferencebetweenthistwokindsofmedicalpracticeowingtothevariationsofsocialtraditionalcultures.ChinesemedicineisregardedasanexperiencedmedicineoriginatedfromtheageofexperiencemedicineThetraditionalmedicineinvaryingcountriespossesstheirowntheorysystem,onlytheChinesemedicineremainsthebestintegratyofitsowntheoryandtherichestexperienceofpracticewhichincludesthemedicineofHan,medicineofMongoliaandmedicineofUrguretc.●中醫(yī)學(xué)：中醫(yī)學(xué)屬于傳統(tǒng)醫(yī)學(xué)。傳統(tǒng)醫(yī)學(xué)是指：“它是在現(xiàn)代醫(yī)11

ThemedicineoftheIntegrationofTraditionalandWesternMedicineisasubjectofmedicineinwhichinvolvesthemodeofthinking,objectivecontentandobservationprocessabouttheevolutionandgrowth.Thesimilaritiesanddifferencesofbothmedicinearecheckedbycomparingeachothertoacquireanoutstandingincreasinganewsystemofmedicaltheory.InstudyingtheIntegrationofTraditionalandWesternMedicine.Themedicineofthe12中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件13中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件14``15中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件16

●人口譜和疾病譜的變化為中醫(yī)發(fā)展

提供了歷史機遇

ThealterationofthepopulationspectrumandthediseasespectrumprovidesahistoricalopportunityforthegrowthofChinesemedicine.●人口譜和疾病譜的變化為中醫(yī)發(fā)展

提17中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件18●代謝性疾病與中醫(yī)藥的整體調(diào)節(jié)作用

Metabolicdiseaseandintegratedregulationofthe

TraditionalChineseMedicineandherbs

飲食結(jié)構(gòu)變化與環(huán)境污染

代謝性疾病

糖尿病、肥胖癥、骨質(zhì)疏松、高脂血癥(心腦血管疾病)、腫瘤、精神分裂癥、先天畸形●代謝性疾病與中醫(yī)藥的整體調(diào)節(jié)作用

Metaboli19EntityregulationoftheTraditionalChineseMedicineandherbsTherapy:treatpatientbysyndromedifferentiationRecipeofChinesemedicinalherbs:aprincipleofLi,Fa,Fang,YnoandruleofJun,chen,Zuo,andShiDietarytherapy:makingthedrugsasthefoodAcupunctrueqigongtaijiquanEntityregulationoftheTradi20中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件21●第三條給藥途徑與中醫(yī)“內(nèi)病外治”法

Thethirdrouteofadministrationand

“externaltreatmentforinternaldisease”●第三條給藥途徑與中醫(yī)“內(nèi)病外治”法

Thethir22四．中西醫(yī)結(jié)合的難點與反思

ThedifficultpointsandrecallintheIntegrationofTraditionalandWesternMedicine.

▲對中醫(yī)研究提出的新問題1．藏象研究如何從單純解剖學(xué)觀點生理功能體系發(fā)展2．證的本質(zhì)是什么？能否尋找單一指標(biāo)？ThenewproblemscomingoutinstudyingontheTraditionalChineseMedicine1.HowtotransformationofstudyonZangandXiangfromsimpleanatomytoPhysicalfunction.2.WhatistheessenceofsyndromeinTraditionalChineseMedicine.AretherethepeculiarindexforsyndromeinTraditionalChineseMedicine四．中西醫(yī)結(jié)合的難點與反思

Thedifficultpo233．中醫(yī)的整體調(diào)節(jié)用還原論分析方法，怎么反映整體變化4．醫(yī)學(xué)模式轉(zhuǎn)變與七情研究怎樣客觀化、標(biāo)準(zhǔn)化？3.HowtoinflecttheentitychangeundertheentityregulationofTraditionalChineseMedicinebytheanalyzedmethodofreductionism4.AlternationofmedicinemodelandtheobjectivationandstandardizationofQiQing(七情)3．中醫(yī)的整體調(diào)節(jié)用還原論分析方法，怎么反映整體變化3.Ho245.WhethertheingredientofChineseMedicinalherbsisnotthealternativeoftherecipeofChinesemedicinalherbs.HowtoanalysistheoftherecipeofChinesemedicinalherbs.Whatisthemediumofdrugsleadingotherdrugsintothechannelanddrugsbelongingtothechannel.WhethertheusedChinesemedicinalherbsarenotthenewfunction.WhatisthemechanismofdiregulationofChinesemedicinalherbs.6.Whatistheessenceofchannelsandcollaterals.5.中藥單體成分能否代表該藥？復(fù)方如何分析？引經(jīng)藥、歸經(jīng)藥作用介質(zhì)是什么？中藥有無“老藥新用”？中藥雙向調(diào)節(jié)機理是什么？6.經(jīng)絡(luò)本質(zhì)是什么？如何評價“實體”研究？“內(nèi)病外治”與經(jīng)絡(luò)所屬臟腑關(guān)系。5.WhethertheingredientofCh25五．中西醫(yī)結(jié)合醫(yī)學(xué)模式與思路方法

MedicalDevelopmentmodeloftheIntegrationof

TraditionalChineseMedicine(TCM)and

WesternMedicine(WM)

●中西醫(yī)結(jié)合醫(yī)學(xué)模式——對生物醫(yī)學(xué)模式和恩格爾（GL.Enger）醫(yī)學(xué)模式的評價五．中西醫(yī)結(jié)合醫(yī)學(xué)模式與思路方法

Medical26中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件27中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件28

說明：

(Interpretations)

1．生物進化和演變，首先受自然環(huán)境的影響，適者生存。代謝類型決定物種的生存和進化。因此，研究健康與疾病，要體現(xiàn)“天人合一”的自然觀。2．人類屬于生物屬性。由于參加社會的群體交往，產(chǎn)生心理活動，具有社會屬性。對健康與疾病的認(rèn)識必然是身心統(tǒng)一的整體觀。

1.Firstofall,thebiologicalevolutionisinfluencedbythenaturalenvironment,leadingtothesurvivalofthefittest.Theexistenceandevaluationofthespeciesisdeterminedbydifferentmetabolictypes.Thus,theconceptonnaturethatnatureandmancorrespondtoeachothershouldbeincarnatedinstudyingthehealthanddisease.2.Humanspeciesbelongtothebiologicalattributionbutalsopossesssocialpropertyduetothejoininginsocialcommunicationandtheproducingofpsychologicalactivities.Thecognitiontohealthanddiseasesmustbeinconformitywithintegratedconceptthatphysicalandmentalactivitiesareunited.說明：(29

3．同一種疾病在不同人身上，具有不同的表現(xiàn)，出現(xiàn)了個體差異。在治療上，中醫(yī)提出了同病異治和異病同治的個體醫(yī)學(xué)，突出了中醫(yī)辨證施治的治療觀。4.隨著人口譜和疾病譜的轉(zhuǎn)變，自然環(huán)境的變化和社會的進步，運用天人合一的自然觀，身心統(tǒng)一的整體觀和辨證施治的治療觀(三觀)，指導(dǎo)醫(yī)學(xué)研究，必將促進醫(yī)學(xué)發(fā)展。

3.Individualdifferencemeansthatdifferentsymptomsandsignsofthesamediseasemayappearindifferenthumanbeings.InTCM,that"sametreatmentfordifferentdiseaseanddifferenttreatmentsforonedisease",asakindofindividualizedmedicineisofferedgivingprominencetothetherapeuticconceptthattreatmentsarebasedonsyndromedifferentiation.4.Inpacewiththetransformationinthepedigreeofpopulationanddiseases,thechangeinnaturalenvironmentandtheprogressofthesociety,thedevelopmentofmedicinewillundoubtedlybepromotedbyapplyingtheabovethreeconceptsinmedicalstudies.3．同一種疾病在不同人身上，具有不同的表現(xiàn)，出現(xiàn)30◆中西醫(yī)結(jié)合的思路與方法——需要解決的五個問題

ThethinkingrouteandworkingmethodintheIntegration

ofTraditionalandWesternMedicine—fiveproblemsmust

besolved1.思維上，形象思維與邏輯思維的統(tǒng)一●形象思維與中醫(yī)自然哲學(xué)醫(yī)學(xué)模式的形成●邏輯思維與生物醫(yī)學(xué)模式●兩種思維方式的統(tǒng)一：“從特殊到一般的道路是直覺的，而從一般到特殊的道路則是邏輯性”(愛因斯坦)●系統(tǒng)論、控制論、信息論為一切科學(xué)提供了新理論和新方法

Theintegratyofimagingthinkingandlogicthinking●imagingthinkingandforma-tionofnaturalphilosophicmedicineinTraditionalChineseMedicine●logicthinkingandBiomedicinemodel●theintegratyofimagingthinkingandlogicthinking:AsstatedbyEinstein:“Theroadfromparticularitytogeneralityisanintuitionalsenseandroadfromgeneralitytoparticularitybelongstologic.●thebirthofsystematology,cyberneticsandinformatics(threetheories)supplieanewtheoryandmethodforscientificresearchwork.◆中西醫(yī)結(jié)合的思路與方法——需要解決的五個問題

The312．局部和整體的關(guān)系

Therelationshipbetween"apart"and"awhole"●局部組織器官的作用與整體的關(guān)系●微觀分子水平與宏觀整體的統(tǒng)一(對抗癌療效的評價)●中藥復(fù)方研究的指導(dǎo)思想——二律背反規(guī)律●Therelationshipbetweenthefunctionofeachindividualpartandtheentity●Thecentralizationofthemacroin-tegratyandthemicromolecularity●TheleadingthinkinginstudyofRecipeofChinesemedicinalherbs——Itisknownthatanentiretyconsistsofsome"part",thatis(1+1=2).whilesometimesanentiretyislargerthanasumof"part",thatis(1+1=3)2．局部和整體的關(guān)系

Therelationshipb323．內(nèi)因與外因的關(guān)系——人的生存和進化與自然環(huán)境和社會環(huán)境的關(guān)系

Therelationshipbetweeninternalandexternalcauses:

Theexistenceandevolutionofmankindisinitiallyinfluencedbythenaturalsurroundandsocialcircumstances.●食物是溝通人體與外界之間的橋梁，飲食在人類進化中起著決定性作用●心理因素在致病和治病的作用，研究和發(fā)展中醫(yī)心理學(xué)(如五臟與五志)●Foodisabridgetolinkupthehumanbodyandtheexternalworld.Dietplaysadecisiveroleinman'sevolutionandgrowth.●Effectsofpsychologicalfactorsontreatingdiseaseandresultingindisease.Theemotionalchangesarereflectedontheviscera,whichisworthstudyingincurrentpsychology.3．內(nèi)因與外因的關(guān)系——人的生存和進化與自然環(huán)境和社會環(huán)境的334．客觀指標(biāo)與病人自覺狀況的關(guān)系

Therelationshipofobjectiveindexandchief

complaintofpatient●新的儀器的發(fā)明和使用，擴大了對健康和疾病認(rèn)識的視野●醫(yī)生的經(jīng)驗與病人主訴和體征的作用●轉(zhuǎn)變從“治病”到“治病人”的觀念●Theinventionofnewapparatusmakesman'svisionfieldonhealthanddiseasebroadened.●Physician'seffortandthechiefcomplaintandsignofpatient●Transformationconceptionof"diseaseistreatedbyphysician"to"patientsarebyphysicians"4．客觀指標(biāo)與病人自覺狀況的關(guān)系

There345．分析與綜合的統(tǒng)一

Theunityofanalysisandsynthesis●分析與綜合的關(guān)系——分析是綜合的基礎(chǔ)，沒有分析便沒有綜合●綜合——分析——綜合的研究方法●Therelationshipofofanalysisandsynthesis——analysisisthebasisofsynthesis.Ifthereisnoanalysis，nosynthesisisthebasisofsynthesis.Ifthereisnoanalysis,nosynthesiswillbe.●Aunificationofanalysisandsynthesismustbeamethodofsynthesis-analysis-synthesis5．分析與綜合的統(tǒng)一

Theunityofana35

小結(jié)(Conclusion)

1.中西醫(yī)結(jié)合是兩個醫(yī)學(xué)并存的必然產(chǎn)物，代表了未來醫(yī)學(xué)發(fā)展的方向2.科學(xué)的發(fā)展決定于思路與方法的突破?！疤岢鲆粋€問題比解決一個問題還難”1.TheIntegrationofTraditionalandWesternMedicineistheinevitableproductofco-existenceofTraditionalChinesemedicineandWesternMedicine.Itisthetendencyofthefuturemedicinedevelopment.2.Thedevelopmentofscienceisrestrictedbythebreakthroughofthinkingandworkingmethod.Puttingforwardthequestionismoredifficultthansolvingit.小結(jié)(Conclusion)1.中西醫(yī)363.兩個時代、兩種模式并存，診療觀需要更新才能發(fā)揮“代橋”作用。4.發(fā)揮中西醫(yī)結(jié)合醫(yī)學(xué)模式在未來醫(yī)學(xué)中的作用，中醫(yī)藥學(xué)將重現(xiàn)歷史輝煌。3.Theconceptionofdiagnosisandtreatmentneedtobechangedsoastogiveplaytotheeffectof“generationbridge"oftheIntegrationofTraditionalChineseandWesternMedicine.4.Theintegrationofthetraditionalmedicineandcurrentmedicinehasbecomeatendencyofmedicalgrowth.AfurtherdevelopmentoftraditionalfeaturesofChinesemedicineandsuperiorityofChinesemedicinecombiningwithwesternmedicinewillacceleratethemedicalprogressintheworld,makinganewcontributiontothepreventionandtreatmentfordiseaseinanewhistoricalperiod.3.兩個時代、兩種模式并存，診療觀需要更新才能發(fā)揮“代橋”作37謝謝大家!Thankyou!謝謝大家!38中西醫(yī)結(jié)合在未來醫(yī)學(xué)中的作用

有待思路與方法的突破

GrowthoftheIntegrationofTraditionalChineseandWesternMedicineandIt'sEffectonFutureMedicineAwaitingaBreakthroughinThinkingRouteandWorkingMethod

李恩LiEn,HebeiMedicalUniversity中西醫(yī)結(jié)合在未來醫(yī)學(xué)中的作用

有待思路與方法的突破

Grow39

前言

(Introduction)

1．“三個醫(yī)學(xué)”并存共同發(fā)展的局面2．基礎(chǔ)理論研究促進了中藥現(xiàn)代化，同時也豐富了基礎(chǔ)醫(yī)學(xué)相關(guān)的學(xué)科

Inasituationofco-existenceofChinesemedicine,westernmedicineandIntegrationofTraditionalandWesternMedicineforminganewaspectofthree-medicinegrowingincommon.BasistheorystudypromotedofthemodernizationtheChineseHerbs,atthesametime,enrichingtheBasisMedicine—relatedsubjects.前言(Introduction)40

3．臨床研究中辨證與辨病相結(jié)合，宏觀辨證與微觀辨證顯示了中醫(yī)特色和中西醫(yī)結(jié)合優(yōu)勢。

Inclinicalstudy,theeffectofsyndromedifferentiationanddifferentialdiagnosisexhibitsaspecialfeatureintraditionalmedicineandasuperiorityofIntegrationofTraditionalandWesternMedicine.Thepracticeofmacroscopicsyndromedifferentiationincompanywithmicroscopicdifferentialdiagnosisimprovesthequalityofbothdiagnosisandtreatment.

3．臨床研究中辨證與辨病相結(jié)合，宏觀辨證與微觀辨證顯41

4．中西醫(yī)結(jié)合進入了高層次研究階段；全國現(xiàn)有中西醫(yī)結(jié)合碩士點90個，博士學(xué)科點31個，博士后流動站6個。中西醫(yī)結(jié)合教育體系正在形成中。

Presently,alongsidethegrowthoftheIntegrationofTraditionalandWesternMedicine,theresearchworkofwhichhasenteredaseniorstage.Now,91master'sstudystationsconcerningtheIntegrationofTraditionalandWesternMedicineareestablished.Inaddition,thereare31doctor'sand6mobilespotsforpostdoctoralstudent,showingthatasystemoftheIntegrationofTraditionalandWesternMedicineisshapingupandgoingtodevelop.4．中西醫(yī)結(jié)合進入了高層次研究階段；全國現(xiàn)有中西醫(yī)結(jié)42

5．中西醫(yī)結(jié)合有待思路與方法的突破創(chuàng)新能力三個要素：

(1)洞察性：即能通過事物的表面現(xiàn)象把握其內(nèi)在含義和本質(zhì)特性；

AdevelopmentexpectedbytheIntegrationofTraditionalandWesternMedicineawaitsabreakthroughofthinkingrouteandworkingmethod.Theabilityofbringingnewtrailsandnovelideasoughttoholdthreeessentialelement:(1)Insightability-tryingtoseethingsthroughtheappearancetotheessence.5．中西醫(yī)結(jié)合有待思路與方法的突破Adeve43

(2)敏感性：即能夠接受新事物，發(fā)現(xiàn)新問題；(3)獨創(chuàng)性：即產(chǎn)生新的非凡思想能力，表現(xiàn)為產(chǎn)生新奇、罕見、首創(chuàng)的觀念和成就。

(2)Sensibility-anabilityapttoacceptnovelthingsandideasandfindoutnewproblems.(3)Originality-beingabletohaveapioneeringspiritoracreativeinitiationindoingsomethingwithastonishingachievement.(2)敏感性：即能夠接受新事物，發(fā)現(xiàn)新問題；(2)44一.醫(yī)學(xué)發(fā)展的歷史與當(dāng)代醫(yī)學(xué)的特點

TheErareflectedbycurrentmedicineanditsfeatures

一.醫(yī)學(xué)發(fā)展的歷史與當(dāng)代醫(yī)學(xué)的特點

TheEra45中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件46二．三個醫(yī)學(xué)的內(nèi)涵與中西醫(yī)結(jié)合“代橋”作用

Theconnotationof“ThreeMedicine"andtheeffectof

“GenerationBridge"ofIntegrationtheChinese

MedicineandWesternMedicine二．三個醫(yī)學(xué)的內(nèi)涵與中西醫(yī)結(jié)合“代橋”作用

Thec47

●西醫(yī)學(xué)：即現(xiàn)代醫(yī)學(xué)。它是自然科學(xué)和社會科學(xué)兩大門類相結(jié)合的一門科學(xué)。隨著近代科學(xué)的發(fā)展，運用現(xiàn)代的科學(xué)理論和技術(shù)，研究人體的結(jié)構(gòu)和功能，各種病因的致病作用，病理變化，以及對疾病的診斷、治療和預(yù)防，從而達到增強健康和延緩衰老為目的的一門科學(xué)。

Thewesternmedicinenamelythemodemmedicinewhichintegratestwomajordepartmentsofnaturalsciencewithsocialsciencetogether.Alongwiththeprogressofcurrentscience,themodernscientifictheoriesandtechniquesareusedtostudythestructuresandfunctionsofthehumanbody,etiology,pathologyandclinicaldiagnosis,treatmentandprevention,soastostrengthenone'shealthandtopostponeone'saging.●西醫(yī)學(xué)：即現(xiàn)代醫(yī)學(xué)。它是自然科學(xué)和社會科學(xué)兩大門類相結(jié)合48

●中醫(yī)學(xué)：中醫(yī)學(xué)屬于傳統(tǒng)醫(yī)學(xué)。傳統(tǒng)醫(yī)學(xué)是指：“它是在現(xiàn)代醫(yī)學(xué)傳播和發(fā)展以前就已存在幾百年的有生命力的醫(yī)療實踐，而且至今還在應(yīng)用。這些實踐由于各國社會傳統(tǒng)和文化不同而存在很大差異(《WHO第八次工作綱要》)。”說明中醫(yī)是產(chǎn)生在經(jīng)驗醫(yī)學(xué)時代的經(jīng)驗醫(yī)學(xué)，各國傳統(tǒng)醫(yī)學(xué)有著各自的理論體系。中醫(yī)學(xué)是世界傳統(tǒng)醫(yī)學(xué)中理論最完整、經(jīng)驗最豐富的傳統(tǒng)醫(yī)學(xué)，包括漢醫(yī)、蒙醫(yī)、維吾爾醫(yī)、藏醫(yī)以及其他少數(shù)民族醫(yī)等。

TheChinesemedicine,whichbelongstothetraditionalmedicinewhichdemonstratesthatbeforethespreadandgrowthofwesternmedicine,theChinesemedicinehadexistedandpractisedclinicallyforseveralhundredsyearswithitsgreatvitalitytilttoday.Thereisasignificantdifferencebetweenthistwokindsofmedicalpracticeowingtothevariationsofsocialtraditionalcultures.ChinesemedicineisregardedasanexperiencedmedicineoriginatedfromtheageofexperiencemedicineThetraditionalmedicineinvaryingcountriespossesstheirowntheorysystem,onlytheChinesemedicineremainsthebestintegratyofitsowntheoryandtherichestexperienceofpracticewhichincludesthemedicineofHan,medicineofMongoliaandmedicineofUrguretc.●中醫(yī)學(xué)：中醫(yī)學(xué)屬于傳統(tǒng)醫(yī)學(xué)。傳統(tǒng)醫(yī)學(xué)是指：“它是在現(xiàn)代醫(yī)49

ThemedicineoftheIntegrationofTraditionalandWesternMedicineisasubjectofmedicineinwhichinvolvesthemodeofthinking,objectivecontentandobservationprocessabouttheevolutionandgrowth.Thesimilaritiesanddifferencesofbothmedicinearecheckedbycomparingeachothertoacquireanoutstandingincreasinganewsystemofmedicaltheory.InstudyingtheIntegrationofTraditionalandWesternMedicine.Themedicineofthe50中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件51中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件52``53中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件54

●人口譜和疾病譜的變化為中醫(yī)發(fā)展

提供了歷史機遇

ThealterationofthepopulationspectrumandthediseasespectrumprovidesahistoricalopportunityforthegrowthofChinesemedicine.●人口譜和疾病譜的變化為中醫(yī)發(fā)展

提55中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件56●代謝性疾病與中醫(yī)藥的整體調(diào)節(jié)作用

Metabolicdiseaseandintegratedregulationofthe

TraditionalChineseMedicineandherbs

飲食結(jié)構(gòu)變化與環(huán)境污染

代謝性疾病

糖尿病、肥胖癥、骨質(zhì)疏松、高脂血癥(心腦血管疾病)、腫瘤、精神分裂癥、先天畸形●代謝性疾病與中醫(yī)藥的整體調(diào)節(jié)作用

Metaboli57EntityregulationoftheTraditionalChineseMedicineandherbsTherapy:treatpatientbysyndromedifferentiationRecipeofChinesemedicinalherbs:aprincipleofLi,Fa,Fang,YnoandruleofJun,chen,Zuo,andShiDietarytherapy:makingthedrugsasthefoodAcupunctrueqigongtaijiquanEntityregulationoftheTradi58中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件59●第三條給藥途徑與中醫(yī)“內(nèi)病外治”法

Thethirdrouteofadministrationand

“externaltreatmentforinternaldisease”●第三條給藥途徑與中醫(yī)“內(nèi)病外治”法

Thethir60四．中西醫(yī)結(jié)合的難點與反思

ThedifficultpointsandrecallintheIntegrationofTraditionalandWesternMedicine.

▲對中醫(yī)研究提出的新問題1．藏象研究如何從單純解剖學(xué)觀點生理功能體系發(fā)展2．證的本質(zhì)是什么？能否尋找單一指標(biāo)？ThenewproblemscomingoutinstudyingontheTraditionalChineseMedicine1.HowtotransformationofstudyonZangandXiangfromsimpleanatomytoPhysicalfunction.2.WhatistheessenceofsyndromeinTraditionalChineseMedicine.AretherethepeculiarindexforsyndromeinTraditionalChineseMedicine四．中西醫(yī)結(jié)合的難點與反思

Thedifficultpo613．中醫(yī)的整體調(diào)節(jié)用還原論分析方法，怎么反映整體變化4．醫(yī)學(xué)模式轉(zhuǎn)變與七情研究怎樣客觀化、標(biāo)準(zhǔn)化？3.HowtoinflecttheentitychangeundertheentityregulationofTraditionalChineseMedicinebytheanalyzedmethodofreductionism4.AlternationofmedicinemodelandtheobjectivationandstandardizationofQiQing(七情)3．中醫(yī)的整體調(diào)節(jié)用還原論分析方法，怎么反映整體變化3.Ho625.WhethertheingredientofChineseMedicinalherbsisnotthealternativeoftherecipeofChinesemedicinalherbs.HowtoanalysistheoftherecipeofChinesemedicinalherbs.Whatisthemediumofdrugsleadingotherdrugsintothechannelanddrugsbelongingtothechannel.WhethertheusedChinesemedicinalherbsarenotthenewfunction.WhatisthemechanismofdiregulationofChinesemedicinalherbs.6.Whatistheessenceofchannelsandcollaterals.5.中藥單體成分能否代表該藥？復(fù)方如何分析？引經(jīng)藥、歸經(jīng)藥作用介質(zhì)是什么？中藥有無“老藥新用”？中藥雙向調(diào)節(jié)機理是什么？6.經(jīng)絡(luò)本質(zhì)是什么？如何評價“實體”研究？“內(nèi)病外治”與經(jīng)絡(luò)所屬臟腑關(guān)系。5.WhethertheingredientofCh63五．中西醫(yī)結(jié)合醫(yī)學(xué)模式與思路方法

MedicalDevelopmentmodeloftheIntegrationof

TraditionalChineseMedicine(TCM)and

WesternMedicine(WM)

●中西醫(yī)結(jié)合醫(yī)學(xué)模式——對生物醫(yī)學(xué)模式和恩格爾（GL.Enger）醫(yī)學(xué)模式的評價五．中西醫(yī)結(jié)合醫(yī)學(xué)模式與思路方法

Medical64中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件65中西醫(yī)結(jié)合在未來醫(yī)學(xué)中作用有待思路與方法突破課件66

說明：

(Interpretations)

1．生物進化和演變，首先受自然環(huán)境的影響，適者生存。代謝類型決定物種的生存和進化。因此，研究健康與疾病，要體現(xiàn)“天人合一”的自然觀。2．人類屬于生物屬性。由于參加社會的群體交往，產(chǎn)生心理活動，具有社會屬性。對健康與疾病的認(rèn)識必然是身心統(tǒng)一的整體觀。

1.Firstofall,thebiologicalevolutionisinfluencedbythenaturalenvironment,leadingtothesurvivalofthefittest.Theexistenceandevaluationofthespeciesisdeterminedbydifferentmetabolictypes.Thus,theconceptonnaturethatnatureandmancorrespondtoeachothershouldbeincarnatedinstudyingthehealthanddisease.2.Humanspeciesbelongtothebiologicalattributionbutalsopossesssocialpropertyduetothejoininginsocialcommunicationandtheproducingofpsychologicalactivities.Thecognitiontohealthanddiseasesmustbeinconformitywithintegratedconceptthatphysicalandmentalactivitiesareunited.說明：(67

3．同一種疾病在不同人身上，具有不同的表現(xiàn)，出現(xiàn)了個體差異。在治療上，中醫(yī)提出了同病異治和異病同治的個體醫(yī)學(xué)，突出了中醫(yī)辨證施治的治療觀。4.隨著人口譜和疾病譜的轉(zhuǎn)變，自然環(huán)境的變化和社會的進步，運用天人合一的自然觀，身心統(tǒng)一的整體觀和辨證施治的治療觀(三觀)，指導(dǎo)醫(yī)學(xué)研究，必將促進醫(yī)學(xué)發(fā)展。

3.Individualdifferencemeansthatdifferentsymptomsandsignsofthesamediseasemayappearindifferenthumanbeings.InTCM,that"sametreatmentfordifferentdiseaseanddifferenttreatmentsforonedisease",asakindofindividualizedmedicineisofferedgivingprominencetothetherapeuticconceptthattreatmentsarebasedonsyndromedifferentiation.4.Inpacewiththetransformationinthepedigreeofpopulationanddiseases,thechangeinnaturalenvironmentandtheprogressofthesociety,thedevelopmentofmedicinewillundoubtedlybepromotedbyapplyingtheabovethreeconceptsinmedicalstudies.3．同一種疾病在不同人身上，具有不同的表現(xiàn)，出現(xiàn)68◆中西醫(yī)結(jié)合的思路與方法——需要解決的五個問題

ThethinkingrouteandworkingmethodintheIntegration

ofTraditionalandWesternMedicine—fiveproblemsmust

besolved1.思維上，形象思維與邏輯思維的統(tǒng)一●形象思維與中醫(yī)自然哲學(xué)醫(yī)學(xué)模式的形成●邏輯思維與生物醫(yī)學(xué)模式●兩種思維方式的統(tǒng)一：“從特殊到一般的道路是直覺的，而從一般到特殊的道路則是邏輯性”(愛因斯坦)●系統(tǒng)論、控制論、信息論為一切科學(xué)提供了新理論和新方法

Theintegratyofimagingthinkingandlogicthinking●imagingthinkingandforma-tionofnaturalphilosophicmedicineinTraditionalChineseMedicine●logicthinkingandBiomedicinemodel●theintegratyofimagingthinkingandlogicthinking:AsstatedbyEinstein:“Theroadfromparticularitytogeneralityisanintuitionalsenseandroadfromgeneralitytoparticularitybelongstologic.●thebirthofsystematology,cyberneticsandinformatics(threetheories)supplieanewtheoryandmethodforscientificresearchwork.◆中西醫(yī)結(jié)合的思路與方法——需要解決的五個問題

The692．局部和整體的關(guān)系

Therelationshipbetween"apart"and"awhole"●局部組織器官的作用與整體的關(guān)系●微觀分子水平與宏觀整體的統(tǒng)一(對抗癌療效的評價)●中藥復(fù)方研究的指導(dǎo)思想——二律背反規(guī)律●Therelationshipbetweenthefunctionofeachindividualpartandtheentity●Thecentralizationofthemacroin-tegratyandthemicromolecularity●TheleadingthinkinginstudyofRecipeofChinesemedicinalherbs——Itisknownthatanentiretyconsistsofsome"part",thatis(1+1=2).whilesometimesanentiretyislargerthanasumof"part",thatis(1+1=3)2．局部和整體的關(guān)系

Therelati