融中医情志学说建构老年病医学模式的探讨

Building new mode of gerontology integrating TCM emotion theory

中国面临着老龄化加速发展的挑战,老年人的医疗保健、康复护理等需求日益凸显。中医学认为情志因素是贯穿老年生理、病因病机、诊断、预防治疗和转归预后的重要因素,经历代医家的实践、总结形成了比较完备的老年病学经验。而兼顾生物、心理和社会因素的现代医学模式也在临床实践中逐渐形成了预防性、预测性、个体化和参与性的"4P"医学模式。坚持中医特色,关注情志状态和利用情志手段,重视疾病早期预防,针对疾病的发生和发展过程进行积极的干预;重视医患共同参与,增进老年人健康状况和医疗保健水平,对于建构老年病医学模式有借鉴意义。

China is facing the challenge of rapidly aging population,and the demands of old people for health care and rehabilitative care are becoming prominent day by day.Chinese medicine has been viewing that emotional factors are important ones throughout the physiology,etiology,pathogenesis,diagnosis,prevention,treatment and prognosis of the aged.A relative complete system of gerontology experience has been taken shape based on the practice of physicians of generations,and a medical mode of 4P（preventive,predictive,personalized and participatory） has been formed also in clinical practice in modern medical mode considering biological,psychological and social factors.It is instructive for constructing new mode of gerontology to insist TCM characteristics,pay attention to emotional status,take advantage of emotional approaches,stress early prevention and positive intervention to the onset and development of diseases,value the participation of doctors and patients,and promote health condition of the aged and medical level.