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状态医学———中医学的现代概念 被引量:21

Kilter Medicine-A Contemporary Concept of Traditional Chinese Medicine
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摘要 为人体机能状态定义,以中医同病异治,异病同治,说明中医学的本质是状态医学。人体机能状态正常与否的第一个感受者是自我,因此,症状是诊断状态的第一要素,体征是客观依据。由于人体机能状态并非各器官机能的简单加减,因此,现代医学的理化指标在诊断状态时,只供参考。状态医学的模式实质上就是现代中医学,其诊断依据、状态的评价与西医截然不同。在引入现代病因病理学说的基础上,状态医学是一个新的临床诊疗体系,其药学体系有如镜面,反映状态医学的各种特征。 This article intends to provide new dimensions to the meaning of functional health states in the human body.It is intended to exemplify the concept of ‘kilter medicine’(the state of health of an individual)in terms of Traditional Chinese Medicine (TCM).The author attempts to illustrate the intrinsic factor of TCM by using the principles of ‘tong bing yi zhi’(treating similar diseases with different therapy) and ‘yi bing tong zhi’(treating different diseases with the similar therapy) in order to further demonstrate the meaning of ‘kilter medicine’. Whether an individual is in a healthy state or not initially comes from the perception of ‘not feeling well’ from oneself.Hence,symptoms are crucial factors to diagnosis and physical signs are objective evidence.However,the health state of an individual is not equal to the performance of any isolated functions organs.Therefore,medical tests and measurements only serve as references when used to determine the health state of an individual. Comparing the basis of contemporary medical approach in terms of differential diagnosis and pathogenesis,the concept of ‘kilter medicine’ is a distinct clinical system.The pharmacology used in TCM reflects the various aspects of ‘kilter medicine’.
作者 张有和
出处 《医学与哲学》 1999年第1期6-9,共4页 Medicine and Philosophy
关键词 中医学 状态医学 证候分类 诊断依据 现代中医学 Concept\ Diagnosis basis\ Symptom classify\ Pattern and system
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